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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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 Related Resources 
 
 
 
 
 
 
 FDA alerts health care
                                     
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psnet.ahrq.gov/node/33588/psn-pdf
March 15, 2025 - at
which damage from errors and adverse events occur: the patient, clinicians, and health care organizations … Scott and colleagues define second victims as health care providers who are involved in an unanticipated … https://psnet.ahrq.gov/issue/health-care-professionals-second-victims-after-adverse-events-systematic-review … Qual Saf Health Care. 2009;18:325-330. … The University of
Missouri Health Care system developed a three-tiered support program deployed by an
                                     
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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/issue/do-no-harm-and-most-good-ai-health-care
March 19, 2019 - Commentary 
 
 
 
 
 
 
 
 
 
 To do no harm - and the most good - with AI in health care. … To do no harm - and the most good - with AI in health care. … To do no harm - and the most good - with AI in health care. … November 21, 2021 
 
 
 
 
 
 
 
 Enabling a learning healthcare system with automated computer protocols … October 30, 2023 
 
 
 
 
 
 
 
 Fragmented: A Doctor's Quest to Piece Together American Health Care.
                                     
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psnet.ahrq.gov/node/866993/psn-pdf
October 30, 2024 - have
access to syringes. … Elizabeth Salisbury-Afshar:  There is absolutely stigma in health care against people who use
substances … We live in a society where health care
is mostly paid for by employers, so some folks are nervous to … Past negative experiences in health care make people very hesitant to go
back.  … Sometimes that
means taking health care out of the clinic, and sometimes it means bringing harm reduction
                                     
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psnet.ahrq.gov/node/43577/psn-pdf
October 01, 2014 - The State of VA Health Care. … https://psnet.ahrq.gov/issue/state-va-health-care
In this hearing Veterans Affairs leadership provide … become normalized, and outline actions being
taken to address weaknesses in processes and access to … https://psnet.ahrq.gov/issue/state-va-health-care
https://psnet.ahrq.gov/issue/review-alleged-patient-deaths-patient-wait-times-and-scheduling-practices-phoenix-va-health … https://psnet.ahrq.gov/issue/normalization-deviance-healthcare-delivery
                                     
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psnet.ahrq.gov/issue/science-implementation-ahrqs-program-prevent-hais-results-and-lessons
May 06, 2015 - This  companion  issue covers research findings by an AHRQ program to reduce health care–associated infections … April 2, 2014 
 
 
 
 
 
 
 
 A Compendium of Strategies to Prevent Healthcare-Associated Infections … catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access … September 1, 2014 
 
 
 
 
 
 
 
 Nurse staffing, burnout, and health care-associated infection. … July 2, 2009 
 
 
 
 
 
 View More 
 
 
 
 
 
 See More About The Topic 
 
    Hospitals 
  Health Care
                                     
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psnet.ahrq.gov/node/72683/psn-pdf
January 27, 2021 - analysis-patient-safety-risk-management-call-data-during-covid-19-pandemic
The COVID-19 pandemic has disrupted healthcare … delivery.  … This study reviewed data from a large medical
professional liability company to explore guidance sought … Providers’ questions and concerns primarily involved operations (e.g., access
to personal protective … analysis-patient-safety-risk-management-call-data-during-covid-19-pandemic
https://psnet.ahrq.gov/issue/coronavirus-pandemics-wider-health-care-crisis
                                     
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psnet.ahrq.gov/node/49716/psn-pdf
August 21, 2014 - can be difficult, and many patients have
died over the years because of inability to achieve access … The complication rate associated with IO use is small and comparable to IV access. … in various health care settings: a
consensus paper. … Alternative methods to vascular access in the emergency
department. Ann Emerg Med. 2011;58:402. … /pubmed/21943586
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
                                     
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psnet.ahrq.gov/web-mm/surprise-wire
July 15, 2020 - Root cause analyses of sentinel events reported to the Joint Commission on Accreditation of Healthcare … access devices (VAD), we developed a web-based VAD safety courseware (UCSF Venous Access Interdisciplinary … at any time and from any computer with internet access. … These safety problems led to improved venous access policies, practices, systems, and competencies, all … Committee on Quality of Health Care in America, Institute of Medicine.
                                     
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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/sites/default/files/2021-11/spotlight_integration_and_coordination_of_disesase_treatment_and_palliative_care_final.pdf
January 01, 2021 - (4)
• All healthcare systems should make efforts to understand and re-
engage LTFU patients, as LTFU … , more likely to experience negative palliative care 
outcomes, and often have greater healthcare spending … care. … Health Literacy and Access to Care. J Health Commun. 2016;21 Suppl 1(Suppl):43-50. … The health care cost of palliative care for cancer patients: a systematic review.
                                     
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psnet.ahrq.gov/node/866217/psn-pdf
July 10, 2024 - Amy Helwig: Health plans, like all other stakeholders in health care, are invested in the best care and … However, we do have access to claims data across time and health
systems. … Another example is access to care. … encourage
members to contact a triage nurse to help determine the best place to access care, for example … Hearing directly from consumers themselves and their own lived experiences in the healthcare system will
                                     
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psnet.ahrq.gov/web-mm/falling-between-cracks-software
March 09, 2011 - that standard consistently across the diverse electronic systems in our health care system. … What's notable about the case described is that it takes place within one health care delivery system … for the electronic exchange of health information to improve the quality of health care, such as promoting … The value of health care information exchange and interoperability. Health Aff. 2005:W5-10-W5-18. … Can electronic medical record systems transform health care?
                                     
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psnet.ahrq.gov/issue/emergency-physicians-views-direct-notification-laboratory-and-radiology-results-patients
March 23, 2012 - The majority of physicians expressed discomfort with patients having direct access to test results, mainly … More physicians supported providing patients with direct access to normal test results than abnormal … A previous AHRQ WebM&M  interview  with Dave deBronkart discussed allowing patients to access their medical … 7, 2015 
 
 
 
 
 
 View More 
 
 
 
 
 
 See More About The Topic 
 
    Emergency Departments 
  Health … Care Executives and Administrators 
  Information Professionals 
  Emergency Medicine 
  Radiology
                                     
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psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
October 01, 2016 - get direct access to EHR database. … Complex Health Care Data Requires Multidisciplinary Teams to Understand 
 Once I had direct access to … the health care domain, which requires collaboration with multiple health care professionals. … care–associated infections, for both patients and health care workers. … But if you're trying to understand what's happening over time in our health care system or understand
                                     
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psnet.ahrq.gov/node/856639/psn-pdf
November 29, 2023 - https://psnet.ahrq.gov/issue/impact-wellbeing
Clinician burnout has become a major concern for both healthcare … This portal
provides access to tools to support organizational efforts to address the latent factors … contributing to
burnout such as well-being assessments and mental health access for clinicians improvement
                                     
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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/patient-safety-improvement-act-2020
February 12, 2020 - health care-associated infection control efforts,  pediatric safety  initiatives, care transitions, … August 13, 2008 
 
 
 
 
 
 
 
 Veterans' Access to Care through Choice, Accountability, and Transparency … November 16, 2022 
 
 
 
 
 
 
 
 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care … February 12, 2020 
 
 
 
 
 
 
 
 Veterans' Access to Care through Choice, Accountability, and Transparency … February 3, 2016 
 
 
 
 
 
 
 
 Health-Care-Associated Infections in Hospitals: An Overview of State
                                     
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psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
March 28, 2023 - 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 … the current tools we have in our healthcare system. … , transitions of care, and access to care. … system.