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psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
December 08, 2021 - negative clinical experiences.( 9 ) Poor communication contributes to errors and health disparities … In fact, professional interpreters report better understanding of patients' social and cultural backgrounds … Both clinicians and patients report the quality of VMI/VRI as equal to in-person interpretation, although … National Healthcare Disparities Report, 2006. … Los Angeles, CA: National Health Law Program; 2010. [Available at] 14.
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psnet.ahrq.gov/issue/ending-extra-payment-never-events-stronger-incentives-patients-safety
November 13, 2024 - The National Quality Forum defined 28 never events in a 2007 consensus report that led to state mandates … for reporting and financial implications for payment of services. … motivating hospitals and clinicians to improve quality and safety. … May 13, 2021
Racial disparities in maternal mortality. … March 13, 2013
Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries
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psnet.ahrq.gov/issue/sterile-compounding-tragedy-symptom-broken-system-many-levels
February 13, 2019 - its critical link to patient safety—part 1 and part 2. … May 31, 2017
Mix-ups between epidural analgesia and IV antibiotics in labor and delivery … October 20, 2021
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National Healthcare … Quality and Disparities Reports. … March 3, 2021
National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive
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psnet.ahrq.gov/node/838220/psn-pdf
September 27, 2019 - Primary Care, Quality of Care, and Patient Safety
Primary care plays an important role in avoiding and … services, can address each of the healthcare quality aims. … of care is achieved in this context. … Agency for Healthcare Research and Quality. Six Domains of Health Care Quality. … Agency for Healthcare Research and Quality. 2019 National Healthcare Quality & Disparities Report.
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psnet.ahrq.gov/issue/effect-providing-staff-training-and-enhanced-support-care-homes-care-processes-safety-climate
September 15, 2021 - topic in healthcare quality, patient safety, person-centeredness and human resource management. … A content analysis of accreditation reports. … and racial disparities in US nursing home ratings. … September 1, 2011
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See More About The Topic
Long-Term Care … Quality and Safety Professionals
Geriatrics
Pressure Ulcers
Patient Falls
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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - Primary Care, Quality of Care, and Patient Safety Primary care plays an important role in avoiding and … services, can address each of the healthcare quality aims. … of care is achieved in this context. … Agency for Healthcare Research and Quality. Six Domains of Health Care Quality. … Agency for Healthcare Research and Quality. 2019 National Healthcare Quality & Disparities Report .
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psnet.ahrq.gov/curated-library/maternal-safety
January 31, 2024 - IHI Innovation Report.
Laderman M, Renton M. … awareness that racial and ethnic disparities exist and that racism and bias in the hospital can lead … IHI Innovation Report. … The report outlines specific areas of concern for rural hospitals and suggests avenues for improvement … This survey of postpartum women elicited reports of adverse events, unanticipated procedures, and sense
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psnet.ahrq.gov/issue/hospital-acquired-conditions-reduction-program-racial-and-ethnic-diversity-and-magnet
June 08, 2022 - Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in … and ethnic disparities. … : a national survey on United States operating rooms. … March 8, 2015
ISMP medication error report analysis. … December 30, 2014
WebM&M Cases
Getting a Good Report
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psnet.ahrq.gov/primer/failure-rescue
September 15, 2024 - skill mix, and was ultimately endorsed by the National Quality Forum as a nurse-sensitive quality measure … Failure-to-rescue and disparities in emergency general surgery. … Racial and ethnic disparities in death associated with severe maternal morbidity in the United States … clinician-level quality of care. … January 26, 2022
National hospital ratings systems share few common scores and may generate
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psnet.ahrq.gov/issue/effects-harm-events-30-day-readmission-surgical-patients
July 31, 2019 - between general practices and allied health providers: the Team-link study. … January 10, 2024
National Healthcare Quality and Disparities Reports. … January 9, 2024
Voices from frontline nurses on care quality and patient safety during … July 14, 2021
Safety and Quality in Perioperative Anesthesia Care. … April 7, 2021
How much and what local adaptation is acceptable?
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psnet.ahrq.gov/issue/are-quality-improvement-collaboratives-effective-systematic-review
August 02, 2015 - reduce disparities. … the longitudinal Welsh national adverse events study. … View More
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Transforming concepts in patient safety: a progress … report. … units: a systematic review and meta-analysis.
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psnet.ahrq.gov/issue/preventable-mortality-after-common-urological-surgery-failing-rescue
July 17, 2013 - This analysis of national hospital data found that while odds of overall mortality from urological surgery … This work emphasizes the need to examine disparities in patient safety outcomes. … RIS
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National … March 14, 2022
Are physicians' perceptions of healthcare quality and practice satisfaction … : a national survey on United States operating rooms.
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psnet.ahrq.gov/primer/long-term-care-and-patient-safety
February 24, 2022 - Subsequent OIG reports have also found many patient safety problems and adverse events including well … The federal government is leading other efforts to improve the safety and quality of care at long-term … Medicaid programs, which explicitly emphasize a focus on ensuring the quality of care for long-term … programs for staff and the AHRQ ECHO National Nursing home Action Network . … May 1, 2024
National Healthcare Quality and Disparities Reports.
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psnet.ahrq.gov/primer/telehealth-and-patient-safety
July 27, 2022 - People who are directly interacting with computers report lower fear of disclosure and display emotions … telehealth has the potential to negatively impact patient safety, ongoing review of protocols, safety reports … Editor, AHRQ’s Patient Safety Network (PSNet) Professor, Department of Pediatrics Medical Director for Healthcare … Access and quality of care in direct-to-consumer telemedicine. … Resources From the Same Author(s)
Patient Safety Primers
National
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psnet.ahrq.gov/issue/natural-lifespan-safety-policy-violations-and-system-migration-anaesthesia
June 22, 2009 - Study
The natural lifespan of a safety policy: violations and system migration in … The natural lifespan of a safety policy: violations and system migration in anaesthesia. … July 15, 2009
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Related Resources
National Healthcare Quality … and Disparities Reports. … September 29, 2017
National pediatric anesthesia safety quality improvement program in
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psnet.ahrq.gov/node/837791/psn-pdf
August 05, 2022 - Research has repeatedly identified racial disparities
in cancer staging (early vs. late) and outcomes … reports in ambulatory care settings should capture both of these factors. … National Academies of Sciences, Engineering, and Medicine. Improving diagnosis in health care. … The
National Academies Press; 2015.
5. … , and cancers: toward a national incidence estimate using the
“Big Three.”
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psnet.ahrq.gov/issue/medicare-and-medicaid-programs-hospital-and-critical-access-hospital-cah-changes-promote
August 28, 2024 - Regulation
Medicare and Medicaid Programs; Hospital and Critical Access Hospital … Citation Text:
Medicare and Medicaid Programs; Hospital and Critical Access Hospital (CAH) Changes … and Fiscal Year 2025 Rates; Quality Programs Requirements; and Other Policy Changes. … June 15, 2016
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Related Resources
National Healthcare Quality … and Disparities Reports.
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psnet.ahrq.gov/issue/assessment-nursing-home-reporting-major-injury-falls-quality-measurement-nursing-home-compare
August 24, 2022 - Nursing Home Compare publicly available reports on the quality and safety of care provided by nursing … 2022
Organizational readiness to change as a leverage point for improving safety: a national … May 4, 2022
Communication disparities between nursing home team members. … associated facility characteristics and racial disparities in US nursing home ratings. … April 28, 2021
In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots
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psnet.ahrq.gov/issue/bmj-quality-safety
October 11, 2016 - A monthly peer-reviewed journal that reports research, initiatives, and viewpoints in the growing area … July 31, 2019
Exploring the theory, barriers and enablers for patient and public involvement … threats: a national survey of interns and residents. … December 10, 2024
Association of open communication and the emotional and behavioural … July 8, 2020
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care
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psnet.ahrq.gov/issue/tragedy-policy-quantitative-study-nurses-attitudes-toward-patient-advocacy-activities
June 01, 2011 - This survey found that many Nevada nurses felt unwilling to report safety problems due to fear of retaliation—a … October 12, 2011
Racial disparities in preventable adverse events attributed to poor … care coordination reported in a national study of older US adults. … September 1, 2021
Cognitive and implicit biases in nurses' judgment and decision-making … February 24, 2021
A national study links nurses' physical and mental health to medical