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  1. 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.

  2. 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.

  3. 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

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. References | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-ref.html
    September 01, 2015 - Washington, DC: National Academy Press; 1997. http://www.nap.edu/openbook.php?record_id=5801 . … Washington, DC: U.S. … Washington, DC: National Academy Press; 2001. Kountz DS. … Washington DL, Bean-Mayberry B, Riopelle D, et al.

  10. Hospitals tally their avoidable mistakes. | PSNet

    psnet.ahrq.gov/issue/hospitals-tally-their-avoidable-mistakes
    October 23, 2019 - Washington Post. July 21, 2009:E1. … Washington Post. July 21, 2009:E1. View more articles from the same authors. … This news article reports on Washington, DC–area initiatives to track preventable patient injury and … Washington Post. July 21, 2009:E1.

  11. To Err Is Human: Building a Safer Health System. | PSNet

    psnet.ahrq.gov/issue/err-human-building-safer-health-system
    July 08, 2016 - Washington, DC: Committee on Quality Health Care in America, Institute of Medicine: National Academy … Washington, DC: Committee on Quality Health Care in America, Institute of Medicine: National Academy … Washington, DC: Committee on Quality Health Care in America, Institute of Medicine: National Academy

  12. Promoting Patient Safety Through Effective Health Information Technology Risk Management. | PSNet

    psnet.ahrq.gov/issue/promoting-patient-safety-through-effective-health-information-technology-risk-management
    May 25, 2016 - Washington, DC: Office of the National Coordinator for Health Information Technology; May 2014. … Washington, DC: Office of the National Coordinator for Health Information Technology; May 2014. … Washington, DC: Office of the National Coordinator for Health Information Technology; May 2014.

  13. Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. | PSNet

    psnet.ahrq.gov/issue/adverse-events-rehabilitation-hospitals-national-incidence-among-medicare-beneficiaries
    January 09, 2019 - Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2016 … Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2016 … Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2016

  14. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. | PSNet

    psnet.ahrq.gov/issue/delivering-high-quality-cancer-care-charting-new-course-system-crisis
    August 15, 2012 - Washington, DC: National Academies Press; 2013. ISBN: 9780309293099. … Washington, DC: National Academies Press; 2013. ISBN: 9780309293099. … Washington, DC: National Academies Press; 2013. ISBN: 9780309293099.

  15. Medicine Patient Safety Conference: 2025 | PSNet

    psnet.ahrq.gov/training-catalog/medicine-patient-safety-conference-2025
    January 01, 2025 - Copy URL Organization: Organization George Washington … Event Location: In Person (Washington, DC).

  16. Health care comes home: the human factors. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/human-factors-home-health-care/citation/health-care-comes-home-human-factors
    January 01, 2023 - Washington, DC: The National Academies Press, 2011. Link http://www.nap.edu/catalog.php?

  17. Consumer health information technology in the home: a guide for human factors design considerations. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/human-factors-home-health-care/citation/consumer-health-information-technology
    January 01, 2023 - Washington, DC: The National Academies Press, 2011. Link http://www.nap.edu/catalog.php?

  18. References | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/references.html
    June 01, 2018 - Washington, DC: National Academies Press; 2010. Kitson NA, Price M, Lau FY, et al. … Washington, DC: HHS; March 2011. … Washington, DC: HHS; July 2013, updated July 2014.

  19. Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System. | PSNet

    psnet.ahrq.gov/issue/review-alleged-patient-deaths-patient-wait-times-and-scheduling-practices-phoenix-va-health
    May 01, 2015 - Washington, DC: VA Office of the Inspector General; August 26, 2014. Report No.14-02603-267. … Share Facebook Twitter Linkedin Copy URL September 10, 2014 Washington … , DC: VA Office of the Inspector General; August 26, 2014. … Washington, DC: VA Office of the Inspector General; August 26, 2014. Report No.14-02603-267.

  20. Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System. | PSNet

    psnet.ahrq.gov/issue/interim-report-review-vhas-patient-wait-times-scheduling-practices-and-alleged-patient-deaths
    September 10, 2014 - Washington, DC: VA Office of the Inspector General; May 28, 2014. Report No. 14-02603-178. … Share Facebook Twitter Linkedin Copy URL May 1, 2015 Washington … , DC: VA Office of the Inspector General; May 28, 2014. … Washington, DC: VA Office of the Inspector General; May 28, 2014. Report No. 14-02603-178.
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