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psnet.ahrq.gov/issue/oral-medications-inadvertently-given-intravenous-route
October 05, 2016 - June 18, 2014
Managing patient access and flow in the emergency department to improve … services. … Employee safety climate and patient safety culture in health care. … A systematic review at the Department of Veterans Affairs. … February 22, 2024
National and State Healthcare-Associated Infections Progress Report
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psnet.ahrq.gov/issue/using-trainee-failures-enhance-learning-qualitative-study-pediatric-hospitalists-allowing
December 14, 2022 - with language proficiency in the US. … February 12, 2020
Unintended consequences of patient online access to health records: … November 10, 2021
The work of nurses to provide good and safe services to children receiving … October 20, 2021
Quality and safety in hospital pediatrics during COVID-19: a national … August 31, 2022
A state-of-the-art review of speaking up in healthcare.
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psnet.ahrq.gov/issue/allergy-safety-events-healthcare-development-and-application-classification-schema-based
December 09, 2020 - improvement efforts in the cardiac catheterization lab. … to 20 hospitals in England during implementation of the 7-day services national health policy. … English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based … safety within community-based mental health services. … the National Academies' report Improving Diagnosis in Health Care.
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psnet.ahrq.gov/issue/associations-between-internet-based-patient-ratings-and-conventional-surveys-patient
August 26, 2020 - to 20 hospitals in England during implementation of the 7-day services national health policy. … November 11, 2020
Impact of providing patients access to electronic health records on … February 9, 2022
Outsourcing health-care services to the private sector and treatable … to drive improvement at three academic hospitals. … threats: a national survey of interns and residents.
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psnet.ahrq.gov/issue/discharge-missteps-can-send-seniors-back-hospital
December 05, 2007 - March 8, 2023
Health Care Simulation to Advance Safety: Responding to Ebola and Other … Safety Risks and Harms in Ambulatory Health Care Settings. … A COVID-19 Resource for Hospital and Health System Leaders. … January 17, 2024
New Covid boosters look a lot like the old ones. … Examining the frequency, types and senders of pages in academic medical services.
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psnet.ahrq.gov/perspective/unfinished-patient-safety-agenda
August 01, 2005 - Efforts to transform care at the bedside, including improved nurse staffing and working conditions, must … The tighter the system is, and the more we all look at it from an interdisciplinary perspective, the … Department of Health and Human Services. … Department of Health and Human Services. … May 13, 2015
Developing a common language for evaluation questions in quality and safety
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psnet.ahrq.gov/issue/bullying-junior-doctors-prevails-irish-health-system-bitter-reality
July 15, 2020 - patient safety efforts in infection prevention: a multi-center qualitative study. … services: a qualitative study. … on safety issues in UK mental health services. … services in healthcare settings: a study of health information exchange. … July 15, 2020
Clinical reasoning education at US medical schools: results from a national
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psnet.ahrq.gov/issue/deriving-framework-systems-approach-agitated-patient-care-emergency-department
June 13, 2018 - to health care improvement. … with language proficiency in the US. … March 18, 2015
Two-state collaborative study of a multifaceted intervention to decrease … August 25, 2010
Designing an abstraction instrument: lessons from efforts to validate … differential effectiveness and exploring implications for improving quality in complex systems.
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psnet.ahrq.gov/issue/impact-structured-interdisciplinary-bedside-rounding-patient-outcomes-large-academic-health
December 09, 2020 - Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health … February 5, 2020
Impact of providing patients access to electronic health records on … to 20 hospitals in England during implementation of the 7-day services national health policy. … threats: a national survey of interns and residents. … Examining the frequency, types and senders of pages in academic medical services.
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psnet.ahrq.gov/issue/association-acute-covid-19-infection-patient-safety-indicator-12-events-multisite-healthcare
January 18, 2023 - 2020: a summary of data reported to the National Healthcare Safety Network. … with language proficiency in the US. … of incidents reported to the National Reporting and Learning System. … September 2, 2020
Breast cancer treatment delays by socioeconomic and health care access … efforts.
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psnet.ahrq.gov/issue/hospitalinspectionsorg
March 25, 2024 - complaint inspections at acute care and critical access hospitals. … October 30, 2013
A Crisis in Health Care: A Call to Action on Physician Burnout. … April 7, 2021
Communication in health care: impact of language and accent on health care … April 5, 2023
A systematic review of the effect of telepharmacy services in the community … to ensure safe care at the direct care level.
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psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
January 01, 2016 - visits to the ED that led to a hospitalization could be a useful way to look for these missed opportunities … [Available at]
7. Balogh EP, Miller BT, Ball JR, eds. Improving Diagnosis in Health Care. … Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/bridging-feedback-gap-sociotechnical-approach-informing-clinicians-patients-subsequent
October 17, 2018 - care team, and in a structured format to ensure relevance and usefulness. … in a learning health system. … to 20 hospitals in England during implementation of the 7-day services national health policy. … November 25, 2020
Impact of providing patients access to electronic health records on … December 7, 2022
Unintended consequences of patient online access to health records:
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psnet.ahrq.gov/issue/ensuring-primary-care-diagnostic-quality-era-telemedicine
May 25, 2022 - the National Academies' report Improving Diagnosis in Health Care. … to 20 hospitals in England during implementation of the 7-day services national health policy. … with language proficiency in the US. … Telemental Health Care at VA Clinic Locations Prior to the Pandemic. … May 5, 2021
Improving Telediagnosis: A Call to Action.
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psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
November 01, 2006 - of Michigan Health System
*Acknowledgement: Lisa Lau, a human factors engineer at VA National Center … So that you can look at it and you can see roughly where you are within the important parameters and … Today it's quite common for physicians to turn to a book or a computer and look something up and come … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/vulnerability-medical-product-supply-chain-wake-call-covid-19
June 22, 2022 - to 20 hospitals in England during implementation of the 7-day services national health policy. … threats: a national survey of interns and residents. … November 11, 2020
Impact of providing patients access to electronic health records on … services in healthcare settings: a study of health information exchange. … April 14, 2021
Improving Telediagnosis: A Call to Action.
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psnet.ahrq.gov/issue/how-communication-failed-or-saved-day-counterfactual-accounts-medical-errors
March 14, 2022 - to 20 hospitals in England during implementation of the 7-day services national health policy. … October 13, 2021
Clinical reasoning education at US medical schools: results from a national … April 12, 2023
Quality and safety in hospital pediatrics during COVID-19: a national … June 22, 2022
Delayed access to care and late presentations in children during the COVID … October 7, 2020
Variability in collection and use of race/ethnicity and language data
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psnet.ahrq.gov/issue/speaking-factors-and-issues-nurses-advocating-patients-when-patients-are-jeopardy
March 29, 2023 - July 22, 2020
Latent safety threats and countermeasures in the operating theater: a national … to prioritize efforts to improve cancer care delivery. … in health care: a battle to be heard, believed, and protected. … March 17, 2021
The I-READI quality and safety framework: a health system’s response to … standards accelerated integration and expansion of tools and services in the Veterans Health Administration
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psnet.ahrq.gov/issue/nurses-source-system-level-resilience-secondary-analysis-qualitative-data-study-intravenous
July 22, 2020 - August 4, 2021
Health professionals' perspectives of safety issues in mental health services … June 29, 2022
Variability in collection and use of race/ethnicity and language data in … January 27, 2021
Impact of providing patients access to electronic health records on … UK national health service. … EHR medication reconciliation at a health system.
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psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
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.