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  1. psnet.ahrq.gov/issue/checklists-and-guidelines-imaging-techniques-visualizing-what-do
    December 02, 2015 - Checklists and guidelines: imaging techniques for visualizing what to do. … and prescribing cascades: a qualitative study. … 2024 View More Related Resources Patient Safety Authority Annual Reports … April 30, 2024 National Healthcare Quality and Disparities Reports. … June 8, 2011 Unintended transplantation of three organs from an HIV-positive donor: report
  2. psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety
    January 09, 2024 - Copy URL Cite Related Resources NationalHealthcare Quality and Disparities Reports. … January 9, 2024 Compliance with central line maintenance bundle and infection rates. … , 2023 Annual Perspective Improving Diagnostic Safety and … September 10, 2013 Using evidence, rigorous measurement, and collaboration to eliminate
  3. psnet.ahrq.gov/issue/20-years-later-err-leadership-failure
    November 30, 2016 - This special segment shares commentaries and online content that summarize growth and lack of progress … s) AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report … November 30, 2016 Adherence to national guidelines for timeliness of test results communication … diminishes racial disparities in survival after in-hospital cardiac arrests. … January 30, 2019 Patient Safety: Exploring Quality of Care in the US.
  4. psnet.ahrq.gov/issue/minnesota-hospital-association-statewide-project-safe-falls
    May 05, 2014 - outpatient settings, and opportunities for improvement. … 2017 View More Related Resources Patient Safety Authority Annual Reports … April 30, 2024 National Healthcare Quality and Disparities Reports. … review and synthesis of recent empirical research. … October 12, 2011 Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries
  5. psnet.ahrq.gov/issue/multilevel-factors-associated-time-biopsy-after-abnormal-screening-mammography-results-race
    March 24, 2021 - (s) Outpatient insulin-related adverse events due to mix-up errors: findings from two national … clinician-level quality of care. … 2020 A machine learning approach to reclassifying miscellaneous patient safety event reports … September 6, 2023 The woman who cried pain: do sex-based disparities still exist in the … May 4, 2022 Racial disparities in diagnostic delay among women with breast cancer.
  6. psnet.ahrq.gov/perspective/maternal-safety
    January 01, 2015 - The Centers for Disease Control and Prevention report that the US pregnancy-related mortality ratio has … Maternal death is devastating for families, as highlighted in several recent media reports . … Racial and Ethnic Disparities . … Key national and local community stakeholders, such as the Black Mamas Matter Alliance and Black Women … disparities in maternal mortality.
  7. psnet.ahrq.gov/issue/case-study-preventing-surgical-complications-baystate-medical-center
    May 27, 2011 - claims and costs. … September 7, 2016 View More Related Resources National HealthcareQuality and Disparities Reports. … -19 pandemic: recommendations for content and implementation adaptations. … February 2, 2011 Unintended transplantation of three organs from an HIV-positive donor: report
  8. psnet.ahrq.gov/issue/healthcare-leaders-and-elected-politicians-approach-support-systems-and-requirements
    February 28, 2024 - Study Healthcare leaders' and elected politicians' approach to support-systems andand patient quality and safety goals in long-term care facilities. … June 24, 2020 View More Related Resources National Healthcare Qualityand Disparities Reports. … October 12, 2022 The National Imperative to Improve Nursing Home Quality: Honoring Our
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867804/psn-pdf
    February 26, 2025 - two decades since To Err Is Human summarized how publication of the report and the attention it garnered … Based on two studies performed in the 1980s and 1990s, the report estimated that preventable errors … disparities through algorithms used to train it. … [Free full text] https://psnet.ahrq.gov/issue/generative-artificial-intelligence-patient-safety-and-healthcare-quality-review … https://psnet.ahrq.gov/issue/generative-artificial-intelligence-patient-safety-and-healthcare-quality-review
  10. psnet.ahrq.gov/issue/patient-safety-learning
    January 12, 2022 - Information Related report Save Save to your library Print Download PDF … or alongside emergency departments: incorporating realist methodology into patient safety incident report … 2022 A machine learning approach to reclassifying miscellaneous patient safety event reports … January 18, 2023 Explaining ethnic disparities in patient safety: a qualitative analysis … January 8, 2014 The National Center for Human Factors Engineering in Healthcare.
  11. psnet.ahrq.gov/issue/look-alike-and-sound-alike-medicines-risks-and-solutions
    March 29, 2023 - January 18, 2013 The flaw of medicine: addressing racial and gender disparities in critical … May 1, 2024 Associations between national board exam performance and residency program … February 9, 2022 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … April 22, 2017 Case report of a medication error: in the eye of the beholder.
  12. psnet.ahrq.gov/issue/preventable-proportion-healthcare-associated-infections-2005-2016-systematic-review-and-meta
    April 26, 2017 - health-care-associated infection: a systematic review and expert consensus. … opioid guideline: a consensus panel report. … April 8, 2019 View More Related Resources National Healthcare Qualityand Disparities Reports. … 2022 Adverse events in Italian nursing homes during the COVID-19 epidemic: a national
  13. psnet.ahrq.gov/primer/communication-between-clinicians
    September 15, 2024 - Current Context The Joint Commission includes "improving staff communication" as one of its National … The National Quality Forum also includes multiple approaches to enhancing communication as part of the … September 21, 2022 Communication disparities between nursing home team members. … Delayed Diagnoses of Cancer July 31, 2023 Improving safety and quality of care … July 2, 2014 Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative
  14. psnet.ahrq.gov/issue/communication-and-transparency-means-strengthening-workplace-culture-during-covid-19
    January 16, 2019 - Book/Report Communication and Transparency as a Means to Strengthening Workplace … National Academy of Medicine; 2021. doi:10.31478/202103a. … This report shares the experience of one hospital that used technology to enhance information-sharing … National Academy of Medicine; 2021. doi:10.31478/202103a. … September 30, 2020 Bias at warp speed: how AI may contribute to the disparities gap in
  15. psnet.ahrq.gov/issue/diagnostic-error-experiences-patients-and-families-limited-english-language-health-literacy
    October 27, 2021 - Using data from the 2017 Institute for Healthcare Improvement-National Patient Safety Foundation study … dSEP experienced diagnostic errors at the same rate as their counterparts, they were more likely to report … threats: a national survey of interns and residents. … December 21, 2022 Human centered design workshops as a meta-solution to diagnostic disparities … July 8, 2020 Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care
  16. psnet.ahrq.gov/issue/hospitals-save-money-safety-questioned
    January 18, 2006 - This article reports on the reuse of single-use medical instruments, discussing both the benefits and … December 20, 2017 View More Related Resources National HealthcareQuality and Disparities Reports. … January 9, 2024 Healthcare industry representatives: maximizing benefits and reducing … September 21, 2009 The National Medical Error Disclosure and Compensation (MEDiC) Act
  17. psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba
    April 01, 2010 - organization established in 1999 to develop and implement a national strategy for health care qualitycare quality and patient safety performance in the United States. … care quality.( 17 , 22 ) In its first decade, the NQF has successfully established itself as a key … NQF should drive 21st century health care quality. Hosp Outlook. 2007;11:10. [go to PubMed] 9. … National Quality Forum. Safe Practices for Better Healthcare: A Consensus Report.
  18. psnet.ahrq.gov/issue/complications-surgeons-notes-imperfect-science
    January 13, 2010 - Book/Report Classic Complications: A Surgeon's Notes on … January 7, 2019 Do No Harm: Stories of Life, Death, and Brain Surgery. … September 28, 2017 View More Related Resources National HealthcareQuality and Disparities Reports. … May 31, 2017 Forgive and Remember: Managing Medical Failure. 2nd ed.
  19. psnet.ahrq.gov/issue/patient-safety-actioning-and-communicating-blood-test-results-primary-care-uk-wide-audit
    August 03, 2022 - reduce disparities. … September 18, 2024 Changes in weekend and weekday care quality of emergency medical admissions … to 20 hospitals in England during implementation of the 7-day services national health policy. … a teaching university-affiliated facility in a family medicine group: a quality improvement process report … from the American Academy of Family Physicians National Research Network.
  20. psnet.ahrq.gov/issue/examination-opportunities-active-patient-improving-patient-safety
    October 04, 2011 - July 6, 2012 Hospital patients' reports of medical errors and undesirable events in their … May 6, 2015 View More Related Resources National Healthcare Qualityand Disparities Reports. … May 29, 2012 Surgical adverse outcomes and patients’ evaluation of quality of care: inherent … risk or reduced quality of care?

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