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psnet.ahrq.gov/perspective/conversation-leah-binder-ma-mga
February 26, 2025 - Purchaser and consumer organizations like ours also have a high threshold for measurement integrity, … News, Consumer Reports, Healthgrades, etc. … So we began by doing some research on what kinds of rating systems in any industry are most effective … But the consumer then calls us to say, "I don't understand, what does this mean?" … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
March 15, 2023 - The patient was seen in the preoperative assessment clinic prior to admission, where the nursing staff … the individual provider but also result from systems-based barriers. … Below are additional recommendations that can be employed at the health systems level:
Hire and Train … View More
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Hospital Pharmacists
Hospitals
Health … Care Providers
Medicine
Endocrinology
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psnet.ahrq.gov/node/841493/psn-pdf
December 14, 2022 - systems throughout the country.1 Its exponential expansion, spurred by
the COVID-19 pandemic, has … health systems were obliged to
rapidly implement telehealth into existing operations with the onset … When telehealth has been used for on-demand clinical calls using systems and providers that are not a … and
assessing the impact of individual patient factors, social determinants of health, and the fidelity … Access and quality of care in direct-to-consumer
telemedicine.
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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/issue/clinical-alarms-complexity-and-common-sense
September 23, 2020 - for managing COVID-19 in health care systems: seven key messages. … November 21, 2018
Patient safety, systems design and ergonomics. … January 13, 2024
Risk and Event Assessment. … January 23, 2019
Managing alarm systems for quality and safety in the hospital setting … May 27, 2015
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Health Care Providers
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psnet.ahrq.gov/issue/ssssh-handover-protected-medical-handover-optimising-quality-and-prioritising-safety-regional
March 08, 2017 - December 2, 2020
Is the maturity of hospitals' quality improvement systems associated … May 18, 2011
Diagnostic assessment of deep learning algorithms for detection of lymph … of electronic medication management systems: a systematic review. … Qualitative outcomes from a health consumer workshop. … September 5, 2018
Assessment of the safety of discharging select patients directly home
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psnet.ahrq.gov/web-mm/easily-forgotten-tube
June 01, 2016 - assessment of cognitive function. … In patients with FMSs, daily assessment is essential for early detection and treatment of any adverse … Effective management of acute faecal incontinence in hospital: review of continence management systems … 2012
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Intensive Care Units
Health … Care Providers
Quality and Safety Professionals
Gastroenterology
Indwelling Tubes and Catheters
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psnet.ahrq.gov/issue/international-society-quality-health-care-conference
September 26, 2023 - Assessment Service, and the Korea Institute for Healthcare Accreditation, COEX Convention and Exhibition … Assessment Service, and the Korea Institute for Healthcare Accreditation, COEX Convention and Exhibition … Assessment Service, and the Korea Institute for Healthcare Accreditation, COEX Convention and Exhibition … September 30, 2020
Health IT and Patient Safety: Building Safer Systems for Better Care … August 3, 2022
Healthcare Systems Ergonomics and Patient Safety Triennial Conference.
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psnet.ahrq.gov/issue/identifying-understanding-and-minimizing-unconscious-cognitive-biases-perioperative-crisis
June 19, 2019 - Unconscious bias among clinicians can hinder the delivery of high-quality care and degrade diagnostic … clinical decision support systems (CDSS) . … July 22, 2011
Usability and feasibility of consumer-facing technology to reduce unsafe … June 12, 2024
Remote assessment of real-world surgical safety checklist performance using … March 20, 2024
The ritualisation of the surgical safety checklist and its decoupling
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psnet.ahrq.gov/perspective/suicide-prevention
March 24, 2025 - Given this crucial role that healthcare providers can play in suicide prevention, screening patients … Healthcare providers should be comfortable having discussions about suicidal thoughts and behaviors using … By maintaining empathy and using trauma-informed care approaches, healthcare providers can break down … If you look at the month before death, up to 40% of them have seen a healthcare provider. 1 What is … Sarah Mossburg : So temporal proximity, indicates that healthcare providers might be in a unique position
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psnet.ahrq.gov/periodic-issue/periodic-issue-318
November 30, 2021 - In this comparison study of web-based and interactive voice response systems (IVRS), the mean number … Structured handoffs, such as situation-background-assessment-recommendation (SBAR) and checklists, have … The document highlights patient assessment, process standardization, and cross-disciplinary team building … AHRQ’s Hospital Survey on Patient Safety Culture™ (SOPS®) ask health care providers and staff about the … The commentary discusses the importance and use of early maternal warning systems, checklists and protocols
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psnet.ahrq.gov/issue/link-between-clinically-validated-patient-safety-indicators-and-clinical-outcomes
November 16, 2016 - an association between Patient Safety Indicators and longer length of stay, unplanned readmissions … harm-based weights for the AHRQ Patient Safety for Selected Indicators composite (PSI-90): does it affect assessment … February 17, 2017
Consumer rankings and health care: toward validation and transparency … May 28, 2015
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Hospitals
Health Care … Providers
Medicine
Epidemiology of Errors and Adverse Events
Patient Safety Indicators
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psnet.ahrq.gov/issue/please-reconcile-not-wait-while
April 19, 2023 - March 1, 2023
Prevalence and severity of patient harm in a sample of UK-hospitalised … July 16, 2014
Consumer rankings and health care: toward validation and transparency. … January 3, 2017
Assessment of automating safety surveillance from electronic health records … patient safety and continuity of care. … Care Providers
Quality and Safety Professionals
Pediatrics
Discontinuities, Gaps, and Hand-Off
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psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
July 23, 2024 - Representatives from 22 health systems across the US and Canada attended. a To-date, approximately 30 … Nudges should be transparent and never misleading, easy to opt out of if needed, and aligned with the … This hypothesis will then inform the design of the pilot, implementation, and evaluation strategy and … for successful implementation but you must also engage the team from your informatics or information systems … Department of Health and Human Services, the Agency for Healthcare Research and Quality, or of the submitter
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psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - 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 … are not well designed to support and reflect healthcare workers’ workflow, and the conditions in which … System Failures on Healthcare Workers
March 21, 2023
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See … More About The Topic
Labor and Delivery
Health Care Providers
Health Care Executives and
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psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing
August 30, 2023 - . 2 Gaps in care coordination among the multiple healthcare providers a patient sees are associated … by health systems. … other measures. 1 Researchers found that Top Box scores in the quarterly Hospital Consumer Assessment … of Healthcare Providers and Systems report cards improved after the implementation of the VIC model. … Care Providers
Health Care Executives and Administrators
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psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
July 08, 2022 - of a patient after opioid administration include the timing of the assessment, the pharmacokinetics … Literature Review: Assessment of Opioid-related Sedation and the Pasero Opioid Sedation Scale. … Comparsion of Selected Sedation Scales for Reporting Opioid-Induced Sedation Assessment. … Assessment of Sedation During Opioid Administration for Pain Management. … University of Florida College of Medicine Pain Assessment and Management Initiative.
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psnet.ahrq.gov/node/50698/psn-pdf
November 27, 2019 - Systems Issues: In both of these cases, the patients did not receive adequate suicide risk assessment … Elements of these programs include
environmental assessment, suicide assessment of patients who screen … A number of standardized assessment tools have been developed and validated and
can easily be taught … Both of these cases
illustrate that hospital-based, collaborative, multidisciplinary, systems-based … suicide deaths.14
Improving Systems Quality: The American College of Emergency Physicians (ACEP)
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psnet.ahrq.gov/issue/accuracy-trigger-tools-detect-preventable-adverse-events-primary-care-systematic-review
January 22, 2016 - February 7, 2024
Frontline hospital workers and the worker safety/patient safety nexus … January 21, 2019
Consumer mobile apps for potential drug–drug interaction check: systematic … review and content analysis using the Mobile App Rating Scale (MARS). … April 18, 2018
Ambulatory computerized prescribing and preventable adverse drug events … Errors and Adverse Events
View More
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psnet.ahrq.gov/issue/effect-health-information-exchange-recognition-medication-discrepancies-interrupted-when-data
November 16, 2022 - of resident physicians and pharmacists. … history errors and resultant inpatient order errors. … May 8, 2017
Using consumer-based kiosk technology to improve and standardize medication … of resident physicians and pharmacists. … Errors and Adverse Events
View More