-
psnet.ahrq.gov/node/44979/psn-pdf
April 06, 2016 - Reporting on a case involving disclosure of a wrong-site surgery, this news article describes a resolution
program … The program includes apology, disclosure, and
explanation of what occurred as well as financial compensation … wrong-site-wrong-procedure-and-wrong-patient-surgery
https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters … https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
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psnet.ahrq.gov/node/47260/psn-pdf
August 08, 2018 - This workshop report
summarizes discussions about health literacy programs and provides case studies … of health organizations
that have adopted such programs.
-
psnet.ahrq.gov/node/47101/psn-pdf
December 21, 2018 - Education and reporting of diagnostic errors among
physicians in internal medicine training programs … Education and Reporting of Diagnostic Errors Among Physicians
in Internal Medicine Training Programs
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psnet.ahrq.gov/node/45070/psn-pdf
October 03, 2017 - history and evolution of new approaches to achieve transparency, such
as communication-and-resolution programs … risk-management-extreme-honesty-may-be-best-policy
https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
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psnet.ahrq.gov/issue/prioritizing-patient-safety-through-quality-measurement
November 14, 2011 - November 14, 2011
Medicare and Medicaid Programs and the Children’s Health Insurance … Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the 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
Training Program for Nurses on Shift Work and Long Work Hours.
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psnet.ahrq.gov/issue/practitioners-agree-medication-reconciliation-value-frustration-and-difficulties-abound
August 09, 2023 - Related Resources From the Same Author(s)
Risk Evaluation and Mitigation Strategy (REMS) Programs … August 24, 2018
Survey results: community liaison programs to decrease hospital readmissions
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psnet.ahrq.gov/node/47213/psn-pdf
June 20, 2018 - Organizations are
increasingly building programs to enable second victims to return to safe and confident … This
magazine article highlights factors that contribute to success of second victim support programs … focus on emotional needs rather than skill assessment, and sustained
leadership engagement in the program
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psnet.ahrq.gov/issue/targeting-improvements-patient-safety-large-academic-center-institutional-handoff-curriculum
August 03, 2017 - The authors relate perceived benefits to the training and provide insights for designing similar programs … April 14, 2010
Effects of a communication-and-resolution program on hospitals' malpractice … Outcomes in two Massachusetts hospital systems give reason for optimism about communication-and-resolution programs … systems intervention on the quality and safety of patient handoffs in an internal medicine residency program … and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program
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psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-leadership-needed-hhs-prioritize-prevention
October 15, 2008 - methods related to health-care-associated infections (HAI) and recommends increased integration across program … Author(s)
Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs … April 29, 2020
Electronic Health Record Programs: Participation Has Increased, but Action … October 12, 2022
Examining the Status of VA’s Electronic Health Record Modernization Program … 2009
Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs
-
psnet.ahrq.gov/node/47298/psn-pdf
September 24, 2018 - learning-lawsuits-using-malpractice-claims-data-develop-care-transitions-planning-tools
https://psnet.ahrq.gov/issue/physician-motivation-listening-what-pay-performance-programs-and-quality-improvement … https://psnet.ahrq.gov/issue/physician-motivation-listening-what-pay-performance-programs-and-quality-improvement
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psnet.ahrq.gov/issue/medical-malpractice-liability-age-electronic-health-records
April 05, 2013 - Citation
Related Resources From the Same Author(s)
Disclosure-and-resolution programs … April 3, 2019
How policy makers can smooth the way for communication-and-resolution programs … May 5, 2021
Case outcomes in a communication-and-resolution program in New York hospitals … September 1, 2018
Implementing hospital-based communication-and-resolution programs:
-
psnet.ahrq.gov/node/44276/psn-pdf
July 08, 2015 - This analysis of 27 state-level reporting programs highlights that while adverse event reporting
has … become more sophisticated since the previous survey, only one new program has launched since then. … An AHRQ WebM&M perspective spotlights state reporting programs as mechanisms to
augment patient safety
-
psnet.ahrq.gov/issue/why-we-need-single-definition-disruptive-behavior
November 01, 2017 - The authors submit that a single definition is needed to develop effective policy and research programs … November 3, 2021
Physicians' perspectives regarding prescription drug monitoring program … Improving Diagnostic Safety and Quality
April 26, 2023
Assessment of programs
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psnet.ahrq.gov/issue/how-deliver-safer-and-effective-patient-care-tips-team-leaders-and-educators
April 24, 2018 - The author spotlights the role of experiential learning and formal educational programs in this setting … Related Resources
Associations between national board exam performance and residency program … November 15, 2011
Patient safety curriculum for surgical residency programs: results
-
psnet.ahrq.gov/issue/financial-incentives-and-mortality-taking-pay-performance-step-too-far
December 21, 2017 - This commentary raises concerns about including hospital mortality in incentive programs, since patient … August 1, 2023
Combined impact of Medicare's hospital pay for performance programs on … May 8, 2019
Unintended harm associated with the Hospital Readmissions Reduction Program
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.359_slideshow.ppt
October 01, 2015 - Office of the National Coordinator for Health Information Technology (ONC) Health IT Certification Program … redirect=/ehrincentiveprograms/
About the ONC Health IT Certification Program. … Available at http://www.healthit.gov/policy-researchers-implementers/about-onc-health-it-certification-program … redirect=/ehrincentiveprograms/
About the ONC Health IT Certification Program. … Available at http://www.healthit.gov/policy-researchers-implementers/about-onc-health-it-certification-program
-
psnet.ahrq.gov/issue/armstrong-institute-academic-institute-patient-safety-and-quality-improvement-research
September 27, 2017 - development of the Armstrong Institute at Johns Hopkins which generated multidisciplinary educational programs … and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program … March 23, 2016
Physician motivation: listening to what pay-for-performance programs and
-
psnet.ahrq.gov/issue/request-comments-proposed-measures-and-2020-targets-national-action-plan-adverse-drug-event
October 21, 2016 - October 21, 2016
Training Program for Nurses on Shift Work and Long Work Hours. … October 16, 2013
Medicare and Medicaid programs; reform of requirements for long-term … November 23, 2015
Medicare and Medicaid Programs and the Children’s Health Insurance … Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care … Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs
-
psnet.ahrq.gov/node/45653/psn-pdf
January 25, 2017 - They
suggest that dental care should be one of the areas that is considered when implementing programs … vital-signs-overdoses-prescription-opioid-pain-relievers-united-states-1999-2008
https://psnet.ahrq.gov/issue/implementation-prescription-drug-monitoring-programs-associated-reductions-opioid-related
-
psnet.ahrq.gov/node/43500/psn-pdf
November 17, 2014 - systematic-review-behavioural-marker-systems-healthcare-what-do-we-know-
about-their
Teamwork training programs … more standardized measurement systems be developed to
assess the effectiveness of teamwork training programs