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  1. Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. | PSNet

    psnet.ahrq.gov/issue/few-adverse-events-hospitals-were-reported-state-adverse-event-reporting-systems
    January 20, 2010 - Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2012 … Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2012 … Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2012

  2. Actions Needed to Address Employee Misconduct Process and Ensure Accountability. | PSNet

    psnet.ahrq.gov/issue/actions-needed-address-employee-misconduct-process-and-ensure-accountability
    July 11, 2018 - Washington, DC: United States Government Accountability Office; July 2018. … Share Facebook Twitter Linkedin Copy URL August 15, 2018 Washington … , DC: United States Government Accountability Office; July 2018. … Washington, DC: United States Government Accountability Office; July 2018.

  3. 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 - Washington, DC: VA Office of Inspector General; April 20, 2012. Report No. 12-00956-159. … Share Facebook Twitter Linkedin Copy URL June 13, 2012 Washington … , DC: VA Office of Inspector General; April 20, 2012. … Washington, DC: VA Office of Inspector General; April 20, 2012. Report No. 12-00956-159.

  4. Preventing Medication Errors: Quality Chasm Series. | PSNet

    psnet.ahrq.gov/issue/preventing-medication-errors-quality-chasm-series
    January 04, 2009 - Washington DC: National Academies Press; 2007. ISBN 0309101476. … Washington DC: National Academies Press; 2007. ISBN 0309101476. … Washington DC: National Academies Press; 2007. ISBN 0309101476.

  5. Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Workshop—in Brief. | PSNet

    psnet.ahrq.gov/issue/pain-management-and-prescription-opioid-related-harms-exploring-state-evidence-proceedings
    July 05, 2008 - Washington, DC: National Academy of Science; 2016. ISBN: 9780309451901. … Washington, DC: National Academy of Science; 2016. ISBN: 9780309451901. … Washington, DC: National Academy of Science; 2016. ISBN: 9780309451901.

  6. Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care. | PSNet

    psnet.ahrq.gov/issue/procuring-interoperability-achieving-high-quality-connected-and-person-centered-care
    September 19, 2018 - Washington, DC: National Academy of Medicine; 2018. ISBN: 9781947103122. … Washington, DC: National Academy of Medicine; 2018. ISBN: 9781947103122. … Washington, DC: National Academy of Medicine; 2018. ISBN: 9781947103122.

  7. Health Literacy: Past, Present, and Future: Workshop Summary. | PSNet

    psnet.ahrq.gov/issue/health-literacy-past-present-and-future-workshop-summary
    December 17, 2014 - Washington, DC: National Academies of Sciences, Engineering, and Medicine; 2015. … Washington, DC: National Academies of Sciences, Engineering, and Medicine; 2015. … Washington, DC: National Academies of Sciences, Engineering, and Medicine; 2015.

  8. Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. | PSNet

    psnet.ahrq.gov/issue/improved-policies-and-oversight-needed-reviewing-and-reporting-providers-quality-and-safety
    November 22, 2017 - Washington, DC: United States Government Accountability Office; November 2017. … Share Facebook Twitter Linkedin Copy URL December 6, 2017 Washington … , DC: United States Government Accountability Office; November 2017. … Washington, DC: United States Government Accountability Office; November 2017.

  9. Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use. | PSNet

    psnet.ahrq.gov/issue/pain-management-and-opioid-epidemic-balancing-societal-and-individual-benefits-and-risks
    March 29, 2006 - Washington, DC: National Academies Press; 2017. … Washington, DC: National Academies Press; 2017. View more articles from the same authors. … Washington, DC: National Academies Press; 2017.

  10. Medicare and Medicaid programs; reform of requirements for long-term care facilities; proposed rule. | PSNet

    psnet.ahrq.gov/issue/medicare-and-medicaid-programs-reform-requirements-long-term-care-facilities-proposed-rule
    October 21, 2015 - Washington, DC: US Department of Health and Human Services. … Share Facebook Twitter Linkedin Copy URL November 23, 2015 Washington … , DC: US Department of Health and Human Services. … Washington, DC: US Department of Health and Human Services.

  11. Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet. | PSNet

    psnet.ahrq.gov/issue/healthcare-inspection-evaluation-veterans-health-administrations-national-consult-delay
    September 10, 2014 - Washington, DC: VA Office of the Inspector General; December 15, 2014. Report No. 14-04705-62. … Washington, DC: VA Office of the Inspector General; December 15, 2014. … Washington, DC: VA Office of the Inspector General; December 15, 2014. Report No. 14-04705-62.

  12. Improving Diagnosis in Health Care. | PSNet

    psnet.ahrq.gov/issue/improving-diagnosis-health-care
    September 12, 2018 - Washington, DC: National Academies Press; 2015. ISBN: 9780309377690. … Washington, DC: National Academies Press; 2015. ISBN: 9780309377690. … Washington, DC: National Academies Press; 2015. ISBN: 9780309377690.

  13. Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. | PSNet

    psnet.ahrq.gov/issue/adverse-events-long-term-care-hospitals-national-incidence-among-medicare-beneficiaries
    February 15, 2017 - Washington, DC: US Department of Health and Human Services, Office of the Inspector General; 2018. … Washington, DC : US Department of Health and Human Services, Office of the Inspector General ; 2018. … Washington, DC: US Department of Health and Human Services, Office of the Inspector General; 2018.

  14. Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. | PSNet

    psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm
    September 20, 2011 - Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January … Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January … Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January

  15. Crossing the Global Quality Chasm: Improving Health Care Worldwide. | PSNet

    psnet.ahrq.gov/issue/crossing-global-quality-chasm-improving-health-care-worldwide
    June 15, 2011 - Washington DC: National Academies Press; August 2018. ISBN: 9780309483087. … Washington DC: National Academies Press; August 2018. ISBN: 9780309483087. … Washington DC: National Academies Press; August 2018. ISBN: 9780309483087.

  16. Building a Better Delivery System: A New Engineering/Health Care Partnership. | PSNet

    psnet.ahrq.gov/issue/building-better-delivery-system-new-engineeringhealth-care-partnership
    September 12, 2018 - Washington, DC: National Academies Press; 2005. ISBN-10: 030909643X. … Washington, DC: National Academies Press; 2005. ISBN-10: 030909643X. … Washington, DC: National Academies Press; 2005. ISBN-10: 030909643X.

  17. Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. | PSNet

    psnet.ahrq.gov/issue/resident-duty-hours-enhancing-sleep-supervision-and-safety
    July 12, 2016 - Washington, DC: The National Academies Press; 2008. ISBN: 9780309127721. … Washington, DC: The National Academies Press; 2008. ISBN: 9780309127721. … Washington, DC: The National Academies Press; 2008. ISBN: 9780309127721.

  18. Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. | PSNet

    psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-fy-2020
    September 10, 2014 - Washington, DC: Veterans Affairs Office of Inspector General; August 26, 2021. … Share Facebook Twitter Linkedin Copy URL September 15, 2021 Washington … , DC: Veterans Affairs Office of Inspector General; August 26, 2021. … Washington, DC: Veterans Affairs Office of Inspector General; August 26, 2021.

  19. VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events. | PSNet

    psnet.ahrq.gov/issue/va-health-care-actions-needed-assess-decrease-root-cause-analyses-adverse-events
    November 22, 2017 - Washington, DC: United States Government Accountability Office; July 29, 2015. … Share Facebook Twitter Linkedin Copy URL September 9, 2015 Washington … , DC: United States Government Accountability Office; July 29, 2015. … Washington, DC: United States Government Accountability Office; July 29, 2015.

  20. National Action Plan for Adverse Drug Event Prevention. | PSNet

    psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention
    October 16, 2013 - Washington, DC: Office of Disease Prevention and Health Promotion, United States Department of Health … Share Facebook Twitter Linkedin Copy URL October 21, 2016 Washington … , DC: Office of Disease Prevention and Health Promotion, United States Department of Health and Human … Washington, DC: Office of Disease Prevention and Health Promotion, United States Department of Health
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