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psnet.ahrq.gov/curated-library/diagnostic-safety-improvement
November 03, 2025 - Diagnostic improvement continues to gain focus as a goal in health care. … Trigger tools are frequently used in health care to detect adverse events.... … system. … Diagnostic improvement continues to gain focus as a goal in health care. … Trigger tools are frequently used in health care to detect adverse events.
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psnet.ahrq.gov/web-mm/discharged-blindly
October 26, 2022 - Blindness and low vision affect health care quality and access in many specific ways.( 2,3 ) In 2001, … More than Ramps: A Guide to Improving Health Care Quality and Access for People with Disabilities. … Improving health care experiences of persons who are blind or low vision: suggestions from focus groups … ADA Checklist: Health Care Facilities and Service Providers. … March 19, 2014
Improving health care quality and safety for people with disabilities:
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psnet.ahrq.gov/node/850342/psn-pdf
June 14, 2023 - /eliminating-central-line-associated-bloodstream-infections-pediatric-oncology-
patients
Reducing healthcare-associated … for CLABSI, leadership safety rounds, partnership with the vascular
access team, and hospital-acquired … condition (HAC) rounding cards to prompt discussions on central line
functionality. … eliminating-central-line-associated-bloodstream-infections-pediatric-oncology-patients
https://psnet.ahrq.gov/primer/health-care-associated-infections … https://psnet.ahrq.gov/issue/national-and-state-healthcare-associated-infections-progress-report
https
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psnet.ahrq.gov/node/73898/psn-pdf
September 29, 2021 - September 29, 2021
Farnborough, UK: Healthcare Safety Investigation Branch; September 9, 2021. … Health Service incident examinations and provides
recommendations for improvement on themes related to … care transitions and access, decision making,
communication, and point-of-care activity. … investigations
https://psnet.ahrq.gov/issue/safety-investigations-across-pond-deep-learning-englands-healthcare-safety-investigation
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-hhs-guidance-regarding-patient-safety-work
December 24, 2008 - Agency for Healthcare Research and Quality. Fed Regist. 2016;81(100);32655-32660. … May 19, 2021
Request for Information: Creating a National Healthcare System Action Alliance … November 30, 2016
Medicare and Medicaid Programs; Hospital and Critical Access Hospital … Medicaid program; payment adjustment for provider-preventable conditions including health … care–acquired conditions.
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psnet.ahrq.gov/node/73104/psn-pdf
January 04, 2021 - procedures.3 The purpose was twofold: to
reduce the burden on overwhelmed healthcare systems through … available and have trust in the
healthcare system. … potential for burnout and human error.29
https://psnet.ahrq.gov//#20
https://psnet.ahrq.gov/perspective/health-care-delivery-and-pharmacists-during-covid … pandemic-national-survey-academic-medical-centers
https://psnet.ahrq.gov/issue/blueprint-restructuring-department-surgery-concert-health-care-system-during-pandemic … Facilitate Health Care Worker Disclosure of Exposure to COVID-19
Checklist to Facilitate Patient and
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psnet.ahrq.gov/node/73414/psn-pdf
June 23, 2021 - Promoting the psychological well-being of healthcare
providers facing the burden of adverse events: … Promoting the psychological well-being of healthcare providers
facing the burden of adverse events: … https://psnet.ahrq.gov/issue/promoting-psychological-well-being-healthcare-providers-facing-burden- … Clinicians involved in unexpected patient outcomes can experience negative emotions and frequently need
access … to second victim support programs.
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psnet.ahrq.gov/node/50586/psn-pdf
October 23, 2019 - Rockville, MD: Agency
for Healthcare Research and Quality. … ahrq-health-information-technology-research-2018-year-review
A myriad of efforts have been undertaken to … This report
highlights 141 AHRQ-funded projects focused on understanding how health care information … technology
can address clinician needs, support decision making, and increase patient access to?
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psnet.ahrq.gov/node/46372/psn-pdf
September 13, 2017 - Impact of a successful speaking up program on health-
care worker hand hygiene behavior. … https://psnet.ahrq.gov/issue/impact-successful-speaking-program-health-care-worker-hand-hygiene-
behavior … Improving hand hygiene in health care facilities is a long-standing patient safety goal that has been … The project used leadership engagement, provided staff education, and
enhanced access to supplies. … https://psnet.ahrq.gov/issue/impact-successful-speaking-program-health-care-worker-hand-hygiene-behavior
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psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
October 01, 2007 - care settings. … crisis and called upon policy and community leaders, researchers, and health care systems to act to … [go to PubMed] 20. Zero Suicide in Health and Behavioral Health Care. [Available at] 21. … Joint Commission SEA 56 Recommendations for All Health Care Settings.( 5 ) 1. … Care Providers
Primary Care
Mental Health Care (Psychiatry and Clinical Psychology)
Psychological
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psnet.ahrq.gov/node/45423/psn-pdf
September 27, 2016 - Lost in translation: impact of language barriers on
children's healthcare. … Lost in translation: impact of language barriers on children's healthcare. … https://psnet.ahrq.gov/issue/lost-translation-impact-language-barriers-childrens-healthcare
Language … barriers can contribute to miscommunications that diminish patient safety. … language assistance and to
provide prompt access to qualified interpreters.
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psnet.ahrq.gov/node/73112/psn-pdf
April 07, 2021 - smartphone-distraction-during-nursing-care-systematic-literature-review
Smartphones have become ubiquitous among healthcare … This review explored positive (improved performance; access to information about medications)
and negative … Healthcare workplaces should implement policies to restrict when and where smartphones can be used for
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psnet.ahrq.gov/node/72563/psn-pdf
December 07, 2020 - in
implementing antibiotic stewardship in outpatient healthcare settings. … Another big barrier is that dentists, in general, do not have access to
your healthcare data. … In general, dental practices also do not
have access to a comprehensive electronic medical history. … KD: Do dentists have the same access to prescription drug monitoring program as clinicians? … KS: Yes, in theory dentists have access to all 49 state-supported prescription drug monitoring programs
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psnet.ahrq.gov/node/50585/psn-pdf
October 30, 2019 - October 30, 2019
Agency for Healthcare Research and Quality. October 30, 2019. … Hospital SOPS survey, which has been used by hundreds of hospitals in the U.S. and overseas, allows
healthcare … providers and staff to assess a hospital’s patient safety culture. … Speakers at the webinar
discussed what’s different and what to expect when transitioning to the revised … Access the SOPS
Hospital Survey 2.0, including a user’s guide, as well as results from a 2019 Pilot
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psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
December 07, 2020 - When I was a post-doctoral fellow, I had access to a dataset from a pharmacy benefits manager group that … Another big barrier is that dentists, in general, do not have access to your healthcare data. … In general, dental practices also do not have access to a comprehensive electronic medical history. … KD : Do dentists have the same access to prescription drug monitoring program as clinicians? … Further, dentists’ access to other aspects of the patient medical record can vary greatly.
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psnet.ahrq.gov/node/49754/psn-pdf
February 01, 2016 - the prolific growth in the use of peripherally inserted central catheters (PICCs) in
United States health … care.(1,2) A recent survey of infection preventionists found that more than 60% of
hospitals now have … J Vasc Access. 2015;16:167-177. [go to PubMed]
6. … J Vasc Access. 2015;16:137-143. [go to PubMed]
25. … [go to PubMed]
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
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psnet.ahrq.gov/node/33902/psn-pdf
December 22, 2014 - December 22, 2014
Agency for Healthcare Research and Quality. 1998-2018. … psnet.ahrq.gov/issue/national-quality-measures-clearinghouse-nqmc
This web-accessible database provided access … The mission of the National Quality Measures Clearinghouse (NQMC) was to provide practitioners, health … care providers, health plans, integrated delivery systems, purchasers, and others an accessible mechanism … ,
and use in order to inform health care decisions.
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psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
April 27, 2022 - Increasing Naloxone Access and Use
In addition to targeting opioid overprescribing, increasing access … dispense naloxone, secret shoppers were unable to access naloxone in nearly one-third of the pharmacies … and facilitate access to naloxone . … More About The Topic
Researchers
Hospital Pharmacists
Hospitals
Ambulatory Care
Health … Care Providers
View More
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psnet.ahrq.gov/issue/tired-doctor-safe-doctor
August 24, 2022 - Panelists discuss sleep deprivation in health care, the influence of hierarchy and peer behaviors in … to detract from residents' competency. … Related Resources From the Same Author(s)
A state-of-the-art review of speaking up in healthcare … June 29, 2022
Broken, fragmented health-care system failed daughter who died by suicide … October 21, 2020
Breast cancer treatment delays by socioeconomic and health care access
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psnet.ahrq.gov/node/855103/psn-pdf
November 08, 2023 - https://psnet.ahrq.gov/issue/adverse-events-0
Large-scale data analysis provides insights to generate … This
collection of reports provides access to investigations of the impact of healthcare-related harm … https://psnet.ahrq.gov/issue/adverse-events-0
https://psnet.ahrq.gov/issue/making-healthcare-safer-iv-continuous-updating-patient-safety-harms-and-practices