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Showing results for "national healthcare quality and disparities report".
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441. High nursing staff turnover in nursing homes offers important quality information. | PSNet
     psnet.ahrq.gov/issue/high-nursing-staff-turnover-nursing-homes-offers-important-quality-information
     September 16, 2020 - Centers for Medicare & Medicaid Services (CMS) began collecting daily staffing data for US nursing homes and … turnover rates were correlated with facility location, for-profit status, Medicaid patient census, and … This information can be leveraged by policymakers, payers, and healthcare consumers and may incentive … and racial disparities in US nursing home ratings. … 2022 Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports

442. Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience | PSNet
     psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
     December 23, 2020 - We developed and refined error reporting through pharmacy interventions, incident reports, and patient … We embedded in our practice a robust root cause analysis system to analyze critical incidents, report … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S … Annual Perspective Equity in Patient Safety March 27, 2024 National … Healthcare Quality and Disparities Reports.

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49693/psn-pdf
     October 01, 2013 - 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. … Washington, DC: National Center for Transgender Equality and the National Gay and Lesbian Task Force … 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.

444. Patient generated research priorities to improve diagnostic safety: a systematic prioritization exercise. | PSNet
     psnet.ahrq.gov/issue/patient-generated-research-priorities-improve-diagnostic-safety-systematic-prioritization
     February 24, 2021 - process: current understanding and future directions. … November 10, 2021 Defining diagnostic error: a scoping review to assess the impact of the National … Academies' report Improving Diagnosis in Health Care. … and Quality Common Formats to capture diagnostic safety events. … January 26, 2022 Diagnostic errors, health disparities, and artificial intelligence:

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49825/psn-pdf
     April 01, 2018 - negative clinical experiences.(9) Poor communication contributes to errors and health disparities for … In fact, professional interpreters report better understanding of patients' social and cultural backgrounds … Both clinicians and patients report the quality of VMI/VRI as equal to in-person interpretation, although … National Healthcare Disparities Report, 2006. … Los Angeles, CA: National Health Law Program; 2010. [Available at] 14.

446. Personal Health Literacy | PSNet
     psnet.ahrq.gov/primer/personal-health-literacy
     October 31, 2023 - care, and equitable treatment. 5 AHRQ simultaneously released its first evidence report on health … The report noted that many adults cannot read complex texts at all and will have serious difficulty navigating … Each of these reports emphasizes the importance of the need to not only understand verbal instructions … 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.

447. Prospects for comparing European hospitals in terms of quality and safety: lessons from a comparative study in five countries. | PSNet
     psnet.ahrq.gov/issue/prospects-comparing-european-hospitals-terms-quality-and-safety-lessons-comparative-study
     February 20, 2019 - board-level quality improvement intervention: findings from an evaluation in six providers in the English National … March 23, 2011 View More Related Resources HANYS' Report on Report … October 31, 2014 Improving America's Hospitals: The Joint Commission's Annual Report … August 21, 2013 Improving America's Hospitals: The Joint Commission's Annual Report on … : Implications for national public reporting and pay-for-performance.

448. Assessing quality of older persons' emergency transitions between long-term and acute care settings: a proof-of-concept study. | PSNet
     psnet.ahrq.gov/issue/assessing-quality-older-persons-emergency-transitions-between-long-term-and-acute-care
     March 17, 2021 - applied the IOM’s quality of care domains to develop 49 measures for quality of care for the transition … care and emergency department settings. … September 1, 2021 National cross-sectional cohort study of the relationship between quality … of mental healthcare and death by suicide. … July 1, 2020 Beyond 'find and fix': improving quality and safety through resilient healthcare

449. Measuring and improving diagnostic safety in primary care: addressing the “twin” pandemics of diagnostic error and clinician burnout. | PSNet
     psnet.ahrq.gov/issue/measuring-and-improving-diagnostic-safety-primary-care-addressing-twin-pandemics-diagnostic
     September 07, 2022 - Error and Clinician Burnout. … Error and Clinician Burnout. … September 12, 2018 Clinical reasoning education at US medical schools: results from a national … in internal medicine residencies: a national survey of program directors. … Quality April 26, 2023 The woman who cried pain: do sex-based disparities

450. Innovations | PSNet
     psnet.ahrq.gov/innovations
     February 26, 2025 - systems, tools, policies, organizational structures or business models implemented to improve or enhance quality … of care and reduce harm.” … results enhancing quality of care or reducing patient harm? … February 26, 2025 This innovation describes the Veteran Health Administration (VHA) National … In early 2021, it developed an innovation to reduce health disparities by screening patients for high

451. Race differences in reported "near miss" patient safety events in health care system high reliability organizations. | PSNet
     psnet.ahrq.gov/issue/race-differences-reported-near-miss-patient-safety-events-health-care-system-high-reliability
     March 01, 2023 - Using community detection techniques to identify themes in COVID-19-related patient safety event reports … : a national survey on United States operating rooms. … Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National … Reporting and Learning System. … September 9, 2010 Unequal Treatment: Confronting Racial and Ethnic Disparities in Health

452. Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults. | PSNet
     psnet.ahrq.gov/issue/optimizing-post-acute-care-patient-safety-scoping-review-multifactorial-fall-prevention
     January 12, 2022 - Analysis of incident reports from a patient safety organization. … August 3, 2022 The National Imperative to Improve Nursing Home Quality: Honoring Our … Commitment to Residents, Families, and Staff. … March 3, 2019 View More See More About The Topic Long-Term Care Quality … and Safety Professionals Geriatrics Patient Falls Epidemiology of Errors and Adverse Events

453. Role of relatives of ethnic minority patients in patient safety in hospital care: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/role-relatives-ethnic-minority-patients-patient-safety-hospital-care-qualitative-study
     March 15, 2016 - This study used interviews with health care providers, patients, and caregivers to explore the safety … March 15, 2016 Explaining ethnic disparities in patient safety: a qualitative analysis … March 23, 2012 Racial disparities in the frequency of patient safety events: results … from the National Medicare Patient Safety Monitoring System. … March 23, 2012 French national survey of inpatient adverse events prospectively assessed

454. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866578/psn-pdf
     August 28, 2024 - 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). … Disparities in racial, ethnic, and payer groups for pediatric safety events in US hospitals. … Racial/ethnic disparities and patient safety. Pediatr Clin North Am. 2006;53(6):1197-1215.

455. How Does Infection Prevention Fit Into a Safety Program? | PSNet
     psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
     March 01, 2014 - The systematic collection of these data and provision of reports allows for local, state, and national … As a result of this pressure, Government Accountability Office reports ( 9,10 ) and a US Health and Human … Washington, DC: Committee on Quality of Health Care in America, Institute of Medicine. … It's all part of improving the quality of care and reducing harm. … of care.

456. The cognitive health system. | PSNet
     psnet.ahrq.gov/issue/cognitive-health-system
     September 04, 2024 - Opportunities to use cyber-social systems in public and population health (e.g., disease tracking) … September 4, 2024 Assessing the safety of a new clinical decision support system for a national … delivery and patient outcomes: a systematic review. … safety problems associated with information technology in general practice: an analysis of incident reports … September 16, 2020 Bias at warp speed: how AI may contribute to the disparities gap in

457. Medical adverse events in the US 2018 mortality data. | PSNet
     psnet.ahrq.gov/issue/medical-adverse-events-us-2018-mortality-data
     December 21, 2022 - May 5, 2021 Racial disparities in preventable adverse events attributed to poor care … coordination reported in a national study of older US adults. … June 16, 2021 Safety climate associated with adverse events in nursing homes: a national … December 8, 2021 Patient safety monitoring in acute care in a decentralized national … August 26, 2020 Good and bad reasons: the Swiss cheese model and its critics.

458. In Conversation With... Jack Westfall, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
     September 28, 2022 - Primary Care, Quality of Care, and Patient Safety Primary care plays an important role in avoiding and … services, can address each of the healthcare quality aims. … of care is achieved in this context. … Agency for Healthcare Research and Quality. Six Domains of Health Care Quality. … Agency for Healthcare Research and Quality. 2019 National Healthcare Quality & Disparities Report .

459. Stop the line: interventions to prevent retained surgical items. | PSNet
     psnet.ahrq.gov/issue/stop-line-interventions-prevent-retained-surgical-items
     July 10, 2024 - reduce disparities. … September 18, 2024 Roles and role ambiguity in patient- and caregiver-performed outpatient … for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic … objects after surgery: a national expert survey from Switzerland. … : a national survey on United States operating rooms.

460. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department. | PSNet
     psnet.ahrq.gov/issue/distributed-cognition-and-role-nurses-diagnostic-safety-emergency-department
     April 13, 2011 - Book/Report Distributed Cognition and the Role of Nurses in Diagnostic Safety in … Recommendations for Nurse Leaders and Educators. … : Final Report. … February 17, 2021 Incidence and impact of physician and nurse disruptive behaviors in … August 2, 2012 National study on the frequency, types, causes, and consequences of voluntarily