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  1. 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.
  2. psnet.ahrq.gov/issue/culture-resistance
    September 19, 2016 - This three-part journalistic investigation highlights efforts in Washington State to track and minimize … Within Health Professional Education and Health Care. … December 18, 2014 The ethics and practical importance of defining, distinguishing and … December 19, 2016 View More Related Resources National HealthcareQuality and Disparities Reports.
  3. psnet.ahrq.gov/issue/impact-medical-errors-ninety-day-costs-and-outcomes-examination-surgical-patients
    August 03, 2017 - , and patient safety. … 2022 View More Related Resources Patient Safety Authority Annual Reports … April 30, 2024 National Healthcare Quality and Disparities Reports. … Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: a systematic review … and meta-analysis.
  4. psnet.ahrq.gov/issue/addressing-healthcare-associated-infections-and-antimicrobial-resistance-organizational
    January 31, 2024 - : progress and challenges. … : progress and challenges. … Health October 6, 2021 Medical misadventures as errors and mistakes and motor … March 13, 2024 View More Related Resources National HealthcareQuality and Disparities Reports.
  5. psnet.ahrq.gov/issue/association-between-electronic-health-record-implementations-and-hospital-acquired-conditions
    September 01, 2016 - in a national patient safety collaborative. … national patient safety collaborative. … January 17, 2019 Racial, ethnic, and socioeconomic disparities in patient safety events … 19, 2018 Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0 Final Report … April 15, 2009 National Priorities and Goals: Aligning Our Efforts to Transform America's
  6. psnet.ahrq.gov/issue/pediatric-quality-and-safety-nursing-perspective
    February 15, 2017 - March 10, 2010 Complexity and challenges of the clinical diagnosis and management of … pneumonia: a national cohort study of 115 U.S. … July 1, 2020 Communication disparities between nursing home team members. … August 21, 2024 Care quality and safety in long-term aged care settings: a systematic … August 14, 2024 Generative artificial intelligence, patient safety and healthcare quality
  7. 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
  8. psnet.ahrq.gov/issue/standards-audits-and-saying-im-sorry-engineers-family-proposes-solutions
    February 22, 2010 - Newspaper/Magazine Article Standards, audits, and saying I'm sorry: an engineer's … 2.0: Disclosure, Apology, and Relationships Prevent Medical Malpractice Claims. … March 30, 2016 View More Related Resources National HealthcareQuality and Disparities Reports. … May 22, 2019 The Canadian Quality and Patient Safety Framework for Health and Social
  9. psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
    June 15, 2024 - In this run chart, the external standard is the National Healthcare Safety Network (NHSN) mean CLABSI … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S … December 9, 2020 Using an online quiz-based reinforcement system to teach healthcarequality and patient safety and care transitions at the University of California. … Examining the effect of quality improvement initiatives on decreasing racial disparities
  10. psnet.ahrq.gov/issue/inequities-quality-and-safety-outcomes-hospitalized-children-intellectual-disability
    June 15, 2022 - Implications for practice and training. … with performance and patient safety? … May 19, 2021 Health care quality and safety in a correctional system: creating goals … March 16, 2022 Quality and safety in hospital pediatrics during COVID-19: a national … September 30, 2020 Racial, ethnic, and socioeconomic disparities in patient safety events
  11. psnet.ahrq.gov/issue/safety-fragile-conflict-affected-and-vulnerable-settings-evidence-scanning-approach
    January 12, 2022 - Studies were generally from lower and lower-middle income countries and focused primarily on strengthening … September 15, 2021 Fidelity and the impact of patient safety huddles on teamwork and … May 5, 2021 View More Related Resources National Healthcare Qualityand Disparities Reports. … September 16, 2020 Older Adults and COVID-19: Implications for Aging Policy and Practice
  12. psnet.ahrq.gov/issue/accidents-claiming-and-regional-subcultures-are-medical-errors-and-malpractice-lawsuits
    October 16, 2024 - Study Accidents, claiming, and regional subcultures: are medical errors and malpractice … Accidents, claiming, and regional subcultures: Are medical errors and malpractice lawsuits related to … Accidents, claiming, and regional subcultures: Are medical errors and malpractice lawsuits related to … April 14, 2021 Racial disparities in maternal mortality. … February 17, 2011 The National Report Card on the State of Emergency Medicine.
  13. psnet.ahrq.gov/issue/accidental-iatrogenic-pneumothorax-hospitalized-patients
    April 03, 2005 - April 3, 2005 Readiness to report medical treatment errors: the effects of safety procedures … diminishes racial disparities in survival after in-hospital cardiac arrests. … Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement … March 27, 2019 Patient safety events and harms during medical and surgical hospitalizations … February 29, 2012 French national survey of inpatient adverse events prospectively assessed
  14. psnet.ahrq.gov/issue/foundational-science-learning-health-systems
    June 26, 2019 - , and knowledge to implement change and, ultimately, sustain improvements . … A national prospective cohort study. … August 3, 2022 Impact of pharmacist-provided medication therapy management on healthcarequality and utilization in recently discharged elderly patients. … May 15, 2024 Revealing Disparities: Health Care Workers’ Observations of Discrimination
  15. psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
    January 06, 2018 - and regular audit and feedback of pressure ulcer rates in ensuring intervention success. … Care Safer II report and was published as part of a special patient safety supplement in the Annals … March 13, 2013 Meeting the Joint Commission's 2013 National Patient Safety Goals. … November 2, 2012 Racial disparities in the frequency of patient safety events: results … from the National Medicare Patient Safety Monitoring System.
  16. psnet.ahrq.gov/issue/when-bad-things-happen-training-medical-students-anticipate-aftermath-medical-errors
    July 29, 2020 - of the impact of medical errors and adverse events and the resources available to support providers … clinician-level quality of care. … A national survey of program directors on 2017 work hours requirements. … September 30, 2020 Bias at warp speed: how AI may contribute to the disparities gap in … June 24, 2020 Preventing a parallel pandemic - a national strategy to protect clinicians
  17. psnet.ahrq.gov/issue/evidence-based-tool-pe-ps-healthcare-managers-assess-patient-engagement-patient-safety
    June 08, 2010 - and Quality Common Formats to capture diagnostic safety events. … May 25, 2022 Nurse bias and nursing care disparities related to patient characteristics … Nurse sensemaking for responding to patient and family safety concerns. … of a national Delphi survey by the Children's Safety Initiative-Emergency Medical Services for Children … An overview of intravenous-related medication administration errors as reported to MEDMARX(R), a national
  18. psnet.ahrq.gov/issue/examining-patient-safety-events-using-behaviour-change-wheel-cross-sectional-analysis
    September 20, 2012 - Patient safety event reports offer unique opportunities for learning and preventing future events. … safety threats: a national survey of interns and residents. … 2025 Accuracy of a proprietary large language model in labeling obstetric incident reports … , 2024 Examining the effect of quality improvement initiatives on decreasing racial disparities … improve safety is a critical initial step in improving care quality.
  19. psnet.ahrq.gov/issue/trust-and-medical-ai-challenges-we-face-and-expertise-needed-overcome-them
    July 22, 2020 - Trust and medical AI: the challenges we face and the expertise needed to overcome them. … clinician-level quality of care. … May 20, 2020 Bias at warp speed: how AI may contribute to the disparities gap in the … safety problems associated with information technology in general practice: an analysis of incident reports … November 6, 2015 Clinical safety of England's national programme for IT: a retrospective
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60241/psn-pdf
    February 24, 2022 - 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

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