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Showing results for "offices".

  1. Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications. | PSNet

    psnet.ahrq.gov/issue/assessment-dod-wounded-warrior-matters-managing-risks-multiple-medications
    March 16, 2022 - Government Resource Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications. Citation Text: Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications. Alexandria, VA: Department of Defense, Office of the Inspector General; February 21…

  2. Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections. | PSNet

    psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-leadership-needed-hhs-prioritize-prevention
    October 15, 2008 - Book/Report Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections. Citation Text: Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices a…

  3. VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action to Ensure That These Data Are Complete. | PSNet

    psnet.ahrq.gov/issue/va-health-care-va-uses-medical-injury-tort-claims-data-assess-veterans-care-should-take
    February 10, 2010 - Government Resource VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action to Ensure That These Data Are Complete. Citation Text: VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action t…

  4. Drug Shortages: FDA's Ability to Respond Should Be Strengthened. | PSNet

    psnet.ahrq.gov/issue/drug-shortages-fdas-ability-respond-should-be-strengthened
    April 15, 2009 - Congressional Testimony Drug Shortages: FDA's Ability to Respond Should Be Strengthened. Citation Text: Drug Shortages: FDA's Ability to Respond Should Be Strengthened. Testimony before the Committee on Health, Education, Labor, and Pensions, US Senate. US Government Accountability Offic…

  5. Patient safety: moving the bar in prison health care standards. | PSNet

    psnet.ahrq.gov/issue/patient-safety-moving-bar-prison-health-care-standards
    August 28, 2024 - Commentary Patient safety: moving the bar in prison health care standards. Citation Text: Stern MF, Greifinger RB, Mellow J. Patient safety: moving the bar in prison health care standards. Am J Public Health. 2010;100(11):2103-2110. doi:10.2105/AJPH.2009.184242. Copy Citation For…

  6. Oversight Hearing on Recent Patient Safety Issues. | PSNet

    psnet.ahrq.gov/issue/oversight-hearing-recent-patient-safety-issues
    November 06, 2019 - Congressional Testimony Oversight Hearing on Recent Patient Safety Issues. Citation Text: Oversight Hearing on Recent Patient Safety Issues. U.S. Department of Veterans Affairs. Hearing before the Committee on Veterans’ Affairs, House of Representatives, Subcommittee on Oversight and…

  7. Addressing Health Worker Burnout. | PSNet

    psnet.ahrq.gov/issue/addressing-health-worker-burnout
    May 25, 2022 - Book/Report Addressing Health Worker Burnout. Citation Text: Addressing Health Worker Burnout. The U.S. Surgeon General’s Advisory on Building a Thriving Health Workforce. Washington DC: Office of the Surgeon General; May 2022. Copy Citation Save Save to yo…

  8. Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals. | PSNet

    psnet.ahrq.gov/issue/medicares-oversight-compounded-pharmaceuticals-used-hospitals
    October 16, 2012 - Government Resource Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals. Citation Text: Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January…

  9. Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. | PSNet

    psnet.ahrq.gov/issue/few-adverse-events-hospitals-were-reported-state-adverse-event-reporting-systems
    January 20, 2010 - Book/Report Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. Citation Text: Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. Wright S. Washington, DC: US Department of Health and Human Services, Office of t…

  10. The costs of developing, implementing, and operating a safety learning system in community practice. | PSNet

    psnet.ahrq.gov/issue/costs-developing-implementing-and-operating-safety-learning-system-community-practice
    March 21, 2012 - Study The costs of developing, implementing, and operating a safety learning system in community practice. Citation Text: O'Beirne M, Reid R, Zwicker K, et al. The costs of developing, implementing, and operating a safety learning system in community practice. J Patient Saf. 2013;9(4):2…

  11. Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events. | PSNet

    psnet.ahrq.gov/issue/veterans-health-care-veterans-health-administration-processes-responding-reported-adverse
    August 15, 2012 - Book/Report Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events. Citation Text: Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events. Washington, DC: United States Government Acco…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41011/psn-pdf
    March 04, 2015 - Ambulatory prescribing errors among community-based providers in two states. March 4, 2015 Abramson EL, Bates DW, Jenter CA, et al. Ambulatory prescribing errors among community-based providers in two states. J Am Med Inform Assoc. 2012;19(4):644-8. doi:10.1136/amiajnl-2011-000345. https://psnet.ahrq.gov/issue/amb…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47340/psn-pdf
    February 22, 2019 - Understanding test results follow-up in the ambulatory setting: analysis of multiple perspectives. February 22, 2019 Ai A, Desai S, Shellman A, et al. Understanding Test Results Follow-Up in the Ambulatory Setting: Analysis of Multiple Perspectives. Jt Comm J Qual Patient Saf. 2018;44(11):674-682. doi:10.1016/j.jc…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36768/psn-pdf
    July 14, 2010 - Hospital leadership and quality improvement: rhetoric versus reality. July 14, 2010 Levey S, Vaughn T, Koepke M, et al. Hospital Leadership and Quality Improvement. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e3180311256. https://psnet.ahrq.gov/issue/hospital-leadership-and-quality-improvement-rhetoric-versus-r…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866249/psn-pdf
    July 10, 2024 - Implementation of a health information technology safety classification system in the Veterans Health Administration's Informatics Patient Safety Office. July 10, 2024 Kato D, Lucas J, Sittig DF. Implementation of a health information technology safety classification system in the Veterans Health Administration’s …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34671/psn-pdf
    June 15, 2011 - Confidential clinician-reported surveillance of adverse events among medical inpatients. June 15, 2011 Weingart SN, Ship AN, Aronson MD. Confidential clinician-reported surveillance of adverse events among medical inpatients. J Gen Intern Med. 2003;15(7). doi:10.1046/j.1525-1497.2000.06269.x. https://psnet.ahrq.go…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42419/psn-pdf
    July 17, 2013 - Health IT Patient Safety Action and Surveillance Plan. July 17, 2013 Washington, DC: Office of the National Coordinator for Health Information Technology; July 2, 2013. https://psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan This report from the Department of Health and Human Services (HH…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40921/psn-pdf
    November 16, 2011 - Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events. November 16, 2011 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; October 2011. Report No. OEI-01-08-00590. https://psnet.ahrq.gov/issue/adverse-events-hospitals-medicares-response…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866744/psn-pdf
    September 18, 2024 - Care Concerns and Deficiencies in Facility Leaders’ and Staff’s Responses Following a Medical Emergency at the Carl T. Hayden VA Medical Center in Phoenix, Arizona. September 18, 2024 Care Concerns And Deficiencies In Facility Leaders’ And Staff’s Responses Following A Medical Emergency At The Carl T. Hayden Va Me…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36889/psn-pdf
    May 28, 2024 - Surveys on Patient Safety Culture. May 28, 2024 Rockville MD: Agency for Healthcare Research and Quality https://psnet.ahrq.gov/issue/surveys-patient-safety-culture Safety culture has been described as a key to establishing high reliability organizations. The National Quality Forum's Safe Practices for Healthcare …
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