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psnet.ahrq.gov/issue/preventable-hospitalizations-window-primary-and-preventive-care-2000
October 06, 2016 - This Fact Book examines a critical area of health care quality: potentially preventable hospitalizations
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psnet.ahrq.gov/node/61038/psn-pdf
October 21, 2020 - pandemic on primary care health care use and subsequent
diagnoses among residents in a poor, urban area
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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - The patient had been found on the floor by Environmental
Services (EVS) staff, in a non-patient care area … Example)
Actions Plus Delta
EVS staff found
unresponsive patient in off-
unit supply storage area … barrier
available
Code team arrived 6
minutes after first call
made, delayed while trying
to find area … code team confused
over location
No emergency supplies
available to initial responders in
supply area … AED was available in a patient
waiting area nearby, but staff
weren’t aware of it and no
signage
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psnet.ahrq.gov/issue/using-pharmacogenetics-improve-drug-safety-and-efficacy
November 18, 2016 - They suggest three strategies to support research in this area.
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psnet.ahrq.gov/issue/time-ordered-comorbidity-correlations-identify-patients-risk-mis-and-overdiagnosis
December 07, 2022 - Overdiagnosis is a growing area of concern within patient safety .
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psnet.ahrq.gov/primer/debriefing-clinical-learning
September 15, 2024 - The patient had been found on the floor by Environmental Services (EVS) staff, in a non-patient care area … Table (Example) Actions Plus Delta EVS staff found unresponsive patient in off-unit supply storage area … breathing barrier available Code team arrived 6 minutes after first call made, delayed while trying to find area … available; code team confused over location No emergency supplies available to initial responders in supply area … AED was available in a patient waiting area nearby, but staff weren’t aware of it and no signage was
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psnet.ahrq.gov/issue/patient-safety-anesthetic-practice
June 15, 2011 - A variety of solutions are provided to support continued success in this highly technical area of medicine
-
psnet.ahrq.gov/node/33780/psn-pdf
July 01, 2015 - In
the area of curricular change, it highlighted the need for medical schools to modernize their curricula … In the area of changing the clinical setting in which so much of medical training
takes place, the report … specific
initiatives, it is clear that the patient safety movement has targeted medical education as an area
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psnet.ahrq.gov/node/846451/psn-pdf
March 22, 2023 - Reducing risks in complex care transitions in rural areas:
a grounded theory.
March 22, 2023
Winqvist I, Näppä U, Rönning H, et al. Reducing risks in complex care transitions in rural areas: a
grounded theory. Int J Qual Stud Health Well-being. 2023;18(1):2185964.
doi:10.1080/17482631.2023.2185964.
https://psnet.…
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psnet.ahrq.gov/issue/health-it-safe-practices-toolkit-safe-use-copy-and-paste
March 10, 2021 - Focusing on copying and pasting health data from one record to another as the first area of concern
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psnet.ahrq.gov/issue/electronic-health-record-use-issues-and-diagnostic-error-scoping-review-and-framework
September 14, 2011 - The majority of issues were a related to providers’ cognitive processing, revealing an important area
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psnet.ahrq.gov/issue/flow-disruptions-trauma-care-handoffs
August 02, 2015 - out that the transition of patients from the ED to other hospital areas is a relatively understudied area
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psnet.ahrq.gov/issue/transforming-concepts-patient-safety-progress-report
January 20, 2015 - This review highlights progress to date in each area and the challenges that remain to be addressed,
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psnet.ahrq.gov/perspective/handoffs-and-transitions
February 01, 2007 - A similar situation has emerged regarding the broader area of improving transitions of care, particularly … Transitions of Care
The area of care transitions, particularly those associated with hospital discharge … The review below focuses on some of the highest impact studies in this area. … Summary
The year 2014 was an exciting one in the area of improving handoff communications.
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psnet.ahrq.gov/web-mm/code-blue-where
March 30, 2020 - definition of campus found in the Code of Federal Regulations section 413.65: "Campus means the physical area … Large facilities may require more than one team to cover the entire area. … any type of medical facility located within 250 yards of the main hospital building plus any other area
-
psnet.ahrq.gov/node/47327/psn-pdf
August 22, 2018 - us-internal-medicine-program-director-perceptions-alignment-graduate-
medical-education-and
Engaging trainees in quality improvement efforts has been an important area
-
psnet.ahrq.gov/node/39602/psn-pdf
August 09, 2013 - emphasizes structured handoffs at the time of patient transfer from the
operating room to the postoperative area
-
psnet.ahrq.gov/node/37648/psn-pdf
January 12, 2012 - the issues pertaining to improving safety in outpatient
surgery, which remains a largely unregulated area
-
psnet.ahrq.gov/node/36539/psn-pdf
March 03, 2011 - This finding corroborates prior research in this area and suggests that incident reporting
systems are
-
psnet.ahrq.gov/node/60552/psn-pdf
June 03, 2020 - The authors found
that PPE covering more body surface area may lead to better protection but at the