- 
                                        
psnet.ahrq.gov/issue/health-information-exchange-emergency-medicine
October 07, 2013 - Insufficient access to patient information in the  emergency department  can result in patient harm. … This commentary explores  health information exchange systems , which provide clinicians with access … August 2, 2015 
 
 
 
 
 
 
 
 Enabling a learning healthcare system with automated computer protocols … August 10, 2010 
 
 
 
 
 
 
 
 Seroprevalence of SARS-CoV-2 among frontline health care personnel in … Care Executives and Administrators 
  Information Professionals 
  Emergency Medicine 
  Discontinuities
                                     
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psnet.ahrq.gov/issue/safety-management-systems-introduction-healthcare
February 14, 2024 - Book/Report 
 
 
 
 
 
 
 
 
 
 Safety Management Systems - an Introduction for Healthcare. … Citation Text: 
 Safety Management Systems - an Introduction for Healthcare. … management  systems (SMS) are employed in  many high-risk industries , yet are not fully adopted in health … care. … August 5, 2020 
 
 
 
 
 
 
 
 Access to Clinical Information at the Bedside.
                                     
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psnet.ahrq.gov/issue/isqua-networks
January 29, 2021 - International Society for Quality in Health Care. … This Web site provides access to communities of practice, online learning activities, and discussions … International Society for Quality in Health Care. … December 14, 2005 
 
 
 
 
 
 View More 
 
 
 
 
 
 See More About The Topic 
 
    Health Care Providers … Health Care Executives and Administrators 
  Educators 
  Media 
  Quality Improvement Strategies
                                     
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psnet.ahrq.gov/node/865418/psn-pdf
March 27, 2024 - Therefore, losing access to IT systems and to the data contained
in these systems has dire consequences … of Cyberattacks
Cyber attackers gain access to healthcare systems through tactics like phishing, which … https://psnet.ahrq.gov//#_edn1
https://psnet.ahrq.gov/issue/cybersecurity-patient-safety-policy-options-health-care-sector … https://aspr.hhs.gov/cyber/Documents/Health-Care-Sector-Cybersecurity-Dec2023-508.pdf
3. … ://psnet.ahrq.gov//#_ednref2
https://aspr.hhs.gov/cyber/Documents/Health-Care-Sector-Cybersecurity-Dec2023
                                     
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psnet.ahrq.gov/issue/using-telehealth-improve-quality-and-safety-findings-ahrq-portfolio
May 07, 2014 - Rockville, MD: Agency for Healthcare Research and Quality; December 2008. … Rockville, MD: Agency for Healthcare Research and Quality; December 2008. … Telehealth is a rapidly expanding approach of adopting technology to deliver health care services and … information that  improves  the quality,  safety , access, efficiency, and costs of care.  … December 10, 2008 
 
 
 
 
 
 View More 
 
 
 
 
 
 See More About The Topic 
 
    Health Care Executives
                                     
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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/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/patient-and-family-reporting-system-perceived-ambulatory-note-mistakes-experience-3-us
June 06, 2018 - A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcare … OpenNotes  enables patients and their designated  caregivers  to access medical records and provider … Research has shown that this access may have the potential to improve  medication adherence  and patient … 2014 
 
 
 
 
 
 View More 
 
 
 
 
 
 See More About The Topic 
 
    Ambulatory Clinic or Office 
  Health … Care Providers 
  Information Professionals 
  Medicine 
  Active Errors 
 
 
 
 View More
                                     
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psnet.ahrq.gov/issue/improving-diagnosis-medicine-act-2022
December 21, 2022 - System Action Alliance for Patient and Workforce Safety. … March 25, 2020 
 
 
 
 
 
 
 
 Communication and Resolution After an Adverse Health Care Incident. … December 27, 2018 
 
 
 
 
 
 
 
 Veterans' Access to Care through Choice, Accountability, and Transparency … View More 
 
 
 
 
 
 See More About The Topic 
 
    Researchers 
  General Public 
  Health … Care Executives and Administrators 
  Policy Makers 
  Medicine 
 
 
 
 View More
                                     
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psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
October 04, 2023 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … If adequate peripheral intravenous access cannot be obtained prior to the start of a pediatric intracranial … catheters or central access.  … June 14, 2017 
 
 
 
 
 
 
 
 Vital signs: epidemiology of sepsis: prevalence of health care factors
                                     
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psnet.ahrq.gov/node/866966/psn-pdf
October 16, 2024 - Rural Healthcare: A Call to
Action.
October 16, 2024
Ali KJ, Galvez NJ, Craig S, et al. … Rural Healthcare: A Call To Action. … Rockville, MD: Agency for Healthcare Research and Quality; September 2024. … Rural patients and families can face a variety of challenges to receiving effective health care. … The authors specifically
discuss care coordination, socioeconomic factors, and access to specialty care
                                     
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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/node/36079/psn-pdf
July 05, 2006 - Constitutional arguments in favor of modifying the HCQIA
to allow the dissemination of physician information … to
healthcare consumers. … constitutional-arguments-favor-modifying-hcqia-allow-dissemination-physician-
information
The author presents a legal discussion on public access … to physician information, arguing that Congress
should allow consumers to access certain information … while still protecting error information in order to
promote error reporting.
                                     
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psnet.ahrq.gov/node/50696/psn-pdf
November 27, 2019 - The patient was taken to the Vascular
Access Unit for a fistulogram and was given 100 mcg fentanyl and … three to seven times each week.2 All three types of vascular access for
hemodialysis — arteriovenous … Approach to Improving Patient Safety
While vascular access procedures remain extremely common and are … Task Force on Central Venous Access. … [go to PubMed]
 
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
                                     
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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - To mitigate this risk, there have been increasing efforts to expand access to naloxone, an opioid antagonist … decrease overdose deaths. 3  Prescribers and pharmacists play important roles in increasing access to … One strategy to aid healthcare professionals in achieving important clinical interventions is to use  … Healthcare systems and providers should use multi-layered education to inform patients about appropriate … naloxone use. 14,15   
 
 
 Individual providers and healthcare systems need to do a better job of identifying
                                     
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psnet.ahrq.gov/node/60790/psn-pdf
February 23, 2022 - oral health care (e.g., fluoride treatment and
sealants) and to identify oral manifestations of systemic … underserved populations at high risk of unmet oral health care needs; about 6.4 million US residents … World Health Organization (WHO) “advises
that routine non-urgent oral health care… be delayed until … Associated of
Health Care Journalists. March 24, 2020. Accessed October 2021. [Free full text]
4. … telehealth
https://www.ada.org/about/press-releases/2020-archives/statement-on-dentistry-as-essential-health-care
                                     
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psnet.ahrq.gov/issue/assessment-overuse-medical-tests-and-treatments-us-hospitals-using-medicare-claims
August 11, 2021 - Overtreatment and  overuse  of healthcare services have been identified as potential sources of patient … September 15, 2021 
 
 
 
 
 
 
 
 Personal formularies of primary care physicians across 4 health care … systems. … December 2, 2020 
 
 
 
 
 
 
 
 Program access, depressive symptoms, and medical errors among resident … View More 
 
 
 
 
 
 Related Resources 
 
 
 
 
 
 
 Cognitive biases and moral characteristics of healthcare
                                     
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psnet.ahrq.gov/issue/reducing-unnecessary-hospital-readmissions-role-patient-safety-organization-pso
December 24, 2008 - Patient safety organizations  (PSO) present a unique opportunity for informing health care safety improvement … The site provides access to a variety of PSO and other resources to help organizations reduce  readmissions … April 27, 2011 
 
 
 
 
 
 
 
 Health-Care-Associated Infections in Hospitals: An Overview of State Reporting … June 7, 2008 
 
 
 
 
 
 View More 
 
 
 
 
 
 See More About The Topic 
 
    Hospitals 
  Health Care … Providers 
  Health Care Executives and Administrators 
  Quality and Safety Professionals 
  General
                                     
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psnet.ahrq.gov/node/38282/psn-pdf
December 17, 2008 - December 17, 2008
Kaiser Family Foundation, Agency for Healthcare Research and Quality. … issue/2008-update-consumers-views-patient-safety-and-quality-information
Consumers' perceptions of health … care quality and access to information about quality have changed little
since the 2006 version of … 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
                                     
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psnet.ahrq.gov/node/49600/psn-pdf
April 01, 2010 - inappropriate medication use or patient harm while the medication is in the control of
the health care … 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.