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psnet.ahrq.gov/issue/learning-during-crisis-impact-covid-19-hospital-acquired-pressure-injury-incidence
August 25, 2021 - Study
Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. … The COVID-19 pandemic has disrupted many aspects of health care delivery, including how hospitals prevent … Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. … July 29, 2020
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Intensive Care Units
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psnet.ahrq.gov/issue/analysis-suicides-reported-adverse-events-psychiatry-resulted-nine-quality-improvement
October 21, 2020 - Crisis. 2021;43(4):307-314. doi:10.1027/0227-5910/a000787. … Crisis . 2021; 43 (4) :307-314 .
View more articles from the same authors. … and intervention training, and improving communications with families, caregivers, and other health care … Crisis. 2021;43(4):307-314. doi:10.1027/0227-5910/a000787. … Safe clinical practice for patients hospitalised in mental health wards during a suicidal crisis
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psnet.ahrq.gov/issue/building-simulation-based-crisis-resource-management-course-emergency-medicine-phase-1
September 26, 2016 - Study
Building a simulation-based crisis resource management course for emergency … Building a simulation-based crisis resource management course for emergency medicine, phase 1: Results … Building a simulation-based crisis resource management course for emergency medicine, phase 1: Results … February 3, 2011
Pediatric medication errors in the postanesthesia care unit: analysis … September 24, 2016
Pediatric crisis resource management training improves emergency medicine
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psnet.ahrq.gov/node/47382/psn-pdf
August 29, 2018 - parenteral-opioid-shortage-treating-pain-during-opioid-overdose-epidemic
Well-intentioned system-level efforts to improve care … can cause patient harm and describes clinical and policy suggestions to improve the reliability of
care … amid efforts to manage the opioid crisis. … psnet.ahrq.gov/issue/impact-drug-shortage-medication-errors-and-clinical-outcomes-pediatric-intensive-care-unit … https://psnet.ahrq.gov/issue/what-can-physicians-do-help-curb-opioid-crisis
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psnet.ahrq.gov/issue/black-or-other-doctors-may-be-relying-race-make-decisions-about-your-health
September 15, 2021 - Race-adjusted decision making tools perpetuate the potential for diagnostic error and care delay … This article examines race correction as a form of bias in health care and discusses efforts to reduce … Copy Citation
Related Resources From the Same Author(s)
A crisis within a … crisis. … It’s also facing a credibility crisis.
June 16, 2021
Sent home to die.
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psnet.ahrq.gov/issue/retrospective-review-crisis-events-diagnostic-radiology-analysis-frequency-demographics
February 17, 2017 - Study
A retrospective review of crisis events in diagnostic radiology: an analysis … A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics … A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics … February 17, 2017
Medication errors during medical emergencies in a large, tertiary care … One health care system's experience.
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psnet.ahrq.gov/issue/when-public-health-goes-wrong-toward-new-concept-public-health-error
September 02, 2020 - Through examples of the opioid crisis in the United States and Canada, and radiation therapy in Canada … September 2, 2020
Inpatient telemedicine and new models of care during COVID-19: hospital … December 6, 2023
Failure of crisis leadership in a global pandemic: some reflections … November 9, 2022
Veterans Health Administration response to the COVID-19 crisis: surveillance … October 26, 2022
Patients went into the hospital for care.
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psnet.ahrq.gov/issue/high-reliability-leadership-conceptual-framework
March 09, 2022 - J Contingencies Crisis Manage. 2017;26(2):237-246. doi:10.1111/1468-5973.12187. … J Contingencies Crisis Manage . 2017; 26 (2) :237-246 . … Leadership engagement is key to achieving improvements that support safe care. … J Contingencies Crisis Manage. 2017;26(2):237-246. doi:10.1111/1468-5973.12187. … care units and hospital emergency services.
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psnet.ahrq.gov/issue/role-racism-core-patient-safety-issue
March 18, 2020 - A variety of biases can reduce the effectiveness and safety of care. … This commentary focuses on racial bias and highlights its deleterious impact on maternity care and … Citation
Related Resources From the Same Author(s)
Zero harm in health care … August 3, 2022
Woman works to end Black maternal health crisis after daughter dies after … April 27, 2022
A crisis within a crisis.
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psnet.ahrq.gov/issue/communication-and-transparency-means-strengthening-workplace-culture-during-covid-19
January 16, 2019 - Communication within teams is central to safe care delivery, crisis management, and staff well-being … enhance information-sharing as a strategy to reduce clinician burnout in times of uncertainty and crisis … December 1, 2019
Burnout Among Health Care Professionals. … A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. … Clinician perspectives on implementation of crisis standards of care.
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psnet.ahrq.gov/issue/slow-troubling-death-autopsy
August 19, 2020 - October 12, 2022
Comprehensive Healthcare Inspection Summary Report: Evaluation of Care … September 28, 2022
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A crisis within … a crisis. … There is a real cost’: as Covid shows, barring bedside visitors from ICU deprives patients of the best care … It’s also facing a credibility crisis.
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psnet.ahrq.gov/issue/seattle-pilots-misdiagnosis-highlights-challenges-around-coronavirus-testing
March 21, 2007 - March 21, 2007
As college students return, a crisis in campus care awaits. … April 15, 2020
Considering the safety and quality of artificial intelligence in health care … March 1, 2017
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A crisis within a crisis … It’s also facing a credibility crisis. … See More About The Topic
General Public
Ambulatory Clinic or Office
Primary Care
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psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
January 27, 2016 - This white paper encourages hospitals to proactively develop and integrate a clinical crisis management … leadership in developing a culture of safety, and the need for organizations to have a comprehensive crisis … January 27, 2016
A Framework for Safe, Reliable, and Effective Care. … March 2, 2022
Addressing the Opioid Crisis in the United States. … June 8, 2010
Health-care industry agrees on patient safety rules.
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psnet.ahrq.gov/issue/measured-response-identified-suicide-risk-and-violence-what-you-need-know-about-psychiatric
January 30, 2019 - Brief Treat Crisis Intervent. 2005;5(2):121-141
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Save to your … Brief Treat Crisis Intervent. 2005;5(2):121-141
View more articles from the same authors. … Brief Treat Crisis Intervent. 2005;5(2):121-141
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Related Resources From … the Same Author(s)
A Crisis in Health Care: A Call to Action on Physician Burnout. … January 15, 2020
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Care Delivery within
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psnet.ahrq.gov/issue/reliability-uncertainty-and-management-error-new-perspectives-covid-19-era
January 12, 2022 - J Contingencies Crisis Manage. 2022;30(1):92-101. doi:10.1111/1468-5973.12356. … J Contingencies Crisis Manage . 2022; 30 (1) :92-101 . … J Contingencies Crisis Manage. 2022;30(1):92-101. doi:10.1111/1468-5973.12356. … February 25, 2009
Factors associated with missed nursing care and nurse-assessed quality … of care during the COVID-19 pandemic.
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psnet.ahrq.gov/node/42612/psn-pdf
July 05, 2016 - Delivering High-Quality Cancer Care: Charting a New
Course for a System in Crisis. … Committee on Improving the Quality of Cancer Care: Addressing
the Challenges of an Aging Population, … https://psnet.ahrq.gov/issue/delivering-high-quality-cancer-care-charting-new-course-system-crisis
Cancer … involves exposure to high-risk medications and requires closely coordinated care. … https://psnet.ahrq.gov/issue/delivering-high-quality-cancer-care-charting-new-course-system-crisis
https
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psnet.ahrq.gov/issue/how-not-waste-crisis-qualitative-study-problem-definition-and-its-consequences-three
April 21, 2015 - Study
How not to waste a crisis: a qualitative study of problem definition and its … How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals … How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals … awaiting long-term care in hospital. … February 22, 2019
Ten principles for more conservative, care-full diagnosis.
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psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse-events-health-care
February 22, 2010 - an organization with a memory: exploring the organizational generation of adverse events in health care … December 29, 2014
Exploring the barriers to learning from crisis: organizational learning … and crisis. … July 22, 2009
Exploring the barriers to learning from crisis: organizational learning … and crisis.
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psnet.ahrq.gov/issue/attending-emotional-well-being-health-care-workforce-new-york-city-health-system-during-covid
December 23, 2020 - Emerging Classic
Attending to the emotional well-being of the health care … Attending to the emotional well-being of the health care workforce in a New York City health system during … In March 2020, the health system established a new Employee, Faculty, and Trainee Crisis Support Task … June 24, 2020
Promoting psychosocial well-being of health care staff during crisis. … April 29, 2020
COVID-19: peer support and crisis communication strategies to promote
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psnet.ahrq.gov/node/866118/psn-pdf
June 12, 2024 - Factors Affecting the Delivery of Safe Care in Midwifery
Units. … Newcastle Upon Tyne, UK: Care Quality
Commission; May 2024. … https://psnet.ahrq.gov/issue/factors-affecting-delivery-safe-care-midwifery-units
Safe maternal care … Areas of focus
included workload, fetal heart monitoring during birthing, crisis preparedness, and telephone … /issue/crisis-standards-care-ten-years-successes-and-challenges-proceedings-workshop
https://psnet.ahrq.gov