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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/perspective/weekend-effect
April 01, 2008 - A 2014 study sought to determine the contribution of health care system and patient factors to the … further elucidate the contribution of patient and health care system factors to the weekend effect. … care data—may be necessary in order to truly distinguish the contributions of patient and health care … system factors to the weekend effect. … Care: A Call to Action on Physician Burnout.
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psnet.ahrq.gov/web-mm/unfamiliar-catheter
November 01, 2006 - devastating patient injury and secondary emotional trauma for the involved health care professional. … A second victim ( 19 ) is a health care provider involved in an adverse event or medical error who becomes … Health care institutions must provide adequate training and should have in place robust quality control … Health Care Manag (Frederick). 2006;25:292-305. [go to PubMed] 11. Hughes R, ed. … Managing the aftermath of critical incidents: meeting the needs of health-care providers and patients
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psnet.ahrq.gov/node/49686/psn-pdf
May 01, 2013 - The
effectiveness of health care teams can have direct impact on patient outcomes. … of conflict among health
care professionals.(12) High performing teams focus on communication, coordination … The health care providers involved should also be supported as
needed to avoid moral distress and to … All health care professionals should be trained in teamwork. … [go to PubMed]
12. West MA, Lyubovnikova J. Illusions of team working in health care.
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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/web-mm/code-blue-where
March 30, 2020 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … cardiopulmonary arrests throughout health care institutions. … "Code Blue" in the hospital lobby: cardiac arrest teams vs. public access defibrillation. … View More
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Psychiatric Facilities
Hospitals
Health … Care Providers
Health Care Executives and Administrators
Critical Care
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psnet.ahrq.gov/issue/presenting-complaint-use-language-disempowers-patients
July 13, 2022 - As more patients are gaining access to their electronic health records, including clinician notes, … the language clinicians use can shape how patients feel about their health and healthcare provider . … April 12, 2023
Unintended consequences of patient online access to health records: a … January 13, 2021
Impact of providing patients access to electronic health records on … November 21, 2012
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Health Care Providers
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psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
October 24, 2021 - In addition to a strong culture of safety, open communication with, and ease of access to, prescribers … Ease of access to providers enables the pharmacist to efficiently address potential concerns discovered … , which I think brings us to a third challenge, which is access to the providers. … 2018
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Outpatient Pharmacy
Health … Care Providers
Pharmacists
Community Pharmacy
Medication Safety
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psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
March 01, 2015 - in individual components of the health care system, that these weaknesses are best improved through … Health care systems are adopting systems approaches to improve patient safety. … Because outpatient ambulatory health care delivery is a fragmented process, estimating medication errors … Healthcare System. … Care Providers
Health Care Executives and Administrators
Cardiology
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psnet.ahrq.gov/node/60362/psn-pdf
April 13, 2018 - Disclaimer
This innovation was identified by the AHRQ PSNet Editorial Team from the AHRQ Health Care … Telepsychiatry: In 2012, began providing mental health care and support for substance use
disorders … improve training for health care professionals in rural
areas. … As of 2019,
over 2,000 healthcare providers use this resource to access the obstetrical and neonatal … Ultrasound in telemedicine: its impact in high-risk obstetric health care
delivery.
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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/hcupnet
December 24, 2008 - Agency for Healthcare Research and Quality
Copy Citation
Save
Save to your library … It is part of the Healthcare Cost and Utilization Project (HCUP). … With HCUPnet, users gain easy access to all national and selected state statistics about hospital admissions … April 16, 2018
Healthcare Simulation Dictionary, Third Edition. … Health Care System.
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psnet.ahrq.gov/node/846935/psn-pdf
March 29, 2023 - accessing care, including a lack of insurance coverage, a lack of access to transportation, and difficulty … struggles to access appropriate perinatal mental healthcare due to a lack of interpreters or culturally … Last, access and availability of data is a challenge in efforts to improve mental healthcare provided … Improvements in data access and availability would enable providers to
https://psnet.ahrq.gov//#3
https … be a priority,
but opportunities exist to broaden research related to mental healthcare.
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psnet.ahrq.gov/issue/ensuring-primary-care-diagnostic-quality-era-telemedicine
May 25, 2022 - access issues. … Resources From the Same Author(s)
Development and usability testing of the Agency for Healthcare … February 9, 2022
Enabling a learning healthcare system with automated computer protocols … amidst the COVID-19 pandemic by using a human factors approach: a leap into the future of health care … delivery?
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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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See More About The Topic
Labor and Delivery
Health … Care Executives and Administrators
Engineers
Obstetrics
Neonatology and Intensive Care
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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/issue/positive-patient-identification
June 19, 2024 - Healthcare Safety Investigation Branch (HSIB), Dorset, UK: Health Services Safety Investigations … February 14, 2024
Safety Management Systems - an Introduction for Healthcare. … November 29, 2023
Access to Clinical Information at the Bedside. … August 23, 2023
Identifying a list of healthcare 'never events' to effect system change … July 12, 2023
Access to Clinical Information at the Bedside.
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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/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
December 15, 2024 - Scott and colleagues define second victims as health care providers who are involved in an unanticipated … Qual Saf Health Care. 2009;18:325-330. … The University of Missouri Health Care system developed a three-tiered support program deployed by an … May 18, 2022
Moving on after critical incidents in health care: a qualitative study of … June 23, 2021
Peer support by interprofessional health care providers in aftermath of
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psnet.ahrq.gov/issue/us-poison-control-center-calls-infants-6-months-age-and-younger
November 16, 2022 - With the assumption that infants will not be mobile enough to access potentially harmful substances, … access, such as a sibling providing a substance to the child. … Some parents self-triaged to a health care facility prior to speaking to poison control, which may be … November 4, 2020
Enabling a learning healthcare system with automated computer protocols … May 1, 2024
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