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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42085/psn-pdf
    March 13, 2013 - In-facility delirium programs as a patient safety strategy: a systematic review. … In-facility delirium prevention programs as a patient safety strategy: a systematic review. … https://psnet.ahrq.gov/issue/facility-delirium-programs-patient-safety-strategy-systematic-review Several … https://psnet.ahrq.gov/issue/facility-delirium-programs-patient-safety-strategy-systematic-review https
  2. psnet.ahrq.gov/issue/pact-collaborative-pathway-accountability-compassion-and-transparency
    February 05, 2014 - Communication and Resolution Programs (CRP) are a promising strategy for managing the aftermath of … August 12, 2020 Patients' experiences with communication-and-resolution programs after … Outcomes in two Massachusetts hospital systems give reason for optimism about communication-and-resolution programs
  3. psnet.ahrq.gov/issue/residency-evaluations-where-patient-voice
    June 21, 2023 - This commentary recognizes this gap and suggests tactics to incorporate feedback into residency programs … May 24, 2015 Teaching but not learning: how medical residency programs handle errors.
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45972/psn-pdf
    April 05, 2017 - Comparing catheter-associated urinary tract infection prevention programs between Veterans Affairs nursing … Comparing Catheter-Associated Urinary Tract Infection Prevention Programs Between Veterans Affairs Nursing … https://psnet.ahrq.gov/issue/comparing-catheter-associated-urinary-tract-infection-prevention-programs … Department of Veterans Affairs (VA) nursing homes and non-VA nursing homes participating in the AHRQ Safety Program … national-patient-safety-goal-catheter-associated-urinary-tract-infection-cauti https://psnet.ahrq.gov/issue/program-prevent-catheter-associated-urinary-tract-infection-acute-care
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45000/psn-pdf
    August 15, 2016 - Medicare and Medicaid Programs; Hospital and Critical Access Hospital (CAH) Changes to Promote Innovation … https://psnet.ahrq.gov/issue/medicare-and-medicaid-programs-hospital-and-critical-access-hospital-cah … https://psnet.ahrq.gov/issue/medicare-and-medicaid-programs-hospital-and-critical-access-hospital-cah-changes-promote … https://psnet.ahrq.gov/issue/medicare-and-medicaid-programs-hospital-and-critical-access-hospital-cah-changes-promote … effect-nonpayment-preventable-infections-us-hospitals https://psnet.ahrq.gov/issue/readmissions-observation-and-hospital-readmissions-reduction-program
  6. psnet.ahrq.gov/issue/patient-safety-over-power-hierarchy-scoping-review-healthcare-professionals-speaking-skills
    November 11, 2009 - This review summarizes studies of training programs targeting healthcare professionals’ speaking up … The authors found that most training programs  were limited to a one-time training delivered to a single … The majority of programs addressed legitimate power (i.e., social norms such as titles) but few addressed
  7. psnet.ahrq.gov/issue/impact-surgical-count-technology-retained-surgical-items-rates-veterans-health-administration
    January 17, 2019 - In this study, researchers compared the RSI rate in Veterans Health (VA) surgery programs with (n=46) … The RSI rate was significantly higher in for the programs with surgical count technology compared to … the programs without (1/18,221 vs. 1/30,593).
  8. psnet.ahrq.gov/issue/ensuring-safe-practice-late-career-physicians-institutional-policies-and-implementation
    May 20, 2019 - September 23, 2020 Disclosure-and-resolution programs that include generous compensation … April 5, 2013 Can communication-and-resolution programs achieve their potential? … December 18, 2014 How policy makers can smooth the way for communication-and-resolution programs … September 29, 2017 Communication-and-resolution programs: the challenges and lessons … co-workers' unprofessional behaviours within the context of a professional accountability culture change program
  9. psnet.ahrq.gov/issue/safer-electronic-health-records-safety-assurance-factors-ehr-resilience
    December 20, 2017 - organizations and health information technology professionals assess the safety of electronic health record programs … May 30, 2018 Prescription Drug Monitoring Programs: Evolution and Evidence. … October 21, 2015 Electronic Health Record Programs: Participation Has Increased, but
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36378/psn-pdf
    October 28, 2010 - Teaching but not learning: how medical residency programs handle errors. … Teaching but not learning: how medical residency programs handle errors. … https://psnet.ahrq.gov/issue/teaching-not-learning-how-medical-residency-programs-handle-errors This … https://psnet.ahrq.gov/issue/teaching-not-learning-how-medical-residency-programs-handle-errors https
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44338/psn-pdf
    November 23, 2015 - Medicare and Medicaid programs; reform of requirements for long-term care facilities; proposed rule. … https://psnet.ahrq.gov/issue/medicare-and-medicaid-programs-reform-requirements-long-term-care- facilities-proposed-rule … https://psnet.ahrq.gov/issue/medicare-and-medicaid-programs-reform-requirements-long-term-care-facilities-proposed-rule … https://psnet.ahrq.gov/issue/medicare-and-medicaid-programs-reform-requirements-long-term-care-facilities-proposed-rule
  12. psnet.ahrq.gov/issue/comparing-catheter-associated-urinary-tract-infection-prevention-programs-between-veterans
    December 21, 2017 - Study Comparing catheter-associated urinary tract infection prevention programs between … Comparing Catheter-Associated Urinary Tract Infection Prevention Programs Between Veterans Affairs Nursing … Department of Veterans Affairs (VA) nursing homes and non-VA nursing homes participating in the AHRQ Safety Program … May 17, 2018 A program to prevent catheter-associated urinary tract infection in acute … February 27, 2019 The expanding role of antimicrobial stewardship programs in hospitals
  13. psnet.ahrq.gov/issue/medical-harm-patient-perceptions-and-follow-actions
    September 27, 2017 - Only 11.4% of patients reported receiving an apology , suggesting that disclosure and apology programs … July 16, 2015 Implementation of a surgical comprehensive unit-based safety program to … October 2, 2017 Disclosure, apology, and offer programs: stakeholders' views of barriers … April 21, 2015 Communication-and-resolution programs: the challenges and lessons learned
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36909/psn-pdf
    January 05, 2017 - crew resource management (CRM), and this article reports on application of the Medical Team Training program … Individual hospitals selected among specific teamwork training programs developed by the VA's National … These included programs tailored for operating rooms, intensive care units, and general wards, and focused … Implementation and evaluation of the programs are described in detail, along with examples of projects … While CRM programs are being implemented at the VA and elsewhere, a recent randomized trial in obstetrics
  15. psnet.ahrq.gov/issue/first-do-no-harm-marshaling-clinician-leadership-counter-opioid-epidemic
    July 19, 2017 - for clinicians to prescribe opioids more safely, including the use of prescription drug monitoring programs … September 29, 2017 Prescription Drug Monitoring Programs: Evolution and Evidence. … February 14, 2017 Prescription Drug Monitoring Programs: Evidence-based Practices to
  16. psnet.ahrq.gov/issue/improving-communication-and-resolution-following-adverse-events-using-patient-created
    September 01, 2018 - Communication-and-resolution programs emphasize early disclosure of adverse events to patients and … September 19, 2018 Patients' experiences with communication-and-resolution programs after … Outcomes in two Massachusetts hospital systems give reason for optimism about communication-and-resolution programs
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867395/psn-pdf
    December 18, 2024 - progress in the United States on patient and workforce safety using measures prioritized by national programs … the AHRQ Patient Safety Indicators (PSIs), hospital Medicare adverse events, CMS hospital reporting programs
  18. psnet.ahrq.gov/issue/impact-multidisciplinary-team-huddles-patient-safety-systematic-review-and-proposed-taxonomy
    November 10, 2015 - Results for unit-based huddle programs appear positive. … Given the limited number of studies evaluating hospital-wide huddle programs, the authors conclude that … research employing strong methodological designs is required to definitively assess the impact of huddle programs … November 10, 2015 Implementation of the I-PASS handoff program in diverse clinical environments
  19. psnet.ahrq.gov/issue/centers-medicare-and-medicaid-services-cms-nursing-home-compare
    May 26, 2021 - March 10, 2021 Hospital-Acquired Condition Reduction Program (HACRP). … May 4, 2015 Medicare and Medicaid Programs and the Children’s Health Insurance Program … Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs … August 28, 2024 Medicare and Medicaid programs; reform of requirements for long-term … November 23, 2015 Medicaid program; payment adjustment for provider-preventable conditions
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866217/psn-pdf
    July 10, 2024 - Amy Helwig: One example is having strong credentialing programs in place. … Amy Helwig: Our quality improvement programs usually specify the health conditions and their associated … A health plan may then build that into quality improvement programs with network providers. … level, the Center for Medicare & Medicaid Services’ (CMS’) Medicare Star Ratings is a public reporting program … Sarah Mossburg: Earlier, you mentioned the CMS Star Ratings program and publicly reported data.

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