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  1. Popular blood thinner causing deaths, injuries in nursing homes. | PSNet

    psnet.ahrq.gov/issue/popular-blood-thinner-causing-deaths-injuries-nursing-homes
    May 03, 2017 - Reporting on an anticoagulant commonly used in nursing homes and patient harm linked to this medication … this newspaper article relates reasons doctors are reluctant to prescribe new drugs to older patients and … challenges to monitoring and preventing such adverse drug events. … July 14, 2008 View More Related Resources National Healthcare Quality … and Disparities Reports.

  2. Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes | PSNet

    psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
    April 10, 2024 - ethnic disparities, and poor quality of care. … families seeking care to compare the quality of care in settings like hospitals and NHs, among others … lower quality of care. 39,40 Unfortunately, segregation has been a historic structural problem in NHs … NHs and pointed out some potential gaps in the survey processes meant to insure quality of care. … Association of nursing home ratings on health inspections, quality of care, and nurse staffing with COVID

  3. Sterile compounding tragedy is a symptom of a broken system on many levels. | PSNet

    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 Healthcare … Quality and Disparities Reports. … March 3, 2021 National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive

  4. The reduction of race and gender bias in clinical treatment recommendations using clinician peer networks in an experimental setting. | PSNet

    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. Tragedy into policy: a quantitative study of nurses' attitudes toward patient advocacy activities. | PSNet

    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

  6. CMS changes in reimbursement for HAIs: setting a research agenda. | PSNet

    psnet.ahrq.gov/issue/cms-changes-reimbursement-hais-setting-research-agenda
    May 03, 2018 - May 3, 2018 Relationship between systems-level factors and hand hygiene adherence. … February 13, 2019 Nurse working conditions and patient safety outcomes. … October 19, 2022 View More Related Resources National Healthcare … Quality and Disparities Reports. … January 9, 2024 Preventing a parallel pandemic - a national strategy to protect clinicians

  7. Why your doctor's white coat can be a threat to your health. | PSNet

    psnet.ahrq.gov/issue/why-your-doctors-white-coat-can-be-threat-your-health
    November 18, 2016 - Healthcare Personnel Attire and Devices as Fomites: A Systematic Review. … This newspaper article reports on how clinician attire , stethoscopes, and technology can be contaminated … catheter-associated infections: results of two national collaboratives. … March 31, 2021 View More Related Resources National Healthcare … Quality and Disparities Reports.

  8. Look-alike and sound-alike medicines: risks and 'solutions.' | PSNet

    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.

  9. Morbidity and mortality caused by noncompliance with California hospital licensure: immediate jeopardies in California hospitals, 2007-2017. | PSNet

    psnet.ahrq.gov/issue/morbidity-and-mortality-caused-noncompliance-california-hospital-licensure-immediate
    May 19, 2021 - Study Morbidity and mortality caused by noncompliance with California hospital licensure … September 21, 2022 Relationships between pediatric safety indicators across a national … Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National … Reporting and Learning System. … January 24, 2024 National Healthcare Quality and Disparities Reports.

  10. Are quality improvement collaboratives effective? A systematic review. | PSNet

    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 Related Resources Transforming concepts in patient safety: a progress … report. … units: a systematic review and meta-analysis.

  11. AHRQ Health Services Research Projects: Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R01). | PSNet

    psnet.ahrq.gov/issue/ahrq-health-services-research-projects-making-health-care-safer-ambulatory-care-settings-and
    April 01, 2024 - US Department of Health and Human Services. August 25, 2015. PA-15-339. … disparities in patient safety.  … US Department of Health and Human Services. August 25, 2015. PA-15-339. … February 11, 2015 The Food and Drug Administration's National Drug Code Directory. … August 16, 2023 Final Report on Prioritization of Patient Safety Practices for a New

  12. Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in the United States. | PSNet

    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

  13. Bias and racism teaching rounds at an academic medical center. | PSNet

    psnet.ahrq.gov/issue/bias-and-racism-teaching-rounds-academic-medical-center
    August 12, 2020 - Implicit and explicit bias can reduce the effectiveness and safety of care. … national survey. … : application of the socioecological model to reduce racial disparities in the NICU. … March 8, 2023 Health disparities: impact of health disparities and treatment decision-making … April 14, 2017 Unequal Treatment: Confronting Racial and Ethnic Disparities in Health

  14. Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. | PSNet

    psnet.ahrq.gov/issue/nosocomial-infection-deficit-reduction-act-and-incentives-hospitals
    September 14, 2011 - course for health professions and related sciences students. … February 1, 2023 View More Related Resources National Healthcare … Quality and Disparities Reports. … December 12, 2014 Healthcare-associated infections: a national patient safety problem … and the coordinated response.

  15. The natural lifespan of a safety policy: violations and system migration in anaesthesia. | PSNet

    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 Quality … and Disparities Reports. … September 29, 2017 National pediatric anesthesia safety quality improvement program in

  16. Economic evaluation of healthcare safety: which attributes of safety do healthcare professionals consider most important in resource allocation decisions? | PSNet

    psnet.ahrq.gov/issue/economic-evaluation-healthcare-safety-which-attributes-safety-do-healthcare-professionals
    July 01, 2012 - February 13, 2013 View More Related Resources National Healthcare … Quality and Disparities Reports. … local, state and national levels. … The Report of the Independent Medicines and Medical Devices Safety Review. … February 5, 2020 Whistleblowing over patient safety and care quality: a review of the

  17. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-437
    April 10, 2024 - compared those strategies to the Food and Drug Administration (FDA) and National Institute on Aging … Nearly two-thirds of oncologists perceived moderate to very high levels of racial disparities, and a … quality of care: a scoping review. … This report summarizes findings from 55 case reports at military care facilities to identify investigation … Book/Report Workforce and Patient Safety.

  18. Long-term Care and Patient Safety | PSNet

    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.

  19. Chasing Zero: Winning the War on Healthcare Harm. | PSNet

    psnet.ahrq.gov/issue/chasing-zero-winning-war-healthcare-harm
    May 18, 2012 - Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010. … This documentary reports on families affected by medical errors; it includes the story of a high-profile … Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010. … The Evolution of Root Cause Analysis February 26, 2025 National … Healthcare Quality and Disparities Reports.

  20. Preventing falls and fall-related injuries in health care facilities. | PSNet

    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
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