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psnet.ahrq.gov/perspective/safety-retail-pharmacy
May 11, 2016 - the exception of community pharmacies affiliated with integrated health care systems, almost all community … This is inconsistent with the recommendation for health care organizations to improve patient safety … their colleagues who have studied safety in other health care settings such as intensive care units, … Similar to findings related to technology implementation in other health care settings, a work system … [go to PubMed]
16. Priority Areas for National Action: Transforming Health Care Quality, 2003.
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psnet.ahrq.gov/node/47966/psn-pdf
May 29, 2019 - May 29, 2019
Boston, MA: Institute for Healthcare Improvement; 2019. … https://psnet.ahrq.gov/issue/patient-safety-essentials-toolkit
This toolkit provides access to nine … key tools to help organizations improve teamwork, incident analysis,
and communication as well as templates … to support their use and instructions to begin associated
processes. … psnet.ahrq.gov/issue/situation-background-assessment-recommendation-sbar-communication-tool-handoff-health-care
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psnet.ahrq.gov/node/39835/psn-pdf
December 27, 2018 - Advancement toward High Reliability in Healthcare
Awards. … Patient Safety Program; DoD PSP; DoD
https://psnet.ahrq.gov/issue/advancement-toward-high-reliability-healthcare-awards … award recognizes outstanding high reliability improvement work in the Military Health System related
to … themes of healthcare quality, patient safety, improved access, and patient engagement. … https://psnet.ahrq.gov/issue/advancement-toward-high-reliability-healthcare-awards
https://psnet.ahrq.gov
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psnet.ahrq.gov/web-mm/electronic-err
April 01, 2014 - The hospital was able to access the electronic health record (EHR) of the large multi-specialty clinic … for instant access to information, something that cannot be replicated in the paper world. … When implementing EHR tools to improve access to and management of clinical information, it is important … Some unintended consequences of information technology in health care: the nature of patient care information … care.
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psnet.ahrq.gov/issue/tempos-management-primary-care-key-factor-classifying-adverse-events-and-improving-quality
March 15, 2017 - office tempo (including the availability of clinicians and test results ), system tempo (such as access … to specialists or emergency services), and access to knowledge . … January 24, 2018
Embracing multiple aims in healthcare improvement and innovation. … March 23, 2022
Five system barriers to achieving ultrasafe health care. … , and complex to prevent.
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psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
August 01, 2012 - promote improvements in health care and not proprietary interests of a commercial interest. … various techniques available to place long-term gastric access devices. … and the means to establish enteral access are driven by patient factors such as anatomy and specific … Health care providers and care teams should be aware of basic strategies to recognize and handle PEG … Area of Focus: Improving Health Care Quality. 2006.
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psnet.ahrq.gov/perspective/patient-safety-home-dialysis
April 28, 2021 - Morfín serves as the Medical Director for Satellite Health Care and as a member of the Medical Advisory … 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
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psnet.ahrq.gov/node/866903/psn-pdf
October 09, 2024 - A qualitative exploration of
the perspectives of service users, carers, and healthcare
providers in … A qualitative exploration of the perspectives of service users, carers, and
healthcare providers in … care receives less research attention than other care types and locations. … In this study, people who have used community-based mental health care, carers, and providers shared … Four themes were uncovered: (1) systemic
challenges, such as access to care; (2) managing risks to patients
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psnet.ahrq.gov/node/45006/psn-pdf
April 06, 2016 - April 6, 2016
Agency for Healthcare Research and Quality. … has provided access to patient safety research,
information, and tools for nearly two decades. … https://psnet.ahrq.gov/issue/quality-and-patient-safety
https://psnet.ahrq.gov/issue/making-health-care-safer-ii-updated-critical-analysis-evidence-patient-safety-practices … assessment-national-patient-safety-initiative-context-and-baseline-evaluation-report-1
https://psnet.ahrq.gov/issue/improving-diagnosis-health-care … https://psnet.ahrq.gov/issue/improving-diagnosis-health-care
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psnet.ahrq.gov/issue/common-formats-event-reporting-diagnostic-safety-version-10
December 24, 2008 -
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Download PDF … The Common Formats provide a standard terminology for voluntary reporting of diagnostic errors to … This website provides access to tools supporting use of the Common Formats that include forms and a users … Available at
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Share … March 23, 2022
Digital Healthcare Research.
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psnet.ahrq.gov/issue/massachusetts-coalition-prevention-medical-errors
February 05, 2014 - This website provides access to Coalition publications, educational opportunities, policy documents, … and tools for health care professionals to target specific safety areas. … November 29, 2012
A Crisis in Health Care: A Call to Action on Physician Burnout. … March 6, 2005
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Health Care Providers … Health Care Executives and Administrators
Quality Improvement Strategies
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - Appreciate the risks of using mobile devices in health care settings. … The potential benefits of mobile devices in health care are many. … We are also investigating the possibility of providing mobile devices to health care workers that can … [go to PubMed] Table Table. Mobile Applications in Health Care. … Care Providers
Health Care Executives and Administrators
Gynecology
Cardiology
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psnet.ahrq.gov/Webmm/submit-case-info
August 10, 2025 - Health care providers may anonymously submit de-identified cases that highlight medical errors or other … Disclaimer |
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psnet.ahrq.gov/node/49422/psn-pdf
November 01, 2003 - Caregiver knowledge and access to patient and drug information is often inadequate to
accurately and … The uncontrolled access is
provided by either failing to have the device interfaced with the pharmacy … provide a method for caregivers to gain access to medications quickly in an emergency. … Making health care safer: a critical analysis of patient safety practices. … Automated Dispensing Device With Individually Locked Cubicles to Control Access to
Medications.
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psnet.ahrq.gov/node/49438/psn-pdf
March 05, 2004 - this case are the Joint Commission on Accreditation of Healthcare
Organizations' (JCAHO) regulations … Limit access to remote video image review using authorization card swipe access and restricted
viewing … Joint Commission on Accreditation of Healthcare Organizations. … Qual Saf Health Care. 2003;12 Suppl 2:ii51-7.[ go to PubMed ]
5. Xiao Y, Lasome C, Moss, et al. … 0:48
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This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
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psnet.ahrq.gov/node/49677/psn-pdf
February 01, 2013 - Central venous catheter (CVC) placement is one of the most common medical procedures performed in
health … care today. … However, as recently as April 2012 no more than 50% of
participants either have easy access to, or are … Most commonly cited barriers to more widespread ultrasound use include lack of easy access to an
ultrasound … Making Health Care Safer: a Critical Analysis of Patient Safety Practices: Summary.
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psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - HHS Secretary Xavier Becerra has asked healthcare systems to recommit to patient safety through the … Initiatives such as the RISE to Health: National Coalition for Equity in Health Care bring together … tool and high reliability principles to make healthcare systems more impermeable to disruptions. … the emergence of disruptive entries into the health care arena such as retail and technology giants, … Care Providers
Health Care Executives and Administrators
Non-Health Care Professionals
Patient
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psnet.ahrq.gov/node/33913/psn-pdf
December 22, 2014 - December 22, 2014
Agency for Healthcare Research and Quality
https://psnet.ahrq.gov/issue/hcupnet … It is part of the
Healthcare Cost and Utilization Project (HCUP). … With HCUPnet, users gain easy access to all national and
selected state statistics about hospital admissions … https://psnet.ahrq.gov/issue/hcupnet
https://psnet.ahrq.gov/issue/healthcare-cost-and-utilization-project-hcup
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psnet.ahrq.gov/issue/some-troops-powerful-drug-cocktails-have-deadly-results
August 13, 2008 - August 13, 2008
Influencing the Quality, Risk and Safety Movement in Healthcare: In Conversation … High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare … Health Care System: Recommendations and Promising Practices. … June 21, 2017
Windows into Safety and Quality in Health Care 2008. … April 2, 2014
Early access to a neurologist reduces the rate of missed diagnosis in young
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psnet.ahrq.gov/node/50929/psn-pdf
February 26, 2020 - promote improvements in health care and
not proprietary interests of a commercial interest. … The patient or caregiver also needs to maintain the IV access site by flushing the line
with normal … Discharge planners are valuable members of the healthcare team, and their
involvement in the discharge … OPAT patients must have access to their care team 24-7, because they may experience catheter-
related … An OPAT program can save health care dollars through early discharge from the hospital and allow
patients