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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 - 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. … September 28, 2015 Impact of providing patients access to electronic health records on … May 31, 2023 Nurse staffing and inpatient mortality in the English National Health Service … July 27, 2022 Outsourcing health-care services to the private sector and treatable mortality

Medical simulations identify potential problems before they can pose a real threat. | PSNet

psnet.ahrq.gov/issue/medical-simulations-identify-potential-problems-they-can-pose-real-threat

April 21, 2005 - July 11, 2007 With Safety in Mind: Mental Health Services and Patient Safety. … : a national survey. … May 25, 2022 Engaging with ethnic minority consumers to improve safety in cancer services … : a national stakeholder analysis. … July 23, 2014 Look alike/sound alike drugs: a literature review on causes and solutions

Healthcare Safety Investigations Conference 2022. | PSNet

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September 29, 2021 - examinations can improve care provision and highlighted efforts in the United Kingdom to focus on maternity … April 5, 2023 Access to Clinical Information at the Bedside. … Community Languages. … Health Services Research (R18 Clinical Trial Optional). … February 28, 2018 Safer Together: A National Action Plan to Advance Patient Safety.

When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient–doctor relationship. | PSNet

psnet.ahrq.gov/issue/when-doctors-share-visit-notes-patients-study-patient-and-doctor-perceptions-documentation

October 27, 2021 - This survey found that both patients and physicians felt patient access to notes improved satisfaction … the potential of this approach as a way to engage patients in safety efforts. … threats: a national survey of interns and residents. … Examining the frequency, types and senders of pages in academic medical services. … November 25, 2020 Impact of providing patients access to electronic health records on

Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/medication-related-interventions-improve-medication-safety-and-patient-outcomes-transition

February 17, 2021 - September 28, 2022 Impact of providing patients access to electronic health records on … threats: a national survey of interns and residents. … to 20 hospitals in England during implementation of the 7-day services national health policy. … of incidents reported to the National Reporting and Learning System. … June 17, 2020 Systems approach to health service design, delivery and improvement: a

Patient Safety Concerns and the LGBTQ Population | PSNet

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February 01, 2023 - Access to health services by lesbian, gay, bisexual, and transgender persons: systematic literature review … a state where being LGBTQ+ can result in loss of housing, it can become even more unsafe to access healthcare … I had a health issue at work the other day that required me to check into the emergency room, and even … Department of Health and Human Services. … Department of Health and Human Services.

Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health care settings, 2001–2011. | PSNet

psnet.ahrq.gov/issue/patient-notification-bloodborne-pathogen-testing-due-unsafe-injection-practices-us-health

June 23, 2010 - October 19, 2022 Breast cancer treatment delays by socioeconomic and health care access … with language proficiency in the US. … March 10, 2019 Preventability and causes of readmissions in a national cohort of general … August 12, 2015 A look into the nature and causes of human errors in the intensive care … October 14, 2009 View More Related Resources National and State

Characteristics of patient care management problems identified in emergency department morbidity and mortality investigations during 15 years. | PSNet

psnet.ahrq.gov/issue/characteristics-patient-care-management-problems-identified-emergency-department-morbidity

March 08, 2017 - November 18, 2009 A multistep approach to improving biopsy site identification in dermatology … December 19, 2018 Changes in language services use by US pediatricians. … education and training in health care. … April 27, 2005 Preventability and causes of readmissions in a national cohort of general … with language proficiency in the US.

Prevention of failure to rescue in obstetric patients: a realist review. | PSNet

psnet.ahrq.gov/issue/prevention-failure-rescue-obstetric-patients-realist-review

April 20, 2022 - February 9, 2022 Improving medication reconciliation with comprehensive evaluation at … June 23, 2021 The work of nurses to provide good and safe services to children receiving … when transferred from hospital to home health care-a systematic review. … patient safety efforts in infection prevention: a multi-center qualitative study. … June 28, 2023 Taking a closer look at medication errors that involve oxytocin.

Improving Diagnostic Safety and Quality | PSNet

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January 31, 2024 - , in 2018 the Health Research and Educational Trust released a toolkit to identify situations in which … Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine … Improving diagnosis in healthcare . National Academies Press; 2015. 3. … Department of Health and Human Services. … Department of Health and Human Services.

Removing Insult from Injury—Disclosing Adverse Events | PSNet

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February 01, 2006 - Hospital disclosure practices: results of a national survey. … The challenge for institutions is to look at the conduct of the individual and decide whether or not … Department of Health and Human Services. … Department of Health and Human Services. … December 19, 2007 Language Barriers in Health Care.

National improvements in resident physician-reported patient safety after limiting first-year resident physicians' extended duration work shifts: a pooled analysis of prospective cohort studies. | PSNet

psnet.ahrq.gov/issue/national-improvements-resident-physician-reported-patient-safety-after-limiting-first-year

July 15, 2020 - threats: a national survey of interns and residents. … English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based … language proficiency in the US. … May 11, 2022 Impact of providing patients access to electronic health records on quality … to 20 hospitals in England during implementation of the 7-day services national health policy.

A Stroke of Error | PSNet

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December 01, 2015 - Case Objectives State the key clinical factors to assess in a patient with suspected stroke. … The National Institutes of Health Stroke Scale (NIHSS) is a validated 15-item scale ( Table ) that assesses … Underlying structure of the National Institutes of Health Stroke Scale: results of a factor analysis. … Department of Health and Human Services. … Department of Health and Human Services.

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 - July 29, 2020 Impact of providing patients access to electronic health records on quality … to 20 hospitals in England during implementation of the 7-day services national health policy. … threats: a national survey of interns and residents. … May 11, 2022 A family and hospital's journey and commitment to improving diagnostic safety … July 21, 2021 Enhancing psychological safety in mental health services.

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 - English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based … March 30, 2022 Impact of providing patients access to electronic health records on quality … 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. … at a large health system.

Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons from New York City. | PSNet

psnet.ahrq.gov/issue/restructuring-general-surgery-residency-program-epicenter-coronavirus-disease-2019-pandemic

September 02, 2020 - 2020: a summary of data reported to the National Healthcare Safety Network. … with language proficiency in the US. … efforts. … May 19, 2021 Delayed access to care and late presentations in children during the COVID … January 26, 2022 Quality and safety in hospital pediatrics during COVID-19: a national

Clinical Areas | PSNet

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April 24, 2024 - Clinical Areas And Or Allied Health Services (170) Nutrition … Physical and human resources, and national regulations and networks emerged as pivotal factors in promoting … Study Stigmatizing language, patient demographics, and errors in the diagnostic … Stigmatizing language in electronic health records (EHR) has been shown to negatively impact the quality … The right to dignity, competent clinicians, and medical record access are amongst the required elements

Bad hospital design is making us sicker. | PSNet

psnet.ahrq.gov/issue/bad-hospital-design-making-us-sicker

March 30, 2016 - in a New York City health system during the COVID-19 pandemic. … September 6, 2017 A National Web Conference on Improving Health IT Safety Through the … Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California. … August 14, 2019 Hospitals look to computers to predict patient emergencies before they … October 17, 2018 With scarce access to interpreters, immigrants struggle to understand

Medication Safety in Nursing Homes: What's Wrong and How to Fix It | PSNet

psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it

August 01, 2012 - exclusive of efforts to improve communication between health care providers, may have only limited benefits … What we'd really like to do is look at the patient safety culture of a particular unit and the outcomes … what CMS is potentially going to look at. … Department of Health and Human Services. … Department of Health and Human Services.

Patient Safety and Health Information Technology: Learning from Our Mistakes | PSNet

psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes

July 01, 2012 - is look at the net benefit. … look at their patients. … For all I know, we will have such capable natural language processing that people will never look at … Department of Health and Human Services. … Department of Health and Human Services.

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