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psnet.ahrq.gov/issue/when-should-multicampus-hospital-be-considered-single-entity-public-reporting-patient-safety
June 28, 2011 - June 28, 2011
Effect of illness severity and comorbidity on patient safety and adverse … January 4, 2012
Impact of diagnosis-timing indicators on measures of safety, comorbidity … Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and … January 31, 2018
Quality and safety implications of emergency department information … systems.
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psnet.ahrq.gov/node/852700/psn-pdf
August 30, 2023 - For example, we have alerting systems to
notify us of risks in the dispensing and preparation of medications … Patricia McGaffigan: Total systems safety reflects that safety is a dynamic and real-time product of … and forging of reliable
learning systems within and across healthcare organizations at the local, regional … systems are not well designed to support and reflect healthcare workers’ workflow, and the conditions … Organizational Self-Assessment Tool is the patient and family engagement foundational area.
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psnet.ahrq.gov/primer/telehealth-and-patient-safety
July 27, 2022 - healthcare practices and health systems throughout the country. 1 Its exponential expansion , spurred … When telehealth has been used for on-demand clinical calls using systems and providers that are not a … Access and quality of care in direct-to-consumer telemedicine. … Errors
September 7, 2019
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Health … Care Providers
Medicine
Nurse Care
Active Errors
Latent Errors
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psnet.ahrq.gov/perspective/conversation-francoise-marvel-md
August 05, 2022 - 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 … 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 … Interview
In Conversation with Lucy Savitz about Learning Health Systems
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psnet.ahrq.gov/issue/implementation-science-ambulatory-care-safety-novel-method-develop-context-sensitive
April 17, 2019 - of how ambulatory specialists monitor patients with high-risk conditions and to identify vulnerabilities … May 18, 2022
Decisions and repercussions of second victim experiences for mothers in … March 2, 2022
Using consumer engagement strategies to improve healthcare safety for young … people: an exploration of the relevance and suitability of current approaches. … Group Administrators
Medicine
Diagnostic Errors
Epidemiology of Errors and Adverse Events
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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/perspective/role-fda-ensuring-device-safety
May 28, 2020 - and effectiveness of the device. … However, it is important that the transfer of information between systems occur safely and securely. … guidance for securing medical devices and systems from cybersecurity risks. [7]
Device Maintenance … data owners, such as healthcare systems that collect real-world data from electronic health records, … On the cybersecurity front, the Department of Health and Human Services and the Department of Homeland
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psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
July 08, 2022 - Learning Objectives
Describe the four elements that healthcare providers should use to assess capacity … even health care providers who interpreted a palliative care consult as meaning that the patient was … systematic review of assessment tools and their measurement properties. … August 21, 2019
Impact of unacceptable behaviour between healthcare workers on clinical … Care Providers
Medicine
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psnet.ahrq.gov/web-mm/double-trouble
August 01, 2012 - 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. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
August 05, 2022 - a shared platform between the prescribing physician and other healthcare providers, which limits coordination … healthcare providers to implement teach-back into their daily practice. … standardization across documentation systems, and lack of interoperability between the pharmacy’s management … Care Providers. … Care Providers
Quality and Safety Professionals
Community Pharmacy
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psnet.ahrq.gov/node/850675/psn-pdf
June 14, 2023 - Family Presence and Participation During the COVID-19 Pandemic
Most hospitals and health systems responded … As PFACs have been implemented in hospitals and health systems, evidence shows
their impact on safety … Approaches to PFACs that more fully utilize patient and family partners may help
health systems achieve … A recent Cochrane Systematic review found that
power imbalances between healthcare providers and patients … patient-safety/patients-families/engagingfamilies/guide.html
https://psnet.ahrq.gov/issue/lessons-learned-systems-approach-engaging-patients-and-families-patient-safety-transformation
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psnet.ahrq.gov/issue/adenocarcinoma-situ-uterine-cervix-screening-and-diagnostic-errors-papanicolaou-smears
July 06, 2011 - March 11, 2015
Preventability and causes of readmissions in a national cohort of general … April 3, 2013
Effect of clinical decision-support systems: a systematic review. … September 19, 2022
Question answering systems for health professionals at the point of … A review of evidence, practice and consumer perspectives. … January 30, 2019
Assessment of attitudes toward deprescribing in older Medicare beneficiaries
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psnet.ahrq.gov/node/50928/psn-pdf
February 21, 2020 - evaluation-electronic-dosing-calculator-reduce-pediatric-medication-errors
https://psnet.ahrq.gov/issue/usability-and-feasibility-consumer-facing-technology-reduce-unsafe-medication-use-older … AI-based systems could support physicians in the analysis of large amounts
of data for diagnostic evaluations … workflow and contexts of the clinical users. … A final area of note concerns the progression of CDS and the integration of AI. … with HIT systems.
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psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
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
View More
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psnet.ahrq.gov/perspective/remote-patient-monitoring
March 15, 2023 - Remote patient monitoring (RPM) is a type of telehealth in which healthcare providers monitor patients … At times, patients will want to please their health care provider, and with the pen and paper method … assessment. … System Failures on Healthcare Workers
March 21, 2023
Perspective … Care Providers
Health Care Executives and Administrators
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psnet.ahrq.gov/node/33574/psn-pdf
September 07, 2019 - patient and caregiver behaviors
The role of provider–patient interactions
The role of the community … and health system
Specific types of errors can be linked to each of these three concepts. … lack reliable systems for
following up on test results—a problem that has been implicated in missed … While EHRs hold great promise for reducing medication errors
and tracking test results, these systems … Efforts are being made to increase use of EHRs in ambulatory
care, and physicians believe that use of
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psnet.ahrq.gov/node/836794/psn-pdf
March 31, 2022 - Learning Objectives
Describe the four elements that healthcare providers should use to assess capacity … If there is no clear determination
of capacity, formal assessment tools may be used. … even health care
providers who interpreted a palliative care consult as meaning that the patient was … Assessment of mental capacity and decision-making. Medicine. 46(7):405-410.
[Available at]
5. … Assessment of decision-making capacity in adults. UpToDate. Accessed October
7, 2021.
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psnet.ahrq.gov/node/841566/psn-pdf
December 14, 2022 - I have also served in roles
of chief quality officer and chief medical officer in several large systems … Nonetheless, the take-home message is that systems of safety did not endure and that we need to
recommit … patient safety including supporting
systems of safety and ensuring that organizations and providers … systems. … The last thing I want to mention is establishing the systems of safety and those key tools of high-reliability
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psnet.ahrq.gov/issue/hqi-and-hospital-council-annual-conference
October 25, 2006 - in Healthcare Delivery Systems (R18). … Estimates of Cost Savings and Deaths Averted From 2010 to 2013. … Consumer Reporting System for Patient Safety Events. … May 29, 2023
The Patient Education Materials Assessment Tool (PEMAT) and User's Guide … March 29, 2023
Surgeons and systems working together to drive safety and quality.
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psnet.ahrq.gov/primer/burnout
November 20, 2024 - responsibilities) using systems approaches and design thinking . … me, protect me, prepare me, support me and care for me.” 14 In the context of a global pandemic, systems … Burnout in healthcare workers: prevalence, impact and preventative strategies. … Burnout among healthcare providers of COVID-19: a systematic review of epidemiology and recommendations … November 11, 2015
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Health Care Providers