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  1. psnet.ahrq.gov/issue/management-adverse-surgical-events-structured-education-module-residents
    August 26, 2011 - The authors describe a simulated training module emphasizing interpersonal and communication skills. … Same Author(s) Patient safety curriculum for surgical residency programs: results of a nationalReport of the Institute of Medicine, "Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. … reduce disparities. … Results of a national survey of surgical trainees.
  2. psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-qualitative-study-implementation-through-canadian
    January 24, 2024 - August 12, 2009 Catching and correcting near misses: the collective vigilance and individual … View More Related Resources Typology of solutions addressing diagnostic disparities … : gaps and opportunities. … July 24, 2024 Quality improvement lessons learned from National Implementation of the … June 26, 2024 Patient Safety Primers National Patient Safety
  3. psnet.ahrq.gov/issue/health-literacy-related-safety-events-qualitative-study-health-literacy-failures-patient
    August 24, 2022 - threats: a national survey of interns and residents. … July 20, 2022 Disparities after discharge: the association of limited English proficiency … and postdischarge patient-reported issues. … November 11, 2020 Evaluation of an anonymous system to report medical errors in pediatric … October 4, 2011 Health literacy and quality: focus on chronic illness care and patient
  4. psnet.ahrq.gov/issue/problem-making-safety-ii-work-healthcare
    April 28, 2021 - This article summarizes the attributes of the Safety-II framework and outlines the challenges and opportunities … mortality conferences: focus and sustainability of lessons for patient care. … March 23, 2022 National improvements in resident physician-reported patient safety after … review and meta-analysis. … June 3, 2016 Human factors and ergonomics and quality improvement science: integrating
  5. psnet.ahrq.gov/issue/advanced-practice-nurses-experiences-patient-safety-focus-group-study
    March 06, 2024 - October 11, 2023 Care quality and safety in long-term aged care settings: a systematic … review and narrative analysis of missed care measurements. … March 14, 2022 The association between nurse staffing and quality of care in emergency … August 9, 2024 Typology of solutions addressing diagnostic disparities: gaps and opportunities … July 31, 2024 Quality improvement lessons learned from National Implementation of the
  6. psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance
    November 18, 2020 - Commentary Organizational learning: health care leaders need to design structures and … Safety Culture to Improve Equitable Maternal Healthcare Delivery and Outcomes. … January 10, 2024 The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends … September 2, 2020 Racial, ethnic, and socioeconomic disparities in estimates of AHRQ … March 28, 2017 Safety First: a Report for Patients, Clinicians and Healthcare Managers
  7. psnet.ahrq.gov/issue/two-decades-err-human-progress-still-chasm
    January 23, 2019 - This editorial and the associated viewpoints outline the impact of the reports on global,  COVID-19 , … January 23, 2019 Preventing a parallel pandemic - a national strategy to protect clinicians … claims and costs. … August 31, 2022 Using the ecological systems theory to understand black/white disparities … August 27, 2014 Taking National Action to Prevent and Eliminate Healthcare-Associated
  8. psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
    February 01, 2014 - RK : AHRQ publishes an annual report that describes many measures of quality, safety, and disparities … It is very valuable at the national level, and many of these measures drill down to the state or local … And the report shows that there has been very little progress in reducing disparities, although the disparities … to improve health care quality and safety. … IT can improve the quality of health care.
  9. psnet.ahrq.gov/issue/association-between-hospital-reported-leapfrog-safe-practices-scores-and-inpatient-mortality
    January 23, 2020 - Study Association between hospital-reported Leapfrog Safe Practices scores and inpatient … implementation of the National Quality Forum's (NQF)  Safe Practices .  … found that hospitals that had implemented at least one Leapfrog practice tended to provide higher qualityof care for specific diagnoses.  … December 21, 2014 Meeting the Joint Commission's 2013 National Patient Safety Goals.
  10. psnet.ahrq.gov/issue/impact-hospital-wide-hand-hygiene-initiative-healthcare-associated-infections-results
    September 20, 2011 - reduce disparities. … safety: the Veterans Affairs National Quality Scholars Program. … December 12, 2012 View More Related Resources Implementing a national … May 7, 2014 Healthcare-associated infections: a national patient safety problem and the … February 6, 2014 Impact of a national multimodal intervention to prevent catheter-related
  11. psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
    December 15, 2024 - 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. … November 16, 2022 National Plan for Health Workforce Well-Being. … September 28, 2022 Communication disparities between nursing home team members.
  12. psnet.ahrq.gov/issue/leapfrog-group
    January 20, 2016 - customer value will receive recognition and reward. … Copy Citation Related Resources From the Same Author(s) National Quality … March 12, 2016 Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there … December 16, 2009 Diagnostic Safety and Quality Webinar Series: Overview and Implications … Safety Health Plan Patient Safety Initiatives July 10, 2024 National
  13. psnet.ahrq.gov/issue/adverse-drug-events-pediatric-outpatients
    February 06, 2008 - cohort study evaluated the frequency of medication errors via chart review, review of prescriptions, and … Ongoing Safety through Patient Engagement Communication and Technology study. … August 4, 2021 View More Related Resources National HealthcareQuality and Disparities Reports. … : Making the Health Care System Safer through Implementation and Innovation.
  14. psnet.ahrq.gov/issue/agency-healthcare-research-and-quality-pediatric-indicators-quality-metric-surgery-children
    May 01, 2015 - Study Agency for Healthcare Research and Quality pediatric indicators as a quality … Agency for Healthcare Research and Quality pediatric indicators as a quality metric for surgery in children … July 31, 2024 Disparities in racial, ethnic, and payer groups for pediatric safety events … to identify and reduce preventable safety events. … September 26, 2018 National Aeronautics and Space Administration "threat and error" model
  15. psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
    July 10, 2024 - However, health care quality and patient safety are closely intertwined, and patient safety events often … CMS has several quality reporting and value-based payment initiatives designed to improve care quality … One study , which analyzed hospitals from 11 states, found that the quality of care for patients within … We are interested in whole healthcare, quality of life, patient experience, and prevention of patient … Good data, aligned focus on high quality of care, and shared patient outcome goals are also key to successful
  16. psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
    April 27, 2022 - Research has repeatedly identified racial disparities in cancer staging (early vs. late) and outcomes … reports in ambulatory care settings should capture both of these factors. … National Academies of Sciences, Engineering, and Medicine. Improving diagnosis in health care . … The National Academies Press; 2015. 5. … , and cancers: toward a national incidence estimate using the “Big Three.”
  17. psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
    July 01, 2008 - The National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP) recommends … whether weight errors and other dosing errors contribute to racial and ethnic disparities in pediatric … The National Coordinating Counsil for Medication Error Reporting and Prevention (NCCMERP). … Racial/ethnic disparities and patient safety. … A national prospective cohort study.
  18. psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
    August 31, 2020 - disparities in structural determinants of health 5 and care. … In another example, researchers demonstrate the use of safety reports and Patient Family Relations complaints … at the national, state, and local level went well, identify what could have gone better, and identify … health disparities for black and latino communities in the U.S. … national survey.
  19. psnet.ahrq.gov/issue/adverse-events-and-their-contributors-among-older-adults-during-skilled-nursing-stays
    February 17, 2021 - poor quality of care due to racial bias, organizational issues, and administrative issues. … nurse practitioners: a national study in the United States. … and Quality Common Formats to capture diagnostic safety events. … August 25, 2021 Engaging patients and informal caregivers to improve safety and facilitate … February 8, 2023 Exploring nursing-sensitive events in home healthcare: a national multicenter
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851389/psn-pdf
    July 31, 2023 - The event, which BWH researchers believe was in alignment with current national standards of care, was … Understanding racial disparities in cancer treatment and outcomes. … Understanding racial disparities in cancer treatment and outcomes. … Health disparities and cancer: racial disparities in cancer mortality in the United States, 2000–2010 … Disparities in cancer diagnosis and survival. Cancer. 2001;91(1):178-188. 11.

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