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Showing results for "national healthcare quality and disparities report".
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441. 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

442. 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.

443. 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:

444. 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.

445. 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

446. Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. | PSNet
     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

447. 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

448. 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

449. 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

450. 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

451. 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.

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. 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.

454. 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

455. Health Plan Patient Safety Initiatives | PSNet
     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

456. 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.

457. 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.

458. 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.

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73104/psn-pdf
     January 04, 2021 - disparities in structural determinants of health5 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 … Double jeopardy: COVID-19 and behavioral health disparities for black and latino communities in the … national survey.

460. Scoping review of studies evaluating frailty and its association with medication harm. | PSNet
     psnet.ahrq.gov/issue/scoping-review-studies-evaluating-frailty-and-its-association-medication-harm
     May 25, 2022 - Scoping review of studies evaluating frailty and its association with medication harm. … June 23, 2021 COVID-19 pandemic and the tension between the need to act and the need … review of studies with national coverage. … March 23, 2022 Racial disparities in preventable adverse events attributed to poor care … coordination reported in a national study of older US adults.