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psnet.ahrq.gov/issue/covid-19-special-series
May 09, 2009 - July 12, 2017
Data-driven quality improvement, culture change, and the high reliability … March 11, 2020
National Steering Committee for Patient Safety. … Assessment of changes in visits and antibiotic prescribing during the Agency for Healthcare Research and Quality … October 28, 2020
National Nursing Home COVID Action Network. … May 13, 2020
Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to Blueprint
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psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
April 03, 2024 - 2006, the World Health Organization prioritized it as one its top five patient safety goals.( 11 ) National … In 2005, The Joint Commission identified medication reconciliation as one of its National Patient Safety … Medication reconciliation during transitions of care as a patient safety strategy: a systematic review … National Patient Safety Goals: Hospital Accreditation Program. January 2014. … Washington, DC: Office of the National Coordinator for Health Information Technology.
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psnet.ahrq.gov/issue/death-suicide-within-1-week-hospital-discharge-retrospective-study-root-cause-analysis
May 04, 2022 - May 4, 2022
Spreading a strategy to prevent suicide after psychiatric hospitalization … : results of a quality improvement spread initiative. … October 5, 2022
National cross-sectional cohort study of the relationship between quality … June 1, 2022
Curriculum development and implementation of a national interprofessional … September 19, 2016
Department of Veterans Affairs Chief Resident in Quality and Patient
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psnet.ahrq.gov/issue/frailty-and-potentially-inappropriate-prescribing-older-people-polypharmacy-bi-directional
November 16, 2022 - April 24, 2018
Comparison of quality of care for patients in the Veterans Health Administration … and patients in a national sample. … May 25, 2011
Mastering improvement science skills in the new era of quality and safety … : the Veterans Affairs National Quality Scholars Program. … Patient Safety Primers
Deprescribing as a Patient Safety Strategy
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psnet.ahrq.gov/issue/diagnostic-accuracy-pediatric-teledermatology-using-parent-submitted-photographs-randomized
November 16, 2022 - July 19, 2023
The role of physician specialty board certification status in the quality … February 3, 2011
A randomized trial of a multifactorial strategy to prevent serious fall … April 12, 2019
The 5th National Audit Project (NAP5) on accidental awareness during general … November 12, 2014
5th National Audit Project (NAP5) on accidental awareness during general … October 3, 2017
Variation in quality of urgent health care provided during commercial
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psnet.ahrq.gov/issue/need-organizational-change-patient-safety-initiatives
May 12, 2010 - January 3, 2017
Designing a strategy to promote safe, innovative off-label use of medications … May 6, 2009
Examination of how a survey can spur culture changes using a quality improvement … Annual Perspective
Improving Diagnostic Safety and Quality … April 5, 2023
ASHP national survey of pharmacy practice in hospital settings: prescribing … Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy
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psnet.ahrq.gov/issue/how-discuss-errors-and-adverse-events-cancer-patients
April 01, 2010 - December 29, 2014
Patient safety in palliative care: a mixed-methods study of reports to a national … October 3, 2018
Deaths following prehospital safety incidents: an analysis of a national … 27, 2016
Serious incidents after death: content analysis of incidents reported to a national … September 19, 2016
A randomized trial of a multifactorial strategy to prevent serious … 2009
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Health Care Providers
Quality
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psnet.ahrq.gov/issue/influence-state-laws-mandating-reporting-healthcare-associated-infections-case-central-line
December 21, 2017 - November 16, 2022
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National Healthcare … Quality and Disparities Reports. … January 9, 2024
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 … March 1, 2023
Risk reduction strategy to decrease incidence of retained surgical items
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psnet.ahrq.gov/issue/compendium-strategies-prevent-hais-acute-care-hospitals-2022
June 22, 2022 - disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary of data reported to the National … September 1, 2014
Clostridium Difficile infection in the United States: a national study … June 22, 2011
New 2012 National Patient Safety Goal - catheter-associated urinary tract … More About The Topic
Hospitals
Health Care Providers
Facility and Group Administrators
Quality
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psnet.ahrq.gov/issue/individual-based-framework-study-medical-error
November 11, 2020 - February 6, 2013
Measurement as a performance driver: the case for a national measurement … January 27, 2016
Towards high-reliability organising in healthcare: a strategy for building … August 5, 2009
National hospital ratings systems share few common scores and may generate … June 1, 2011
Diagnostic error in the emergency department: learning from national patient … November 28, 2018
Toward safer health care: a review strategy of FDA medical device adverse
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psnet.ahrq.gov/issue/care-human-collectively-confronting-clinician-burnout-crisis
June 10, 2020 - In this commentary, leaders of the National Academy of Medicine, Association of American Medical Colleges … Related Resources From the Same Author(s)
Preventing a parallel pandemic - a national … strategy to protect clinicians' well-being. … August 1, 2017
Duty-hour limits and patient care and resident outcomes: can high-quality … A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care.
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psnet.ahrq.gov/issue/health-care-serial-murder-patient-safety-orphan
July 28, 2014 - 2014
Effect of the transformation of the Veterans Affairs Health Care System on the quality … Kizer, MD, MPH: health care quality evangelist. … August 17, 2011
Implementing a national strategy for patient safety: lessons from the … National Health Service in England.
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psnet.ahrq.gov/issue/it-time-mental-health-field-consider-unplanned-discharge-key-metric-patient-safety
June 01, 2022 - RIS
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Related Resources From the Same Author(s)
National … June 1, 2022
Spreading a strategy to prevent suicide after psychiatric hospitalization … : results of a quality improvement spread initiative. … July 8, 2020
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Related Resources
Spreading a strategy to … April 6, 2022
Patient safety and mental health-a growing quality gap in Canada.
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psnet.ahrq.gov/issue/improving-patient-safety-care-2022
April 30, 2022 - This conference will feature a keynote address on the National Health Services’ Patient Safety Strategy … November 11, 2020
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Health Care Providers
Quality
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psnet.ahrq.gov/node/49751/psn-pdf
January 01, 2016 - A study published in Pediatrics in 2012 demonstrated that patient photographs may be a promising strategy … Displaying patient photographs is a promising strategy for reducing wrong-patient orders, but more
research … Green, MD, MPH Vice President, Division of Quality & Patient Safety NewYork-Presbyterian
Hospital
https … ://psnet.ahrq.gov//#references
Jason Adelman, MD, MS Chief Patient Safety Officer Associate Chief Quality … EHR training and support are high quality, provided by qualified trainers, and appropriately tailored
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psnet.ahrq.gov/issue/health-care-associated-infections-hai-portal
February 28, 2018 - May 30, 2012
The Joint Commission and National Quality Forum Announce 2023 Eisenberg … February 21, 2024
2020 Eisenberg Award recipients announced by The Joint Commission, National … Quality Forum. … September 11, 2019
The Joint Commission and National Quality Forum Announce 2022 Eisenberg … Eisenberg Patient Safety and Quality Award Winners.
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psnet.ahrq.gov/perspective/patient-engagement-safety
January 01, 2018 - 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/collapse-sensemaking-organizations-mann-gulch-disaster
May 21, 2019 - September 9, 2020
A national mixed-methods evaluation of preparedness for general surgery … September 2, 2020
National cluster-randomized trial of duty-hour flexibility in surgical … Association between hospital safety culture and surgical outcomes in a statewide surgical quality … May 6, 2020
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It’s time to consider national … June 12, 2019
Promoting a culture of safety as a patient safety strategy: a systematic
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psnet.ahrq.gov/issue/side-tracks-safety-express-interruptions-lead-errors-and-unfinishedwait-what-was-i-doing
June 10, 2018 - June 10, 2018
Are national efforts to reduce drug name confusion paying off? … to Improve Patient Safety in Acute Hospital Care Units
April 26, 2023
Are national … June 10, 2018
Oral syringes: a crucial and economical risk-reduction strategy that has … View More
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Hospitals
Health Care Providers
Quality
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psnet.ahrq.gov/issue/serious-threat-patient-safety-unintended-misuse-fentanyl-patches
September 24, 2010 - Barriers to emergency departments' adherence to four medication safety–related Joint Commission National … December 2, 2009
Choosing the right strategy for medication error reduction—part I and … March 7, 2018
Achieving the Institute of Medicine's 6 aims for quality in the midst of … April 22, 2015
National patterns of codeine prescriptions for children in the emergency … More
See More About The Topic
Emergency Departments
Health Care Providers
Quality