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psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba
April 01, 2010 - the President's Advisory Commission on Consumer Protection and Quality. … systems have to fundamentally reform themselves to meet the mandate. … President Clinton's 1996 Advisory Commission on Consumer Protection and Quality in the Health Care Industry … These core measures would provide a foundation for reporting systems that facilitate the capture of quality … The long road to patient safety: a status report on patient safety systems.
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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/speaking-about-safety-concerns-multi-setting-qualitative-study-patients-views-and-experiences
May 18, 2016 - concern given other patients' needs and staff workloads, and the consequences of speaking up. … January 19, 2014
American College of Endocrinology and American Association of Clinical … and nature of harm to patients in hospital. … : the results of a formative assessment of a video empowering patients to ask their health care providers … January 28, 2010
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Health Care Providers
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psnet.ahrq.gov/issue/closest-observers-patient-care-thematic-analysis-online-narrative-reviews-hospitals
December 12, 2014 - This study examined online reviews of hospitals and found concerns discussed in narratives that would … not have surfaced using the Hospital Consumer Assessment of Healthcare Providers and Services patient … A significant proportion of narrative reviews raised concern about safety and trust. … January 25, 2016
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Hospitals
Health … Care Providers
Medicine
Epidemiology of Errors and Adverse Events
Narrative/Storytelling
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psnet.ahrq.gov/issue/third-annual-report-adverse-health-events-wyoming-healthcare-facilities
October 11, 2016 - June 15, 2011
Development and performance evaluation of the Medicines Optimisation Assessment … March 18, 2020
MEDMARX Data Report: A Report on the Relationship of Drug Names and Medication … Errors in Response to the Institute of Medicine's Call to Action (2003-2006 Findings and Trends 2002 … October 26, 2016
Consumer Guide to Adverse Health Events. … April 26, 2006
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Health Care Providers
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psnet.ahrq.gov/periodic-issue/periodic-issue-346
May 16, 2022 - clerkship to improve clinical reasoning skills across several domains (theory, patient assessment, diagnosis … This classification system can be used to support improvements at the individual, team, and systems levels … Empowering healthcare workers to speak up about safety concerns is a core tenant of safety culture. … Commentary
Unacceptable behaviours between healthcare workers: just the tip of the … Newspaper/Magazine Article
Stop using these adult bed rails, warns the Consumer Product
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psnet.ahrq.gov/node/60330/psn-pdf
May 05, 2020 - event as a result of delayed assessment and treatment. … technologies, and broader application of telehealth concepts
outside of CMS technical standards, has … Its expanded use has served as a means of
ensuring the safety of both patients and frontline providers … of virtual and in-person patient encounters. … ’ understanding
of both the benefits and limitations of telehealth increases, telehealth will become
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psnet.ahrq.gov/issue/what-practices-will-most-improve-safety-evidence-based-medicine-meets-patient-safety
March 18, 2019 - interventions that affect systems rather than individuals. … February 18, 2011
Outpatient prescribing errors and the impact of computerized prescribing … February 14, 2018
A longitudinal study of clinical peer review's impact on quality and … July 3, 2013
Toward improving patient safety through voluntary peer-to-peer assessment … July 12, 2010
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Health Care Providers
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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/new-ahrq-sopsr-workplace-safety-supplemental-items-hospitals
May 01, 2017 - This webinar provided background on the importance of workplace safety and introduce the Workplace Safety … Quality Improvement Act of 2005. … Consumer Reporting System for Patient Safety Events. … Natural Language Processing to Improve Accuracy of EHR Documentation. … Administrators
Quality and Safety Professionals
Latent Errors
Culture of Safety
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psnet.ahrq.gov/issue/wrong-site-surgery-near-misses-and-actual-occurrences
November 30, 2012 - February 13, 2014
Determinants of burnout and other aspects of psychological well-being … in healthcare workers during the Covid-19 pandemic: a multinational cross-sectional study. … September 2, 2020
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Related Resources
Assessment of incorrect … February 9, 2011
Wrong-site craniotomy: analysis of 35 cases and systems for prevention … Care Providers
Risk Managers
Quality and Safety Professionals
Surgery
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psnet.ahrq.gov/issue/safety-0
March 07, 2018 - The collection includes an assessment and interactive tools to test ideas for improvement. … October 13, 2021
Considerations for the design of safe and effective consumer health … May 11, 2022
Understanding how the design and implementation of online consultations … January 7, 2015
Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health … April 30, 2014
Understanding the Role of Facility Design in the Acquisition and Prevention
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psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
April 01, 2010 - President Clinton's 1996 Advisory Commission on Consumer Protection and Quality in the Health Care Industry … These core measures would provide a foundation for reporting systems that facilitate the capture of quality … The long road to patient safety: a status report on patient safety systems. … the President's Advisory Commission on Consumer Protection and Quality. … systems have to fundamentally reform themselves to meet the mandate.
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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/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
View
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psnet.ahrq.gov/issue/piece-my-mind-changing-narrative
December 13, 2023 - dismissive to concerns of patients and other health care workers. … This commentary advocates for the use of mindful storytelling to develop collegial relationships and … June 14, 2019
Evaluating the effect of data standardization and validation on patient … April 10, 2019
Assessment of the FDA Risk Evaluation and Mitigation Strategy for transmucosal … April 22, 2015
Should health care providers be forced to apologise after things go wrong
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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/issue/relationships-multitasking-physicians-strain-and-performance-observational-study-ward
September 24, 2016 - March 19, 2019
Identification and interference of intraoperative distractions and interruptions … September 7, 2022
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Related Resources
Systems approach … September 25, 2013
Toward the modelling of safety violations in healthcare systems. … August 13, 2013
The Measurement and Monitoring of Safety. … May 8, 2013
Putting the 'patient' in patient safety: a qualitative study of consumer
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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/issue/mistakes-were-made-me
January 23, 2019 - RIS
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Related Resources From the Same Author(s)
Assessment … patient safety and care transitions at the University of California. … July 1, 2017
Patient and consumer safety risks when using conversational assistants for … May 27, 2011
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See More About The Topic
Hospitals
Health Care … Providers
Medicine
Diagnostic Errors
Psychological and Social Complications
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