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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
Neurology
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psnet.ahrq.gov/issue/reducing-errors-health-care-translating-research-practice
October 23, 2019 - Rockville, MD: Agency of Healthcare Research and Quality; AHRQ Publication No. 00-PO58. … Patients at risk, types of medical errors, and ways to improve and promote patient safety are discussed … Summary, Evidence Report/Technology Assessment. … Consumer Reporting System for Patient Safety Events. … March 5, 2008
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Health Care Providers
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psnet.ahrq.gov/issue/partnership-healthcare-excellence
October 26, 2020 - Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners. … January 9, 2008
First, Do No Harm Part 1: A Case Study of Systems Failure. … Toolkit for the Safe Use of Copy and Paste. … July 1, 2022
Hospital Preparedness for a COVID-19 Surge: Assessment Tool. … to patient deterioration—developing a model for consumer reporting.
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psnet.ahrq.gov/issue/patient-assessments-hypothetical-medical-error-effects-health-outcome-disclosure-and-staff
February 24, 2011 - Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff … disclosure, and the presence of serious health effects. … A past study similarly discussed patient and physician attitudes regarding the disclosure of medical … Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff … August 29, 2007
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Health Care Providers
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psnet.ahrq.gov/issue/advising-patients-about-patient-safety-current-initiatives-risk-shifting-responsibility
May 20, 2015 - that some of the shifting of responsibility for safety from providers and/or institutions to patients … to patient deterioration—developing a model for consumer reporting. … October 12, 2018
Patient Safety in the Home: Assessment of Issues, Challenges, and Opportunities … Lethal Cap
March 1, 2004
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Health … Care Providers
Quality and Safety Professionals
Patients
Provider-Patient Communication
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psnet.ahrq.gov/issue/risk-management-radiology-departments
January 03, 2007 - of quality systems, enhanced competency, transparency, and evidence-based protocols as ways to augment … November 16, 2022
Assessment of the use of patient vital sign data for preventing misidentification … overlooked by health care providers. … November 8, 2006
Assessment of the potential impact of a reminder system on the reduction … Care Providers
Risk Managers
Radiology
Epidemiology of Errors and Adverse Events
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psnet.ahrq.gov/issue/psychology-error-relation-medical-practice
January 11, 2006 - March 14, 2018
Evaluating clinical decision support systems: monitoring CPOE order check … February 10, 2016
Simulation-based assessment of the management of critical events by … A review of evidence, practice and consumer perspectives. … July 17, 2019
Clinical reasoning assessment methods: a scoping review and practical guidance … October 17, 2018
Systems science: a primer on high reliability.
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psnet.ahrq.gov/issue/national-coordinating-council-medication-error-reporting-and-prevention
April 15, 2015 - nationwide campaign for medication error reporting and prevention which includes a index on types of … Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. … April 6, 2022
The effects of leadership for self-worth, inclusion, trust, and psychological … January 29, 2018
Adverse drug event reporting systems: a systematic review. … December 10, 2008
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Health Care Providers
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psnet.ahrq.gov/issue/nurses-perceptions-multitasking-emergency-department-effective-fun-and-unproblematic-least-me
June 07, 2023 - Nurses' perceptions of multitasking in the emergency department: effective, fun and unproblematic (at … June 7, 2023
Acute clinical deterioration and consumer escalation: the understanding … and perceptions of hospital staff. … in primary care—a qualitative study of the participants' perceptions of self-assessment, peer review … Related Resources
Patient safety in emergency departments: a problem for health care systems
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psnet.ahrq.gov/issue/follow-abnormal-screening-mammograms-among-low-income-ethnically-diverse-women-findings
May 12, 2021 - a lack of information about breast cancer screening and symptoms. … Qualitative outcomes from a health consumer workshop. … November 16, 2022
Assessment of patient-preferred language to achieve goal-aligned deprescribing … View More
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Ambulatory Clinic or Office
Health … Care Providers
Facility and Group Administrators
Primary Care
Radiology
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psnet.ahrq.gov/node/33641/psn-pdf
November 01, 2006 - featured in many patient safety resources (1-3), including on this web site.(4,
5) When taught to health … care providers, I have found that the concepts of human factors engineering often
inspire two types … Evidence Report/Technology Assessment No. 43; July 2001. AHRQ Publication No. 01-
E058.
2. … Cognitive and usability engineering methods for the evaluation of clinical
information systems. … SEIPS: Systems Engineering Initiative for Patient Safety.
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psnet.ahrq.gov/issue/special-section-human-factors-and-ergonomics-operating-room-contributions-advance-surgical
September 01, 2018 - teams, physical resilience of teams , instrument design and use, and poor implementation of briefings … March 29, 2007
Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation … January 5, 2014
Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation … May 21, 2014
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer … Care Providers
Health Care Executives and Administrators
Engineers
Surgery
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psnet.ahrq.gov/perspective/conversation-withpatrick-s-romano-md-mph
July 10, 2024 - With systems based on triggers, there are problems with the inherent performance of those triggers and … It's our duty as health care providers to try to provide that care. … At the end of it, we come out with scores that represent the panel's assessment of the usability of the … PR: Acting as an individual consumer, I probably wouldn't give the PSIs a lot of weight in my own choice … Care Providers
Health Care Executives and Administrators
Policy Makers
Gynecology
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psnet.ahrq.gov/issue/ahrq-patient-safety-youtube-channel
December 24, 2008 - Each set of videos provides examples of learning tactics to address the needs of individual learners … Summary, Evidence Report/Technology Assessment. … Consumer Reporting System for Patient Safety Events. … March 22, 2016
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Hospitals
Health … Care Providers
Health Care Executives and Administrators
Educators
Medicine
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psnet.ahrq.gov/issue/2006-patient-safety-and-health-information-technology-conference
July 28, 2013 - October 23, 2019
Assessment of changes in visits and antibiotic prescribing during the … December 18, 2008
Costs and Benefits of Health Information Technology. … January 6, 2010
Costs and Benefits of Health Information Technology. … June 29, 2005
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Health Care Providers … Information Systems
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psnet.ahrq.gov/node/865296/psn-pdf
March 27, 2024 - healthcare systems. … Implementation
The implementation of NPSGs is enhanced through proactive, coordinated, and systems-level … The NPSGs are safety standards
that hold hospital and healthcare workers accountable to best practices … Healthcare organizations can use the National Action Plan along with its
companion Self-Assessment Tool … learning health systems.
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psnet.ahrq.gov/node/836878/psn-pdf
April 27, 2022 - form of social media used to collect consumer feedback regarding quality improvement and service design … providers and not the public. … social media sources that were used effectively to further engagement and communication amongst
healthcare … providers to disseminate awareness of the World Health Organization’s Surgical Safety
https://psnet.ahrq.gov … Social Media as a Tool
for Consumer Engagement in Hospital Quality Improvement and Service Design: Barriers
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psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
February 12, 2020 - Technology-based systems interventions, such as the use of text or pager alerts to communicate critical … Take-Home Points Health care providers, especially acute care providers in the emergency and inpatient … Clinician impression versus prescription drug monitoring program criteria in the assessment of drug-seeking … Department of Health and Human Services. … A review of evidence, practice and consumer perspectives.
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psnet.ahrq.gov/node/33702/psn-pdf
November 01, 2010 - With systems based on triggers, there are problems
with the inherent performance of those triggers and … It's our duty as health care
providers to try to provide that care. … At
the end of it, we come out with scores that represent the panel's assessment of the usability of … PR: Acting as an individual consumer, I probably wouldn't give the PSIs a lot of weight in my own choice … and more hospitals will be implementing sophisticated EHR systems.
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psnet.ahrq.gov/primer/national-patient-safety-goals
January 16, 2025 - healthcare systems. … Implementation The implementation of NPSGs is enhanced through proactive, coordinated, and systems-level … The NPSGs are safety standards that hold hospital and healthcare workers accountable to best practices … learning health systems. … April 24, 2024
2024 National Impact Assessment of the Centers for Medicare & Medicaid