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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
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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
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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 .
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National Academies Address Integrated Behavioral Health in Primary Care | The Academy
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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.
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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.
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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.
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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.
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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.
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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
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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
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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.
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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
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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.
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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:
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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
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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
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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
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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
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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 .
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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