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Experiences of transgender people reviewing their electronic health records, a qualitative study. | PSNet

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August 04, 2021 - September 23, 2020 A model for improving health care quality for transgender and gender … May 19, 2021 Barriers to accessing nighttime supervisors: a national survey of internal … research and practice. … September 7, 2022 A model for improving health care quality for transgender and gender … October 1, 2013 Unequal Treatment: Confronting Racial and Ethnic Disparities in

When bad things happen: training medical students to anticipate the aftermath of medical errors. | PSNet

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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

Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system. | PSNet

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

The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients. | PSNet

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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.

Time to tackle diagnostic errors. Physicians blame patient 'treadmill' for missed calls. | PSNet

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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

The effects of harm events on 30-day readmission in surgical patients. | PSNet

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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?

Inequities in quality and safety outcomes for hospitalized children with intellectual disability. | PSNet

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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

Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. | PSNet

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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.

Accidents, claiming, and regional subcultures: are medical errors and malpractice lawsuits related to social capital? | PSNet

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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.

Strategies and Approaches for Tracking Improvements in Patient Safety | PSNet

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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 healthcare … quality and patient safety and care transitions at the University of California. … Examining the effect of quality improvement initiatives on decreasing racial disparities

The foundational science of learning health systems. | PSNet

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 healthcare … quality and utilization in recently discharged elderly patients. … May 15, 2024 Revealing Disparities: Health Care Workers’ Observations of Discrimination

Periodic Issue | PSNet

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July 08, 2022 - Improving patient safety in hospitals is a longstanding national priority. … This mixed methods systematic review of 56 studies and case reports identifies seven major themes such … quality of healthcare delivery. … quality of healthcare delivery. … This study reports on a multimodal program to educate and train healthcare workers resulting in improvements

Hospital finances and patient safety outcomes. | PSNet

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 Healthcare … Quality and Disparities Reports. … August 17, 2018 AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline

Culture of resistance. | PSNet

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 Healthcare … Quality and Disparities Reports.

Addressing healthcare-associated infections and antimicrobial resistance from an organizational perspective: progress and challenges. | PSNet

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 Healthcare … Quality and Disparities Reports.

The Canadian Quality and Patient Safety Framework for Health and Social Services. | PSNet

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December 09, 2020 - Multi-use Website The Canadian Quality and Patient Safety Framework for Health and … Citation Text: The Canadian Quality and Patient Safety Framework for Health and Social Services. … Patient Safety Framework for Health and Social Services. … TeamSTEPPS: The Evolution of Patient Safety Teamwork Training February 28, 2024 National … Healthcare Quality and Disparities Reports.

Patient-physician racial and ethnic concordance and perceived medical errors. | PSNet

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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

The PSNet Collection | PSNet

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October 27, 2021 - The study compared a review of all patient safety reports explicitly mentioning COVID-19, and using natural … language processing, identified additional safety reports involving COVID-19 diagnostic errors and delays … This alert is part of a national program to distribute learnings from report analysis to improve medication … The COVID-19 pandemic has exacerbated racial and ethnic disparities in healthcare. … This study used registry data to examine racial and ethnic disparities in post-discharge outcomes among

Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. | PSNet

psnet.ahrq.gov/issue/veterans-affairs-initiative-prevent-methicillin-resistant-staphylococcus-aureus-infections

February 22, 2017 - found that a multifaceted approach including universal screening , contact isolation precautions, and … February 22, 2017 Healthcare-associated infections in Veterans Affairs acute-care and … November 16, 2022 View More Related Resources National Healthcare … Quality and Disparities Reports. … November 23, 2011 Eliminating CLABSI: A National Patient Safety Imperative.

In Conversation with…Carolyn Clancy, MD | PSNet

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.

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