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  1. 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 View More Related Resources National Healthcare Qualityand Disparities Reports. … September 29, 2017 National pediatric anesthesia safety quality improvement program in
  2. 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 View More Related Resources National HealthcareQuality and Disparities Reports. … March 3, 2021 National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive
  3. 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
  4. psnet.ahrq.gov/issue/reduction-race-and-gender-bias-clinical-treatment-recommendations-using-clinician-peer
    August 09, 2023 - findings indicate that clinician network interventions might be useful in healthcare settings to reduce disparities … scheduled follow-up interval with racial or ethnic disparities in blood pressure control. … March 2, 2022 Maternal and neonatal health care worker well-being and patient safety … February 10, 2021 Hospital ward adaptation during the COVID-19 pandemic: a national survey … factors considerations in using personal protective equipment in the COVID-19 pandemic context: a bi-national
  5. psnet.ahrq.gov/issue/hospital-finances-and-patient-safety-outcomes
    April 27, 2010 - , and patient safety. … March 4, 2011 ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic … November 15, 2017 View More Related Resources National HealthcareQuality and Disparities Reports. … August 17, 2018 AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline
  6. psnet.ahrq.gov/web-mm/its-sarah-not-stephen
    January 01, 2015 - a recent national report revealed that 41% of transgender adults have attempted suicide.( 12 ) Transitioning … National transgender discrimination survey—report on health and health care. … An overview of U.S. trans health priorities: a report by the Eliminating Disparities Working Group. … Injustice at every turn: a report of the National Transgender Discrimination Survey. … Analysis of incident reports from a patient safety organization.
  7. psnet.ahrq.gov/issue/medical-record-review-deaths-unexpected-intensive-care-unit-admissions-and-clinician
    October 12, 2022 - reduce disparities. … September 18, 2024 Design and implementation of an application and associated services … A national survey of program directors on 2017 work hours requirements. … September 23, 2020 View More Related Resources Disparities in racial … February 28, 2024 Racial and ethnic disparities in common inpatient safety outcomes in
  8. psnet.ahrq.gov/issue/time-tackle-diagnostic-errors-physicians-blame-patient-treadmill-missed-calls
    April 22, 2016 - factor in diagnostic error , this magazine article describes efforts to understand why they occur and … to determine their incidence, including a report from the Institute of Medicine raising awareness of … September 23, 2020 Bias at warp speed: how AI may contribute to the disparities gap in … September 9, 2020 It’s time to consider national culture when designing team training … Annual Perspective Improving Diagnostic Safety and
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837324/psn-pdf
    July 08, 2022 - and flexibility to collect and report on a variety of measures (helps reduce burden on hospitals and … Racial and ethnic disparities in cesarean delivery and indications among nulliparous, term, singleton … Racial and Ethnic Health Disparities. 2021. doi:10.1007/s40615-021-01057-w.   … National vital statistics reports; vol 63 no 6. … Racial and Ethnic Health Disparities. 2021;8:844-851. doi:10.1007/s40615-020-00842-3.
  10. psnet.ahrq.gov/issue/medication-errors-acute-cardiovascular-and-stroke-patients-scientific-statement-american
    February 03, 2011 - April 24, 2018 A national implementation project to prevent catheter-associated urinary … reduce disparities. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … National Patient Safety Agency.
  11. psnet.ahrq.gov/issue/quality-and-reporting-large-scale-improvement-programmes-review-maternity-initiatives-english
    February 07, 2024 - evaluated 15 large-scale quality improvement programs focused on intrapartum care in the United Kingdom’s National … Enacting a new role to support staff who raise concerns about quality and safety in the English National … September 6, 2023 Quality and safety practices among academic obstetrics and gynecology … activities in Oklahoma and Texas. … , 2022 Examining the effect of quality improvement initiatives on decreasing racial disparities
  12. psnet.ahrq.gov/issue/impact-anti-infective-drug-shortages-hospitals-united-states-trends-and-causes
    October 19, 2022 - July 28, 2021 View More Related Resources National Healthcare Qualityand Disparities Reports. … April 27, 2022 National drug shortages worsen during COVID-19 crisis: proposal for a … comprehensive model to monitor and address critical drug shortages. … review and synthesis of recent empirical research.
  13. psnet.ahrq.gov/issue/once-easily-recognized-signs-measles-now-elude-young-doctors
    May 04, 2011 - In light of the recent outbreak of measles in California, this newspaper article reports on how lack … of familiarity with measles among clinicians can contribute to diagnostic errors and spread of the … February 12, 2016 FDA begins inquiry after death and illness from saline bags meant for … March 17, 2015 View More Related Resources National HealthcareQuality and Disparities Reports.
  14. psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
    September 01, 2005 - The IOM Report galvanized a lot of public concern and attention, and it galvanized clinicians and health … outcome measures such as those found in AHRQ's National Healthcare Quality Report . … and improving health care quality and safety. … Improving patient safety by repeating (read-back) telephone reports of critical information. … Healthcare Quality and Disparities Reports.
  15. psnet.ahrq.gov/issue/pediatric-medication-safety-and-media-what-does-public-see
    November 25, 2009 - Pediatric medication safety and the media: what does the public see? … Investigators examined the number of articles and the types of events covered and assessed the overall … themes presented and framed by the media. … December 15, 2011 View More Related Resources National HealthcareQuality and Disparities Reports.
  16. psnet.ahrq.gov/issue/other-big-drug-problem-older-people-taking-too-many-pills
    December 14, 2016 - This newspaper article reports on several strategies to reduce inappropriate medication use in older … patients, including desprescribing and brown bag medication review. … July 6, 2011 Medical mystery: alcoholism didn’t cause man’s diabetes and cirrhosis. … March 29, 2017 View More Related Resources National HealthcareQuality and Disparities Reports.
  17. psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
    December 23, 2016 - December 23, 2016 Eliminating racial and ethnic disparities causing mortality and morbidity … May 23, 2018 Diagnostic overshadowing among groups experiencing health disparities. … June 29, 2022 Addressing health care disparities by improving quality and safety. … associated facility characteristics and racial disparities in US nursing home ratings. … September 14, 2022 The National Imperative to Improve Nursing Home Quality: Honoring
  18. psnet.ahrq.gov/issue/liquid-medication-errors-and-dosing-tools-randomized-controlled-experiment
    December 21, 2017 - dosing tools, and parent medication errors: a randomized study. … December 19, 2018 View More Related Resources National HealthcareQuality and Disparities Reports. … January 9, 2024 Association of patient and family reports of hospital safety climate … May 11, 2011 Out-of-hospital medication errors: a 6-year analysis of the national poison
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33599/psn-pdf
    August 30, 2023 - Background In 2004, The National Academies of Science, Engineering, and Medicine (NASEM, then known … care, and equitable treatment.5 AHRQ simultaneously released its first evidence report on health literacy … The report noted that many adults cannot read complex texts at all and will have serious difficulty … Current Context Health literacy remains a national priority and is a foundational principle and overarching … Health Literacy in the United States: Enhancing Assessments and Reducing Disparities.
  20. psnet.ahrq.gov/issue/patient-physician-racial-and-ethnic-concordance-and-perceived-medical-errors
    July 27, 2022 - Patient-physician racial and ethnic concordance and perceived medical errors. … The author analyzed national health disparity survey results and found that white patients were less … apt to report perceived medical errors by white physicians, but that racial/ethnic concordance had no … July 24, 2019 ISMP medication error report analysis. … November 21, 2017 Identification of poor performance in a national medical workforce

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