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  1. Medication Safety Program. | PSNet

    psnet.ahrq.gov/issue/medication-safety-program
    November 30, 2023 - Resources From the Same Author(s) National and State Healthcare-Associated Infections Progress … Report.

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39470/psn-pdf
    January 09, 2024 - National Healthcare Quality and Disparities Reports. … https://psnet.ahrq.gov/issue/national-healthcare-quality-and-disparities-reports In this annual publication … , AHRQ reviews the results of the National Healthcare Quality Report and National Healthcare Disparities … Report. … The 2023 report discusses the continued impact of COVID-19 on United States health care delivery.

  3. The end of the beginning: patient safety five years after 'To Err Is Human.' | PSNet

    psnet.ahrq.gov/issue/end-beginning-patient-safety-five-years-after-err-human
    March 02, 2011 - This commentary discusses the progress made since the IOM report by reviewing the context to the patient … September 20, 2011 Transforming concepts in patient safety: a progress report.

  4. No excuses: the reality that demands action. | PSNet

    psnet.ahrq.gov/issue/no-excuses-reality-demands-action
    July 20, 2022 - July 20, 2022 Transforming concepts in patient safety: a progress report. … February 10, 2021 "To Err Is Human" Report Retrospective and the Decade Ahead.

  5. The interrelationship of isolation precautions and adverse events in an acute care facility. | PSNet

    psnet.ahrq.gov/issue/interrelationship-isolation-precautions-and-adverse-events-acute-care-facility
    September 24, 2010 - Incident reports were filed much more frequently for patients who were under isolation precautions for … More Related Resources National and State Healthcare-Associated Infections Progress … Report.

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45793/psn-pdf
    July 19, 2024 - SHOT Annual Report. July 19, 2024 S Narayan, ed. … https://psnet.ahrq.gov/issue/shot-annual-report-2019 Although errors in the blood transfusion process … This annual report provides an analysis of transfusion-related errors reported to a national improvement … The 2023 report recommends enhancing focus on patient identification errors and the effect of staffing … Previous reports in the series are available.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42737/psn-pdf
    November 20, 2019 - HANYS' Report on Report Cards. … https://psnet.ahrq.gov/issue/hanys-report-report-cards This publication assessed 12 widely disseminated … hospital report cards by criteria including transparency of methodology, evidence-based measures, and … While inconsistent methods across reports hindered direct comparisons, a few reports received high marks … https://psnet.ahrq.gov/issue/hanys-report-report-cards https://psnet.ahrq.gov/issue/publicly-available-hospital-comparison-web-sites-determination-useful-valid-and-appropriate

  8. Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators. | PSNet

    psnet.ahrq.gov/issue/reinforcing-value-and-roles-nurses-diagnostic-safety-pragmatic-recommendations-nurse-leaders
    August 17, 2022 - Book/Report Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic … Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary … Report. … Related Resources Surveys on Patient Safety Culture Nursing Home Survey: User Database Report

  9. Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva. | PSNet

    psnet.ahrq.gov/issue/iatrogenic-harm-caused-diagnostic-errors-fibrodysplasia-ossificans-progressiva
    November 16, 2022 - August 30, 2017 Transforming concepts in patient safety: a progress report. … March 4, 2015 ISMP medication error report analysis.

  10. Is there a relationship between high-quality performance in major teaching hospitals and residents' knowledge of quality and patient safety? | PSNet

    psnet.ahrq.gov/issue/there-relationship-between-high-quality-performance-major-teaching-hospitals-and-residents
    July 21, 2010 - August 4, 2021 Transforming concepts in patient safety: a progress report. … November 26, 2014 Ten years after the IOM report: engaging residents in quality and patient … March 30, 2011 The impact of duty hours on resident self reports of errors.

  11. The science of improvement. | PSNet

    psnet.ahrq.gov/issue/science-improvement
    August 04, 2021 - August 4, 2021 Transforming concepts in patient safety: a progress report. … September 27, 2010 User's manual for the IOM's 'Quality Chasm' report.

  12. The science of safety improvement: learning while doing. | PSNet

    psnet.ahrq.gov/issue/science-safety-improvement-learning-while-doing
    August 04, 2021 - November 24, 2021 Transforming concepts in patient safety: a progress report. … January 2, 2017 Improving patient safety—five years after the IOM report.

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40005/psn-pdf
    November 17, 2010 - Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary … Report. … issue/incorporating-health-information-technology-workflow-redesign-request- information-summary The report

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853067/psn-pdf
    August 30, 2023 - elucidating-reasons-resident-underutilization-electronic-adverse-event-reporting https://psnet.ahrq.gov/issue/acgme-summary-report-pursuing-excellence-pathway-leaders-patient-safety-collaborative

  15. Continuous improvement as an ideal in health care. | PSNet

    psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care
    August 04, 2021 - May 5, 2016 Transforming concepts in patient safety: a progress report. … August 26, 2011 Improving patient safety—five years after the IOM report.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47847/psn-pdf
    July 10, 2024 - CHPSO Annual Reports. … https://psnet.ahrq.gov/issue/chpso-2019-annual-report Patient Safety Organizations (PSOs) capture and … This report highlights 2023 trends, activities, and outcomes of initiatives at a 21-state PSO. … Sections of the report include high-level review of falls and inequities, medication safety issues, syphilis … https://psnet.ahrq.gov/issue/chpso-2019-annual-report https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program

  17. Developing a comprehensive framework of safeguarding strategies to address anticipated errors with organizational high-alert medications. | PSNet

    psnet.ahrq.gov/issue/developing-comprehensive-framework-safeguarding-strategies-address-anticipated-errors
    March 24, 2021 - November 16, 2022 Use of prescribing safety quality improvement reports in UK general … July 14, 2021 Patient safety incidents associated with obesity: a review of reports to … November 12, 2014 Association of patient and family reports of hospital safety climate … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73490/psn-pdf
    July 14, 2021 - Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment … Four themes were identified: receiving the report, facilitators and barriers to acting upon the report … , acting upon the report, and how the report contributes to a quality culture. … upon the reports. … to acting upon the reports.

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37432/psn-pdf
    November 29, 2009 - The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary … Report. … psnet.ahrq.gov/issue/pennsylvania-learning-exchange-helping-states-improve-and-integrate-patient- safety This report

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38532/psn-pdf
    January 13, 2017 - Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary Report … triggers-and-targeted-injury-detection-systems-tids-expert-panel-meeting- conference-summary This report
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