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Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine readmissions: a retrospective cohort study. | PSNet

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April 12, 2023 - to 20 hospitals in England during implementation of the 7-day services national health policy. … March 23, 2022 Quality improvement as a primary approach to change in healthcare: a precarious … April 14, 2021 Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a national survey. … November 11, 2020 Doctors' unconscious bias affects quality of health care services,

In Conversation With… Shantanu Nundy, MD | PSNet

psnet.ahrq.gov/perspective/conversation-shantanu-nundy-md

April 24, 2024 - Look at what they used as a training set: chess matches played between different grand masters at different … It was to look at the greatest chess players in the universe and see how they reason. … But in many ways when it comes to health and not just health care, physicians are at the top of their … Similarly in health care, we have lots of data but are missing the fundamental base layer of data, which … RW : Do you see ultimately that you're going and approaching large health care organizations and connecting

The Role of the Patient in Improving Patient Safety | PSNet

psnet.ahrq.gov/perspective/role-patient-improving-patient-safety

March 01, 2007 - to ensure their own safety, working with health care organizations to improve safety at the organization … A second role for patients and family members is in working to improve safety and quality in health care … , or do something for kids in the health care setting. … You've got to look at the patient. … In some ways, you look at the steps that Hopkins has taken and it shows a lot of good people getting

Patient and Family Roles in Safety | PSNet

psnet.ahrq.gov/perspective/patient-and-family-roles-safety

June 14, 2023 - should be readable and understandable in the languages they prefer. … This person, who has deep experience caring for a loved one in the U.S. healthcare system, cautioned … You also touch on another important point, and that is when someone is new to the healthcare system. … Health Care System: Recommendations and Promising Practices. … December 20, 2006 Focus On: Health Care Policy and Quality.

Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout. | PSNet

psnet.ahrq.gov/issue/providing-feedback-following-leadership-walkrounds-associated-better-patient-safety-culture

February 01, 2023 - August 12, 2020 A closer look at associations between hospital leadership walkrounds … to 20 hospitals in England during implementation of the 7-day services national health policy. … Employee safety climate and patient safety culture in health care. … November 30, 2022 A state-of-the-art review of speaking up in healthcare. … department and recommendations for health care policy, education, and practice.

Strategies to reduce errors associated with 2-component vaccines. | PSNet

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December 16, 2020 - December 16, 2015 Enabling a learning healthcare system with automated computer protocols … reported case of preventable harm in first-line health care: a case-control study March 11, 2020 … May 11, 2022 Variability in collection and use of race/ethnicity and language data in … October 14, 2020 The efficacy of mindful practice in improving diagnosis in healthcare … therapy in a Veteran Affairs health care system: use of medication administration record and bar code

Safety cases for digital health innovations: can they work? | PSNet

psnet.ahrq.gov/issue/safety-cases-digital-health-innovations-can-they-work

April 13, 2022 - to 20 hospitals in England during implementation of the 7-day services national health policy. … March 27, 2024 To do no harm - and the most good - with AI in health care. … healthcare systems to improve intravenous medication safety. … September 7, 2022 Health care quality and safety in a correctional system: creating goals … August 17, 2022 Outsourcing health-care services to the private sector and treatable

Teamwork in Healthcare. | PSNet

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May 16, 2018 - June 22, 2011 Keeping our Promises: Research, Practice, and Policy Issues in Health Care … May 24, 2006 Toward a High Performance Health System: Public-Private Efforts to Make … Health Care Safer and More Effective. … June 2, 2010 Preventable morbidity at a mature trauma center. … May 16, 2012 Language Barriers in Health Care.

In Conversation With… Karl Bilimoria, MD, MS | PSNet

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December 01, 2017 - I didn't do very well, but they've devised an automated way to look at the mechanics of my swing and … His root cause analysis (though the term was not used in health care at that time) is an example of … Rather, it would lead to a hard look at the program's culture and structure.( 4 ) Within a strong safety … Washington, DC: Committee on Quality of Health Care in America, Institute of Medicine. … December 15, 2021 Letter to Health Care Providers: Safe Use of Surgical Staplers and

Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care | PSNet

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December 23, 2020 - objectivity in all its CME activities to promote improvements in health care and not proprietary interests … any entity producing, marketing, re-selling, or distributing health care goods or services consumed by … systems should make efforts to understand and re-engage LTFU patients, especially in the cancer population … the health care system. … July 5, 2006 Health Care Quality and Disparities: Lessons from the First National Reports

The Dropped "No" | PSNet

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October 30, 2019 - at another site and, therefore, did not have access to the image. … Most radiologists do not look at a study, decide what the interpretation is, and then dictate the entire … Health Care System: Recommendations and Promising Practices. … November 25, 2015 Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor … October 10, 2018 Focus On: Health Care Policy and Quality.

Addressing Workplace Violence and Creating a Safer Workplace | PSNet

psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace

October 31, 2023 - This document, which is focused on improving patient safety at the national level, was created by the … Congress has introduced a bill called the Workplace Violence Prevention for Health Care and Social Service … We can look to theories that come from within and outside of healthcare, including health services research … Thinking About Learning for Improvement in Health Care. … to allegations of sexual boundary violation in health care.

A method to identify pediatric high-risk diagnoses missed in the emergency department. | PSNet

psnet.ahrq.gov/issue/method-identify-pediatric-high-risk-diagnoses-missed-emergency-department

October 26, 2022 - In the Improving Diagnosis report, the National Academy of Medicine called for broad-scale efforts … May 16, 2018 Breast cancer treatment delays by socioeconomic and health care access latent … May 18, 2005 Creating a high-reliability health care system: improving performance on … neonatal intensive care units of 2 integrated health care systems. … outcomes among surgical patients in a large integrated health care delivery system.

Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg. | PSNet

psnet.ahrq.gov/issue/unacceptable-behaviours-between-healthcare-workers-just-tip-patient-safety-iceberg

February 16, 2022 - Disruptive behaviors are discouragingly present in health care. … to 20 hospitals in England during implementation of the 7-day services national health policy. … August 4, 2021 Redeployment of health care workers in the COVID-19 pandemic: a qualitative … May 18, 2022 A family and hospital's journey and commitment to improving diagnostic safety … Health Care Executives and Administrators Psychological and Social Complications Latent Errors

Factors associated with workplace violence among healthcare workers in an academic medical center. | PSNet

psnet.ahrq.gov/issue/factors-associated-workplace-violence-among-healthcare-workers-academic-medical-center

August 26, 2020 - case of preventable harm in first-line health care: a case-control study March 11, 2020 … Stigma and healthcare access among transgender and gender-diverse people: a qualitative meta-synthesis … September 29, 2021 Moving on after critical incidents in health care: a qualitative study … National Academies' report Improving Diagnosis in Health Care. … May 17, 2023 Roadmap to Health Care Safety for Massachusetts.

Should electronic differential diagnosis support be used early or late in the diagnostic process? A multicentre experimental study of Isabel. | PSNet

psnet.ahrq.gov/issue/should-electronic-differential-diagnosis-support-be-used-early-or-late-diagnostic-process

November 16, 2022 - to 20 hospitals in England during implementation of the 7-day services national health policy. … January 25, 2023 Implicit racial bias, health care provider attitudes, and perceptions … of health care quality among African American college students in Georgia, USA. … September 21, 2022 A state-of-the-art review of speaking up in healthcare. … March 16, 2022 Eliminating explicit and implicit biases in health care: evidence and

Hastened death due to disease burden and distress that has not received timely, quality palliative care is a medical error. | PSNet

psnet.ahrq.gov/issue/hastened-death-due-disease-burden-and-distress-has-not-received-timely-quality-palliative

July 08, 2020 - burden in health care systems: a systematic review of systematic reviews. … in health care: a battle to be heard, believed, and protected. … to 20 hospitals in England during implementation of the 7-day services national health policy. … June 24, 2020 Enabling a learning healthcare system with automated computer protocols … July 27, 2022 Outsourcing health-care services to the private sector and treatable mortality

In Conversation with…John Banja, PhD | PSNet

psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd

February 01, 2006 - of medical errors by health care professionals. … to health care professionals acknowledging their errors and discussing them with their patients. … Truthful and comprehensive error disclosure is a paradigm change for health care professionals and legal … The challenge for institutions is to look at the conduct of the individual and decide whether or not … July 22, 2015 Shining a Light: Safer Health Care Through Transparency.

The problem with…using stories as a source of evidence and learning. | PSNet

psnet.ahrq.gov/issue/problem-withusing-stories-source-evidence-and-learning

August 10, 2022 - in a learning healthcare system: results of the DEMEANOR pragmatic, cluster, cross-over trial. … to 20 hospitals in England during implementation of the 7-day services national health policy. … May 11, 2022 A family and hospital's journey and commitment to improving diagnostic safety … health care: narrative reviews of the research literature and formal inquiries, a legal analysis and … September 19, 2018 View More See More About The Topic Health Care Providers

I-PASS handover system: a decade of evidence demands action. | PSNet

psnet.ahrq.gov/issue/i-pass-handover-system-decade-evidence-demands-action

May 11, 2022 - to 20 hospitals in England during implementation of the 7-day services national health policy. … Examining the frequency, types and senders of pages in academic medical services. … in adverse event rates in the Irish healthcare system. … January 18, 2023 An asset-based quality improvement tool for health care organizations … : cultivating organization wide quality improvement and health care professional engagement.

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