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psnet.ahrq.gov/periodic-issue/periodic-issue-429
February 28, 2024 - Respondents discussed the importance of communication, effective leadership, and building systems that … Patient- and visitor-activated rapid response systems (RRS) allow for earlier detection and prevention … consumer education. … This review explored studies on electronic medication reconciliation tools available to healthcare providers … programs can target the various stages of recovery to support healthcare workers after a patient safety
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psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
January 01, 2025 - AHRQ PSNet Webinar
AHRQ PSNet Webinar
Making Healthcare Safer (MHS) IV:
Rapid Response Systems and … Department of Health and
Human Services (HHS). … agencies, healthcare
stakeholders, clinical specialists, experts in patient safety issues, &
patient/consumer … opioid use disorder
► Interventions or policies established by entities other than healthcare
providers … time
• Process
► Urine drug screen ordering
or administration
► Treatment agreement use
► Risk assessment
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psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - , and the establishment of
operational systems and processes that minimize the likelihood of errors … Patient safety indicators
also inform healthcare providers in efforts to develop systems and processes … -1-explorations-quality-assessment-and
https://psnet.ahrq.gov/issue/expert-consensus-currently-accepted-measures-harm … CMS’ 2021 National Impact Assessment Report
(which examined data between 2013 and 2018) demonstrated … Despite challenges due to varying definitions and data quality across health providers and health systems
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psnet.ahrq.gov/issue/strategies-prevent-missed-nursing-care-international-qualitative-study-based-upon-positive
May 18, 2022 - the prevalence and association of polypharmacy and drug administration errors in hospitalized adult … May 18, 2022
Burnout and its relationship to self-reported quality of patient care and … October 20, 2021
Can patients contribute to enhancing the safety and effectiveness of … Qualitative outcomes from a health consumer workshop. … April 21, 2021
Incorporating nursing complexity in reimbursement coding systems: the
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psnet.ahrq.gov/periodic-issue/periodic-issue-343
May 16, 2022 - WebM&M presents current and past monthly issues of Cases & Commentaries and
Perspectives … This study conducted a usability assessment of AHRQ’s proposed Common Formats Event Reporting for Diagnostic … Focus groups consisting of participants from consumer and health organizations involved in cancer care … Qualitative analysis of incident reports revealed three themes: assessment of patients, guidelines, and … systems that flag potential risks.
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psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
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 … the medical record.( 6 ) Using a similar approach, patient safety reporting systems designed specifically … consumer organizations are increasingly interested in soliciting and sharing consumer-reported patient … Designing Consumer Reporting Systems for Patient Safety Events.
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psnet.ahrq.gov/node/867985/psn-pdf
January 01, 2025 - providers are uniquely trained
and positioned to identify warning signs and connect at-risk individuals … Given this crucial role that healthcare providers can play in suicide prevention, screening patients … https://psnet.ahrq.gov//#11
Best Practices for Conducting Screening and Assessment
The next step … Healthcare providers should be comfortable having
discussions about suicidal thoughts and behaviors … By maintaining empathy and using
trauma-informed care approaches, healthcare providers can break down
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psnet.ahrq.gov/issue/emerging-ehr-purgatory-moving-process-outcomes
July 22, 2020 - to enhance the ability of electronic health record systems to deliver on promises of improved safety … June 14, 2017
Assessment of automating safety surveillance from electronic health records … , and healthcare worker well-being. … January 21, 2015
Improving healthcare systems' disclosures of large-scale adverse events … March 15, 2023
Assessment of the use of patient vital sign data for preventing misidentification
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psnet.ahrq.gov/issue/research-designs-studies-evaluating-effectiveness-change-and-improvement-strategies
September 20, 2011 - They discuss the nuances of selecting randomized versus non-randomized approaches and the tradeoffs of … and outcomes of care. … of medication safety letters issued in Canada, the USA and the UK. … May 18, 2022
An analysis of the structure and content of dashboards used to monitor patient … systems.
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psnet.ahrq.gov/issue/do-no-harm-promoting-patient-safety
September 27, 2006 - of time, safety attitudes and staff wellbeing. … December 19, 2007
Characteristics of Weekday and Weekend Hospital Admissions, 2007. … September 2, 2015
2014 Guide to State Adverse Event Reporting Systems. … : the results of a formative assessment of a video empowering patients to ask their health care providers … March 15, 2023
Controlled substance drug diversion by healthcare workers as a threat
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psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
June 01, 2011 - ET : One typical one that bridges health care and consumer behavior is the filter cigarette. … I know that in the current medical system that is very hard to do given the workloads and systems of … Some of them involve interaction between the technological system and organizational systems and the … the most optimistic assessment of just about everything. … Care Providers
Health Care Executives and Administrators
Information Professionals
Safety Scientists
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psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safety
March 11, 2020 - the development and adoption of a computer-assisted tool with automated electronic integration of population-based … September 26, 2018
Barriers to the reporting of medication administration errors and … October 6, 2016
Identifying the 'right patient': nurse and consumer perspectives on verifying … 2007
View More
See More About The Topic
Psychiatric Facilities
Health … Care Providers
Nurse Managers
Quality and Safety Professionals
Mental Health Care (Psychiatry
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psnet.ahrq.gov/issue/evaluation-intervention-aimed-improving-voluntary-incident-reporting-hospitals
December 16, 2020 - September 26, 2018
Consumer perceptions of safety in hospitals. … June 18, 2019
Comparing the outcomes of reporting and trigger tool methods to capture … A social network analysis and examination of prescribing error rates. … January 9, 2014
Clinical relevance of and risk factors associated with medication administration … March 28, 2011
Design and implementation of an ICU incident registry.
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psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety
November 10, 2015 - and comparison of data across systems untenable. … Thus, these reporting systems capture only a small (and biased) fraction of safety events that occur … Data elements across health care systems are not consistent, and the accuracy and reliability of ICD- … inaccuracy of ICD-9-CM codes across and within systems, may detect high proportion of false positives … Care Providers
Health Care Executives and Administrators
Policy Makers
Gynecology
View
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psnet.ahrq.gov/node/49701/psn-pdf
February 01, 2014 - assessment of
cognitive function. … In patients with FMSs, daily assessment is essential for early detection and treatment of any adverse … All Wales Guidelines for Faecal Management Systems: Guidelines for Best Practice. … Effective management of acute faecal incontinence in hospital: review of
continence management systems … Department of Health and Human Services.
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psnet.ahrq.gov/issue/hospital-ethical-climate-and-teamwork-acute-care-moderating-role-leaders
October 15, 2016 - Study
Hospital ethical climate and teamwork in acute care: the moderating role of … Hospital ethical climate and teamwork in acute care: the moderating role of leaders. … Hospital ethical climate and teamwork in acute care: the moderating role of leaders. … April 6, 2011
Putting the 'patient' in patient safety: a qualitative study of consumer … June 19, 2013
Assessment of teamwork during structured interdisciplinary rounds on medical
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psnet.ahrq.gov/node/49599/psn-pdf
February 23, 2010 - The ED physician ordered laboratory tests and a CT scan of the abdomen and pelvis,
all of which were … 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 … 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.
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psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - are not well designed to support and reflect healthcare workers’ workflow, and the conditions in which … Across healthcare, surveys reveal workforce concern that healthcare workers are unable to provide safe … and healthcare units, healthcare workers have shared that they are experiencing higher levels of burnout … System Failures on Healthcare Workers
March 21, 2023
View More
See … More About The Topic
Labor and Delivery
Health Care Providers
Health Care Executives and
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psnet.ahrq.gov/issue/engaging-patients-vigilant-partners-safety-systematic-review
February 06, 2019 - the effectiveness of such efforts. … evidence, practice and patient perspectives. … intelligence: a systematic review and meta-analysis. … December 10, 2014
Putting the 'patient' in patient safety: a qualitative study of consumer … of patients in prevention.
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psnet.ahrq.gov/issue/effort-human-factors-performance-and-decision-making
August 31, 2022 - June 8, 2022
Assessment of programs aimed to decrease or prevent mistreatment of medical … August 1, 2007
National trends in safety performance of electronic health record systems … August 10, 2005
Reliability of verbal handoff assessment and handoff quality before and … March 31, 2021
Pediatric aspects of inpatient health information technology systems. … the emergency department: results of a multidisciplinary needs assessment.