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psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
December 23, 2020 - important in this case to address the language of hospice: “foregoing disease-directed therapy”. … outdated reimbursement schemes that fail to do so. 2
Health Literacy and Palliative Care/Hospice Access … Health Literacy and Access to Care. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/factors-associated-workplace-violence-among-healthcare-workers-academic-medical-center
August 26, 2020 - Stigma and healthcare access among transgender and gender-diverse people: a qualitative meta-synthesis … National Academies' report Improving Diagnosis in Health Care. … with language proficiency in the US. … safety within community-based mental health services. … improvement efforts in the cardiac catheterization lab.
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psnet.ahrq.gov/web-mm/double-trouble
August 01, 2012 - To Err is Human: Building a Safer Health System. Washington, DC: National Academy Press; 2000.
3. … Can clinical pharmacy services have a positive impact on drug-related problems and health outcomes in … 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/unacceptable-behaviours-between-healthcare-workers-just-tip-patient-safety-iceberg
February 16, 2022 - August 12, 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. … to drive improvement at three academic hospitals. … threats: a national survey of interns and residents. … May 18, 2022
A family and hospital's journey and commitment to improving diagnostic safety
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psnet.ahrq.gov/web-mm/after-visit-confusion
August 21, 2007 - disease-specific information appropriate to their levels of health literacy and language capacities. … stethoscope can easily access information critical to diagnosis and treatment at all hours, day and … while using EHRs and other e-health tools are all important efforts to reduce medical errors in clinical … Department of Health and Human Services. … root cause analysis at national VA medical centers.
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psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
May 01, 2008 - We published a paper recently in Health Affairs in which we looked at this. … can look at the patient, or multiple patients, from a remote site. … Department of Health and Human Services. … Department of Health and Human Services. … December 5, 2012
Language Barriers in Health Care.
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psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
March 01, 2009 - allows health care systems to target changes in the delivery of services to enhance patient self-care … A proposed 'Health Literate Care Model' would constitute a systems approach to improving patients' engagement … Department of Health and Human Services. … Department of Health and Human Services. … September 19, 2018
Report 6: Managing Risk and Minimising Mistakes in Services to Children
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psnet.ahrq.gov/issue/higher-ground-ethical-reasoning-and-its-relationship-error-disclosure
July 08, 2020 - to electronic health records on quality and safety of care: a systematic review and meta-analysis. … 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. … to drive improvement at three academic hospitals.
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psnet.ahrq.gov/issue/scoping-review-real-time-automated-clinical-deterioration-alerts-and-evidence-impacts
February 16, 2022 - July 20, 2022
Impact of providing patients access to electronic health records on quality … English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based … June 30, 2021
Improving medication reconciliation with comprehensive evaluation at a … threats: a national survey of interns and residents. … the National Academies' report Improving Diagnosis in Health Care.
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psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3
August 28, 2019 - movements, solicitation of illegitimate exemptions, the need for public health legislation, and efforts … In this case, the nurse's error owed, at least in part, to a systemic problem of vaccine management within … Department of Health and Human Services. … Department of Health and Human Services. … December 5, 2012
Language Barriers in Health Care.
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psnet.ahrq.gov/web-mm/multiple-missed-opportunities-suicide-risk-assessment-emergency-and-primary-care-settings
October 30, 2019 - provider can help in improving access, assessments, and accuracy of decision making. … Effort to ensure patients at risk for suicide do not have access is critical
There is a bidirectional … Department of Health and Human Services. … Department of Health and Human Services. … August 2, 2023
Racism in health services for adolescents: a scoping review.
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psnet.ahrq.gov/issue/enhance-patient-safety-identifying-and-minimizing-risk-exposures-affecting-nurse-practitioner
June 17, 2015 - effectiveness and exploring implications for improving quality in complex systems. … 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
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psnet.ahrq.gov/web-mm/techno-trip
May 01, 2005 - of the national health information technology coordinator. … Department of Health and Human Services. … Department of Health and Human Services. … Patient Safety in Dialysis Access. … December 5, 2012
Language Barriers in Health Care.
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psnet.ahrq.gov/issue/criminalization-mistakes-nursing
December 06, 2006 - efforts at an integrated healthcare delivery network. … language proficiency in the US. … May 25, 2016
Patients' online access to their electronic health records and linked online … services: a systematic interpretative review. … to the National Patient Safety Agency and recommendations for hospital practice.
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psnet.ahrq.gov/web-mm/40-k
April 01, 2015 - provide a method for caregivers to gain access to medications quickly in an emergency. … Department of Health and Human Services. … Department of Health and Human Services. … September 19, 2018
Report 6: Managing Risk and Minimising Mistakes in Services to Children … in state since 2006.
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psnet.ahrq.gov/issue/effectiveness-and-safety-pulse-oximetry-remote-patient-monitoring-patients-covid-19
April 14, 2021 - October 5, 2022
Impact of providing patients access to electronic health records on quality … May 25, 2022
A systematic review of the effect of telepharmacy services in the community … care units and hospital emergency services. … December 2, 2020
Patient safety skills in primary care: a national survey of GP educators … efforts.
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psnet.ahrq.gov/issue/identifying-patient-safety-problems-associated-information-technology-general-practice
February 08, 2023 - threats: a national survey of interns and residents. … May 25, 2022
Impact of providing patients access to electronic health records on quality … Examining the frequency, types and senders of pages in academic medical services. … October 12, 2011
A comparative review of patient safety initiatives for national health … April 24, 2019
Improving Usability, Safety and Patient Outcomes With Health Information
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psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
January 29, 2021 - in health care and not proprietary interests of a commercial interest. … bias - “the tendency to look for confirming evidence to support a diagnosis rather than look for disconfirming … Department of Health and Human Services. … Department of Health and Human Services. … August 3, 2005
Culture at Work in Aviation and Medicine: National, Organizational, and
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psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
August 21, 2016 - Approach to Improving Safety
Get a Head CT First for Evaluation of Possible AHT
In this case, an … diagnose and treat child abuse and neglect, assess alternative diagnoses, and assist in the efforts … US Department of Health and Human Services. 2022. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
September 07, 2019 - to a patient’s level of health literacy or current health status. 3 Prior studies have shown that … . 6 All of these factors can play a role in the patient’s ability to state their diagnosis, medication … with the educational and discharge planning efforts. … Department of Health and Human Services. … Department of Health and Human Services.