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psnet.ahrq.gov/issue/diagnostic-errors-and-strategies-minimize-them
December 16, 2015 - Curr Probl Pediatr Adolesc Health Care. 2013;43:225-257. … Curr Probl Pediatr Adolesc Health Care . 2013;43:225-257.   … Curr Probl Pediatr Adolesc Health Care. 2013;43:225-257. … September 9, 2020 
 
 
 
 
 
 
 
 Breast cancer treatment delays by socioeconomic and health care access … system.
                                     
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psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
February 01, 2004 - Partly because of the challenges above, health care systems may provide diagnostic test results directly … The standard of care requires one to utilize the means that a reasonably careful health care provider … patient and prevent harm, some suggestions can still be offered to clinicians and health care organizations … Health care organizations can do the same. … Qual Saf Health Care. 2008;17:194-200.  [go to PubMed]   6.
                                     
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psnet.ahrq.gov/perspective/conversation-jose-morfin-md-fasn
April 28, 2021 - In his professional role, he serves as the Medical Director for Satellite Health Care and as a member … One (HD) requires a fistula or a catheter to provide access to the blood vessels. … In addition, do they have access to the training? … access, how to protect the access, how to clean the access, how to maintain good hygiene, how to identify … Morfín serves as the Medical Director for Satellite Health Care and as a member of the Medical Advisory
                                     
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psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
August 30, 2023 - may have on the healthcare system, safety failure reporting, and the culture of safety in many healthcare … 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. … Care Providers 
  Health Care Executives and Administrators 
  Non-Health Care Professionals 
  Psychological
                                     
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psnet.ahrq.gov/node/49487/psn-pdf
August 21, 2005 - 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 … These safety problems led to improved venous access policies, practices,
systems, and competencies, … Oakbrook Terrace, IL: Joint Commission on
Accreditation of Healthcare Organizations.
3. … Committee on Quality of Health Care in America, Institute of Medicine.
                                     
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psnet.ahrq.gov/node/35318/psn-pdf
September 20, 2024 - September 20, 2024
Agency for Healthcare Research and Quality
https://psnet.ahrq.gov/issue/ahrq-quality-indicators … The Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QIs) represent quality
measures … that make use of a hospital's available administrative data to inform improvement. … This Web site
provides access to six modules of indicators: prevention, inpatient, pediatric, patient … psnet.ahrq.gov/issue/ahrq-quality-indicators
https://psnet.ahrq.gov/issue/using-ahrq-quality-indicators-improve-health-care-quality
                                     
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psnet.ahrq.gov/issue/quality-and-patient-safety
December 24, 2008 - Agency for Healthcare Research and Quality. … The Agency for Healthcare Research and Quality has provided access to patient safety  research , information … Agency for Healthcare Research and Quality. … December 9, 2009 
 
 
 
 
 
 View More 
 
 
 
 
 
 See More About The Topic 
 
    Health Care Providers … Health Care Executives and Administrators 
  Technologic Approaches 
  Education and Training
                                     
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psnet.ahrq.gov/node/49767/psn-pdf
August 21, 2016 - that
standard consistently across the diverse electronic systems in our health care system. … state and based on the type
of information being shared.(5) Provider organizations and health care … 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 … Can electronic medical record systems transform health care?
                                     
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psnet.ahrq.gov/node/50756/psn-pdf
December 18, 2019 - 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/33872/psn-pdf
January 01, 2018 - care systems wishing to engage patients. … While patients are skilled at detecting
diagnostic errors and identifying health care system blind spots … A children's health care system shared its strategies for reducing safety events through
pediatric patient … into
health care systems that were not designed with patients at the center. … This will allow engaged patients to help health care systems identify
safety hazards, regain trust after
                                     
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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/issue/err-human-need-trauma-support-too
December 21, 2018 - Patient Safety Quality Healthcare. January/February 2005. … Patient Safety Quality Healthcare. January/February 2005. … Family participation during intensive care unit rounds: goals and expectations of parents and health … care providers in a tertiary pediatric intensive care unit. … November 23, 2016 
 
 
 
 
 
 
 
 Should patients get direct access to their laboratory test results?
                                     
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psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medications-tomah-va-medical-center-tomah
October 12, 2022 - Care System. … Care System in Arizona. … Care System in Las Vegas. … Care System in Las Vegas. … Care System.
                                     
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psnet.ahrq.gov/node/867395/psn-pdf
December 18, 2024 - AHRQ National Healthcare Safety Dashboard. … December 18, 2024
AHRQ National Healthcare Safety Dashboard. … https://psnet.ahrq.gov/issue/ahrq-national-healthcare-safety-dashboard
The AHRQ National Healthcare … Safety Dashboard is one approach to tracking progress in the United
States on patient and workforce … The site provides
centralized access to data from the AHRQ Patient Safety Indicators (PSIs), hospital
                                     
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psnet.ahrq.gov/issue/pediatric-diagnostic-safety-state-science-and-future-directions
August 16, 2023 - Rockville, MD: Agency for Healthcare Research and Quality; September 2023. … Rockville, MD: Agency for Healthcare Research and Quality; September 2023. … This issue brief discusses addressing obstacles associated with testing and care access limitations that … System: Current State and a Call to Action. … Making Healthcare Safer IV Series.
                                     
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psnet.ahrq.gov/issue/scientific-literature-coronaviruses-covid-19-and-its-associated-safety-related-research
January 26, 2022 - January 19, 2022 
 
 
 
 
 
 
 
 Near miss research in the healthcare system: a scoping review. … December 2, 2020 
 
 
 
 
 
 
 
 Hospital- and system-wide interventions for health care-associated infections … July 15, 2020 
 
 
 
 
 
 
 
 Global oncology pharmacy response to COVID-19 pandemic: medication access … 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/node/843084/psn-pdf
January 25, 2023 - other public health emergencies (PHE), such as the COVID-19 pandemic, can
dramatically change the delivery … of healthcare. … considerable research
examining the relationship between public health emergencies and disruptions to … personal medication
practices (e.g., self-altering medication regimens, access barriers, changing prescribing
                                     
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psnet.ahrq.gov/node/49679/psn-pdf
March 01, 2013 - potentially devastating
patient injury and secondary emotional trauma for the involved health care … 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/issue/burnout-and-its-relationship-self-reported-quality-patient-care-and-adverse-events-during
August 25, 2021 - Recommendations for decreasing burnout include access to  psychosocial  support and human factors approaches … patient engagement in patient safety from patients and healthcare professionals' perspectives: a systematic … August 25, 2021 
 
 
 
 
 
 
 
 Delayed access to care and late presentations in children during the … June 24, 2020 
 
 
 
 
 
 
 
 The work of nurses to provide good and safe services to children receiving … June 30, 2021 
 
 
 
 
 
 
 
 Determinants of burnout and other aspects of psychological well-being in healthcare
                                     
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psnet.ahrq.gov/node/837860/psn-pdf
August 17, 2022 - Alcoholism and American healthcare: the case for a
patient safety approach. … biases and stigma can negatively impact health care provided to patients with substance use
disorders … The authors cite barriers to
effective care for patients with AUD, including poor integration and coordination … between medical care and
behavioral health care in the United States. … provider-bias-prescribing-opioid-analgesics-study-electronic-medical-records-hospital
https://psnet.ahrq.gov/issue/stigma-and-healthcare-access-among-transgender-and-gender-diverse-people-qualitative-meta