U.S. Department of Health & Human Services
Go to Advanced Search
Go to Basic Search
Page Specific Search
Search Results
You searched for "Improving Access to Language Services in Health Care: A Look at National and State Efforts"
Total Results: 17002 records
Results by Domain
psnet.ahrq.gov (12970)
hcup-us.ahrq.gov (1033)
www.ahrq.gov (919)
healthit.ahrq.gov (740)
effectivehealthcare.ahrq.gov (648)
www.uspreventiveservicestaskforce.org (360)
integrationacademy.ahrq.gov (111)
cds.ahrq.gov (58)
pcmh.ahrq.gov (56)
qualityindicators.ahrq.gov (30)
pbrn.ahrq.gov (27)
srdr.ahrq.gov (9)
pso.ahrq.gov (6)
-
Health care consumers' inclination to engage in selected patient safety practices: a survey of adult
Patients are increasingly being asked to assume a role in ensuring their own safety. Both AHRQ's "20 Tips to Help Prevent Medical Errors" and the Joint Commission's "Speak Up" program to ensure surgical safety recommend that patients engage in specific safety practices, such as maintaining a list of their medications and asking health care workers if they have washed their hands. This survey assessed the willingness of patients to carry out these practices. Patients were much less likely to engage in behaviors that required them to challenge providers (such as checking for handwashing compliance) than less confrontational practices (such as following up on test results). The study's findings are similar to a prior AHRQ-funded study of patients recently discharged from the hospital.https://psnet.ahrq.gov/resources/resource/6438 - 6k - 2019-04-01 -
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. | AHRQ Patie
This report built on earlier research to examine rates of adverse events reported to state-level reporting systems compared with hospital data. It found that, even in states with required hospital reporting of adverse events, only about one in nine events is reported to the state. Because few of the events were found in each hospital's incident reporting system, the investigators concluded that the low rate of reporting was likely due to hospital failure to identify events rather than hospitals failing to report known events. -
Eliminating Harm, Improving Patient Care: A Trustee Guide. 2018 Update. | AHRQ Patient Safety Networ
Leadership commitment to improvement efforts is key to sustain patient safety initiatives. This toolkit consists of a workbook, board engagement self-assessment tool, and video modules to help leadership translate efforts from the board room to the front line to reduce medical errors in their hospitals. -
A Toolset for E-Prescribing Implementation in Physician Offices | AHRQ National Resource Center; Hea
You are here Home Tools and Resources Implementation Toolsets for E-Prescribing A Toolset for E-Prescribing Implementation in Physician Offices | More ... -
Current State Assessment | AHRQ National Resource Center; Health Information Technology: Best Practi
You are here Home Current State Assessment | More Current State Assessment Geography of community health information organization activity in the Unit ...https://healthit.ahrq.gov/research-method/current-state-assessment - 5k - 2019-04-02 -
Impact of a national multimodal intervention to prevent catheter-related bloodstream infection in th
A multifaceted intervention that included checklists and efforts to improve safety culture resulted in a marked reduction in central line associated bloodstream infections in a large cohort of intensive care units in Spain. The intervention was modeled on the landmark Keystone ICU study, and its success illustrates the generalizability of this approach to different countries and health care systems. -
Building a highway to quality health care. | AHRQ Patient Safety Network
Substantial progress has been made in improving health care safety, but more work is needed to optimize those efforts. Advocating for the development of an infrastructure that supports safety improvement, this editorial suggests that performance measures, initiative coordination, and recognition of local successes are ways to advance patient safety. -
"What Did the Doctor Say :" Improving Health Literacy to Protect Patient Safety. | AHRQ Patient Safe
Low health literacy is a recognized patient safety problem. Prior research has demonstrated that patients with impaired health literacy have difficulty comprehending prescription instructions and warnings. This Joint Commission report, developed by an expert panel, contains specific recommendations for improving provider patient communication, in order to ameliorate the problem of low health literacy as much as possible. The report recommends that organizations establish communication as a patient safety priority and calls for financial support for patient-centered care initiatives.https://psnet.ahrq.gov/resources/resource/4901 - 8k - 2019-03-24 -
Using Health Information Technology to Support Quality Improvement in Primary Care | PCMH Resource C
Using Health Information Technology to Support Quality Improvement in Primary Care Prepared for: Agency for Healthcare Research and Quality U.S. Depar ...https://pcmh.ahrq.gov/node/48526 - 38k - 2019-04-01 -
Health care worker perspectives of their motivation to reduce health care associated infections. | A
Preventing health care associated infections is a patient safety priority. This interview study found that health care workers are highly motivated to prevent health care associated infections to foster patient safety, and they believe leadership support and performance feedback are important to infection prevention efforts. -
Ambulance diversion associated with reduced access to cardiac technology and increased one-year mort
Overcrowding in emergency departments is a recognized safety hazard for patients. This study of heart attack patients in California demonstrates that overcrowding can have population-level effects when it is severe enough to force hospitals to close themselves to incoming ambulances ("diversion"). Patients whose closest emergency department experienced significant ambulance diversion had decreased access to life-saving therapies and had an increased one-year mortality risk. These results highlight the importance of patient flow throughout the hospital in order to ensure emergency department capacity. A past AHRQ WebM M commentary discussed overcrowding in emergency rooms and triage processes to manage patient volume. -
Improving Electronic Health Records Patient Education Materials (Massachusetts) | AHRQ National Reso
You are here Home Funded Projects Improving Electronic Health Records Patient Education Materials (Massachusetts) | More Search AHRQ-Funded Projects A ... -
Cost-effectiveness of a computerized provider order entry system in improving medication safety ambu
Most research on computerized provider order entry (CPOE) has focused on its role in preventing medication errors. This modeling study sought to determine the cost-effectiveness of CPOE in the ambulatory setting. The authors used prior data on changes in adverse drug event rates both before and after implementation of electronic prescribing to estimate the benefit of CPOE for outpatient medication safety. Exploring four simulations varying in practice sizes and characteristics, they found that CPOE was cost-effective and associated with fewer medication errors. These data support further implementation of electronic prescribing, despite concerns about introducing new errors with health information technology. A previous AHRQ WebM M perspective discusses how to design safer CPOE systems. -
The Safer Delivery of Surgical Services Program (S3): explaining its differential effectiveness and
This qualitative study sought to validate and understand the previously published results of the Safer Delivery of Surgical Services (S3) program, which showed that combining efforts aimed at improving the work system and safety culture was more efficacious than either approach alone. The investigators developed themes and lessons learned through semistructured interviews with hospital staff and the research team. -
Preventable deaths due to problems in care in English acute hospitals: a retrospective case record r
The famous estimate that 44,000 to 98,000 patients die every year in the United States due to preventable adverse events, which was widely publicized in the Institute of Medicine's seminal report, is challenged as a significant overestimate in this British study. The investigators reviewed 1000 randomly selected deaths from 10 hospitals, using a standardized protocol based on prior classic studies of preventable inpatient mortality and found that only 5.2% of deaths were considered preventable. The majority of preventable deaths occurred in patients whose life expectancy was considered to be less than 1 year even if optimal care was provided. As in prior studies, reviewers' agreement on whether a death was preventable was only moderate. The reviewers did find evidence of significant quality problems among both preventable and non-preventable deaths.https://psnet.ahrq.gov/resources/resource/24801 - 8k - 2019-03-24 -
Building a Safety Program in a Vast Health Care Network | AHRQ Patient Safety Network
This piece outlines how large integrated health care systems can implement effective patient safety programs and spotlights the importance of leadership engagement and a just culture. -
Peer training using cognitive rehearsal to promote a culture of safety in health care. | AHRQ Patien
Unprofessional behavior detracts from safety culture and is often learned as part of the hidden curriculum in health care. This paper described two interventions that effectively increased student nurses' self-efficacy in responding to incivility. In a WebM M commentary, two hospital leaders discuss how they would respond to a provider's unprofessional conduct.https://psnet.ahrq.gov/resources/resource/32570 - 7k - 2019-04-01 -
California doctors alarmed as state links their opioid prescriptions to deaths. | AHRQ Patient Safet
Policy, practice, and communication strategies have been implemented in an effort to stem the opioid crisis and prescribing activities that contribute to misuse. This news article and accompanying webcast discuss an initiative in California that sends letters to prescribers whose patients have died due to opioid overdose. The piece outlines unintended consequences associated with the practice, including clinician reluctance to prescribe opioids for pain. An Annual Perspective discussed the patient safety aspects of the opioid epidemic. -
Are surgeons and anesthesiologists lying to each other or gaming the system? A national random sampl
Investigators mailed surveys to anesthesiologists and surgeons to determine potential misreporting of information among providers in perioperative care. The majority of anesthesiologist respondents had concerns that surgeons misrepresented information, and a modest proportion of surgeons and anesthesiologists reported regularly misrepresenting information to each other. Although limited by a low response rate, these results raise concern about safety culture in the operating room. -
Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a
A public health approach to patient safety could help drive improvement efforts. This report recommends that health care draw from successes targeting health care associated infections to design medical error reduction programs from this perspective. The authors provide a structured method for leaders and policymakers to generate lasting change in patient safety.