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psnet.ahrq.gov/issue/outcomes-two-massachusetts-hospital-systems-give-reason-optimism-about-communication-and
December 19, 2018 - Health Aff (Millwood). 2017;36(10):1795-1803. doi:10.1377/hlthaff.2017.0320. … Health Aff (Millwood) . 2017; 36 (10) :1795-1803 . … Communication-and-resolution programs , in which health systems and liability insurers disclose errors … Health Aff (Millwood). 2017;36(10):1795-1803. doi:10.1377/hlthaff.2017.0320. … March 18, 2020
A road map for advancing the practice of respect in health care: the results
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psnet.ahrq.gov/issue/increased-risk-burnout-physicians-and-nurses-involved-patient-safety-incident
September 21, 2016 - September 21, 2016
Health care professionals as second victims after adverse events: … April 10, 2019
Supporting involved health care professionals (second victims) following … an adverse health event: a literature review. … September 19, 2016
Variation in 17 obstetric care pathways: potential danger for health … August 14, 2013
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Hospitals
Health
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psnet.ahrq.gov/issue/patient-and-family-reporting-system-perceived-ambulatory-note-mistakes-experience-3-us
June 06, 2018 - June 6, 2018
Empowering informal caregivers with health information: OpenNotes as a safety … Diagnostic error experiences of patients and families with limited English-language health … Patient and family contributions to improve the diagnostic process through the OurDX electronic health … Impact of implementing alerts about medication black-box warnings in electronic health … 2014
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Ambulatory Clinic or Office
Health
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psnet.ahrq.gov/issue/learning-incident-reporting-analysis-incidents-resulting-patient-injuries-web-based-system
August 04, 2021 - Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health … March 25, 2020
Triggers contributing to health care clinicians' disruptive behaviors.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/indwelling-urinary-catheter-use/catheter-care/slides.html
March 01, 2017 - Department of Health & Human Services (DHHS). State Operations Manual. … Department of Health & Human Services (DHHS). State Operations Manual. … Department of Health & Human Services (DHHS). State Operations Manual. … Department of Health & Human Services (DHHS). State Operations Manual. … Department of Health & Human Services (DHHS). State Operations Manual.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pptx
January 01, 2020 - Mental, emotional, and behavioral health services are lacking for as many as 50% of children and adolescents … Adolescent Health. AH-1. … Use of mental health services by children ages six to 11 with emotional or behavioral difficulties. … The public health approach to eliminating disparities in health. … Behavioral counseling to promote physical activity and a healthful diet to prevent cardiovascular disease
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psnet.ahrq.gov/node/33580/psn-pdf
April 01, 2022 - bedside and regularly interact with physicians,
pharmacists, families, and all other members of the health … /issue/future-nursing-leading-change-advancing-health
a role in patient outcomes. … Alex Peck Malliaris, MSN, MSHCA, FNP-C
Nurse Practitioner Resident
UC Davis Health
Jessamyn Phillips … , DNP, FNP-C
Nurse Practitioner Resident
UC Davis Health
Deb Bakerjian PhD, APRN
Co-Editor-in-Chief … Int Arch Occup Environ Health. 2018;91(8):963–70. [Available at]
12. Park SH, Hanchett M, Ma C.
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psnet.ahrq.gov/issue/american-college-surgeons-committee-trauma-performance-improvement-and-patient-safety-program
September 23, 2020 - Part of the intervention included successful efforts to reduce health care–associated infections . … Related Resources From the Same Author(s)
Seroprevalence of SARS-CoV-2 among frontline health … 2003
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Emergency Departments
Health
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psnet.ahrq.gov/issue/workplace-engagement-and-workers-compensation-claims-predictors-patient-safety-culture
March 08, 2023 - an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health … May 25, 2022
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Related Resources
High-reliability health … February 16, 2011
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Hospitals
Health
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psnet.ahrq.gov/issue/economic-outcomes-associated-safety-interventions-pharmacist-adjudicated-prior-authorization
September 23, 2020 - Related Resources From the Same Author(s)
Seroprevalence of SARS-CoV-2 among frontline health … August 20, 2018
Testing an intervention to improve health care worker well-being during … July 18, 2018
Evaluation of electronic health record implementation on pharmacist interventions
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psnet.ahrq.gov/issue/doctor-was-rude-toilets-are-dirty-utilizing-soft-signals-regulation-patient-safety
October 06, 2021 - Measuring errors and adverse events in health care remains challenging , but is essential to achieving … 2021
Role of the regulator in enabling a just culture: a qualitative study in mental health … April 20, 2022
Using text mining techniques to identify health care providers with patient
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psnet.ahrq.gov/issue/systems-errors-versus-physicians-errors-finding-balance-medical-education
October 12, 2012 - The REPAIR Project: a prospectus for change toward racial justice in medical education and health … May 20, 2009
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Hospitals
Health Care … Providers
Health Care Executives and Administrators
Residents and Fellows
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psnet.ahrq.gov/issue/medication-error-reporting-and-pharmacy-resident-experience-during-implementation
November 17, 2010 - Am J Health Syst Pharm. 2007;64(5):526-30. … Am J Health Syst Pharm . 2007; 64 (5) :526-30 . … Am J Health Syst Pharm. 2007;64(5):526-30.
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psnet.ahrq.gov/issue/measurement-and-monitoring-safety-impact-and-challenges-putting-conceptual-framework-practice
January 24, 2018 - This study examined the impact of a safety assessment intervention across nine public health care systems … June 3, 2016
Exploring the "Black Box" of recommendation generation in local health care … December 31, 2012
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Hospitals
Health
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psnet.ahrq.gov/issue/wrong-site-surgery-california-2007-2014
July 27, 2023 - procedures, and procedures performed on the wrong patient reported to the California Department of Public Health … opioid-related adverse drug events with clinical and cost outcomes among surgical patients in a large integrated health … August 13, 2014
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Operating Room
Health
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psnet.ahrq.gov/issue/roles-and-role-ambiguity-patient-and-caregiver-performed-outpatient-parenteral-antimicrobial
November 20, 2024 - This study sought to describe patient, caregiver, and health care worker’s understanding of their roles … Multi-team shared expectations tool (MT-SET): an exercise to improve teamwork across health … June 16, 2021
eSIMPLER: a dynamic, electronic health record-integrated checklist for
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psnet.ahrq.gov/issue/results-national-neurosurgery-resident-survey-duty-hour-regulations
September 29, 2017 - March 14, 2012
Reducing health care hazards: lessons from the Commercial Aviation Safety … February 14, 2017
Does clinical supervision of health professionals improve patient safety … April 1, 2009
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Hospitals
Health Care
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psnet.ahrq.gov/issue/doctors-perceived-working-conditions-and-quality-patient-care-systematic-review
December 23, 2020 - July 28, 2021
Systems approach to health service design, delivery and improvement: a … June 28, 2023
Structural racism and adverse maternal health outcomes: a systematic review … June 10, 2020
Can mindfulness in health care professionals improve patient care?
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psnet.ahrq.gov/issue/patient-error-preliminary-taxonomy
June 02, 2010 - In this study, focus groups of patients and health care professionals were used to identify and characterize … Included among mental errors are factors that have been linked to errors, such as low health literacy … the Same Author(s)
Approaches to reducing the most important patient errors in primary health-care
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psnet.ahrq.gov/issue/educating-seniors-be-patient-safety-self-advocates-primary-care
December 15, 2011 - intervention focused on educating and improving the capacity of elderly patients to communicate with their health … From the Same Author(s)
Development of an instrument to measure seniors' patient safety health … September 22, 2010
Approaches to reducing the most important patient errors in primary health-care