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psnet.ahrq.gov/node/34775/psn-pdf
February 07, 2019 - Escape Fire: Lessons for the Future of Health Care.
February 7, 2019
Berwick DM. … He goes on to share his personal experience with the health care system in describing the
details of … care system. … They include
greater access for patients to the system, improved application of science at the bedside … https://psnet.ahrq.gov/issue/escape-fire-lessons-future-health-care
https://psnet.ahrq.gov/issue/institute-healthcare-improvement
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psnet.ahrq.gov/issue/healthcare-associated-infections-veterans-affairs-acute-care-and-long-term-healthcare
February 07, 2022 - infections in 2020: a summary of data reported to the National Healthcare Safety Network. … January 27, 2021
Nurse staffing, burnout, and health care-associated infection. … catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access … June 25, 2010
A Compendium of Strategies to Prevent Healthcare-Associated Infections … August 12, 2020
Communication with patients and families regarding health care-associated
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psnet.ahrq.gov/primer/personal-health-literacy
October 31, 2023 - , and it involves interaction between the individual patient and the health care system, as well as other … system to access services. … health care systems assume that all patients are at risk of not understanding medical information, and … Therefore, health care providers must integrate a health literacy approach to care in all health care … How health care systems can begin to address the challenge of limited literacy.
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psnet.ahrq.gov/node/838221/psn-pdf
September 28, 2022 - experience, lower health care costs, and decreased health disparities. … care. … system. … One is, if you didn't have
access to telehealth, your access to healthcare can be limited. … I thought that access to mental healthcare was the primary issue, not
access to primary care.
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psnet.ahrq.gov/issue/do-patients-who-read-visit-notes-patient-portal-have-higher-rate-loop-closure-diagnostic
January 31, 2024 - colonoscopy , concerning skin lesions , cardiac stress test) were compared between patients who do not access … a patient portal; patients who do have access but do not read visit notes; and patients who have access … ecosystem for health care innovation. … December 21, 2017
Enabling a learning healthcare system with automated computer protocols … August 5, 2015
Approaches to reducing the most important patient errors in primary health-care
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psnet.ahrq.gov/perspective/application-safety-ii-principles
August 28, 2024 - seeks to understand why things go well in health care. … In health care, things often go right due to healthcare professionals’ ability to adapt to the dynamic … within healthcare systems. … complexity of health care. … Care Providers
Health Care Executives and Administrators
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psnet.ahrq.gov/perspective/workplace-safety-health-care
January 01, 2017 - Workplace Safety in Health Care
Ross W. Simon and Elena G. … Workplace Safety in Health Care. PSNet [internet]. … Workplace Safety in Health Care. PSNet [internet]. … of health care settings. … industry yet never applied to health care.
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psnet.ahrq.gov/node/866961/psn-pdf
October 16, 2024 - delivery and threatened patient
safety. … Based on semi-structured interviews with 27 healthcare professionals from 16 hospitals in the
United … Participants highlighted two main issues: (1) compromised access to health care and
delayed diagnosis … and treatment due to increasing telehealth use and deferred care and (2) impaired care
delivery due … to staffing and equipment shortages and space constraints, causing healthcare-associated
infections
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psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
January 31, 2024 - partners to address the healthcare delivery gaps and to build entrepreneurial opportunities to improve … ’t afford their medicines or do not have access to healthcare. … In my opinion, if nursing doesn’t do it, eventually, I believe the healthcare system is going to find … Patient Safety in Primary Care: Conceptual Meanings to the Health Care Team and Patients. … Care Providers
Health Care Executives and Administrators
Primary Care
Surgery
View
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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/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
November 16, 2022 - Qual Saf Health Care . 2006;15(Suppl I):i50–8.
5. … Older adult patients and care partners as knowledge brokers in fragmented health care. … on the healthcare delivery side. … Second, there had already been some decisions in the healthcare system to use an intervention to improve … Care Providers
Health Care Executives and Administrators
View More
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psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
March 01, 2019 - care system expansion. … As hospital-based health care in the United States has consolidated, large health care systems have … However, large health care systems also present challenges to the building and maintenance of safety … Beneath the surface of most large health care systems lies a heterogenous set of local entities (often … The role for leaders of health care organizations in patient safety.
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psnet.ahrq.gov/issue/applying-thematic-synthesis-interpretation-and-commentary-epidemiological-studies-identifying
August 25, 2021 - November 11, 2020
Helping healthcare teams to debrief effectively: associations of debriefers … August 24, 2022
Impact of providing patients access to electronic health records on quality … November 11, 2020
Hospital- and system-wide interventions for health care-associated … exposure to contaminated body fluids in healthcare staff. … June 3, 2020
Epidemiology of and risk factors for coronavirus infection in health care
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psnet.ahrq.gov/issue/patient-safety-informatics-meeting-challenges-emerging-digital-health
June 08, 2022 - Digital health tools are increasingly used across all areas of the healthcare system. … May 31, 2023
Considering the safety and quality of artificial intelligence in health … care. … March 3, 2020
Governing the safety of artificial intelligence in healthcare. … January 28, 2015
Human Factors and Ergonomics in Healthcare Delivery: A Special Issue
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psnet.ahrq.gov/node/846563/psn-pdf
March 21, 2023 - may have on the healthcare system, safety failure
reporting, and the culture of safety in many healthcare … systems. … Identifying and
mitigating hazards helps healthcare systems identify ways to avoid repeating errors, … Healthcare systems should develop nonpunitive and easily
accessible resources to help traumatized healthcare … healthcare delivery.
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psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
August 01, 2018 - care simulation programs have spread to many parts of the United States health care system, including … promote teamwork in the delivery of health care. … Health care simulation is "a technique that creates a situation or environment to allow persons to experience … Methods Used in Health Care Simulation
Four main methods are used in health care simulation: human … care systems to more widely adopt simulation training for safety critical functions.
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psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
March 27, 2024 - In many cases, losing access to the network also means losing access to phones and email. … of Cyberattacks
Cyber attackers gain access to healthcare systems through tactics like phishing , … https://aspr.hhs.gov/cyber/Documents/Health-Care-Sector-Cybersecurity-Dec2023-508.pdf
3. … April 6, 2016
Comparison of health care worker satisfaction before vs after implementation … Care Providers
Health Care Executives and Administrators
Information Professionals
Policy Makers
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psnet.ahrq.gov/perspective/emergence-application-based-healthcare
August 05, 2022 - access to many types of healthcare apps, which hold promise for increasing access to care. … 16 and to explore technology loaner programs 17 that may bridge the technology access gap. … So, I think now is a good time for mobile applications, and as a healthcare system, we are ready to make … , we need to find more thoughtful ways to provide better access to data and Wi-Fi connections in our … Care Providers
Quality and Safety Professionals
Patients
Family Members and Caregivers
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psnet.ahrq.gov/issue/maternity-pre-arrival-instructions-999-call-handlers
February 16, 2022 - Farnborough, UK: Healthcare Safety Investigation Branch; February 2022. … This investigation explores how computerized decision support system access played a roles in an emergency … Farnborough, UK: Healthcare Safety Investigation Branch; February 2022. … February 16, 2022
Access to Clinical Information at the Bedside. … Care Providers
Health Care Executives and Administrators
Allied Health Services
Emergency Medicine
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psnet.ahrq.gov/issue/impact-critical-incidents-nurses-and-midwives-systematic-review
May 11, 2022 - system. … Related Resources From the Same Author(s)
Moving on after critical incidents in health … care: a qualitative study of the perspectives and experiences of second victims
May 11, 2022 … October 14, 2020
Impact of providing patients access to electronic health records on … July 21, 2021
The second victim phenomenon in health care: a literature review.