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241. Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009. | PSNet
     psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2009
     September 21, 2011 - 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 … Compared to the prior report published in 2007, hospitals increased their provision of evidence-based … were not discussed in the current report. … 2016 View More Related Resources Patient Safety Authority Annual Reports

242. Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. | PSNet
     psnet.ahrq.gov/issue/deficient-care-patient-who-died-suicide-and-facility-leaders-response-charlie-norwood-va
     November 29, 2023 - Book/Report Deficient Care of a Patient Who Died by Suicide and Facility Leaders' …   Report no. 22-01116-110. … Report no. 22-01116-110. Death of a patient by suicide is a sentinel event. …   Report no. 22-01116-110. … January 24, 2024 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care

243. Becoming a High Reliability Organization: Operational Advice for Hospital Leaders. | PSNet
     psnet.ahrq.gov/issue/becoming-high-reliability-organization-operational-advice-hospital-leaders
     January 10, 2018 - Book/Report Becoming a High Reliability Organization: Operational Advice for Hospital … This report shares the experiences of hospital leaders who have applied high reliability concepts to … March 27, 2019 Hospital Survey on Patient Safety Culture: 2008 Comparative Database Report … AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative Database Report … View More Related Resources National Healthcare Quality and Disparities Reports

244. Building a Memory: Preventing Harm, Reducing Risks and Improving Patient Safety. | PSNet
     psnet.ahrq.gov/issue/building-memory-preventing-harm-reducing-risks-and-improving-patient-safety
     December 24, 2007 - The report itself encompasses more than 85,000 collected incident reports with analysis, comparisons, … This represents the first of a series of expected reports from NPSA on patient safety data to be published … March 29, 2023 Characterising the nature of primary care patient safety incident reports … September 30, 2015 ISMP medication error report analysis. … June 13, 2012 Critical Incident Reviews, Significant Adverse Event Reports and Action

245. Identifying health information technology related safety event reports from patient safety event report databases. | PSNet
     psnet.ahrq.gov/issue/identifying-health-information-technology-related-safety-event-reports-patient-safety-event
     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

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72483/psn-pdf
     November 18, 2020 - ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient Safety Collaborative. … https://psnet.ahrq.gov/issue/acgme-summary-report-pursuing-excellence-pathway-leaders-patient-safety- … This report highlights results of an 18-month collaborative to design tactics that engage resident and … https://psnet.ahrq.gov/issue/acgme-summary-report-pursuing-excellence-pathway-leaders-patient-safety-collaborative … https://psnet.ahrq.gov/issue/acgme-summary-report-pursuing-excellence-pathway-leaders-patient-safety-collaborative

247. Assessment of the AHRQ Patient Safety Initiative: Moving from Research to Practice Evaluation Report II (2003–2004). | PSNet
     psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-moving-research-practice-evaluation-report-ii-2003
     May 21, 2014 - Book/Report Assessment of the AHRQ Patient Safety Initiative: Moving from Research … to Practice Evaluation Report II (2003–2004). … Text: Assessment of the AHRQ Patient Safety Initiative: Moving from Research to Practice Evaluation Report … Report IV. … View More Related Resources National Healthcare Quality and Disparities Reports

248. Report on the ISPE Drug Shortages Survey. | PSNet
     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

249. Conceptual Framework for the International Classification for Patient Safety Version 1.1. Final Technical Report January 2009. | PSNet
     psnet.ahrq.gov/issue/conceptual-framework-international-classification-patient-safety-version-11-final-technical
     December 21, 2005 - Book/Report Conceptual Framework for the International Classification for Patient … Final Technical Report January 2009. … Final Technical Report January 2009. World Alliance for Patient Safety. … Final Technical Report January 2009. World Alliance for Patient Safety. … 2024 View More Related Resources Patient Safety Authority Annual Reports

250. HSMR: A New Approach for Measuring Hospital Mortality Trends in Canada. | PSNet
     psnet.ahrq.gov/issue/hsmr-new-approach-measuring-hospital-mortality-trends-canada
     June 22, 2015 - Book/Report HSMR: A New Approach for Measuring Hospital Mortality Trends in Canada … 2013 View More Related Resources Patient Safety Authority Annual Reports … November 21, 2016 Improving America's Hospitals: The Joint Commission's Annual Report … July 19, 2016 Hospital Report Card: Ontario 2009. … October 25, 2013 Improving America's Hospitals: The Joint Commission's Annual Report

251. HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study. | PSNet
     psnet.ahrq.gov/issue/healthgrades-quality-study-fourth-annual-patient-safety-american-hospitals-study
     January 04, 2017 - Book/Report HealthGrades Quality Study: Fourth Annual Patient Safety in American … The report uses the Agency for Healthcare Research and Quality's Patient Safety Indicators to provide … The report suggests that the patient safety incidents captured account for nearly $9 billion in excess … As with the second and third annual reports, several methodological limitations exist, and the reports … July 19, 2016 Hospital Report Card: Ontario 2009.

252. Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities. | PSNet
     psnet.ahrq.gov/issue/evaluation-registered-nurse-competency-processes-veterans-health-administration-facilities
     April 26, 2006 - Report No. 12-00956-159. … Report No. 12-00956-159. … This publication presents findings from an investigation, prompted by reports of alarm fatigue , which … July 26, 2023 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care … July 13, 2022 Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental

253. Eliminating Unintentionally Retained Surgical Items - Special Report. | PSNet
     psnet.ahrq.gov/issue/eliminating-unintentionally-retained-surgical-items-special-report
     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

254. Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. | PSNet
     psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2010-user-comparative-database-report
     November 30, 2016 - Book/Report Hospital Survey on Patient Safety Culture: 2010 User Comparative Database … Report. … Citation Text: Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. … AHRQ has released database reports yearly since 2007 that present benchmarking data for safety culture … View More Related Resources National Healthcare Quality and Disparities Reports

255. Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. | PSNet
     psnet.ahrq.gov/issue/deficiencies-veterans-crisis-line-response-veteran-caller-who-died
     September 30, 2020 - Book/Report Deficiencies in the Veterans Crisis Line Response to a Veteran Caller … Report No 19-08542-11. … Report No 19-08542-11 . … Report No 19-08542-11. … March 21, 2018 Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental

256. Hospital Reporting Program: Annual Summary. | PSNet
     psnet.ahrq.gov/issue/hospital-reporting-program-annual-summary
     August 17, 2022 - Book/Report Hospital Reporting Program: Annual Summary. … Information Latest PSRP report Latest EDR report Related website Save Save … patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports … August 21, 2018 Content analysis of patient safety incident reports for older adult patient … April 30, 2024 National Healthcare Quality and Disparities Reports.

257. Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical center. | PSNet
     psnet.ahrq.gov/issue/analysis-intervention-employability-pharmacy-related-medication-safety-reports-tertiary
     November 21, 2021 - of the reports on the ISMP hierarchy. … 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.

258. Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report. | PSNet
     psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture-2011-user-comparative-database-report
     November 30, 2016 - Book/Report Nursing Home Survey on Patient Safety Culture: 2011 User Comparative … Database Report. … Citation Text: Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report … Similar to that tool, AHRQ now provides annual comparative reports that present benchmarking data for … February 28, 2025 National Healthcare Quality and Disparities Reports.

259. How PSOs Help Health Care Organizations Improve Patient Safety Culture. | PSNet
     psnet.ahrq.gov/issue/how-psos-help-health-care-organizations-improve-patient-safety-culture
     May 25, 2016 - Book/Report How PSOs Help Health Care Organizations Improve Patient Safety Culture … This report discusses PSO-related programs that resulted in improvements, such as readmission reduction … Final Report. May 25, 2016 Patient Safety in Ambulatory Settings. … May 11, 2016 Confidential Physician Feedback Reports: Designing for Optimal Impact on … April 6, 2022 Hospital Survey on Patient Safety Culture: 2018 User Database Report.

260. Quality Institute Toolkits. | PSNet
     psnet.ahrq.gov/issue/quality-institute-toolkits
     November 09, 2022 - Related Resources From the Same Author(s) Healthcare Quality and Safety Workforce Report … October 27, 2021 ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient … April 3, 2013 Barriers and motivators for making error reports from family medicine offices … : a report from the American Academy of Family Physicians National Research Network (AAFP NRN).