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Moving beyond implicit bias in antiracist academic medicine initiatives. | PSNet

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May 18, 2022 - May 18, 2022 Simulating for quality: a centralized quality improvement and patient safety … in safe opioid prescribing and treatment of opioid use disorder in internal medicine residencies: a national … April 5, 2023 National Plan for Health Workforce Well-Being. … June 24, 2020 Preventing a parallel pandemic - a national strategy to protect clinicians

Identifying patient safety problems during team rounds: an ethnographic study. | PSNet

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May 11, 2022 - May 11, 2022 Barriers to accessing nighttime supervisors: a national survey of internal … tract infection: a quality improvement collaboration of state hospital associations, academic medical … Status of the implementation of the World Health Organization multimodal hand hygiene strategy … August 24, 2013 Meeting the Joint Commission's 2013 National Patient Safety Goals. … April 11, 2012 Impact of a statewide intensive care unit quality improvement initiative

The top patient safety strategies that can be encouraged for adoption now. | PSNet

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September 20, 2011 - Progress in patient safety improvement has been hindered by a lack of high-quality research on error … November 16, 2022 View More Related Resources National Healthcare … Quality and Disparities Reports. … May 1, 2016 Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. … October 5, 2015 Inpatient fall prevention programs as a patient safety strategy: a systematic

Implementation of Patient Safety Projects | PSNet

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April 28, 2025 - Despite support for evidence-based medicine as a strategy to improve safety and quality, reliable use … Medication reconciliation is a targeted National Patient Safety Goal. … In 2017, the National Health Service (NHS) implemented “Learning from Deaths” (LfD) to report, learn … Despite support for evidence-based medicine as a strategy to improve safety and quality, reliable use … Medication reconciliation is a targeted National Patient Safety Goal.

Rethinking medical ward quality. | PSNet

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November 03, 2015 - Commentary Rethinking medical ward quality. … Rethinking medical ward quality. BMJ. 2016;355:i5417. doi:10.1136/bmj.i5417. … implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national … January 19, 2016 Patient safety skills in primary care: a national survey of GP educators … Welsh national adverse events study.

The effectiveness of root cause analysis: what does the literature tell us? | PSNet

psnet.ahrq.gov/issue/effectiveness-root-cause-analysis-what-does-literature-tell-us

February 11, 2013 - available research on root cause analysis (RCA) substantiates its effectiveness as an improvement strategy … vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports from a national … July 22, 2009 Spreading a strategy to prevent suicide after psychiatric hospitalization … : results of a quality improvement spread initiative. … November 17, 2010 View More See More About The Topic Quality and Safety

Leveraging a redesigned morbidity and mortality conference that incorporates the clinical and educational missions of improving quality and patient safety. | PSNet

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April 24, 2018 - morbidity and mortality conference that incorporates the clinical and educational missions of improving quality … Mortality and morbidity (M&M) conferences are an established learning strategy. … actions and policies related to COVID-19 on perceived organizational support among U.S. internists: a national … Results from a national survey. … December 20, 2017 The "Quality Minute"—a new, brief, and structured technique for quality

Outcomes associated with the nationwide introduction of rapid response systems in the Netherlands. | PSNet

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January 18, 2013 - Rapid response teams have been championed as a strategy to improve hospital outcomes. … April 24, 2018 The 5th National Audit Project (NAP5) on accidental awareness during general … March 6, 2019 5th National Audit Project (NAP5) on accidental awareness during general … October 1, 2014 How nurses and physicians judge their own quality of care for deteriorating … patients on medical wards: self-assessment of quality of care is suboptimal.

Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patient safety and nonmaleficent practice. | PSNet

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September 13, 2023 - The author reviews evidence supporting vaccination as a preventive strategy, addresses barriers to mandatory … April 30, 2024 National Healthcare Quality and Disparities Reports. … July 30, 2014 Healthcare-associated infections: a national patient safety problem and

When I say…diagnostic error. | PSNet

psnet.ahrq.gov/issue/when-i-saydiagnostic-error

January 26, 2022 - Inconsistent terminology use in research, education, and measurement strategy development hinders … Crisis scenarios for simulation-based nontechnical skills training for cardiac surgery teams: a national … Correlation between the number of patient-reported adverse events, adverse drug events, and quality … One Bronchoscopy, Two Errors January 1, 2019 Multi-level analysis of national

Nursing homes fined for COVID infection control lapses. | PSNet

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November 24, 2021 - infection control lapses during the COVID pandemic and discusses the potential residual impacts of the strategy … 2022 Adverse events in Italian nursing homes during the COVID-19 epidemic: a national … October 28, 2020 National Nursing Home COVID Action Network. … August 19, 2020 Is there a link between nursing home reported quality and COVID-19 cases

Patient and Family Advisory Council Leader's Guide for Diagnostic Quality and Safety. | PSNet

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September 16, 2020 - Book/Report Patient and Family Advisory Council Leader's Guide for Diagnostic Quality … Citation Text: Patient and Family Advisory Council Leader's Guide for Diagnostic Quality and Safety … Patient and Family Advisory Councils (PFACs) are an established strategy that provides structure to … February 21, 2024 Diagnostic Quality Improvement Repository. … March 9, 2022 Safer Together: A National Action Plan to Advance Patient Safety.

Long-term care healthcare-associated infections in 2022: an analysis of 20,216 reports. | PSNet

psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2022-analysis-20216-reports

July 24, 2024 - Older Adults Residing in Nursing Homes February 24, 2022 Role of nursing home quality … September 22, 2021 Adverse events in Italian nursing homes during the COVID-19 epidemic: a national … November 25, 2020 Is there a link between nursing home reported quality and COVID-19 … 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

Optimizing Medication Reconciliation and Transitions of Care: Insights from a Pharmacist and Pharmacy Technician. | PSNet

psnet.ahrq.gov/issue/optimizing-medication-reconciliation-and-transitions-care-insights-pharmacist-and-pharmacy

July 25, 2023 - Quality and Safety. … October 8, 2008 Request for Information: Creating a National Healthcare System Action … November 24, 2021 National Healthcare Quality and Disparities Report Chartbook on Patient … February 20, 2008 Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to … Patient Safety Primers Deprescribing as a Patient Safety Strategy

In Conversation With… Paul McGann, MD | PSNet

psnet.ahrq.gov/perspective/conversation-paul-mcgann-md

July 10, 2024 - As you engage in large-scale national quality improvement collaboratives, like the Partnership for Patients … We think the strategy that we had is robust, given that we stated goals that we wanted to be large scale … and national. … I think that strategy worked. … And don't forget—CMS is now a major national funder of innovative new payment models to improve quality

Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients. | PSNet

psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-incidence-adverse-drug-events-pediatric-inpatients

October 19, 2022 - April 24, 2018 A randomized trial of a multifactorial strategy to prevent serious fall … 2015 Outcomes of concurrent operations: results from the American College of Surgeons' National … Surgical Quality Improvement Program. … June 23, 2021 National trends in the safety performance of electronic health record systems … Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy

Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/technology-enhanced-simulation-health-professions-education-systematic-review-and-meta

October 19, 2022 - October 19, 2022 The 5th National Audit Project (NAP5) on accidental awareness during … November 12, 2014 5th National Audit Project (NAP5) on accidental awareness during general … September 20, 2011 View More Related Resources In situ simulation: a strategy … February 19, 2014 Simulation exercises as a patient safety strategy: a systematic review … 30, 2008 View More See More About The Topic Health Care Providers Quality

Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. | PSNet

psnet.ahrq.gov/issue/systematic-review-impact-health-information-technology-quality-efficiency-and-costs-medical

March 30, 2022 - Classic Systematic review: impact of health information technology on quality … Systematic review: impact of health information technology on quality, efficiency, and costs of medical … October 19, 2022 Sitters as a patient safety strategy to reduce hospital falls: a systematic … and patients in a national sample. … Medication errors with the use of allopurinol and colchicine: a retrospective study of a national

Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators, | PSNet

psnet.ahrq.gov/issue/unintended-consequences-health-care-reform-impact-changes-payor-mix-patient-safety-indicators

March 16, 2022 - March 16, 2022 Relationships between pediatric safety indicators across a national sample … May 17, 2023 National statutory reporting: not even ticking the boxes? … The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020 … Sequential content and reflexive thematic analysis of national statutory reporting within the NHS in … August 31, 2022 Risk reduction strategy to decrease incidence of retained surgical items

In Conversation with…Janet Corrigan, PhD, MBA | PSNet

psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba

April 01, 2010 - organization established in 1999 to develop and implement a national strategy for health care quality … Washington, DC: The National Quality Forum; 2004. 11. Young D. … National Quality Forum. Safe Practices for Better Healthcare: 2009 Update. … Facilitators and barriers to 10 National Quality Forum safe practices. … National Quality Forum: Mission and Vision.

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