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psnet.ahrq.gov/node/33852/psn-pdf
January 01, 2017 - The Institute of
Medicine (now the National Academy of Medicine) laid the groundwork for patient engagement … The Joint Commission then launched the issue to national
prominence in 2007, when they identified patient … engagement as a National Patient Safety Goal. … The Centers for Medicare and Medicaid Services recent Person and Family Engagement
Strategy prioritized … those types of engagement in their national quality improvement strategy.
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psnet.ahrq.gov/issue/enhanced-detection-blood-bank-sample-collection-errors-centralized-patient-database
March 20, 2019 - August 5, 2009
A randomized trial of a multifactorial strategy to prevent serious fall … November 26, 2008
Hospital leadership and quality improvement: rhetoric versus reality … January 23, 2019
Preventing a parallel pandemic - a national strategy to protect clinicians … Transfusion-related errors and associated adverse reactions and blood product wastage as reported to the National … October 5, 2022
Registration errors among patients receiving blood transfusions: a national
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psnet.ahrq.gov/issue/simulation-improve-patient-safety-getting-started
June 26, 2024 - Rockville, MD: Agency for Healthcare Research and Quality ; July 2024. … The combination of these two elements provides an adaptable training strategy for learning without … Download Citation
Related Resources From the Same Author(s)
A systemwide strategy … March 20, 2024
2024 National Impact Assessment of the Centers for Medicare & Medicaid … Services (CMS) Quality Measures Report.
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psnet.ahrq.gov/issue/choosing-right-strategy-medication-error-reduction-part-i-and-part-ii
September 24, 2010 - Commentary
Choosing the right strategy for medication error reduction—part I and … Choosing the Right Strategy for Medication Error Reduction: Part I. … Choosing the Right Strategy for Medication Error Reduction: Part I. … Barriers to emergency departments' adherence to four medication safety–related Joint Commission National … Resources
Annual Perspective
Improving Diagnostic Safety and Quality
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psnet.ahrq.gov/node/848828/psn-pdf
May 10, 2023 - Nurse Staffing Standards for Hospital Patient Safety and
Quality Care Act of 2023. … https://psnet.ahrq.gov/issue/nurse-staffing-standards-hospital-patient-safety-and-quality-care-act-2023 … This submitted bill aims to legislate a national minimum nurse-to-patient staffing ratio as a
strategy … to enhance safety and quality improvement. … https://psnet.ahrq.gov/issue/nurse-staffing-standards-hospital-patient-safety-and-quality-care-act-2023
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psnet.ahrq.gov/issue/paediatric-nurses-adherence-double-checking-process-during-medication-administration
October 03, 2012 - double-check medications prior to administration, despite a lack of consistent evidence supporting this strategy … March 3, 2021
The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends … February 3, 2021
The Irish National Adverse Events Study (INAES): the frequency and nature … 27, 2016
Missed medication doses in hospitalised patients: a descriptive account of quality … human factors framework and study of the effect of nursing workload on patient safety and employee quality
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psnet.ahrq.gov/issue/electronic-health-record-adoption-childrens-hospitals-united-states
February 17, 2011 - characteristics were not associated with implementation, and financing was the most important policy strategy … May 30, 2011
National hospital ratings systems share few common scores and may generate … November 3, 2015
Same-hospital readmission rates as a measure of pediatric quality of … April 5, 2013
Hospital governance and the quality of care. … January 28, 2010
Does the Leapfrog program help identify high-quality hospitals?
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psnet.ahrq.gov/node/74178/psn-pdf
December 15, 2021 - Strategies to Improve Patient Safety: Final Report to
Congress Required by the Patient Safety and Quality … December 15, 2021
Rockville, MD: Agency for Healthcare Research and Quality; December 2021. … Safety Act of 2005, the report was made available for public review and comment, and review by
the National … improvement in day-to-day operations; and encouraging the use of
patient safety strategies outlined in the National … Action Plan by the National Steering Committee for Patient
Safety.
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psnet.ahrq.gov/issue/impact-initial-response-covid-19-long-term-care-people-intellectual-disability-interrupted
May 11, 2022 - Patient safety reporting systems are essential to detecting safety events and quality problems. … August 10, 2022
Utilizing quality improvement methods to prevent falls and injury from … January 12, 2022
Adverse events in Italian nursing homes during the COVID-19 epidemic: a national … factors considerations in using personal protective equipment in the COVID-19 pandemic context: a bi-national … July 1, 2020
Preventing a parallel pandemic - a national strategy to protect clinicians
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psnet.ahrq.gov/issue/ending-extra-payment-never-events-stronger-incentives-patients-safety
November 13, 2024 - The National Quality Forum defined 28 never events in a 2007 consensus report that led to state mandates … policy implications and how they are a small step toward motivating hospitals and clinicians to improve quality … February 3, 2015
Inpatient fall prevention programs as a patient safety strategy: a systematic … March 13, 2013
Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries
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psnet.ahrq.gov/issue/association-between-patient-outcomes-and-accreditation-us-hospitals-observational-study
May 19, 2021 - Accreditation is a widely accepted strategy for ensuring hospital quality and safety . … Hospitals accredited by The Joint Commission have been found to have improved performance on care quality … Speaking up about traditional and professionalism-related patient safety threats: a national … April 29, 2020
The effect of external inspections on safety in acute hospitals in the National … March 5, 2014
Hospital performance trends on national quality measures and the association
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psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
April 01, 2010 - The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. … Washington, DC: The National Quality Forum; 2004.
11. Young D. … Facilitators and barriers to 10 National Quality Forum safe practices. … National Quality Forum: Mission and Vision. … organization established in 1999 to develop and implement a national strategy for health care quality
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psnet.ahrq.gov/issue/medication-errors-paediatric-care-systematic-review-epidemiology-and-evaluation-evidence
September 09, 2008 - paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy … paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy … September 20, 2011
A model for the departmental quality management infrastructure within … March 5, 2008
Characteristics of pediatric chemotherapy medication errors in a national … 8, 2008
View More
See More About The Topic
Health Care Providers
Quality
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psnet.ahrq.gov/issue/improving-diagnostic-safety-engaging-patients-and-families
August 31, 2005 - Citation Text:
Agency for Healthcare Research and Quality. … Linkedin
Copy URL
December 8, 2021
Agency for Healthcare Research and Quality … Patient and family engagement in diagnosis is an important safety improvement strategy. … Cite
Citation
Citation Text:
Agency for Healthcare Research and Quality … November 14, 2018
National Time Out Day.
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psnet.ahrq.gov/node/44304/psn-pdf
September 09, 2015 - acgme-resident-duty-hour-reform-postoperative-patient-
outcomes-surgical
This pre-post examination of data from the National … Surgical Quality Improvement Program found no
differences in serious morbidity or mortality within … Although duty hour reform does not appear to be a high-yield strategy for improving surgical outcomes … acgme-resident-duty-hour-reform-postoperative-patient-outcomes-surgical
https://psnet.ahrq.gov/issue/national-surgical-quality-improvement-program
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psnet.ahrq.gov/primer/personal-health-literacy
October 31, 2023 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … to evaluate the trustworthiness of the information is another personal health literacy improvement strategy … Washington, DC: The National Academies Press; 2014. [ Free full text ] Nutbeam D, Lloyd JE. … Agency for Healthcare Research and Quality. … Patient Safety Primers
Deprescribing as a Patient Safety Strategy
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psnet.ahrq.gov/issue/redesigning-event-review-rca2
September 10, 2024 - Root cause analysis (RCA) is a widely recognized retrospective strategy for learning from failure that … March 10, 2025
- March 11, 2025
Safer Together: A National Action Plan to Advance … September 20, 2024
- September 27, 2024
National Action Alliance to Advance Patient … More
See More About The Topic
Facility and Group Administrators
Risk Managers
Quality
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psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero
September 30, 2010 - October 2, 2024
A randomized trial of a multifactorial strategy to prevent serious fall … August 27, 2013
Preventing in-facility pressure ulcers as a patient safety strategy: … November 28, 2012
Meeting the Joint Commission's 2013 National Patient Safety Goals. … March 12, 2011
National estimates of adverse events during nonpsychiatric hospitalizations … The Topic
Hospitals
General Internal Medicine
Hospital Medicine
Pressure Ulcers
Quality
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psnet.ahrq.gov/issue/career-impact-chief-resident-quality-and-safety-training-program-alumni-evaluation
June 19, 2019 - November 18, 2016
National cross-sectional cohort study of the relationship between quality … May 4, 2022
Spreading a strategy to prevent suicide after psychiatric hospitalization … : results of a quality improvement spread initiative. … programs: lessons from the VA Chief Resident in Quality and Safety Program. … June 19, 2019
Curriculum development and implementation of a national interprofessional
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psnet.ahrq.gov/curated-library/maternal-safety
January 31, 2024 - Improvement Initiatives (6)
Impact of a comprehensive patient safety strategy … The strategy was developed... … Many organizations, including The Joint Commission and the National Partnership for Maternal Safety, … Study
Impact of a comprehensive patient safety strategy on obstetric adverse events … The strategy was developed after consultation with obstetric safety experts and included teamwork training