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psnet.ahrq.gov/node/72618/psn-pdf
December 23, 2020 - Nudges should be transparent and never
misleading, easy to opt out of if needed, and aligned with the … , and ensure a complete
understanding of what measurement would be needed and how that would impact … 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 … Representatives from 22 health systems across the US and Canada attended.a To-date, approximately 30
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psnet.ahrq.gov/node/60609/psn-pdf
June 24, 2020 - timely assessment of response and consideration of efficacy
Complete documentation and handoff communication … There was also a failure of systems to prevent this situation from happening. … on shift workers.8 Also relevant to this case is the reduced presence of other health care
providers … Health systems have made attempts to decrease the
likelihood of adverse drug events by implementing … Systematic Assessment
of Preventable Adverse Events.
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psnet.ahrq.gov/issue/snomed-ct-electronic-health-record-enhances-anesthesia-patient-safety
March 14, 2022 - prescribing systems: a systematic review and narrative synthesis. … August 9, 2017
A prospective risk assessment of informal carers' medication administration … August 28, 2013
How reliable are clinical systems in the UK NHS? … Assessment Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related … March 16, 2022
Guidelines for US hospitals and clinicians on assessment of electronic
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psnet.ahrq.gov/issue/empowering-patients-hospital-new-approach-reducing-burden-health-care-associated-infections
May 25, 2022 - Handwashing is a critical patient safety activity, and encouraging patients to ask health care providers … institution: informing recommendations for health systems and an expanded conceptual framework for handoffs … March 13, 2024
Laboratory test ordering and results management systems: a qualitative … emerging virus outbreaks on healthcare workers: rapid review and meta-analysis. … Care Providers
Health Care Executives and Administrators
Infectious Diseases
Epidemiology of
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psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md
September 01, 2016 - RW : Have you seen examples of really robust integration of telehealth and other consumer-facing IT into … are seeing physician leadership and engagement propelling the modernization of clinical delivery systems … , in which patients are constantly connected to their health care providers. … of acute care remote triage systems: a systematic review. … Care Providers
Information Professionals
Medicine
Surgical Complications
View More
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psnet.ahrq.gov/web-mm/unfamiliar-catheter
November 01, 2006 - The hospital uses assessment methods to determine the individual's competence in the skills being assessed … A more thorough assessment of the nurse's competency in the skill and review of the protocol were indicated … A second victim ( 19 ) is a health care provider involved in an adverse event or medical error who becomes … Managing the aftermath of critical incidents: meeting the needs of health-care providers and patients … Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices.
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psnet.ahrq.gov/web-mm/mid-summer-fog
September 29, 2017 - How can patient safety systems be designed to be more impervious to the impact of new, inexperienced … between health care providers, with the realism of simulation technology and deep debriefing has opened … How can patient safety systems be designed to be more impervious to the impact of new, inexperienced … Hospital systems, the Joint Commission, professional organizations, and CPOE vendors can help reduce … Care Providers
Quality and Safety Professionals
Information Professionals
Educators
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psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
November 25, 2020 - solutions to effective communication between healthcare providers
The Case
A 46-year-old woman … a visual assessment. … It is a “team-building tool that increases effective communication among healthcare providers.” 24 … Most healthcare providers know the critical actions necessary to care for a critically ill patient but … Healthcare providers should train in teams to support a team-based healthcare delivery paradigm.
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psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
May 11, 2019 - , referring clinicians and patients should be incorporated into a systems-level model for improving patient … Newer electronic methods can also be used to help ensure effective communication at the systems level … Improving communication by implementing multiple systems-based changes, using both e-methods and more … View More
See More About The Topic
Hospitals
Ambulatory Clinic or Office
Health … Care Providers
Physicians
Radiology
View More
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psnet.ahrq.gov/issue/are-long-physician-working-hours-harmful-patient-safety
June 24, 2020 - April 12, 2006
Second victim syndrome in intensive care unit healthcare workers: a systematic … September 9, 2020
Beyond the corrective action hierarchy: a systems approach to organizational … June 23, 2021
Promoting the psychological well-being of healthcare providers facing the … for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems … , and domains of nursing performance in day and night shift nurses: a quasi-experimental study.
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psnet.ahrq.gov/issue/validation-discharge-summary-term-search-method-detect-adverse-events
December 06, 2017 - March 10, 2021
Barriers and facilitators to improving patient safety learning systems … March 6, 2013
Assessment of the implementation of a national patient safety alert to … systems. … reported errors and vulnerability testing of current systems. … June 13, 2018
Consumer mobile apps for potential drug–drug interaction check: systematic
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psnet.ahrq.gov/node/33699/psn-pdf
August 01, 2010 - research, and substantial innovations in both technology and delivery systems. … Structured communication tools such as situation-background-
assessment-recommendation (SBAR) show promise … Improving general communication skills between health care providers and consumers is essential in
medicine … errors" committed
by competent people working in dysfunctional systems. … Healthcare Systems Ergonomics and Patient Safety. London, UK: Taylor & Francis Group;
2005:85.
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psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
July 23, 2024 - systems conducted their own internal efforts, and all 220 California hospitals were exposed to state-wide … Safety assessment of a large-scale improvement collaborative to reduce nulliparous cesarean delivery … Safety Assessment of a Large-Scale Improvement Collaborative to Reduce Nulliparous Cesarean Delivery … Safety Assessment of a Large-Scale Improvement Collaborative to Reduce Nulliparous Cesarean Delivery … Delivery
Health Care Providers
Physicians
Nurses
View More
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psnet.ahrq.gov/node/33831/psn-pdf
April 01, 2017 - We have trained our surveyors in the most common electronic medical
record systems. … We found too many instances where technology including EHRs, IV pumps,
and monitoring systems don't … We're now teaching hospitals and systems how to use
these tools as part of transformation, embed them … that we cannot expect that health care will follow a
similar trajectory as automobile safety or as consumer … MC: Hospitals and systems, a small but growing number, that have taken this challenge for high reliability
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psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
July 01, 2017 - Therefore, risk assessment is difficult due to underreporting and the fact that there is no centralized … performance of instrument maintenance and function checks; (5) assessment of test performance through … testing of samples; and (6) assessment of problem-solving skills. 21 A monitoring process, typically … Implementing strong systems processes as discussed in this Commentary should reduce the risk of errors … June 2, 2019
Assessment of incorrect surgical procedures within and outside the operating
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psnet.ahrq.gov/node/72586/psn-pdf
December 23, 2020 - in health care providers who report that they have had education in this area.7
Anchoring bias, or … ) when making decisions heavily influences health care providers as they go about
their daily work. … structure of
the handoff is adaptable to other health care providers and situations. 13
When clinicians … With the development of EHR, more clerical and administrative tasks fall on all healthcare
providers … Now more than ever, as the demands on healthcare workers reach new peaks and continue to change
day-to-day
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psnet.ahrq.gov/node/50841/psn-pdf
January 29, 2020 - Therefore, risk assessment is difficult due to underreporting and the fact that
there is no centralized … performance of instrument maintenance and
function checks; (5) assessment of test performance through … testing of samples; and (6) assessment of problem-
solving skills.21 A monitoring process, typically … Implementing strong systems processes as discussed in this Commentary should reduce the
risk of errors … Department of Health and Human Services.
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psnet.ahrq.gov/node/845472/psn-pdf
March 15, 2023 - providers that can be processed accordingly. … At times, patients will want to please
their health care provider, and with the pen and paper method … systems and clinical entities handle these data. … same assessment. … All sorts of measurements are enabled through consumer-grade wearable devices.
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psnet.ahrq.gov/node/73102/psn-pdf
July 01, 2022 - medication safety
assessment, as well as an assessment of environmental, functional and psychosocial … supports other
medication management interventions (e.g., medication dispensing and reminder systems … HomeMeds is implemented in 65 sites in 24 states, including hospital and health systems, university … payment by medical groups, health systems, and health plans. … Evaluation of a pharmacist-led
medication assessment used to identify prevalence of and associations
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psnet.ahrq.gov/periodic-issue/periodic-issue-395
June 28, 2023 - The winners of the competition are University of Missouri, University of Chicago Medicine and Chesapeake … and the effect of debiasing strategies. … of electronic tools for perioperative handoffs and the role of artificial intelligence (AI) and machine … The winners of the competition are University of Missouri, University of Chicago Medicine and Chesapeake … Department of Health and Social Care.