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• The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. | PSNet
  
  patient safety efforts in infection prevention: a multi-center qualitative study. … Target Audience Health Care Providers Health Care Executives and Administrators Origin/Sponsor … The influence of organizational context on quality improvement and patient safety efforts in infection … Book/Report Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs … Journal Article Study Impact of a national multimodal intervention to prevent catheter-related bloodstream
  https://psnet.ahrq.gov/issue/influence-organizational-context-quality-improvement-and-patient-safety-efforts-infection - 2k - 2021-01-19
• Hospitals look to improve informed consent process. | PSNet
  
  Topics Approach to Improving Safety Informed Consent Health Literacy Improvement Technologic Approaches … on patient care and describes initiatives to improve patients' comprehension of informed consent for … Wu HW; Nishimi RY; Page-Lopez CM; Kizer KW; National Quality Forum; NQF Special or Theme Issue Language … Barriers in Health Care. … Improving Health Literacy to Protect Patient Safety. View More Related Resources
  https://psnet.ahrq.gov/issue/hospitals-look-improve-informed-consent-process - 1k - 2021-01-19
• Managing disruptive behaviors in the health care setting: focus on obstetrics services. | PSNet
  
  Journal Article Study Published May 18, 2011 Managing disruptive behaviors in the health care setting … Topics Approach to Improving Safety Legal and Policy Approaches Communication between Providers Teamwork … Target Audience Health Care Providers Quality and Safety Professionals Organizational Behaviorists … Managing disruptive behaviors in the health care setting: focus on obstetrics services. … Quality & safety in health care . 2009; 18 :393-6 .
  https://psnet.ahrq.gov/issue/managing-disruptive-behaviors-health-care-setting-focus-obstetrics-services - 2k - 2021-01-17
• National Academies Address Integrated Behavioral Health in Primary Care | The Academy
  
  access member only features Login Catch up on what's going on: News Events Archive National Academies … Address Integrated Behavioral Health in Primary Care Date 10/08/20 The Forum on Mental Health and … a virtual public workshop on primary care approaches to delivering essential components of care for … components of care in the primary care setting for people with mental health and substance use disorders … in primary care has come.
  https://integrationacademy.ahrq.gov/news-and-resources/news/national-academies-address-integrated-behavioral-health-primary-care - 3k - 2021-01-16
• Improving Usability, Safety and Patient Outcomes With Health Information Technology. | PSNet
  
  Special or Theme Issue Published February 27, 2019 Improving Usability, Safety and Patient Outcomes … Topics Approach to Improving Safety Technologic Approaches Research Directions Resource Type Special … or Theme Issue Book/Report Clinical Area Medicine Target Audience Health Care Providers Health … health care and is associated with both optimized processes and unintended consequences . … of health information technology and the research needed to achieve success.
  https://psnet.ahrq.gov/issue/improving-usability-safety-and-patient-outcomes-health-information-technology - 2k - 2021-01-17
• Chapter 4: Defining Language Need and Categories for Collection, cont. | Agency for Healthcare Research and Quality
  
  Improving access to language services in health care: A look at national and state efforts. … Language spoken and differences in health status, access to care, and receipt of preventive services … Executive order 13166 - improving access to services for persons with limited English proficiency. … Language preference as a predictor of access to and use of healthcare services among Hispanics in the … Parent's language of interview and access to care for children with special health care needs.
  https://www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4c.html - 38k - 2021-01-16
• Patient safety in dentistry—state of play as revealed by a national database of errors. | PSNet
  
  by a national database of errors. … Topics Approach to Improving Safety Error Reporting Resource Type Study Setting of Care Ambulatory … Clinic or Office Clinical Area Dentistry Target Audience Health Care Providers Quality and Safety … Patient safety in dentistry - state of play as revealed by a national database of errors. … development of a candidate 'never event' list for primary care.
  https://psnet.ahrq.gov/issue/patient-safety-dentistry-state-play-revealed-national-database-errors - 2k - 2021-01-19
• Evaluation of patient and family outpatient complaints as a strategy to prioritize efforts to improve cancer care delivery. | PSNet
  
  as a strategy to prioritize efforts to improve cancer care delivery. … Topics Approach to Improving Safety Patient Complaints Resource Type Study Setting of Care Hospitals … Evaluation of Patient and Family Outpatient Complaints as a Strategy to Prioritize Efforts to Improve … This analysis of 266 patient complaints in cancer care found that more than 40% were interpersonal in … nature, whereas 11% were related to quality and safety.
  https://psnet.ahrq.gov/issue/evaluation-patient-and-family-outpatient-complaints-strategy-prioritize-efforts-improve - 2k - 2021-01-18
• From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. | PSNet
  
  Journal Article Commentary Published March 2, 2016 From To Err Is Human to Improving Diagnosis in … Health Care: the risk management perspective. … Topics Approach to Improving Safety Error Reporting and Analysis Resource Type Commentary Setting … From To Err Is Human to Improving Diagnosis in Health Care: The risk management perspective. … to patient safety—and reviews recommendations from Improving Diagnosis in Health Care in the context
  https://psnet.ahrq.gov/issue/err-human-improving-diagnosis-health-care-risk-management-perspective - 2k - 2021-01-19
• Integration of Behavioral Health Services in the Pediatric Setting | The Academy
  
  of Behavioral Health Services in the Pediatric Setting Date 09/18/19 A 2019 journal article , published … pediatric practices enrolled in a behavioral health integration program (BHIP) in Massachusetts. … support for practice transformation, and onsite behavioral health services. … Findings suggest that integrating behavioral health in the pediatric care setting can improve access … to quality behavioral health services and avoid substantial increases in cost. 1 A related blog from
  https://integrationacademy.ahrq.gov/news-and-resources/news/integration-behavioral-health-services-pediatric-setting - 3k - 2021-01-16
• Lost in translation: impact of language barriers on children's healthcare. | PSNet
  
  Topics Approach to Improving Safety Provider-Patient Communication Safety Target Discontinuities, … Gaps, and Hand-Off Problems Resource Type Review Clinical Area Pediatrics Target Audience Health … Lost in translation: impact of language barriers on children's healthcare. … language assistance and to provide prompt access to qualified interpreters . … A past WebM&M commentary discussed how language barriers can compromise quality of care.
  https://psnet.ahrq.gov/issue/lost-translation-impact-language-barriers-childrens-healthcare - 1k - 2021-01-16
• Improving the quality of health care: what's taking so long? | PSNet
  
  Journal Article Commentary Published October 23, 2013 Improving the quality of health care: what's … Improving The Quality Of Health Care: What’s Taking So Long? … decade-and-a-half after the landmark Institute of Medicine report , many have found progress in patient … Mark Chassin, recommends that health care shift its focus from preventable complications to safety culture … Addressing barriers in the application of industrial process improvement methodologies to health care
  https://psnet.ahrq.gov/issue/improving-quality-health-care-whats-taking-so-long - 2k - 2021-01-18
• Attending physician remote access of the electronic health record and implications for resident supervision: a mixed methods study. | PSNet
  
  health record and implications for resident supervision: a mixed methods study. … Topics Approach to Improving Safety Residents and Fellows Electronic Health Records Resource Type … Study Setting of Care Hospitals Clinical Area Medicine Target Audience Health Care Providers … Attending Physician Remote Access of the Electronic Health Record and Implications for Resident Supervision … in 2009.
  https://psnet.ahrq.gov/issue/attending-physician-remote-access-electronic-health-record-and-implications-resident - 2k - 2021-01-17
• Natural language processing and its implications for the future of medication safety: a narrative review of recent advances and challenges. | PSNet
  
  Topics Approach to Improving Safety Computerized Decision Support Resource Type Review Setting of … Natural Language Processing and Its Implications for the Future of Medication Safety: A Narrative Review … support system implementations on patient outcomes in inpatient care: a systematic review. … Journal Article Commentary Balancing innovation and safety when integrating digital tools into health … support systems (CDSSs) on medication errors, length of stay, and mortality in intensive care units:
  https://psnet.ahrq.gov/issue/natural-language-processing-and-its-implications-future-medication-safety-narrative-review - 2k - 2021-01-19
• Language games and tragedy: The Bristol Royal Infirmary disaster revisited. | PSNet
  
  Journal Article Commentary Published February 28, 2007 Language games and tragedy: The Bristol Royal … Topics Approach to Improving Safety Error Analysis Communication between Providers Resource Type … Commentary Setting of Care Hospitals Target Audience Health Care Executives and Administrators Organizational … Language games and tragedy: The Bristol Royal Infirmary disaster revisited. … Available at Related Resources Journal Article Commentary Hospitals as cultures of entrapment: a re-analysis
  https://psnet.ahrq.gov/issue/language-games-and-tragedy-bristol-royal-infirmary-disaster-revisited - 2k - 2021-01-19
• Integrating Evidence-Based Clinical and Community Strategies to Improve Health - Table 1 | United States Preventive Services Taskforce
  
  Integrating Evidence-Based Clinical and Community Strategies to Improve Health - Table 1 The Leading … and Actual Causes of Death, United States, 2000 Leading cause of death Rate/100,000 Actual cause … death No. (%) Heart disease 258.2 Tobacco 435,000 (18.1) Malignant neoplasm 200.9 Poor diet and … Actual causes of death in the United States, 2000.  JAMA  2004;291:1238-1245. … See also the correction in  JAMA  2005;293:293-294. Current as of: November 2013
  https://www.uspreventiveservicestaskforce.org/uspstf/integrating-evidence-based-clinical-and-community-strategies-to-improve-health---table-1 - 1k - 2021-01-16
• Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network. | PSNet
  
  services to support interdisciplinary medication reconciliation efforts at an integrated healthcare … Topics Approach to Improving Safety Computerized Provider Order Entry (CPOE) Electronic Health Records … Design and Implementation of an Application and Associated Services to Support Interdisciplinary Medication … times of transitions in care such as hospital admission and discharge .  … Journal Article Study ASHP national survey of pharmacy practice in hospital settings: dispensing and
  https://psnet.ahrq.gov/issue/design-and-implementation-application-and-associated-services-support-interdisciplinary - 2k - 2021-01-16
• Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. | PSNet
  
  Using health care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective … , to processes in health care. … Their system, Health Care Failure Mode Effects Analysis (HFMEA), is documented in detail, including a … BMC health services research . 2012; 12 :150 . … Journal Article Study Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis
  https://psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys - 2k - 2021-01-18
• Influence of language barriers on outcomes of hospital care for general medicine inpatients. | PSNet
  
  Influence of language barriers on outcomes of hospital care for general medicine inpatients. … and communication: factors affecting quality and efficiency of inpatient care. … Journal Article Study A comparative analysis of incident reporting lag times in academic medical centres … in Japan and the USA. … Quality & safety in health care . 2010; 19 :e10 .
  https://psnet.ahrq.gov/issue/influence-language-barriers-outcomes-hospital-care-general-medicine-inpatients - 2k - 2021-01-18
• Improving diagnosis in health care—the next imperative for patient safety. | PSNet
  
  Journal Article Commentary Published November 18, 2015 Improving diagnosis in health care—the next … Topics Approach to Improving Safety Error Reporting and Analysis Resource Type Commentary Setting … of Care Hospitals Clinical Area Medicine Target Audience Health Care Providers Health Care Executives … Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. … The National Academy of Medicine (NAM) report, Improving Diagnosis in Health Care , estimated that most
  https://psnet.ahrq.gov/issue/improving-diagnosis-health-care-next-imperative-patient-safety - 2k - 2021-01-19