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psnet.ahrq.gov/issue/cyberattack-led-harrowing-lapses-ascension-hospitals-clinicians-say
March 06, 2024 - The story highlights the impact of the system shutdowns on access to patient records, communication systems … May 30, 2012
Ensuring Healthcare Safety Throughout the COVID-19 Pandemic. … September 15, 2021
Burnout and sources of stress among health care risk managers and … September 11, 2024
Generative artificial intelligence, patient safety and healthcare … April 10, 2024
To do no harm - and the most good - with AI in health care.
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psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
March 29, 2023 - the current tools we have in our healthcare system. … system. … struggles to access appropriate perinatal mental healthcare due to a lack of interpreters or culturally … care. … Care Providers
Health Care Executives and Administrators
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psnet.ahrq.gov/issue/ahrq-national-healthcare-safety-dashboard
December 04, 2024 - Multi-use Website
AHRQ National Healthcare Safety Dashboard. … Citation Text:
AHRQ National Healthcare Safety Dashboard. … The AHRQ National Healthcare Safety Dashboard is one approach to tracking progress in the United States … The site provides centralized access to data from the AHRQ Patient Safety Indicators (PSIs) , hospital … October 25, 2023
Agency information collection activities: National Healthcare Safety
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psnet.ahrq.gov/issue/understanding-heterogeneity-labor-and-delivery-units-using-design-thinking-methodology-assess
August 15, 2018 - Investigators uncovered three environmental needs that impact safety: rapid access to blood products, … April 24, 2018
Enabling a learning healthcare system with automated computer protocols … June 19, 2019
Impact of the Agency for Healthcare Research and Quality's Safety Program … March 25, 2009
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Labor and Delivery
Health … Care Executives and Administrators
Engineers
Obstetrics
Neonatology and Intensive Care
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psnet.ahrq.gov/node/60201/psn-pdf
April 08, 2020 - misdiagnosis-mistreatment-and-harm-when-medical-care-ignores-social-forces
This article discusses the risk of misdiagnosis, mistreatment and iatrogenic harm when healthcare … providers fail to take social structures – such as access to housing, food and employment – into account … or
misattribute their effects to biology or behavior. … Clinicians are uniquely positioned to respond to the social,
political, and economic structures affecting … teams, health care systems, and societies, leading
to more effective care with less harm.
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psnet.ahrq.gov/issue/salzburg-global-seminar-session-565-better-health-care-how-do-we-learn-about-improvement
April 27, 2011 - Citation Text:
Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn About Improvement … Int J Qual Health Care. 2018;30(suppl 1):1-41. … Int J Qual Health Care . 2018;30(suppl 1):1-41.
View more articles from the same authors. … Int J Qual Health Care. 2018;30(suppl 1):1-41. … and Quality's Making Healthcare Safer III Report.
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psnet.ahrq.gov/issue/rhios-aim-transform-quality-care-and-patient-safety
August 26, 2020 - This article reports on how regional health information organizations (RHIOs) increase access to patient … August 26, 2020
Mortality review as a tool to assess the contribution of healthcare-associated … Creating a learning health system for improving diagnostic safety: pragmatic insights from US health … care organizations. … Care Providers
Medicine
Diagnostic Errors
Noncognitive Errors ("Slips and Lapses")
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psnet.ahrq.gov/issue/bar-coding-patient-safety
February 12, 2020 - In this perspective, the authors present support for bar coding and report on the Partners HealthCare … system bar coding initiative. … January 22, 2017
The role of information technology in healthcare communications, efficiency … Scanning out medication errors: Ohio Valley Hospital's automated IV system provides real-time access … to patient data.
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psnet.ahrq.gov/issue/planning-pandemic-mitigating-risk-radiation-therapy-service-delivery-covid-19-era
November 11, 2020 - Citation
Related Resources From the Same Author(s)
Bracing for the storm: one health … care system's planning for the COVID-19 surge. … bias in healthcare machine learning. … February 16, 2022
Delayed access to care and late presentations in children during the … and healthcare workers safe.
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psnet.ahrq.gov/issue/2008-update-consumers-views-patient-safety-and-quality-information
October 02, 2013 - Consumers' perceptions of health care quality and access to information about quality have changed little … coordination was at least a minor problem, and 22% reporting having visited a clinician who did not have access … Despite the growing focus on making health care quality information transparent and accessible to consumers … January 11, 2017
Work-arounds in health care settings: literature review and research … December 1, 2010
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Health Care Executives
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psnet.ahrq.gov/issue/impact-opioid-safety-initiative-opioid-related-prescribing-veterans
February 10, 2021 - The authors suggest that this type of large-scale intervention could be applied in other health care … systems to enhance opioid safety . … Related Resources From the Same Author(s)
Assessing reasons for decreased primary care access … September 29, 2017
Seroprevalence of SARS-CoV-2 among frontline health care personnel … April 12, 2017
Healthcare system-wide implementation of opioid-safety guideline recommendations
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psnet.ahrq.gov/issue/ahrq-2007-annual-conference
December 24, 2008 - Rockville, MD: Agency for Healthcare Research and Quality; August 2008. … This Web site provides access to presentation materials from AHRQ's first annual conference, held in … 2005 Annual Patient Safety and Health Information Technology Conference: Making the Health … Care System Safer through Implementation and Innovation. … June 29, 2005
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Health Care Providers
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psnet.ahrq.gov/issue/covid-19-pandemic-resilient-organisational-response-low-chance-high-impact-event
October 07, 2020 - care: a battle to be heard, believed, and protected. … August 19, 2020
Delayed access to care and late presentations in children during the … January 27, 2021
Health care management during Covid-19: insights from complexity science … July 22, 2020
Global oncology pharmacy response to COVID-19 pandemic: medication access … May 27, 2020
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Hospitals
Health Care
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psnet.ahrq.gov/issue/patient-safety-risk-and-quality
March 10, 2021 - Their mission involves improving the safety, quality, and cost-effectiveness of health care. … ECRI focuses on health care technology, health care risk and quality management, and health care environmental … This site provides free access to some of ECRI's patient safety content. … November 28, 2018
Incentives for patient safety: holding healthcare executives accountable … July 15, 2013
Smart Healthcare Safety.
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psnet.ahrq.gov/primer/covid-19-and-dentistry-challenges-and-opportunities-providing-safe-care
February 24, 2022 - preventive oral health care (e.g., fluoride treatment and sealants) and to identify oral manifestations … Health Organization (WHO) “advises that routine non-urgent oral health care… be delayed until there … Associated of Health Care Journalists . March 24, 2020. … July 29, 2020
Communication with health care workers regarding health care-associated … care system during a pandemic: the University of Wisconsin Experience.
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psnet.ahrq.gov/issue/program-access-depressive-symptoms-and-medical-errors-among-resident-physicians-disability
May 19, 2021 - Study
Program access, depressive symptoms, and medical errors among resident physicians … 2022
Assessment of changes in visits and antibiotic prescribing during the Agency for Healthcare … care expenditures. … June 30, 2021
Maternal and neonatal health care worker well-being and patient safety … December 10, 2008
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Health Care Providers
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psnet.ahrq.gov/node/866216/psn-pdf
July 10, 2024 - care organization or health care professional level. … In the United States, insurance status can determine a patient’s access to safe, high-quality health … effectiveness, and access to care. … Health Care Manag. 2005;24(3):245-256. doi:10.1097/00126450-200507000-00009
3. … from 3 US Health Care Organizations.
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psnet.ahrq.gov/issue/smartphone-distraction-during-nursing-care-systematic-literature-review
February 09, 2022 - This review explored positive (improved performance; access to information about medications) and … Healthcare workplaces should implement policies to restrict when and where smartphones can be used for … January 19, 2022
Near miss research in the healthcare system: a scoping review. … October 23, 2024
Attention among health care professionals : a scoping review. … October 13, 2021
Coping strategies in health care providers as second victims: a systematic
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psnet.ahrq.gov/issue/national-quality-measures-clearinghouse-nqmc
October 23, 2019 - Agency for Healthcare Research and Quality. 1998-2018. … This web-accessible database provided access to evidence-based quality measures and measure sets. … The mission of the National Quality Measures Clearinghouse (NQMC) was to provide practitioners, health … , and use in order to inform health care decisions. … September 10, 2008
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Health Care Providers
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psnet.ahrq.gov/node/841306/psn-pdf
December 14, 2022 - Resilient healthcare reflects the capacity of the entire healthcare system
to adjust to challenges and … As healthcare delivery grows more complex, resilient healthcare methods can be applied to support patient … will help ensure our healthcare delivery systems continue to learn and adapt. … Safety-I, Safety-II and resilience engineering.Curr Probl Pediatr Adolesc
Health Care. 2015;45(12):382 … Resilient health care: turning patient safety on its head.Int J Qual
Health Care. 2015;27(5):418-420