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psnet.ahrq.gov/issue/hospital-infections-hard-gauge
July 20, 2011 - This news piece details efforts to collect, analyze, and utilize state-wide reports on health care–associated … July 28, 2013
Classifying laboratory incident reports to identify problems that jeopardize … January 10, 2017
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National Healthcare … Quality and Disparities Reports. … August 29, 2012
New 2012 National Patient Safety Goal - catheter-associated urinary tract
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psnet.ahrq.gov/issue/nurse-bias-and-nursing-care-disparities-related-patient-characteristics-scoping-review
March 17, 2021 - Review
Nurse bias and nursing care disparities related to patient characteristics … Nurse bias and nursing care disparities related to patient characteristics: a scoping review of the quantitative … impact on disparities . … This scoping review identified 215 research reports on nurse bias and/or care disparities. … systematic review of studies with national coverage.
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psnet.ahrq.gov/issue/influence-organizational-context-quality-improvement-and-patient-safety-efforts-infection
May 08, 2017 - September 29, 2021
National improvements in resident physician-reported patient safety … June 1, 2022
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National Healthcare Quality … and Disparities Reports. … December 29, 2014
Implementing a national program to reduce catheter-associated urinary … March 23, 2012
Eliminating CLABSI: A National Patient Safety Imperative.
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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
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psnet.ahrq.gov/issue/quality-hospital-work-environments-and-missed-nursing-care-linked-heart-failure-readmissions
September 09, 2020 - Researchers found that hospitals with worse ratings of nurses' work environment and more frequent reports … diminishes racial disparities in survival after in-hospital cardiac arrests. … on healthcare quality? … June 1, 2022
Changes in weekend and weekday care quality of emergency medical admissions … September 27, 2017
National hospital ratings systems share few common scores and may
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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
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psnet.ahrq.gov/issue/medicare-says-it-wont-cover-hospital-errors
November 28, 2016 - This article reports on a new Centers for Medicare and Medicaid Services (CMS) rule mandating that Medicare … in patient safety circles, with some expressing concerns regarding the economic impact on hospitals and … Citation
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New system for patients to report … July 28, 2010
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National Healthcare Quality … and Disparities Reports.
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psnet.ahrq.gov/issue/making-patient-safety-centerpiece-medical-liability-reform
December 01, 2019 - the National Medical Error Disclosure and Compensation (MEDiC) Act . … November 11, 2015
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National Healthcare … Quality and Disparities Reports. … September 27, 2010
Fair and Reliable Medical Justice Act. … November 29, 2009
The National Medical Error Disclosure and Compensation (MEDiC) Act.
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psnet.ahrq.gov/issue/infection-control-measure-performance-long-term-care-hospitals-and-their-relationship-joint
June 07, 2023 - hospitals and federally qualified health centers. … October 31, 2018
Hospital performance trends on national quality measures and the association … January 31, 2024
National Healthcare Quality and Disparities Reports. … 2022
Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports … May 6, 2020
New 2012 National Patient Safety Goal - catheter-associated urinary tract
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psnet.ahrq.gov/issue/analysis-adverse-events-pediatric-surgery-using-criteria-validated-adult-population
May 06, 2009 - , using measures (the National Surgical Quality Improvement Program and the AHRQ Patient Safety Indicators … September 23, 2020
Disparities in racial, ethnic, and payer groups for pediatric safety … February 6, 2019
Disparities in diagnostic timeliness and outcomes of pediatric appendicitis … 2022
Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0 Final Report … Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports
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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
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psnet.ahrq.gov/issue/evaluation-association-between-hospital-survey-patient-safety-culture-hsops-measures-and
December 21, 2017 - catheter-associated infections: results of two national collaboratives. … catheter-associated infections: results of two national collaboratives. … Results from a national survey. … June 3, 2015
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National Healthcare Quality … and Disparities Reports.
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psnet.ahrq.gov/issue/medical-harm-historical-conceptual-and-ethical-dimensions-iatrogenic-illness
May 13, 2020 - Book/Report
Classic
Medical Harm: Historical, Conceptual … March 9, 2018
Laboratory medicine handoff gaps experienced by primary care practices: a report … validation of a deep learning model for detection of allergic reactions using safety event reports across … June 24, 2015
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National Healthcare Quality … and Disparities Reports.
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psnet.ahrq.gov/Information/Panel
January 01, 2012 - In this role, she oversees all quality of care and regulatory programs for the health plan and provider … Clark Foundation, which has reduced disparities in maternal and infant mortality in Washington, DC. … In addition, she contributes her research expertise in disparities, health equity, and patient safety … to the initiative to uncover the contributing factors leading to disparities in maternal and infant … After her father died from medical errors, she has become a patient advocate promoting quality of care
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psnet.ahrq.gov/issue/development-multicomponent-intervention-decrease-racial-bias-among-healthcare-staff
September 23, 2020 - the Burgess Model framework for racial bias intervention to develop online modules related to racial disparities … A national survey of program directors on 2017 work hours requirements. … February 18, 2011
Barriers to accessing nighttime supervisors: a national survey of internal … of health care quality among African American college students in Georgia, USA. … Related Resources
Perceived discrimination in the community pharmacy: a cross-sectional, national
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psnet.ahrq.gov/issue/randomized-field-study-leadership-walkrounds-based-intervention
May 24, 2016 - Book/Report
A Randomized Field Study of a Leadership WalkRounds-Based Intervention … January 9, 2019
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National Healthcare … Quality and Disparities Reports. … February 5, 2014
Improving America's Hospitals: The Joint Commission's Annual Report … on Quality and Safety 2012.
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psnet.ahrq.gov/issue/first-do-less-harm-confronting-inconvenient-problems-patient-safety
March 29, 2007 - Book/Report
First, Do Less Harm: Confronting the Inconvenient Problems of Patient … January 1, 2001
Handbook of Human Factors and Ergonomics in Health Care and Patient Safety … June 28, 2016
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National Healthcare Quality … and Disparities Reports. … January 8, 2014
Identifying Risks and Monitoring Safety: the Role of Patients and Citizens
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psnet.ahrq.gov/issue/rounding-influence
February 22, 2010 - January 22, 2017
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National Healthcare … Quality and Disparities Reports. … January 9, 2024
Using a logic model to design and evaluate quality and patient safety … July 31, 2013
Eliminating CLABSI: A National Patient Safety Imperative. … October 18, 2011
New 2012 National Patient Safety Goal - catheter-associated urinary
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psnet.ahrq.gov/issue/failing-grade-patient-safety
March 14, 2007 - Twitter
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April 4, 2007
Times Colonist
This article reports … March 14, 2007
An Amendment of the Medical Care Availability and Reduction of Error (Mcare … February 29, 2012
National Healthcare Quality and Disparities Reports.
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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 and … and patient quality and safety goals in long-term care facilities. … June 24, 2020
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National Healthcare Quality … and Disparities Reports. … October 12, 2022
The National Imperative to Improve Nursing Home Quality: Honoring Our