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Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice | PSNet

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January 01, 2016 - Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. … 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.

Hospital-acquired Infections in Pennsylvania. | PSNet

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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 Progress … Report. … August 7, 2018 Final Report of the Commission on Care.

TQIP Mortality Reporting System Case Reports. | PSNet

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March 23, 2022 - Special or Theme Issue TQIP Mortality Reporting System Case Reports. … Citation Text: TQIP Mortality Reporting System Case Reports. … Cite Citation Citation Text: TQIP Mortality Reporting System Case Reports … August 31, 2024 Eliminating Unintentionally Retained Surgical Items - Special Report.

Identifying health information technology related safety event reports from patient safety event report databases. | PSNet

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July 07, 2021 - Study Identifying health information technology related safety event reports from … patient safety event report databases. … Identifying health information technology related safety event reports from patient safety event report … Identifying health information technology related safety event reports from patient safety event report … Developing an evaluation strategy to assess large language models for patient safety event report analysis

Mirror, Mirror: Comparing Health Systems Across Countries. | PSNet

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October 07, 2008 - Book/Report Mirror, Mirror: Comparing Health Systems Across Countries. … Available at 2024 report -- Free full text Related commentary Related news article … April 12, 2006 Keeping the Commitment: A Progress Report on Four Early Leaders in Patient … View More Related Resources MHA and MHA Keystone Center Annual Reports … September 26, 2012 Improving America's Hospitals: The Joint Commission's Annual Report

Safety in Doses. | PSNet

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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

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010. | PSNet

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November 23, 2016 - 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 … November 2, 2012 Improving America's Hospitals: The Joint Commission's Annual Report … September 26, 2012 Improving America's Hospitals: The Joint Commission's Annual Report … April 1, 2024 National Healthcare Quality and Disparities Reports.

Mistake-Proofing the Design of Health Care Processes. | PSNet

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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 Summary … Report.

AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative Database Report. | PSNet

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April 17, 2019 - Book/Report AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative … Database Report. … Citation Text: AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative Database Report … This report summarizes survey data from nearly 10,500 staff working in 191 nursing homes. … October 1, 2024 National Healthcare Quality and Disparities Reports.

Contributing factors identified by hospital incident report narratives. | PSNet

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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.

Eliminating Unintentionally Retained Surgical Items - Special Report. | PSNet

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December 07, 2022 - Special or Theme Issue Eliminating Unintentionally Retained Surgical Items - Special Report … Citation Text: Eliminating Unintentionally Retained Surgical Items - Special Report. Saver C. … Citation Citation Text: Eliminating Unintentionally Retained Surgical Items - Special Report

Medication error reporting in nursing homes: identifying targets for patient safety improvement. | PSNet

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.

Report focuses on risk to patients from ED errors. | PSNet

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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.

Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting. | PSNet

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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

Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota. | PSNet

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September 30, 2020 - Book/Report Deficiencies in Care Coordination and Facility Response to a Patient … Report No. 19-00468-67. … Report No. 19-00468-67. … Report No. 19-00468-67. … August 12, 2020 A review of adverse event reports from emergency departments in the Veterans

Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer IV Series. | PSNet

psnet.ahrq.gov/issue/final-report-prioritization-patient-safety-practices-new-rapid-review-or-rapid-response

December 21, 2022 - Book/Report Final Report on Prioritization of Patient Safety Practices for a New … Citation Text: Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or … This report summarizes the results of the prioritization process used to identify patient safety practices … , including several practices that have not been covered in previous MHS reports (e.g., family/caregiver … Summary, Evidence Report/Technology Assessment.

The National Report Card on the State of Emergency Medicine. | PSNet

psnet.ahrq.gov/issue/national-report-card-state-emergency-medicine

February 18, 2011 - Multi-use Website The National Report Card on the State of Emergency Medicine. … Citation Text: The National Report Card on the State of Emergency Medicine. … Copy URL Cite Citation Citation Text: The National Report … May 13, 2021 Organisation Patient Safety Incident Reports.

MHA and MHA Keystone Center Annual Reports. | PSNet

psnet.ahrq.gov/issue/transformation-through-collaboration-2018-2019-mha-keystone-center-annual-report

September 26, 2016 - Book/Report MHA and MHA Keystone Center Annual Reports. … Citation Text: MHA and MHA Keystone Center Annual Reports. … This publication annually reports on the successful outcomes of the Michigan Keystone Center collaborative … Free full text (PDF) Report archive Save Save to your library Print Download … Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report

Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. | PSNet

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

Can technology improve intershift report? What the research reveals. | PSNet

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October 02, 2024 - Review Can technology improve intershift report? … Can Technology Improve Intershift Report? What the Research Reveals. … The authors review the literature on shift reports and communication of patient information and discuss … Can Technology Improve Intershift Report? What the Research Reveals.

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