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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36048/psn-pdf
    September 27, 2010 - Can technology improve intershift report? What the research reveals. … Can Technology Improve Intershift Report? What the Research Reveals. … https://psnet.ahrq.gov/issue/can-technology-improve-intershift-report-what-research-reveals The authors … review the literature on shift reports and communication of patient information and discuss how to … https://psnet.ahrq.gov/issue/can-technology-improve-intershift-report-what-research-reveals

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36704/psn-pdf
    March 28, 2011 - Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. … Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. … https://psnet.ahrq.gov/issue/stopping-error-cascade-report-ameliorators-asips-collaborative The investigators … qualitatively analyzed error reports from the primary care setting in which an error had been caught … https://psnet.ahrq.gov/issue/stopping-error-cascade-report-ameliorators-asips-collaborative

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40056/psn-pdf
    November 21, 2016 - Bringing change-of-shift report to the bedside: a patient- and family-centered approach. … Bringing change-of-shift report to the bedside: a patient- and family-centered approach. … https://psnet.ahrq.gov/issue/bringing-change-shift-report-bedside-patient-and-family-centered-approach … This commentary describes nurse change-of-shift reports as a tactic to improve communication with … https://psnet.ahrq.gov/issue/bringing-change-shift-report-bedside-patient-and-family-centered-approach

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40341/psn-pdf
    November 30, 2016 - Hospital Survey on Patient Safety Culture: 2011 User Comparative Database Report. … https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2011-user-comparative-database-report … The full report contains detailed comparative data for various hospital characteristics (type and size … Overall perception of safety culture improved compared with prior reports, and respondents specifically … https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2011-user-comparative-database-report

  5. Understanding care transitions as a patient safety issue. | PSNet

    psnet.ahrq.gov/issue/understanding-care-transitions-patient-safety-issue
    August 22, 2007 - September 30, 2009 Keeping the Commitment: A Progress Report on Four Early Leaders in … January 10, 2007 Scathing report on Kaiser kidney program.

  6. Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide For Hospitals. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-systems-patients-limited-english-proficiency-guide-hospitals
    August 01, 2012 - Book/Report Improving Patient Safety Systems for Patients With Limited English Proficiency … Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report … May 7, 2014 Guide to Patient and Family Engagement: Environmental Scan Report. … View More Related Resources National Healthcare Quality and Disparities Reports … November 21, 2016 Guide to Patient and Family Engagement: Environmental Scan Report.

  7. IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care. | PSNet

    psnet.ahrq.gov/issue/ibeas-pioneer-study-patient-safety-latin-america-towards-safer-hospital-care
    January 29, 2019 - Book/Report IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer … This publication reports on the findings of the Latin American Study of Adverse Events, the first survey … Final Technical Report January 2009. … March 20, 2024 WHO Global Report on Patient Safety. … View More Related Resources National Healthcare Quality and Disparities Reports

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41985/psn-pdf
    October 26, 2016 - Legislative Report to the General Assembly: Adverse Event Reporting. … https://psnet.ahrq.gov/issue/legislative-report-general-assembly-adverse-event-reporting This annual … The most recent report discusses an analysis of the 456 incidents submitted in 2015, which represents … Past reports are also available. … https://psnet.ahrq.gov/issue/legislative-report-general-assembly-adverse-event-reporting https://psnet.ahrq.gov

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33796/psn-pdf
    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 did … But looking at IOM reports, they are already very long. This report is 300 or 400 pages. … What I've learned is that IOM reports tend to stay at a very high level, and it's up to the stakeholders

  10. Radiation Therapy Safety: The Critical Role of the Radiation Therapist. | PSNet

    psnet.ahrq.gov/issue/radiation-therapy-safety-critical-role-radiation-therapist
    June 20, 2014 - Book/Report Radiation Therapy Safety: The Critical Role of the Radiation Therapist … Related Resources From the Same Author(s) 2012 User Comparative Database Report … December 24, 2008 Confidential Physician Feedback Reports: Designing for Optimal Impact … March 22, 2017 Hospital Survey on Patient Safety Culture: 2008 Comparative Database Report … 11, 2012 Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43688/psn-pdf
    November 30, 2016 - AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report. … psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2014-user-comparative- database-report … and hospital safety culture surveys, they expressed concerns about adequacy of staffing, as prior reports … psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2014-user-comparative-database-report … psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2014-user-comparative-database-report

  12. Collaboration focused on priority issues promotes safety. | PSNet

    psnet.ahrq.gov/issue/collaboration-focused-priority-issues-promotes-safety
    May 05, 2018 - shows sharp increase in reports of serious adverse drug events. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … December 23, 2016 ISMP medication error report analysis. … December 30, 2014 ISMP medication error report analysis.

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46764/psn-pdf
    March 28, 2018 - The Report of the Short Life Working Group on Reducing Medication-related Harm. … https://psnet.ahrq.gov/issue/report-short-life-working-group-reducing-medication-related-harm Medication … This report provides recommendations that align with the World Health Organization medication safety … https://psnet.ahrq.gov/issue/report-short-life-working-group-reducing-medication-related-harm https:/ … prevalence-and-economic-burden-medication-errors-nhs-england https://psnet.ahrq.gov/issue/computerized-prescriber-order-entry-related-patient-safety-reports-analysis

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37838/psn-pdf
    June 11, 2008 - Mitigation of patient harm from testing errors in family medicine offices: a report from the American … Mitigation of patient harm from testing errors in family medicine offices: a report from the American … https://psnet.ahrq.gov/issue/mitigation-patient-harm-testing-errors-family-medicine-offices-report-american … This study analyzed voluntary incident reports from a companion study of testing errors in family medicine … https://psnet.ahrq.gov/issue/mitigation-patient-harm-testing-errors-family-medicine-offices-report-american-academy-family

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34746/psn-pdf
    July 08, 2016 - https://psnet.ahrq.gov/issue/err-human-building-safer-health-system One measure of the impact of this report … , the first in the series of reports by the Institute of Medicine (IOM) on the quality of health care … in the United States, is that one can still refer to “The IOM Report” and everyone will recognize the … To Err is Human (despite the fact that, as of this writing, the IOM has released approximately 250 reports … Whether one believes these numbers or not, it is clear that the IOM report was essential in placing

  16. Resident Safety Practices in Nursing Home Settings. | PSNet

    psnet.ahrq.gov/issue/resident-safety-practices-nursing-home-settings
    July 27, 2018 - Book/Report Resident Safety Practices in Nursing Home Settings. … Final Report. … 2011 Medical Office Survey on Patient Safety Culture: 2016 User Comparative Database Report … October 1, 2024 National Healthcare Quality and Disparities Reports. … AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative Database Report

  17. Sterile water should not be given "freely." | PSNet

    psnet.ahrq.gov/issue/sterile-water-should-not-be-given-freely
    March 18, 2010 - This article reports on cases of improper IV administration of sterile water, a  high-alert substance … 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.

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44805/psn-pdf
    January 27, 2016 - NHS Safety Thermometer Reports. … https://psnet.ahrq.gov/issue/nhs-safety-thermometer-report-patient-harms-and-harm-free-care-november- … This report collection explores the data collected on four types of health care–acquired conditions … https://psnet.ahrq.gov/issue/nhs-safety-thermometer-report-patient-harms-and-harm-free-care-november- … 2014-november-2015 https://psnet.ahrq.gov/issue/nhs-safety-thermometer-report-patient-harms-and-harm-free-care-november

  19. Advances in Patient Safety and Medical Liability. | PSNet

    psnet.ahrq.gov/issue/advances-patient-safety-and-medical-liability
    May 01, 2017 - Book/Report Classic Advances in Patient Safety and Medical … AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report … May 6, 2015 Confidential Physician Feedback Reports: Designing for Optimal Impact on … November 30, 2018 Guide to Patient and Family Engagement: Environmental Scan Report. … June 13, 2018 Hospital Survey on Patient Safety Culture: 2018 User Database Report.

  20. When good doctors go bad: a systems problem. | PSNet

    psnet.ahrq.gov/issue/when-good-doctors-go-bad-systems-problem
    November 02, 2014 - November 2, 2014 Transforming concepts in patient safety: a progress report. … Point, Counterpoint, and Areas of Agreement September 24, 2024 Failure to report
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