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psnet.ahrq.gov/issue/healthcare-professionals-encounters-ethnic-minority-patients-critical-incident-approach
July 29, 2020 - Using critical incidents and provider reflections, this study highlights the challenges faced by healthcare … providers when providing care for ethnic minority patients. … for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems … April 13, 2022
The views and experiences of patients and health-care professionals on … March 8, 2023
Self-assessment and learning motivation in the second victim phenomenon
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psnet.ahrq.gov/issue/healthcare-411-medical-intern-work-hours-and-medical-errors
May 23, 2007 - May 23, 2007
Healthcare 411: Consumer insider--medical handoffs. … July 1, 2022
Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting … February 27, 2013
Improving Patient Safety Systems for Patients With Limited English … Evidence Report/Technology Assessment. … September 25, 2013
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Assessment of perioperative
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psnet.ahrq.gov/issue/relationship-between-patients-perceptions-team-effectiveness-and-their-care-experience
June 08, 2011 - November 16, 2022
An assessment of the quality and impact of NPSA medication safety outputs … A review of evidence, practice and consumer perspectives. … August 2, 2012
Healthcare provider complaints to the emergency department: a preliminary … assessment of obstetrical teams. … Care Providers
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psnet.ahrq.gov/periodic-issue/periodic-issue-295
June 30, 2021 - using a structured approach, such as Situation, Background, Assessment, Recommendation (SBAR) improved … While there was variation in consumer ratings between platforms, unstructured consumer reviews were generally … Study
Peer support by interprofessional health care providers in aftermath of patient … Since the SEIPS (Systems Engineering Initiative for Patient Safety) conceptual model was introduced in … using a structured approach, such as Situation, Background, Assessment, Recommendation (SBAR) improved
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psnet.ahrq.gov/issue/integrating-patient-safety-omfs-curriculum-survey-4-year-residency-programs
April 08, 2020 - systems. … by crowdsourced laypeople and patient advocates who experienced medical harm: reliability assessment … April 18, 2012
Choice, transparency, coordination, and quality among direct-to-consumer … June 8, 2022
“I’m concerned”: a multi-site assessment of emergency medicine resident … need for systems improvement.
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psnet.ahrq.gov/issue/ehealth-safety-impact-ict-patient-safety-and-risk-management
June 18, 2013 - Citation Text:
eHealth for Safety: Impact of ICT on Patient Safety and Risk Management. … A Pharmacy Health Literacy Assessment Tool User's Guide. … : a retrospective and descriptive cohort study of 4830 reported cases of preventable harm in Sweden. … of prevalence, risk perceptions, and motivations. … October 27, 2021
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer
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psnet.ahrq.gov/web-mm/privacy-or-safety
December 01, 2011 - by health care providers and health plans.( 3 ) To illustrate a few examples, providers interpreted … The HIPAA Privacy Rule requires covered health care providers to appoint a privacy officer to help assure … ultimately shared by health care providers.( 12 ) Some have claimed that this digital health data ecosystem … engaged in by health care providers. … Care Providers
Health Care Executives and Administrators
Information Professionals
Neurology
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psnet.ahrq.gov/issue/using-patient-safetyquality-improvement-model-assess-telehealth-psychiatry-and-behavioral
September 27, 2023 - ), the authors outline a framework to evaluate the safety and quality of psychiatric and behavioral health … May 19, 2021
Relationship between physician burnout and the quality and cost of care … August 19, 2020
Can patients contribute to enhancing the safety and effectiveness of … Qualitative outcomes from a health consumer workshop. … August 9, 2023
Systems approach to suicide prevention: strengthening culture, practice
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psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
June 01, 2007 - and controversy about the purpose and usefulness of these systems. … However, since 2000, the number of states with authorized systems has almost doubled, and many of the … of states are developing Web-based systems that enable providers to access their own data and create … care ordered by or provided by someone impersonating a physician, nurse, pharmacist, or other licensed health … care provider
Abduction of a patient of any age
Sexual assault on a patient within or on the grounds
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psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care
October 06, 2022 - Despite an increasing focus on diagnostic error , accurate measurement and implementation of effective … October 6, 2022
A retrospective audit of postoperative days alive and out of hospital … , including before and after implementation of the WHO surgical safety checklist. … February 2, 2022
Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer … September 29, 2017
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Health Care Providers
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psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit
May 25, 2016 - Traditionally, health systems have disclosed adverse events to patients only through a lengthy process … that involves providing limited information to patients and families, avoiding admissions of fault, … and emphasizing protection of the clinicians involved. … alternative approach known as "communication and resolution," which emphasizes early disclosure of adverse … the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events.
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psnet.ahrq.gov/innovation/team-developed-care-plan-and-ongoing-care-management-social-workers-and-nurse
July 23, 2024 - Updates included expansion of the target population, noting a large increase in the number of systems … Description of the Innovative Activity
The Geriatric Resources for Assessment and Care of Elders (GRACE … Center for Consumer Engagement in Health Innovation. … Cost analysis of the Geriatric Resources for Assessment and Care of Elders Care management intervention … Cost analysis of the Geriatric Resources for Assessment and Care of Elders Care management intervention
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psnet.ahrq.gov/issue/online-patient-feedback-safety-valve-automated-language-analysis-unnoticed-and-unresolved
August 05, 2020 - Patients are uniquely situated to identify safety risks that may be missed or not reported by healthcare … providers. … 2022
Learning from patient safety incidents involving acutely sick adults in hospital assessment … August 25, 2021
Patient and consumer safety risks when using conversational assistants … March 2, 2022
Using text mining techniques to identify health care providers with patient
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psnet.ahrq.gov/issue/surveys-patient-safety-culture
December 24, 2008 - Rockville MD: Agency for Healthcare Research and Quality
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Save … a bibliography of articles discussing the use of SOPS in the field. … May 24, 2015
Training of Hospital Staff To Respond to a Mass Casualty Incident. … Summary, Evidence Report/Technology Assessment. … Consumer Reporting System for Patient Safety Events.
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psnet.ahrq.gov/node/49738/psn-pdf
August 21, 2015 - by health care providers and
health plans.(3) To illustrate a few examples, providers interpreted HIPAA … The HIPAA Privacy Rule requires covered health care
providers to appoint a privacy officer to help assure … ultimately shared by
health care providers.(12) Some have claimed that this digital health data ecosystem … engaged in by health care providers. … Use centrally maintained and secured systems instead of shadow systems, such as passing around
a USB
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psnet.ahrq.gov/issue/national-healthcare-quality-and-disparities-reports
December 24, 2008 - It also reviews the current status of special areas of interest such as telehealth and nursing home … Summary, Evidence Report/Technology Assessment. … Consumer Reporting System for Patient Safety Events. … See More About The Topic
Researchers
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Health … Care Providers
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psnet.ahrq.gov/issue/diagnostic-inaccuracy-smartphone-applications-melanoma-detection
April 24, 2018 - April 24, 2018
The impact of racism on child and adolescent health. … ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative … December 15, 2017
Choice, transparency, coordination, and quality among direct-to-consumer … January 21, 2015
Cognitive errors and logistical breakdowns contributing to missed and … delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims.
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psnet.ahrq.gov/issue/cognitive-performance-altering-effects-electronic-medical-records-application-human-factors
May 16, 2012 - October 3, 2013
Usability and feasibility of consumer-facing technology to reduce unsafe … May 22, 2019
Interruptions in the wild: development of a sociotechnical systems model … September 24, 2016
Human factors systems approach to healthcare quality and patient safety … quality of care and patient safety. … October 19, 2011
The impact of computerized provider order entry systems on inpatient
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psnet.ahrq.gov/issue/research-activities
December 24, 2008 - May 24, 2015
Training of Hospital Staff To Respond to a Mass Casualty Incident. … Summary, Evidence Report/Technology Assessment. … Consumer Reporting System for Patient Safety Events. … of Diagnosis. … March 5, 2008
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson
February 01, 2013 - Quality (AHRQ) released an assessment of the role of health information technology in enabling patient-centered … Patient engagement embodies consumer empowerment, health advocacy, and patient activism—activities that … consumer organizations are increasingly interested in soliciting and sharing consumer-reported patient … Designing Consumer Reporting Systems for Patient Safety Events. … Care Providers
Family Members and Caregivers
Geriatrics
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