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psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
March 19, 2019 - error reporting systems allow for the identification of common themes and trends among the medication … Implementing an error reporting process allows tracking and assessment of error trends that can be used … An overview of clinical decision support systems: benefits, risks, and strategies for success. … teams in crisis situations: a systematic review of assessment tools and their measurement properties … rates of system-related errors associated with two commercial systems in hospitals.
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psnet.ahrq.gov/node/60242/psn-pdf
March 01, 2021 - 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. … from_term=Cost+analysis+of+the+Geriatric+Resources+for+Assessment+and+Care+of+Elders+Care+management+ … from_term=Cost+analysis+of+the+Geriatric+Resources+for+Assessment+and+Care+of+Elders+Care+management+
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psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
November 01, 2012 - Consumer Price Index.( 1 ) Health care spending in the United States is expected to continue to increase … Technology Assessment revealed that approximately 8% of all diagnostic tests ordered by physicians were … Nonetheless, implementing such guidelines within health care systems may allow providers to follow clear … US Congress, Office of Technology Assessment. Defensive Medicine and Medical Malpractice. … Care Providers
Risk Managers
Emergency Medicine
Internal Medicine
View More
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psnet.ahrq.gov/node/72835/psn-pdf
March 10, 2021 - We spoke to them about the current state of
measurement of patient and family engagement and potential … We started in 2010 to support health
systems to implement the infrastructure for effective patient family … the families in terms
of outcomes and the system, in terms of efficiency. … Maybe they've been dinged for their Hospital Consumer Assessment of Healthcare
Providers and Systems … New telehealth systems are a perfect example of where those open-
ended conversations are so helpful
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psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety
August 01, 2012 - materials targeted to inform leadership of the program. … The toolkit is structured around enhancing multidisciplinary teamwork by completing a series of steps … determining the return on investment of the programs. … October 23, 2019
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer … October 7, 2015
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care
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psnet.ahrq.gov/issue/analysis-suicides-reported-adverse-events-psychiatry-resulted-nine-quality-improvement
October 21, 2020 - Based on a multi-year chart review at one institution, the authors concluded that suicide risk assessment … The authors outline quality improvement recommendations focused on improving documentation, suicide assessment … and intervention training, and improving communications with families, caregivers, and other health … care providers. … Factors that affect opioid quality improvement initiatives in primary care: insights from ten health systems
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psnet.ahrq.gov/issue/what-if-doctor-wrong
August 17, 2016 - October 23, 2018
Health-care providers want patients to read medical records, spot errors … September 11, 2024
Preventable harm because of outpatient medication errors among children … with leukemia and lymphoma: a multisite longitudinal assessment. … February 15, 2023
Using consumer engagement strategies to improve healthcare safety for … young people: an exploration of the relevance and suitability of current approaches.
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psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
March 29, 2023 - Systems Issues: In both of these cases, the patients did not receive adequate suicide risk assessment … 3,4 Elements of these programs include environmental assessment, suicide assessment of patients who … A number of standardized assessment tools have been developed and validated and can easily be taught … deaths. 14 Improving Systems Quality: The American College of Emergency Physicians (ACEP) and the … Care Providers
Medicine
Mental Health Care (Psychiatry and Clinical Psychology)
Missed Care
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psnet.ahrq.gov/issue/sorry-never-enough-how-state-apology-laws-fail-reduce-medical-malpractice-liability-risk
May 05, 2021 - As a result, 38 states and the District of Columbia passed apology laws , designed to make such apologetic … for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems … March 27, 2019
Effects of a communication-and-resolution program on hospitals' malpractice … claims and costs. … December 19, 2018
Transparent and open discussion of errors does not increase malpractice
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psnet.ahrq.gov/node/60652/psn-pdf
June 29, 2020 - willing to get on a phone call with us at 9 o’ clock at night to talk
about what is happening in their systems … There is a link between a healthcare worker who is burned out and an increased risk of
causing medical … It also allows all employers, healthcare systems, or pharmacy
departments to look at those volunteers … We
have also developed different assessment tools and checklists to keep pharmacy departments whole … We have a consumer website called “
safemedication.com” that offers medication tips and resources and
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psnet.ahrq.gov/issue/patient-safety-ambulatory-settings
June 08, 2011 - that much of health care is delivered in outpatient settings . … November 1, 2016
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer … August 9, 2023
Costs and Benefits of Health Information Technology. … March 5, 2013
View More
See More About The Topic
Ambulatory Care
Health … Care Providers
Facility and Group Administrators
Primary Care
Epidemiology of Errors and Adverse
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psnet.ahrq.gov/node/49489/psn-pdf
September 01, 2005 - A randomized, controlled trial of comprehensive geriatric
assessment and multidisciplinary intervention … Available at:
http://www.ismp.org/Consumer/Brochure.html. Accessed August 22, 2005.
11. … Available at: http://www.ismp.org/Consumer/BrownBag.html. Accessed August 22, 2005.
Table
Table. … cmd=Retrieve&db=PubMed&dopt=Abstract&list_uids=12350196
http://www.ismp.org/Consumer/Brochure.html
http … ://www.ismp.org/Consumer/BrownBag.html
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
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psnet.ahrq.gov/perspective/emergence-application-based-healthcare
August 05, 2022 - Sustainable reimbursement and payment mechanisms to healthcare facilities and healthcare providers for … Safety concerns with consumer-facing mobile health applications and their consequences: a scoping review … Now that we’ve talked about what apps are and how they’re used in healthcare by patients and healthcare … providers, I’m wondering what your overall perspective is on the current state of app-based healthcare … Care Providers
Quality and Safety Professionals
Patients
Family Members and Caregivers
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psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
September 01, 2005 - However, the role of physicians in creating better systems and how they work with others in effective … systems thinking and engineering principles—was a marvelous example of translocational work. … institutions using a variety of real-world systems. … Evidence Report/Technology Assessment No. 43. … March 16, 2022
Two decades since To Err Is Human: an assessment of progress and emerging
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psnet.ahrq.gov/periodic-issue/periodic-issue-279
February 10, 2021 - This article discusses unintended consequences of telehealth and outlines guidance to assist health care … Effective integration of health information systems supports decision making and treatment coordination … care providers. … Industry and Consumer Education, US Food and Drug Administration; February 9. 2021. … The associated commentary discusses the importance of in-person assessment in the hospital setting during
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psnet.ahrq.gov/node/60865/psn-pdf
August 31, 2020 - A journey to find and be part of a culture of safety within an
innovative and thought-leading healthcare … about, called HCAHPS
(Hospital Consumer Assessment of Healthcare Providers and Systems). … /patientsafetymovement.org/community/apss/
https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments … It doesn't change the fact that the nurse needs to do a clear, concise assessment
and have it documented … and a couple of other things right now.
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psnet.ahrq.gov/issue/patient-education-prevent-falls-among-older-hospital-inpatients-randomized-controlled-trial
February 14, 2017 - Improve Health Outcomes
March 29, 2023
Patient perception of fall risk and … to patient deterioration—developing a model for consumer reporting. … July 24, 2019
Use of standard risk screening and assessment forms to prevent harm to … , 2010
View More
See More About The Topic
General Hospitals
Health … Care Providers
Risk Managers
Quality and Safety Professionals
Educators
View More
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psnet.ahrq.gov/issue/are-more-experienced-clinicians-better-able-tolerate-uncertainty-and-manage-risks-vignette
March 08, 2023 - Risk aversion in clinical practice may lead to the ordering of unnecessary tests and procedures, a … October 10, 2017
Multiple meanings of resilience: health professionals' experiences of … August 10, 2022
Emotion and coping in the aftermath of medical error: a cross-country … September 3, 2014
Types and effects of feedback for emergency ambulance staff: a systematic … A review of evidence, practice and consumer perspectives.
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psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
July 01, 2012 - and hospitals that do not buy the equipment) further weaken the market position of health care providers … When government incentives and punishments (reduced reimbursements) compel health care providers to purchase … Costs and Benefits of Health Information Technology. Evidence Report/Technology Assessment No. 132. … case for health care providers and organizations to have information technology (IT) systems in 2012 … of the provider community and, hopefully, ultimately the consumer community as well.
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psnet.ahrq.gov/issue/ismp-survey-2022-2023-targeted-medication-safety-best-practices-hospitals
January 26, 2023 - The integration of best practices into daily work is an indication of their usefulness and sustainability … January 26, 2023
ISMP Guidelines for Optimizing Safe Implementation and Use of Smart … March 6, 2005
Consumer Safe Medicine. … inpatients and impact of a state-wide medication management intervention. … Health Systems.