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  1. psnet.ahrq.gov/issue/depth-investigation-causes-prescribing-errors-foundation-trainees-relation-their-medical
    May 16, 2012 - Book/Report An In Depth Investigation into Causes of Prescribing Errors by Foundation … This report analyzed the causes and rates of prescribing errors in the National Health Service and found … Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report … Incorporating Health Information Technology Into Workflow Redesign: Request for Information SummaryReport.
  2. psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm
    September 20, 2011 - Book/Report Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. … Report No. OEI-06-09-00091. … Report No. OEI-06-09-00091. View more articles from the same authors. … This follow-up analysis found that incident reports were not filed for the vast majority of these adverse … Report No. OEI-06-09-00091.
  3. psnet.ahrq.gov/issue/report-ispe-drug-shortages-survey
    January 26, 2022 - Book/Report Report on the ISPE Drug Shortages Survey. … Citation Text: Report on the ISPE Drug Shortages Survey. … Linkedin Copy URL Cite Citation Citation Text: Report
  4. psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report
    September 06, 2011 - Book/Report Classic Improving Diagnostic Quality and Safety … Final Report. … Citation Text: Improving Diagnostic Quality and Safety Final Report. … This National Quality Forum report describes the development of a framework to assist with measuring … June 19, 2018 Hospital Survey on Patient Safety Culture: 2018 User Database Report.
  5. psnet.ahrq.gov/issue/assessing-evidence-context-sensitive-effectiveness-and-safety-patient-safety-practices
    July 27, 2018 - Book/Report Assessing the Evidence for Context-Sensitive Effectiveness and Safety … In this report, RAND Health identifies criteria for assessing patient safety practices and presents … October 26, 2016 Final Report on Prioritization of Patient Safety Practices for a New … Incorporating Health Information Technology Into Workflow Redesign: Request for Information SummaryReport.
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40331/psn-pdf
    July 31, 2012 - Keeping the Commitment: A Progress Report on Four Early Leaders in Patient Safety Improvement. … https://psnet.ahrq.gov/issue/keeping-commitment-progress-report-four-early-leaders-patient-safety- improvement … Updating a previous report, this publication explains how four organizations have sustained patient … https://psnet.ahrq.gov/issue/keeping-commitment-progress-report-four-early-leaders-patient-safety-improvement … https://psnet.ahrq.gov/issue/keeping-commitment-progress-report-four-early-leaders-patient-safety-improvement
  7. psnet.ahrq.gov/issue/enhancing-patient-safety-and-reducing-errors-health-care
    July 10, 2019 - May 24, 2017 ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient Safety … May 8, 2013 Keeping the Commitment: A Progress Report on Four Early Leaders in Patient
  8. psnet.ahrq.gov/issue/deficiencies-facility-leaders-response-critical-surgical-events-michael-e-debakey-va-medical
    November 29, 2023 - Report No. 23-00080-227. … Report No. 23-00080-227. … Report No. 23-00080-227. … June 12, 2024 Adverse Health Events in Minnesota: Annual Reports. … Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports
  9. psnet.ahrq.gov/issue/delivering-quality-health-services-global-imperative-universal-health-coverage
    July 20, 2011 - Book/Report Classic Delivering Quality Health Services: … The Crossing the Quality Chasm report outlined the importance of building health care processes that … March 20, 2024 WHO Global Report on Patient Safety. … February 22, 2023 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care … October 5, 2022 Global Report on Infection Prevention and Control: Executive Summary.
  10. psnet.ahrq.gov/issue/npsd-data-spotlight-patterns-fall-interventions
    September 13, 2023 - Book/Report NPSD Data Spotlight: Patterns of Fall Interventions. … Data for the analysis includes reports on patient safety concerns submitted from 2009 through 2021. … March 27, 2019 Final Report on Prioritization of Patient Safety Practices for a New Rapid … September 13, 2023 Final Report on Prioritization of Patient Safety Practices for a New … Diagnostic Safety and Quality April 26, 2023 Comprehensive Healthcare Inspection Summary
  11. psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture
    November 23, 2016 - includes a user's guide that explains how to conduct a survey on patient safety in a nursing home and report … December 24, 2008 2012 User Comparative Database Report: Medical Office Survey on Patient … Incorporating Health Information Technology Into Workflow Redesign: Request for Information SummaryReport. … May 28, 2024 National Healthcare Quality and Disparities Reports.
  12. psnet.ahrq.gov/issue/wall-silence-untold-story-medical-mistakes-kill-and-injure-millions-americans
    January 30, 2003 - Book/Report Classic Wall of Silence: The Untold Story of … July 8, 2016 Effect of social influences on pharmacists' intention to report adverse … View More Related Resources MHA and MHA Keystone Center Annual Reports … November 26, 2014 High Quality Care for All: NHS Next Stage Review Final Report. … July 28, 2013 Keeping the Commitment: A Progress Report on Four Early Leaders in Patient
  13. psnet.ahrq.gov/issue/strategies-improve-patient-safety-final-report-congress-required-patient-safety-and-quality
    June 21, 2016 - Book/Report Strategies to Improve Patient Safety: Final Report to Congress Required … Citation Text: Strategies to Improve Patient Safety: Final Report to Congress Required by the Patient … Department of Health and Human Services delivered a final report on effective strategies to improve … Required by the Patient Safety Act of 2005 , the report was made available for public review and comment … View More Related Resources National Healthcare Quality and Disparities Reports
  14. psnet.ahrq.gov/issue/special-report-quality-care-survey
    May 27, 2011 - Special or Theme Issue Special Report: Quality of Care Survey. … Citation Text: Special Report: Quality of Care Survey. … Copy URL Cite Citation Citation Text: Special Report
  15. psnet.ahrq.gov/issue/freedom-speak-review-whistleblowing-nhs
    April 24, 2013 - Book/Report Freedom to Speak Up: A Review of Whistleblowing in the NHS. … The report also suggests measures for NHS organizations to use to help ensure that staff are comfortable … Copy Citation Related Resources From the Same Author(s) Report of the Mid … April 24, 2013 The Francis Report: One Year On. … March 30, 2016 Confidential Physician Feedback Reports: Designing for Optimal Impact
  16. psnet.ahrq.gov/issue/selecting-safe-and-easier-use-products-healthcare-using-human-factors-specification-and
    February 21, 2018 - Book/Report Selecting Safe and Easier to Use Products for Healthcare Using Human … December 4, 2015 SHOT Annual Report. … July 19, 2024 NHS Safety Thermometer Reports. … Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports … The Report of the Independent Medicines and Medical Devices Safety Review.
  17. psnet.ahrq.gov/issue/trends-nursing-home-deficiencies-and-complaints
    February 18, 2009 - Book/Report Trends in Nursing Home Deficiencies and Complaints. … Report No. OEI-02-08-00140. … Report No. OEI-02-08-00140. … Report No. OEI-02-08-00140. … View More Related Resources National Healthcare Quality and Disparities Reports
  18. psnet.ahrq.gov/issue/advances-patient-safety-research-implementation
    December 24, 2008 - expansive collection of literature illustrates the progress made since the 1999 Institute of Medicine’s report … Summary, Evidence Report/Technology Assessment. … View More Related Resources National Healthcare Quality and Disparities Reports … September 29, 2017 High Quality Care for All: NHS Next Stage Review Final Report. … July 15, 2009 Building a Culture of Patient Safety: Report of the Commission on Patient
  19. psnet.ahrq.gov/issue/2013-annual-hospital-acquired-condition-rate-and-estimates-cost-savings-and-deaths-averted
    May 01, 2017 - Book/Report Classic 2013 Annual Hospital-Acquired Condition … This update to a prior report from AHRQ details and confirms the declining rates in HACs between 2010 … Consequently, the report estimates a $12 billion savings in health care costs and 50,000 fewer hospital … Final Report. … View More Related Resources National Healthcare Quality and Disparities Reports
  20. psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
    January 01, 2016 - Most of the reports are requested by Congress and are funded through that mechanism, but they do some … reports at the request of organizations and societies. … RW : Another element of these reports is a handful of high impact recommendations—if the system just … But looking at IOM reports, they are already very long. This report is 300 or 400 pages. … Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine.

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