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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.
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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.
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psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
July 10, 2024 - Then, the next phase was the report from the Institute of Medicine and our parallel report, An Organisation … The main thing that emerged from that report and the National Patient Safety Agency was a huge reporting … RW : So turning back to the former kind of reporting, the 9 million reports to the National Patient Safety … in and what are the barriers to reports? … reports.
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psnet.ahrq.gov/issue/infusing-fun-quality-and-safety-initiatives
October 19, 2022 - Commentary
Infusing fun into quality and safety initiatives. … Infusing fun into quality and safety initiatives. … Infusing fun into quality and safety initiatives. … reduce disparities. … March 19, 2014
Healthcare-associated infections: a national patient safety problem and
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psnet.ahrq.gov/issue/patients-views-adverse-events-primary-and-ambulatory-care-systematic-review-assess-methods
December 18, 2017 - and the content of what patients consider to be adverse events. … July 27, 2018
Patterns in medication incidents: a 10-yr experience of a cross-national … September 26, 2018
Social disparities in patient safety in primary care: a systematic … review and meta-analysis. … Administrators
Primary Care
Psychological and Social Complications
Epidemiology of Errors and
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psnet.ahrq.gov/issue/racial-and-ethnic-differences-experience-and-treatment-noncancer-pain
June 01, 2022 - Racial and ethnic differences in the experience and treatment of noncancer pain. … October 28, 2020
The National Emergency Department Safety Study: study rationale and … June 7, 2008
ASHP national survey of pharmacy practice in hospital settings: prescribing … September 30, 2020
ASHP National Survey of Pharmacy Practice in Hospital Settings: clinical … March 1, 2023
The woman who cried pain: do sex-based disparities still exist in the experience
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psnet.ahrq.gov/issue/prohibition-excessive-overtime-nurses-act
August 01, 2007 - Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports … View More
Related Resources
Adverse Health Events in Minnesota: Annual Reports … June 4, 2024
Patient Safety Authority Annual Reports. … April 30, 2024
Revealing Disparities: Health Care Workers’ Observations of Discrimination … establishing recordkeeping and reporting requirements.
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psnet.ahrq.gov/issue/ripped-apart-medical-misdiagnosis-and-malpractice
August 25, 2021 - Audiovisual Presentation
Ripped apart: medical misdiagnosis and malpractice. … Citation Text:
Ripped apart: medical misdiagnosis and malpractice. Kast S, Gerr M, Black D, et al. … premature closure that resulted in missed diagnosis, unnecessary care, and patient death. … , 2021
Examining the effect of quality improvement initiatives on decreasing racial disparities … 19 on perceived organizational support among U.S. internists: a national study.
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psnet.ahrq.gov/issue/improving-communication-hospital-skilled-nursing-facility-through-standardized-hand-quality
September 08, 2021 - Author(s)
Organizational readiness to change as a leverage point for improving safety: a national … from a national survey. … July 21, 2021
Improving patient handoffs and transitions through adaptation and implementation … August 5, 2020
View More
See More About The Topic
Long-Term Care
Quality … and Safety Professionals
Geriatrics
Discontinuities, Gaps, and Hand-Off Problems
Administration
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psnet.ahrq.gov/issue/impact-surgical-safety-checklists-theatre-departments-critical-review-literature
October 19, 2012 - Exploring the improvements and challenges associated with checklists in the surgical environment , … October 19, 2012
Transfusion-related errors and associated adverse reactions and blood … product wastage as reported to the National Healthcare Safety Network Hemovigilance Module, 2014-2022 … September 20, 2011
Disparities in racial, ethnic, and payer groups for pediatric safety … implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national
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psnet.ahrq.gov/issue/radiology-impact-healthcare-errors-during-shift-work
February 24, 2021 - Extended work shifts for nurses and physicians have been linked to increased risk of errors . … In this systematic review, the authors discuss the impact of shift work disorder on errors and safety … Studies suggested a positive correlation between errors and increased mental and physical fatigue resulting … July 6, 2022
Racial disparities in diagnostic delay among women with breast cancer. … July 31, 2019
Long working hours, safety, and health: toward a national research agenda
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psnet.ahrq.gov/issue/home-medical-device-safety-tops-ecris-list-healthcare-technology
February 08, 2023 - Technologies both advance and challenge care safety. … by both care organizations and equipment manufacturers. … February 1, 2023
The Joint Commission and National Quality Forum Announce 2022 Eisenberg … February 1, 2023
Eliminating racial and ethnic disparities causing mortality and morbidity … in pregnant and postpartum patients.
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psnet.ahrq.gov/issue/e-prescribing-first-step-improved-safety
February 16, 2011 - Journal of the National Cancer Institute. 2006;98(24):1763-5. … Journal of the National Cancer Institute . 2006; 98 (24) :1763-5 . … Journal of the National Cancer Institute. 2006;98(24):1763-5. … product wastage as reported to the National Healthcare Safety Network Hemovigilance Module, 2014-2022 … September 1, 2016
Disparities in diagnostic timeliness and outcomes of pediatric appendicitis
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psnet.ahrq.gov/issue/intended-and-unintended-effects-large-scale-adverse-event-disclosure-controlled-after
August 18, 2021 - the notifying clinician and patient. … likely to undergo blood testing for exposures compared to white patients, adding to concerns about disparities … April 22, 2020
Comparison of quality of care for patients in the Veterans Health Administration … and patients in a national sample. … March 14, 2022
Physician and nurse well-being and preferred interventions to address
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psnet.ahrq.gov/issue/translating-staff-experience-organisational-improvement-heads-stepped-wedge-cluster
April 24, 2018 - January 12, 2012
Improving the quality and safety of care on the medical ward: a review … and synthesis of the evidence base. … implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national … February 14, 2018
Patient safety skills in primary care: a national survey of GP educators … What prevents the delivery of effective, high quality, and safe healthcare in England?
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psnet.ahrq.gov/issue/assessing-resident-safety-culture-nursing-homes-using-nursing-home-survey-resident-safety
April 06, 2011 - Measuring and improving the culture of safety are essential to safety improvement activities. … Suboptimal communication between nurses and physicians has been implicated as a driver of poor safety … November 30, 2022
Communication disparities between nursing home team members. … from a national survey. … 2011
Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report
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psnet.ahrq.gov/issue/reported-clinical-incidents-children-intellectual-disability-qualitative-analysis
March 16, 2022 - Implications for practice and training. … long-term care for people with intellectual disability: an interrupted time series analysis of incident reports … 2020
Engaging with ethnic minority consumers to improve safety in cancer services: a national … May 25, 2022
View More
Related Resources
Disparities in adverse … January 12, 2022
Variability in collection and use of race/ethnicity and language data
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psnet.ahrq.gov/issue/enacting-washington-state-patient-safety-act-requiring-hospital-staffing-plans-nursing
May 04, 2015 - establishing recordkeeping and reporting requirements. … plan requirement violations and to conduct audits. … establishing recordkeeping and reporting requirements. … March 29, 2007
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health … mortality in the English National Health Service: a retrospective longitudinal study.
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psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings
February 05, 2020 - and racial disparities in US nursing home ratings. … 2023
Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports … 2022
Organizational readiness to change as a leverage point for improving safety: a national … August 18, 2021
In U.S. nursing homes, where Covid-19 killed scores, even reports of … maggots and rape don’t dock five-star ratings.
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psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
May 01, 2005 - Adding further to the urgency of improved access and diagnosis is the fact that wide disparities in care … 3 report. … Relying on official test reports may convey a false sense of security, under-estimating risk, and over-estimating … National Academies of Sciences, Engineering, and Medicine. Improving Diagnosis in Health Care. … National Mammography Database.