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psnet.ahrq.gov/issue/teamstepps-20-online-master-trainer-course
October 03, 2023 - program will present group-focused opportunities for participants to learn how to apply Agency for Healthcare … Quality and Research TeamSTEPPS 2.0 curriculum methods to develop staff training and improve team … October 8, 2023
- October 11, 2023
Quality of Care Concerns and the Facility Response … July 2, 2014
Diagnostic overshadowing among groups experiencing health disparities. … March 30, 2022
ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and
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psnet.ahrq.gov/issue/covid-19-focused-inspection-initiative-healthcare
April 01, 2024 - review and meta-analysis. … April 5, 2017
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National Healthcare Quality … and Disparities Reports. … and resident deaths. … August 19, 2020
Older Adults and COVID-19: Implications for Aging Policy and Practice
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psnet.ahrq.gov/issue/systematic-review-application-plan-do-study-act-method-improve-quality-healthcare
May 01, 2019 - systematic review of the plan-do-study-act method of quality improvement showed that most studies do not report … incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National … Reporting and Learning System (NRLS). … August 14, 2013
The Measurement and Monitoring of Safety. … May 8, 2013
Explaining ethnic disparities in patient safety: a qualitative analysis.
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psnet.ahrq.gov/issue/patient-safety-learning
January 12, 2022 - Information
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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.
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psnet.ahrq.gov/issue/maryland-hospital-patient-safety-program-annual-report
December 24, 2008 - Office of Health Care Quality. Baltimore, MD: Maryland Department of Health and Mental Hygiene. … Care Quality. … Latest report (PDF)
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Download … Office of Health Care Quality. Baltimore, MD: Maryland Department of Health and Mental Hygiene. … quality and safety: clinicians' lived experiences.
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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
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National Healthcare … Quality and Disparities Reports. … May 31, 2017
Forgive and Remember: Managing Medical Failure. 2nd ed.
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psnet.ahrq.gov/issue/reversing-rise-maternal-mortality
January 18, 2017 - enhancements in collecting data on maternal health outcomes, access to care, understanding of racial disparities … , accountability, and listening to patients and families who have been impacted by unsafe maternal … January 18, 2017
A perinatal care quality and safety initiative: are there financial … May 22, 2019
Recommendations from a national panel on quality improvement in obstetrics … December 9, 2015
The Report of the Morecambe Bay Investigation.
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psnet.ahrq.gov/perspective/patient-safety-concerns-and-lgbtq-population
February 01, 2023 - about LGBTQ+ persons. 1
Healthcare Disparities
LGBTQ+ community members experience healthcare disparities … in electronic health records (EHRs) is one recommendation that may improve the quality of care provided … The National Academies Press; 2011. … Sexual & gender minority: Terms and definitions. National Institutes of Health. … Sexual & gender minority: Terms and definitions. National Institutes of Health.
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psnet.ahrq.gov/periodic-issue/periodic-issue-375
December 14, 2022 - Black patients who report experiencing racism in healthcare report poorer quality of care. … ED) were asked about their overall quality of care and whether they perceived an impact of their race … While Black patients reported high overall quality of care, 10% believed their race negatively impacted … disparities such as team-based care and implicit bias training. … We spoke with her about measuring patient safety, the CMS National Quality Strategy, and the future of
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psnet.ahrq.gov/issue/hospital-safety-grade
June 21, 2023 - Quality (AHRQ), the Centers for Disease Control and Prevention (CDC), and the Centers for Medicare and … Available at
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Save to your library … Payer Disparities in Adverse Safety Events: Are there Differences across Leapfrog Hospital Safety Grades … December 16, 2009
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Lessons from Event Reports … May 17, 2013
HospitalInspections.org
March 27, 2013
The National
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psnet.ahrq.gov/issue/drug-shortage-associated-increase-catheter-related-blood-stream-infection-children
April 24, 2018 - National drug shortages have increased and emerged as a serious patient safety issue in the United … This evidence illustrates profound financial and patient safety implications related to a national drug … February 13, 2014
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National Healthcare … Quality and Disparities Reports. … July 31, 2013
Eliminating CLABSI: A National Patient Safety Imperative.
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psnet.ahrq.gov/issue/smart-healthcare-safety
November 13, 2019 - Disparities in Health and Healthcare. … Toolkit for the Safe Use of Copy and Paste. … October 4, 2023
Patient safety education 20 years after the Institute of Medicine report … : results from a cross-sectional national survey. … and safety culture: a cross-sectional survey analysis.
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psnet.ahrq.gov/issue/how-physicians-implicit-prejudice-against-obese-and-mentally-ill-moderated-specialty-and
January 19, 2022 - by specialty and experience? … Sequential content and reflexive thematic analysis of national statutory reporting within the NHS in … on healthcare quality? … diminishes racial disparities in survival after in-hospital cardiac arrests. … July 31, 2024
National cross-sectional cohort study of the relationship between quality
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psnet.ahrq.gov/node/33803/psn-pdf
January 01, 2015 - RK: AHRQ publishes an annual report that describes many measures of quality, safety, and disparities. … And the report shows that there has been very little progress in reducing disparities,
although the … /issue/national-healthcare-quality-and-disparities-reports
https://psnet.ahrq.gov/issue/improving-diagnosis-health-care … to
improve health care quality and safety. … IT
can improve the quality of health care.
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psnet.ahrq.gov/issue/reviewing-methodologically-disparate-data-practical-guide-patient-safety-research-field
April 24, 2018 - implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national … January 19, 2016
Patient safety skills in primary care: a national survey of GP educators … A review of challenges and solutions. … systematic review and meta-analysis. … May 25, 2016
Human factors and ergonomics and quality improvement science: integrating
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psnet.ahrq.gov/periodic-issue/periodic-issue-428
February 28, 2024 - ) between 2004 and 2020, researchers found that 59% of reports were submitted by consumers and events … Study
Disparities in diagnostic timeliness and outcomes of pediatric appendicitis … Racial and ethnicity disparities can contribute to biases which can negatively impact health outcomes … Book/Report
Positive Patient Identification. … This National Learning Report examines circumstances that contribute to poor identification practices
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psnet.ahrq.gov/issue/battling-hospital-acquired-infections
June 27, 2018 - with performance and patient safety? … Depth of Relationships through National Quantitative Surveys and In-depth Qualitative Case Studies. … November 18, 2011
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National Healthcare … Quality and Disparities Reports. … December 12, 2014
Implementing a national program to reduce catheter-associated urinary
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psnet.ahrq.gov/issue/hear-her-concerns
April 01, 2024 - National Center for Chronic Disease Prevention and Health Promotion, Division of Reproductive Health; … Share
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April 6, 2022
National … National Center for Chronic Disease Prevention and Health Promotion, Division of Reproductive Health; … August 10, 2022
Final Report of the Ockenden Review. … April 27, 2022
Using the ecological systems theory to understand black/white disparities
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psnet.ahrq.gov/issue/effect-external-inspections-safety-acute-hospitals-national-health-service-england-controlled
January 12, 2022 - Study
The effect of external inspections on safety in acute hospitals in the National … A content analysis of accreditation reports. … and racial disparities in US nursing home ratings. … May 9, 2012
Racial disparities in the frequency of patient safety events: results from … the National Medicare Patient Safety Monitoring System.
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psnet.ahrq.gov/perspective/conversation-connor-wesley-rn-bsn-patient-safety-concerns-and-lgbtq-population
February 01, 2023 - Sexual & gender minority: Terms and definitions. National Institutes of Health. … about LGBTQ+ persons. 1 Healthcare Disparities LGBTQ+ community members experience healthcare disparities … electronic health records (EHRs) is one recommendation that may improve the quality of care provided … The National Academies Press; 2011. … Sexual & gender minority: Terms and definitions. National Institutes of Health.