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  1. psnet.ahrq.gov/issue/safety-doses
    July 01, 2009 - Book/Report Safety in Doses. Citation Text: Safety in Doses. … April 3, 2009 Safety First: a Report for Patients, Clinicians and Healthcare Managers … View More Related Resources Adverse Health Events in Minnesota: Annual Reports … June 4, 2024 National and State Healthcare-Associated Infections Progress Report. … May 2, 2012 Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey Report
  2. psnet.ahrq.gov/issue/report-announced-inspection-medication-safety-midland-regional-hospital-tullamore-county
    October 23, 2013 - Book/Report Report of the Announced Inspection of Medication Safety at the Midland … Investigation reports help health care organizations identify areas in need of improvement. … October 23, 2013 The Rebecca O'Malley Report. … July 6, 2022 NHS Safety Thermometer Reports. … February 1, 2017 Characterising the nature of primary care patient safety incident reports
  3. psnet.ahrq.gov/issue/mistake-proofing-design-health-care-processes
    December 18, 2008 - Book/Report Mistake-Proofing the Design of Health Care Processes. … In this report, the author draws from multidisciplinary sources to share examples of practical process … Final Report. … Incorporating Health Information Technology Into Workflow Redesign: Request for Information SummaryReport.
  4. psnet.ahrq.gov/issue/hospital-acquired-infections-pennsylvania
    December 06, 2006 - This report summarizes hospital-acquired infection data from Pennsylvania hospitals in 2004 and indicates … More Related Resources National and State Healthcare-Associated Infections ProgressReport. … August 7, 2018 Final Report of the Commission on Care.
  5. psnet.ahrq.gov/issue/scathing-report-kaiser-kidney-program-transplant-delays-assailed-medicare-threatens-end
    March 29, 2023 - Newspaper/Magazine Article Scathing report on Kaiser kidney program. … Citation Text: Scathing report on Kaiser kidney program. … This article reports on a Centers for Medicare & Medicaid Services report that details deficiencies in … Copy URL Cite Citation Citation Text: Scathing report … October 14, 2015 Leadership Survey: Immunization Against Burnout: Insights Report.
  6. psnet.ahrq.gov/issue/mind-implementation-gap-persistence-avoidable-harm-nhs
    March 04, 2010 - Book/Report Mind the Implementation Gap. … This report examines large system failures in the UK National Health Service to suggest actions that … The publication highlights how public investigations, government reports , legal actions, and patient … November 16, 2022 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care … The Report of the Independent Medicines and Medical Devices Safety Review.
  7. psnet.ahrq.gov/issue/review-quality-care-and-treatment-provided-14-hospital-trusts-england-overview-report
    August 02, 2023 - Book/Report Review into the Quality of Care and Treatment Provided by 14 Hospital … Trusts in England: Overview Report. … Review into the Quality of Care and Treatment Provided by 14 Hospital Trusts in England: Overview Report … investigation into care delivered at National Health Service trusts with high mortality rates, this report … June 13, 2012 Critical Incident Reviews, Significant Adverse Event Reports and Action
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838325/psn-pdf
    October 12, 2022 - Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health … Report no. 22-00815-232. … https://psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-care- coordination-veterans … https://psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-care-coordination-veterans … https://psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-care-coordination-veterans
  9. psnet.ahrq.gov/issue/fix-and-forget-or-fix-and-report-qualitative-study-tensions-front-line-incident-reporting
    May 18, 2016 - Study Fix and forget or fix and report: a qualitative study of tensions at the front … Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting … A large body of literature shows that health care providers frequently fail to voluntarily report safety … Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting … November 1, 2017 Confidential Physician Feedback Reports: Designing for Optimal Impact
  10. psnet.ahrq.gov/issue/clinical-lab-quality-cms-and-survey-organization-oversight-should-be-strengthened
    September 28, 2010 - Report no GAO-06-416. … Report no GAO-06-416. … This government report found that the clinical laboratory survey process is flawed, allowing safety requirements … Report no GAO-06-416. … October 12, 2022 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care
  11. psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2011
    November 02, 2012 - Book/Report Improving America's Hospitals: The Joint Commission's Annual Report on … Citation Text: Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety … This report emphasizes performance on Hospitals in the United States have made significant improvements … This report emphasizes performance on accountability measures—quality metrics that are closely tied to … 2013 View More Related Resources Patient Safety Authority Annual Reports
  12. psnet.ahrq.gov/issue/assessment-national-patient-safety-initiative-context-and-baseline-evaluation-report-1
    May 21, 2014 - Book/Report Assessment of the National Patient Safety Initiative: Context and Baseline … Evaluation Report 1. … The authors report on the history of Agency for Healthcare Research and Quality's (AHRQ) involvement … This document is the first of four yearly reports funded by AHRQ to assess their work. … Report IV.
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836760/psn-pdf
    March 16, 2022 - Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health … Report No. 21-01506-76. … https://psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-mental- health-veterans-health … https://psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-mental-health-veterans-health … https://psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-mental-health-veterans-health
  14. psnet.ahrq.gov/issue/contributing-factors-identified-hospital-incident-report-narratives
    January 02, 2017 - Study Contributing factors identified by hospital incident report narratives. … Contributing factors identified by hospital incident report narratives. … data, lack of reporting by physicians, and the lack of a standardized framework for interpreting the reports … The authors were able to determine at least one underlying factor in most reports, but found that incidents … Contributing factors identified by hospital incident report narratives.
  15. psnet.ahrq.gov/issue/2014-guide-state-adverse-event-reporting-systems
    November 29, 2009 - Book/Report 2014 Guide to State Adverse Event Reporting Systems. … The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—SummaryReport. … January 9, 2025 Patient Safety Authority Annual Reports. … December 5, 2018 Confidential Physician Feedback Reports: Designing for Optimal Impact
  16. psnet.ahrq.gov/issue/quality-care-concerns-and-facility-response-following-medical-emergency-va-southern-nevada
    July 13, 2022 - Book/Report Quality of Care Concerns and the Facility Response Following a Medical … Report no. 22-02725-132. … Report no. 22-02725-132. … January 24, 2024 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care … April 26, 2006 View More Related Resources Annual Speak Up Data Reports
  17. psnet.ahrq.gov/issue/report-focuses-risk-patients-ed-errors
    June 26, 2019 - Newspaper/Magazine Article Report focuses on risk to patients from ED errors. … Citation Text: Report focuses on risk to patients from ED errors. Palmer J. … Linkedin Copy URL Cite Citation Citation Text: Report … Analysis of incident reports from a patient safety organization.
  18. psnet.ahrq.gov/issue/medication-error-reporting-nursing-homes-identifying-targets-patient-safety-improvement
    March 24, 2011 - Analysis of medication error reports submitted to this Web-based error reporting system revealed that … March 24, 2011 Online medication error graphic reports: a pilot in North Carolina nursing … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.
  19. psnet.ahrq.gov/issue/cultural-issues-related-allegations-bullying-and-harassment-nhs-highland-independent-review
    July 29, 2015 - August 23, 2017 Critical Incident Reviews, Significant Adverse Event Reports and Action … Final Report. … Final Report. … The Report of the Gosport Independent Panel. … Final Report.
  20. psnet.ahrq.gov/issue/making-health-care-safer-critical-analysis-patient-safety-practices
    July 27, 2018 - Most evidence reports are placed on shelves and gather dust. … Readers are cautioned that evidence reports have limited shelf-lives, and it is worth reviewing recent … Summary, Evidence Report/Technology Assessment. … Final Report. … View More Related Resources National Healthcare Quality and Disparities Reports

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