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AHRQ: Agency for Healthcare Research and Quality

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  1. Still Failing the Frail. | PSNet

    psnet.ahrq.gov/issue/still-failing-frail
    March 29, 2010 - This news investigation reports on how poor practices resulted in resident harm in Pennsylvania nursing … November 14, 2018 Keeping the Commitment: A Progress Report on Four Early Leaders in

  2. Medical Office Comparative Database Submission Information. | PSNet

    psnet.ahrq.gov/issue/medical-office-comparative-database-submission-information
    February 24, 2021 - Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary … Report. … December 1, 2010 National Healthcare Quality and Disparities Reports. … November 9, 2022 National Healthcare Quality and Disparities Reports. … May 19, 2021 Medical Office Survey: 2020 User Database Report.

  3. Scandal as a sentinel event—recognizing hidden cost–quality trade-offs. | PSNet

    psnet.ahrq.gov/issue/scandal-sentinel-event-recognizing-hidden-cost-quality-trade-offs
    November 04, 2020 - January 16, 2019 Transforming concepts in patient safety: a progress report. … October 26, 2022 ISMP medication error report analysis. … 2018 Measurement is essential for improving diagnosis and reducing diagnostic error: a report

  4. Lewis Blackman Patient Safety Award. | PSNet

    psnet.ahrq.gov/issue/lewis-blackman-patient-safety-award
    April 28, 2021 - Copy Citation Related Resources From the Same Author(s) CLER Report of Findings … April 14, 2021 ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient … November 18, 2020 National Report of Findings 2016: Issue Brief No. 2: Patient Safety … February 15, 2023 Differences in safety report event types submitted by graduate medical

  5. Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. | PSNet

    psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medications-tomah-va-medical-center-tomah
    October 12, 2022 - Report No. 15-02131-471. … Report No. 15-02131-471. … Report No. 15-02131-471. … Related Resources From the Same Author(s) Comprehensive Healthcare Inspection Summary … Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year 2021

  6. Annual Diagnostic Excellence Summit. | PSNet

    psnet.ahrq.gov/issue/annual-diagnostic-excellence-summit
    May 09, 2024 - March 16, 2024 Medmarx Data Report: A Chartbook of Medication-Error Findings from the … March 21, 2007 MEDMARX Data Report: A Report on the Relationship of Drug Names and Medication … June 21, 2017 ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient Safety … Using community detection techniques to identify themes in COVID-19-related patient safety event reports … February 9, 2022 Harnessing event report data to identify diagnostic error during the

  7. Healthcare-associated Infections | PSNet

    psnet.ahrq.gov/primer/health-care-associated-infections
    December 15, 2024 - In 2023, the Pennsylvania Patient Safety Reporting System received 23,970 HAI reports from long-term … CMS publicly reports certain HAI rates on its  Hospital Compare  website. … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S … January 14, 2025 National and State Healthcare-Associated Infections Progress Report. … Patient Safety April 10, 2024 National Healthcare Quality and Disparities Reports

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867700/psn-pdf
    March 01, 2023 - eliminating-central-line-associated-bloodstream-infections-national-patient-safety-imperative https://psnet.ahrq.gov/issue/national-and-state-healthcare-associated-infections-progress-report

  9. Agency information collection activities: National Healthcare Safety Network (NHSN); comment request. | PSNet

    psnet.ahrq.gov/issue/agency-information-collection-activities-national-healthcare-safety-network-nhsn-comment
    April 06, 2022 - More Related Resources National and State Healthcare-Associated Infections Progress … Report. … The Report of the Independent Medicines and Medical Devices Safety Review.

  10. Improving Physician Well-Being, Restoring Meaning in Medicine. | PSNet

    psnet.ahrq.gov/issue/physician-well-being
    November 18, 2020 - Copy Citation Related Resources From the Same Author(s) ACGME Summary Report … November 15, 2011 CLER Report of Findings 2021: Subprotocol for Operative and Procedural … April 14, 2021 National Report of Findings 2016: Issue Brief No. 2: Patient Safety.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865921/psn-pdf
    May 22, 2024 - Enhanced free-text search for aggregated medication error report analysis and risk detection. … Enhanced free-text search for aggregated medication error report analysis and risk detection. … https://psnet.ahrq.gov/issue/enhanced-free-text-search-aggregated-medication-error-report-analysis-and … This study used an enhanced free-text search method to identify the medication error (ME) reports involving … This approach increased the number of identified ME reports involving the specified medications and

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850342/psn-pdf
    June 14, 2023 - health-care-associated-infections https://psnet.ahrq.gov/issue/national-and-state-healthcare-associated-infections-progress-report

  13. MRI suites: safety outside the bore. | PSNet

    psnet.ahrq.gov/issue/mri-suites-safety-outside-bore
    April 28, 2021 - Related Resources From the Same Author(s) Medical Office Survey: 2020 User Database Report … AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report … Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary … Report.

  14. High reliability: truly achieving healthcare quality and safety. | PSNet

    psnet.ahrq.gov/issue/high-reliability-truly-achieving-healthcare-quality-and-safety
    March 18, 2019 - Related Resources From the Same Author(s) Transforming concepts in patient safety: a progress … report. … ethics, safety, best practices, and oversight regarding HIT vendors, their customers, and patients: a report

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838132/psn-pdf
    September 21, 2022 - Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action … Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action … https://psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports … https://psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action … https://psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36604/psn-pdf
    June 04, 2024 - Adverse Health Events in Minnesota: Annual Reports. … https://psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report The National … Since 2003, Minnesota hospitals have been required to report such incidents. … The 2024 report summarizes information about 610 adverse events that were reported, representing a significant … Reports from previous years are available.

  17. Core Entrustable Professional Activities for Entering Residency. | PSNet

    psnet.ahrq.gov/issue/core-entrustable-professional-activities-entering-residency
    June 01, 2022 - Book/Report Core Entrustable Professional Activities for Entering Residency. … October 31, 2014 Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices … February 23, 2022 ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient

  18. Common Program Requirements. The Learning and Working Environment (Duty Hours). | PSNet

    psnet.ahrq.gov/issue/common-program-requirements-learning-and-working-environment-duty-hours
    November 18, 2020 - Copy Citation Related Resources From the Same Author(s) ACGME Summary Report … November 15, 2011 CLER Report of Findings 2021: Subprotocol for Operative and Procedural … April 14, 2021 National Report of Findings 2016: Issue Brief No. 2: Patient Safety.

  19. Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health care settings, 2001–2011. | PSNet

    psnet.ahrq.gov/issue/patient-notification-bloodborne-pathogen-testing-due-unsafe-injection-practices-us-health
    February 02, 2011 - publicized case also revealed that safety culture played a role, as nurses did not feel empowered to report … More Related Resources National and State Healthcare-Associated Infections Progress … Report.

  20. The PROTECT Initiative: Advancing Children's Medication Safety. | PSNet

    psnet.ahrq.gov/issue/protect-initiative-advancing-childrens-medication-safety
    April 01, 2024 - More Related Resources National and State Healthcare-Associated Infections Progress … Report.
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