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psnet.ahrq.gov/node/49653/psn-pdf
May 01, 2012 - Access to central blood vessels for administration of life-saving therapies and measuring hemodynamics … consequences of
central line access. … Health care workers spend considerable time and energy
trying to bridge such gaps, better system design … query health care personnel daily about the need for the line. … Guidelines on the insertion and management of central
venous access devices in adults.
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psnet.ahrq.gov/issue/improving-diagnosis-medicine-act-2020
September 10, 2009 - enhance agency cooperation and coordination to improve diagnosis in health care by addressing systemic … December 16, 2020
Hospital- and system-wide interventions for health care-associated … September 16, 2020
Making communication and resolution programmes mission critical in healthcare … Related Resources
AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare … March 25, 2020
Veterans' Access to Care through Choice, Accountability, and Transparency
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psnet.ahrq.gov/node/50769/psn-pdf
February 15, 2017 - diverse
values, beliefs and behaviors, including the tailoring of healthcare delivery to meet patients … access and work with interpreters. … successfully navigate the healthcare
system. … Integrating literacy, culture, and language to improve health care quality for
diverse populations. … [19] What is the Role of Cultural Brokers in Health Care Delivery? nccc.georgetown.edu.
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psnet.ahrq.gov/node/47798/psn-pdf
February 20, 2019 - The authors, directors
of the Foundation for Healthcare Simulation Safety, call for heightened attention … to this emerging problem. … failure mode and effect analysis, labeling materials specifically for educational
use, and controlling access … to training materials as strategies to reduce the potential for simulation-related
equipment hazards … fake-and-expired-medications-simulation-based-education-underappreciated-risk-patient-safety
https://psnet.ahrq.gov/issue/augmenting-health-care-failure-modes-and-effects-analysis-simulation
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psnet.ahrq.gov/issue/national-quality-forum-30-safe-practices-priority-and-progress-iowa-hospitals
November 17, 2010 - system with automated computer protocols that produce replicable and personalized clinician actions. … dispensing and administration in critical access hospitals. … across Veterans Affairs healthcare settings. … May 17, 2006
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See More About The Topic
Hospitals
Health Care … Providers
Health Care Executives and Administrators
Non-Health Care Professionals
Medication
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psnet.ahrq.gov/node/49437/psn-pdf
March 01, 2004 - Due to poor
peripheral IV access, a central venous catheter (CVC) was inserted by the attending physician … implement these changes with the greatest chances of success, health care systems should: (i) make it … Gould, MD, MS Research Associate and Staff Physician, VA Palo Alto Health Care System
Assistant Professor … A sonographically guided technique for central venous
access. … number 75Q80119C00004 from the Agency for Healthcare
Research and Quality (AHRQ), U.S.
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psnet.ahrq.gov/web-mm/cups-error
January 12, 2011 - The situation exposes a fundamental tension in training: the decision to not allow students to access … care institutions will have to provide training and supervision to new graduates upon their employment … Health care providers in positions of authority (instructors, managers, supervisors, attending physicians … complete an incident report and go home to wonder whether she had the ability to succeed in a health … care profession.
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psnet.ahrq.gov/issue/bar-coded-medication-administration-bcma
December 24, 2008 - Agency for Healthcare Research and Quality; AHRQ. … Agency for Healthcare Research and Quality; AHRQ. … and administration in critical access hospitals. … September 1, 2008
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See More About The Topic
Hospitals
Health … Care Executives and Administrators
Information Professionals
General Internal Medicine
Hospital
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psnet.ahrq.gov/issue/clostridium-difficile-infection-united-states-national-study-assessing-preventive-practices
July 03, 2014 - Clostridium difficile infections are among the most serious health care–associated infections . … catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access … infections in 2020: a summary of data reported to the National Healthcare Safety Network. … infections in 2020: a summary of data reported to the National Healthcare Safety Network. … August 25, 2010
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See More About The Topic
Hospitals
Health
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psnet.ahrq.gov/node/74112/psn-pdf
April 14, 2017 - post-surgical
complications to diagnostic errors. … report describes ways structural racism perpetuates health inequity
(i.e. residential segregation, healthcare … quality and access, discriminatory incarceration) and provides
intersectoral examples of ways to address … structural racism to increase health equity. … https://psnet.ahrq.gov/issue/health-system-leaders-role-addressing-racism-time-prioritize-eliminating-health-care
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psnet.ahrq.gov/issue/saving-lives-saving-money-imperative-computerized-physician-order-entry-massachusetts
November 18, 2011 - Boston, MA: Massachusetts Technology Collaborative; New England Healthcare Institute; February 2008. … Care. … January 9, 2019
A Crisis in Health Care: A Call to Action on Physician Burnout. … speak up in healthcare settings. … September 14, 2022
Breast cancer treatment delays by socioeconomic and health care access
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psnet.ahrq.gov/node/44109/psn-pdf
November 06, 2015 - safer-clinical-systems
This Web site highlights the work of a United Kingdom initiative launched in 2008 to … apply safety
improvement tactics from high-risk industries to care services. … The program engages teams to identify
problems in care delivery, develop innovations, and then test … The site
provides access to project reports, overall guidance, and analysis of what was learned. … safer-clinical-systems-evaluation-findings
https://psnet.ahrq.gov/issue/what-expect-when-youre-evaluating-healthcare-improvement-concordat-approach-managing
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psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety
August 01, 2012 - Rockville, MD: Agency for Healthcare Research and Quality; July 2016. … October 23, 2019
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer … July 27, 2018
How PSOs Help Health Care Organizations Improve Patient Safety Culture. … December 27, 2014
Effect of critical access hospital conversion on patient safety. … March 4, 2011
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See More About The Topic
Hospitals
Health Care
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psnet.ahrq.gov/issue/bmj-quality-safety
October 11, 2016 - February 12, 2020
Impact of providing patients access to electronic health records on … July 8, 2020
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care … July 10, 2019
Simulation in Healthcare. … December 23, 2016
Patient Safety and Quality Healthcare. … November 7, 2012
View More
See More About The Topic
Health Care Providers
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psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned
December 01, 2014 - Health-care-associated infection in Africa: a systematic review. … APPS: Building Momentum for Safer Health Care. … Health care–associated infections
6. Health care worker protection
7. … RW : So are you saying that getting people into the health care system is such a challenge in certain … In terms of empowering patients, families, and communities to be more involved in their health care,
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psnet.ahrq.gov/node/45045/psn-pdf
May 25, 2016 - Developing and Testing the Health Care Safety Hotline: A
Prototype Consumer Reporting System for Patient … Rockville, MD: Agency for Healthcare Research and Quality;
May 2016. … This report describes the
development of one such program, the Health Care Safety Hotline. … understand why patients were more likely to
access reports than contribute to them and how to simplify … https://psnet.ahrq.gov/issue/missing-evidence-systematic-review-patients-experiences-adverse-events-health-care
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psnet.ahrq.gov/node/38347/psn-pdf
May 24, 2015 - Using Telehealth to Improve Quality and Safety: Findings
from the AHRQ Portfolio. … Rockville, MD:
Agency for Healthcare Research and Quality; December 2008. … using-telehealth-improve-quality-and-safety-findings-ahrq-portfolio
Telehealth is a rapidly expanding approach of adopting technology to … deliver health care services and
information that improves the quality, safety, access, efficiency, … report outlines AHRQ’s health information
technology portfolio, which funded a number of programs to
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psnet.ahrq.gov/node/49788/psn-pdf
March 01, 2017 - EHR use and adoption impacts how health care professionals care for their patients and communicate with … recommendations.(11-13)
The increase in pharmacists' access to patient-specific health care data using … Community pharmacists are among the
most accessible health care providers with whom patients interact … Monitoring and evaluation of medication therapy is a shared responsibility among all health care
professionals … Improving medication use through pharmacists' access to patient-
specific health care information.
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psnet.ahrq.gov/issue/patient-safety-and-managing-risk-nursing
March 27, 2017 - April 24, 2013
Safety and Ethics in Healthcare: A Guide to Getting it Right. … July 10, 2019
Safety First: a Report for Patients, Clinicians and Healthcare Managers … June 17, 2014
Resilient Health Care Series. … December 19, 2018
Patient Safety in Dialysis Access. … February 25, 2015
Healthcare Safety for Nursing Personnel: An Organizational Guide to
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psnet.ahrq.gov/node/47050/psn-pdf
April 18, 2018 - This website provides access to educational opportunities, research activities, and
collaboration mechanisms … to assist leaders in creating supportive, healthy environments for residents. … psnet.ahrq.gov/issue/clinical-learning-environment-review-cler-program
https://psnet.ahrq.gov/issue/healthcare-staff-wellbeing-burnout-and-patient-safety-systematic-review