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psnet.ahrq.gov/issue/impact-covid-19-response-central-line-associated-bloodstream-infections-and-blood-culture
February 07, 2022 - disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary of data reported to the National … A systematic review and meta-analysis. … and forward thinking about the effects of COVID-19. … scheduled follow-up interval with racial or ethnic disparities in blood pressure control. … November 25, 2020
Using event reports in real-time to identify and mitigate patient safety
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psnet.ahrq.gov/node/72589/psn-pdf
December 23, 2020 - Adding further to the urgency of improved access and diagnosis is the fact that wide disparities
in … 3
report. … Relying on official test reports may convey a false sense of security, under-estimating risk, and over … National Academies of Sciences, Engineering, and Medicine. Improving Diagnosis in Health Care. … the National Mammography Database.
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psnet.ahrq.gov/issue/implementing-patient-safety-alert-system
June 21, 2015 - April 27, 2022
Fatigue and safety in paramedicine. … December 7, 2022
The relationship between culture of safety and rate of adverse events … January 27, 2021
Using the ecological systems theory to understand black/white disparities … in maternal morbidity and mortality in the United States. … December 21, 2017
A national implementation project to prevent catheter-associated urinary
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psnet.ahrq.gov/issue/patient-safety-over-power-hierarchy-scoping-review-healthcare-professionals-speaking-skills
November 11, 2009 - November 11, 2009
Whistleblowing and patient safety: the patient's or the profession's … reduce disparities. … September 18, 2024
Preventability and causes of readmissions in a national cohort of … May 8, 2017
Using social and behavioural science to support COVID-19 pandemic response … August 26, 2020
Good and bad reasons: the Swiss cheese model and its critics.
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psnet.ahrq.gov/issue/hospital-wide-cardiac-arrest-situ-simulation-identify-and-mitigate-latent-safety-threats
April 14, 2021 - Study
Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent … Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats. … a national in situ simulation-based observational study. … December 18, 2024
The nature of the response to airway management incident reports … effect of quality improvement initiatives on decreasing racial disparities in maternal morbidity.
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psnet.ahrq.gov/node/843051/psn-pdf
February 01, 2023 - The following morning, the patient called the surgery clinic to report increased neck pain and swelling … Post-thyroidectomy bleeding: analysis of risk factors
from a national registry. … Predictors and consequences of hematoma after
thyroidectomy: an American College of Surgeons National … Readers should not interpret any statement in this report as an official position of AHRQ or
of the … authors has any affiliation or financial
involvement that conflicts with the material presented in this report
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psnet.ahrq.gov/node/866217/psn-pdf
July 10, 2024 - We are interested in whole healthcare, quality of life, patient experience, and
prevention of patient … and safety. … The
National Committee for Quality Assurance (NCQA) has a standard set of Healthcare Effectiveness Data … Good data, aligned focus on high quality of care, and shared patient outcome goals are also key
to successful … We are rapidly
improving data analysis around disparities and stratifying data by race, ethnicity, language
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psnet.ahrq.gov/issue/10-ways-guarantee-lawsuit
February 10, 2021 - Same Author(s)
The Diagnostic Error Index: a quality improvement initiative to identify and … 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 … September 20, 2011
Apologies and medical error. … November 25, 2009
A mediation skills model to manage disclosure of errors and adverse
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
July 30, 2020 - efforts to identify and address implicit biases that may be contributing to these disparities. 14-16 … to report daily counts of patients with suspected or confirmed COVID-19, current use and availability … COVID-19 among African Americans: an action plan for mitigating disparities. … Correlation of chest CT and RT-PCR testing in Coronavirus Disease 2019 (COVID-19) in China: a report … clinician-level quality of care.
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psnet.ahrq.gov/web-mm/privacy-gone-awry
February 24, 2011 - National health information privacy: regulations under the health Insurance Portability and Accountability … Committee on Quality of Health Care in America. … Washington, DC: National Academy Press; 1999. [ go to related site ]
17. … Institute of Medicine, Committee on Quality of Health Care in America, eds. … reduce disparities.
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psnet.ahrq.gov/issue/effects-interdisciplinary-team-care-interventions-general-medical-wards-systematic-review
April 24, 2018 - and synthesis of the evidence base. … implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national … A systematic review and narrative synthesis. … NHS Highland: Independent Review Report. … March 28, 2012
Surgical fires, a clear and present danger.
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psnet.ahrq.gov/issue/whats-difference-between-hospital-and-bottling-factory
October 08, 2008 - What's the difference between a hospital and a bottling factory? … March 3, 2011
Investigating racial and ethnic disparities in maternal care at the system … level using patient safety incident reports. … September 16, 2020
National Partnership for Maternal Safety: consensus bundle on support … May 25, 2016
Human factors and ergonomics and quality improvement science: integrating
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psnet.ahrq.gov/issue/incidence-and-impact-physician-and-nurse-disruptive-behaviors-emergency-department
February 03, 2010 - Study
Incidence and impact of physician and nurse disruptive behaviors in the emergency … Incidence and impact of physician and nurse disruptive behaviors in the emergency department. … Incidence and impact of physician and nurse disruptive behaviors in the emergency department. … Problem Behaviors
December 1, 2009
Higher quality of care and patient safety … December 1, 2011
National study on the frequency, types, causes, and consequences of
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psnet.ahrq.gov/issue/effectiveness-information-technology-intervention-improve-prophylactic-antibacterial-use
September 01, 2016 - Inter-rater reliability of a classification system for hospital adverse drug event reports … reduce disparities. … March 26, 2008
Families as partners in hospital error and adverse event surveillance. … January 3, 2018
American College of Surgeons and Surgical Infection Society: Surgical … October 3, 2012
National study on the frequency, types, causes, and consequences of voluntarily
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psnet.ahrq.gov/issue/translating-concerns-action-detailed-qualitative-evaluation-interdisciplinary-intervention
November 01, 2017 - Frontline providers possess unique insights for improving patient safety and their perceptions may be … different from those of managers and clinical leaders . … and synthesis of the evidence base. … implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national … October 19, 2022
Patient safety skills in primary care: a national survey of GP educators
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psnet.ahrq.gov/node/838221/psn-pdf
September 28, 2022 - decreased health disparities. … Health disparities that result from limited education, low health
literacy, poor access to care, and … addressing health disparities, what we need to do is to
think more broadly about patient safety and … If we address those barriers to
patient care that result in health disparities, we will improve the … potential disparities.
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psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
June 01, 2014 - The public and, even more, the medical establishment were mesmerized in 1995 by reports of the medication … sentinel events), and by private entities like Consumer Reports and The Leapfrog Group. … Important topics like health care disparities, personal technology, and much of what falls under the … In: Patient Advocacy for Health Care Quality: Strategies for Achieving Patient-Centered Care. … reduce disparities.
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psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
October 30, 2019 - Racial/ethnic disparity in NICU quality of care delivery. Pediatrics. 2017;140:e20170918. … Many people who are in practice today were around when there was a 5% national C-section rate. … NS: I'm concerned that all of the national conversation about maternal mortality might be terrifying … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S … quality of care.
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psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp
October 30, 2019 - Many people who are in practice today were around when there was a 5% national C-section rate. … NS: I'm concerned that all of the national conversation about maternal mortality might be terrifying … Racial/ethnic disparity in NICU quality of care delivery. Pediatrics. 2017;140:e20170918. … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S … authors has any affiliation or financial involvement that conflicts with the material presented in this report
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psnet.ahrq.gov/sites/default/files/2023-01/spotlight_respiratory_distress_after_neck_surgery_two_cases_of_postoperative_cervical_hematoma.pdf
January 01, 2023 - Graves, MD and Maggie A. … •
7
Case #2 Details (4)
• The following morning, the patient called the surgery clinic to report … Post-thyroidectomy bleeding: analysis of risk factors from a national registry. … and Management. … Predictors and consequences of hematoma after thyroidectomy: an American College of Surgeons National