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21. Critical Incident Reviews, Significant Adverse Event Reports and Action Plans. | PSNet
    psnet.ahrq.gov/issue/critical-incident-reviews-significant-adverse-event-reports-and-action-plans
    June 26, 2019 - Government Resource Critical Incident Reviews, Significant Adverse Event Reports … Citation Text: Critical Incident Reviews, Significant Adverse Event Reports and Action Plans. … This report describes an investigation into a 5-year delay in action plans for critical incident reviews … February 17, 2021 Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental … January 9, 2025 National Healthcare Quality and Disparities Reports.

22. Making Healthcare Safer III Report | PSNet
    psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report
    March 30, 2020 - Finally, this iteration provides PSP comparison tables across all three of the reports. … Health IMPAQ International Columbia, MD References [1] AHRQ’s Making Healthcare Safer Reports … [5] Making Healthcare Safer III: Comparison Tables for Making Health Safer Reports. … The prior reports were more hospital-focused, and we know that most care is not delivered there these … that haven’t been addressed in past reports?

23. Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV. | PSNet
    psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-final-report-evaluation-report-iv
    May 21, 2014 - Book/Report Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation … Report IV. … Citation Text: Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV. … This report analyzes AHRQ's patient safety activities, synthesizes results of the full RAND evaluation … Evaluation Report IV.

24. High Quality Care for All: NHS Next Stage Review Final Report. | PSNet
    psnet.ahrq.gov/issue/high-quality-care-all-nhs-next-stage-review-final-report
    October 20, 2021 - Government Resource High Quality Care for All: NHS Next Stage Review Final Report … Citation Text: High Quality Care for All: NHS Next Stage Review Final Report. Darzi A.  … This report outlines several strategies to improve the National Health Service's quality of care, including … September 29, 2017 Keeping the Commitment: A Progress Report on Four Early Leaders in … July 1, 2009 Building a Culture of Patient Safety: Report of the Commission on Patient

25. Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administration Oversight Failures. | PSNet
    psnet.ahrq.gov/issue/deficiencies-community-care-network-credentialing-process-former-va-surgeon-and-veterans
    November 29, 2023 - Book/Report Deficiencies in the Community Care Network Credentialing Process of a … Washington DC: VA Office of the Inspector General; January 4, 2024; Report no. 22-02294-42. … July 26, 2023 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care … July 13, 2022 Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental … View More Related Resources National Healthcare Quality and Disparities Reports

26. User's manual for the IOM's 'Quality Chasm' report. | PSNet
    psnet.ahrq.gov/issue/users-manual-ioms-quality-chasm-report
    August 04, 2021 - Commentary User's manual for the IOM's 'Quality Chasm' report. … A user's manual for the IOM's 'Quality Chasm' report. Health Aff (Millwood). 2002;21(3):80-90. … (IOM) produced a safety report entitled Crossing the Quality Chasm . … of the instrumental report. … August 4, 2021 Transforming concepts in patient safety: a progress report.

27. Final Report of the Ockenden Review. | PSNet
    psnet.ahrq.gov/issue/final-report-ockenden-review
    January 13, 2021 - Book/Report Final Report of the Ockenden Review. … Citation Text: Final Report of the Ockenden Review. London UK: Crown Copyright; March 30, 2022. … This report serves as the final conclusions of an investigation into 250 cases at a National Health … Copy Citation Related Resources From the Same Author(s) Ockenden Report. … June 22, 2022 Safety First: a Report for Patients, Clinicians and Healthcare Managers

28. Medicare's Oversight of Ambulatory Surgery Centers Report. | PSNet
    psnet.ahrq.gov/issue/medicares-oversight-ambulatory-surgery-centers-report
    February 11, 2015 - Book/Report Medicare's Oversight of Ambulatory Surgery Centers Report. … Report No. OEI-01-15-00400. … Report No. OEI-01-15-00400. … View More Related Resources National Healthcare Quality and Disparities Reports … February 1, 2023 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care

29. 2017 ISMP Medication Safety Self Assessment® for Antithrombotic Therapy in Hospitals. | PSNet
    psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessmentr-antithrombotic-therapy-hospitals
    June 07, 2017 - self-assessment scores, compare practices with other hospitals, and allow the development of an ongoing progress … report. … June 28, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … April 24, 2018 How useful are voluntary medication error reports?

30. Critical Deficiencies at the Washington DC VA Medical Center. | PSNet
    psnet.ahrq.gov/issue/critical-deficiencies-washington-dc-va-medical-center
    December 16, 2020 - Report No. 17-02644-130. … Report No. 17-02644-130. … Report No. 17-02644-130. … December 16, 2020 Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental … June 4, 2024 National Healthcare Quality and Disparities Reports.

31. The Rebecca O'Malley Report. | PSNet
    psnet.ahrq.gov/issue/rebecca-omalley-report
    June 14, 2017 - Book/Report The Rebecca O'Malley Report. … Citation Text: The Rebecca O'Malley Report. … This report analyzes the findings of a  diagnostic error investigation and provides numerous recommendations … Report summary Save Save to your library Print Download PDF Share … June 14, 2017 Patient Safety Investigation report into services at University Hospital

32. Compendium of Reports. | PSNet
    psnet.ahrq.gov/issue/compendium-2000-2005
    September 06, 2011 - Book/Report Compendium of Reports. … Citation Text: Compendium of Reports. Washington DC: National Quality Forum. … This website is the complete collection to date of standards, measures and reports endorsed by the National … March 5, 2013 Improving America's Hospitals: The Joint Commission's Annual Report on … September 26, 2012 Keeping the Commitment: A Progress Report on Four Early Leaders in

33. Patient Safety Authority Annual Reports. | PSNet
    psnet.ahrq.gov/issue/patient-safety-authority-annual-reports
    December 09, 2020 - Book/Report Patient Safety Authority Annual Reports. … Citation Text: Patient Safety Authority Annual Reports. Pennsylvania Patient Safety Authority. … This report summarizes patient safety improvement work in the state of Pennsylvania. … include patient communication, publication , and learning management system efforts. 2023 report … - Free full text (PDF) Report archive Save Save to your library Print Download

34. The "To Err Is Human Report" and the patient safety literature. | PSNet
    psnet.ahrq.gov/issue/err-human-report-and-patient-safety-literature
    November 16, 2022 - Review The "To Err Is Human Report" and the patient safety literature. … The "To Err is Human" report and the patient safety literature. … although malpractice represented the most common subject of patient safety published before the IOM report … The "To Err is Human" report and the patient safety literature. … February 3, 2016 Keeping the Commitment: A Progress Report on Four Early Leaders in Patient

35. "Superficial" Report Leads to "Deep" Problem | PSNet
    psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
    July 01, 2012 - "Superficial" Report Leads to "Deep" Problem Citation Text: Dhaliwal G. … "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. … "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. … From on-the-job experience and interactions with vascular clinicians and reports, they must re-learn … "Superficial" Report Leads to "Deep" Problem. PSNet [internet].

36. Patient Safety Culture Report: Focusing on Indicators. | PSNet
    psnet.ahrq.gov/issue/patient-safety-culture-report-focusing-indicators
    February 22, 2023 - Book/Report Patient Safety Culture Report: Focusing on Indicators. … Citation Text: Patient Safety Culture Report: Focusing on Indicators. … This report identifies care process and outcome indicators in the European Union and describes how the … April 1, 2024 National Healthcare Quality and Disparities Reports. … Final Technical Report January 2009.

37. ISMP medication error report analysis. | PSNet
    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-37
    June 16, 2019 - Commentary ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

38. ISMP medication error report analysis. | PSNet
    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-9
    June 16, 2019 - Commentary ISMP medication error report analysis. … Citation Text: ISMP medication error report analysis. Cohen MR. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

39. The Francis Report: One Year On. | PSNet
    psnet.ahrq.gov/issue/francis-report-one-year
    April 02, 2014 - Book/Report The Francis Report: One Year On. … Citation Text: The Francis Report: One Year On. Thorlby R, Smith J, Williams S, Dayan M. … offers insights from acute care hospital staff in England regarding recommendations from the Francis report … Copy URL Cite Citation Citation Text: The Francis Report … May 8, 2013 Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry.

40. Elderly Falls. | PSNet
    psnet.ahrq.gov/issue/elderly-falls
    March 30, 2016 - This special issue explores fall prevention, including strategies, literature reviews, and progress reports