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psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test
December 23, 2020 - patient was transferred to a negative pressure room, the baby was isolated in the neonatal intensive care … and communication from health care staff. … Available at: https://www.fda.gov/medical-devices/letters-health-care-providers/poten… . … Cases of Poor-quality Care Since the Dobbs Decision. … February 23, 2022
A crisis within a crisis.
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psnet.ahrq.gov/node/73387/psn-pdf
March 17, 2021 - Research has demonstrated that the built environment plays a critical role in the safety of patient care … for individuals experiencing more severe COVID-19 symptoms.3 However, the ED remains the
setting of care … the pandemic has continued, providers have
been forced to explore innovative ways of providing usual care … Built Environment Moving Forward
As the healthcare community and healthcare architects look beyond the crisis … Understanding the Role of Health Care Facility Design in the
Acquisition and Prevention of HAIs.
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psnet.ahrq.gov/web-mm/check-bags
January 03, 2017 - Workforce issues have been an enormous concern in recent years as nursing shortages reach crisis proportions … care units. … Crit Care Med. 1997;25:1289-1297.[ go to PubMed ]
4. … Critical Care Nursing Fact Sheet. … Units
Health Care Providers
Non-Health Care Professionals
Critical Care
View More
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psnet.ahrq.gov/node/49623/psn-pdf
March 01, 2011 - are-we-pushing-graduate-nurses-too-fast
The Case
A middle-aged man was admitted to the surgical intensive care … In this hospital, RNs who regularly cared for SICU patients administered CRRT along with other
care … , managing conflict, communicating
across health care professionals, practicing quality improvement, … In other
health care professions, such as medicine, pharmacy, pastoral care, and physical therapy, standardized … A crisis in critical thinking. Nurs Educ Perspect. 2005;26:278-282.
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psnet.ahrq.gov/node/49826/psn-pdf
April 01, 2018 - In addition to shifting attention
away from patient care, distractions negatively impact teamwork and … have to be repeated frequently (2), which leads to delays in
providing care and may prevent members … Impact of crisis resource management simulation-based training for
interprofessional and interdisciplinary … J Interprof Care. 2015;29:433-444. [go to
PubMed]
9. Tang R, Ranmuthugala G, Cunningham F. … Qual Saf Health
Care. 2010;19:562-567.
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psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
September 01, 2005 - fields into health care. … Emergency medicine crisis resource management (EMCRM): pilot study of a simulation-based crisis management … Some unintended consequences of information technology in health care: the nature of patient care information … and improving health care quality and safety. … Health Care Executives and Administrators
Non-Health Care Professionals
Nurse Staffing Ratios
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psnet.ahrq.gov/node/850673/psn-pdf
June 14, 2023 - beneficial partnerships—respect and dignity; information
sharing; participation in care, care planning … , and decision making; and collaboration at all levels of care, not
just in direct clinical care. … they want them involved in care. … For example, if this is a new diagnosis for their
loved one, or they’re in a crisis, we need to be careful … And while we were in that crisis period, IPFCC
presented a webinar on how to partner with families for
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psnet.ahrq.gov/curated-library/medicationdrug-errors
March 12, 2021 - Int J Health Care Qual . 2019; 31 (10) :g146-g157 . … physicians on intensive care units, and use of tools to measure safety culture. … Acute Care Edition. January 17, 2019;24:1-6. … In light of the current opioid crisis, the use of opioids to manage noncancer-related chronic pain in … Medication errors are prevalent in inpatient care.
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psnet.ahrq.gov/primer/digital-health-literacy
August 30, 2023 - Prim Care . 2022;49(4):517-530. [ Free full text ] Swire-Thompson B, Lazer D. … September 30, 2015
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … July 24, 2013
Crisis resource management: evaluating outcomes of a multidisciplinary … Resources
Patient Safety Primers
Inpatient Transitions of Care … 2022
WebM&M Cases
Be Picky about your PICCs—Fragmented Care
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psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
August 30, 2023 - universal precautions takes the perspective that all patients may have trouble understanding health care … Health Literacy Assessment ) or generic (e.g., Health Literate Health Care Organization-10 6 or the … Assessing health literacy in safety net primary care practices. … Ten Attributes of Health Literate Health Care Organizations. NAM Perspectives. Discussion Paper. … July 24, 2013
Crisis resource management: evaluating outcomes of a multidisciplinary
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.161_slideshow.ppt
October 01, 2007 - other health care professionals, the health care organization, and the larger society and how these … not compromise quality of care
- Advocate for quality patient care and assist patients in dealing with … system complexities
- Know how to partner with health care managers and health care providers to assess … Burnout and self-reported patient care in an internal medicine residency program. … Work and Integrity: The Crisis and Promise of Professionalism in America. 2nd ed.
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psnet.ahrq.gov/web-mm/resuscitate-or-not
November 01, 2011 - errors in their care.( 5,6 ) Patients can be asked directly how they would like their care handled in … immediate life threat occurs, it may be prudent to treat the patient and continue discussions when the crisis … In end-of-life care, the patient's wishes remain paramount. Albert W. … An alternative strategy for studying adverse events in medical care. … Units
Health Care Providers
Non-Health Care Professionals
Critical Care
Hospital Medicine
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psnet.ahrq.gov/node/49560/psn-pdf
April 01, 2008 - In the midst of crisis, the physician did not realize that the patient was
DNR and successfully resuscitated … ensure continuity of the care plan. … should have been on the role of the acute
care hospital. … Rather, health care providers need to be trained in a goal-based
approach to advance care planning in … multiple chronic
illnesses, formulates goals of care, and then develops a plan of care that outlines
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psnet.ahrq.gov/node/33834/psn-pdf
May 22, 2017 - a prescription opioid overdose in 2015, and thousands more were hospitalized or
required emergency care … events often involves additional therapeutics, which further increases the complexity of patients' care … Evidence-based guidelines for the
treatment of chronic pain in primary care, such as those developed … Nevertheless, some have objected to such guidelines based on concerns that care for those in pain
will … The prescription opioid and heroin crisis: a public health
approach to an epidemic of addiction.
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psnet.ahrq.gov/node/865697/psn-pdf
April 24, 2024 - focus was on short-term actions that could be taken at an institutional level to address
the staffing crisis … Now they are leaving, not only nursing, but leaving health care overall. … We can’t just leapfrog over those who are delivering care and then say we care about
patient care. … Why Improving Low-Wage Health Care Jobs Is Critical for Health Equity. … Med Care. 2007;45(12):1195-1204.
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psnet.ahrq.gov/node/863641/psn-pdf
February 28, 2024 - revising-teamstepps-evolution-patient-safety-teamwork-training
Safe, effective, and efficient patient care … offices, and long-term care facilities. … increased
a sense of value, respect, and empathy among healthcare teams, particularly during times of crisis … , primary care, and rapid response. … settings working together to
support patient care.
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psnet.ahrq.gov/perspective/weekend-effect
April 01, 2008 - Researchers have attempted to determine whether these temporal differences in care result in adverse … This study also highlights the methodologic challenges in studying temporal variations in care. … Third, the weekend effect is not the only source of temporal variation in care. … Technology as a Tool for Improving Patient Safety
March 29, 2023
A Crisis … in Health Care: A Call to Action on Physician Burnout.
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psnet.ahrq.gov/node/33629/psn-pdf
March 01, 2006 - It will be yet more difficult to develop such evidence in health care. … The future vision of simulation in health care. … The use of simulation for training teamwork skills in health care: how low can
you go? … Qual Saf Health Care. 2004;13(suppl 1):i51-i56. [ go to PubMed ]
5. Gaba DM, DeAnda A. … Simulation-based training in anesthesia crisis
resource management (ACRM): a decade of experience.
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psnet.ahrq.gov/print/pdf/node/74277
January 01, 2021 - Int J Health Care Qual. 2019;31:g146-g157. … Acute Care Edition. January 17, 2019;24:1-6. … In light of the current opioid crisis, the use of opioids to manage noncancer-related chronic pain in … ISMP Medication Safety Alert® Acute Care Edition. … Med Care. 2005;43:1171-1176.
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psnet.ahrq.gov/web-mm/hold-tpa
July 29, 2020 - and streamlining processes of care, can drastically reduce protocol violations and improve both the … Ongoing, intensive education of providers involved in the care of acute stroke patients is essential. … Position paper on critical care pharmacy services. … Society of Critical Care Medicine and American College of Clinical Pharmacy. … November 25, 2020
Building a simulation-based crisis resource management course