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psnet.ahrq.gov/issue/untold-story-cyberattack-hospital-and-dying-woman
August 25, 2021 - This story discusses a ransomware incident that affected patient care and the potential ramifications … February 5, 2020
Deficiencies in the Veterans Crisis Line Response to a Veteran Caller … December 16, 2020
When health care moves online, many patients are left behind. … June 17, 2020
The health care industry needs to be more honest about medical errors. … It’s also facing a credibility crisis.
June 16, 2021
Black or 'other'?
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psnet.ahrq.gov/issue/final-report-ockenden-review
January 13, 2021 - overarching system improvement suggestions and high-priority recommendations to initiate NHS maternity care … July 1, 2020
Coding for Success: Simple Technology for Safer Patient Care. … December 9, 2020
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Care Post-Roe: Documenting … Cases of Poor-quality Care Since the Dobbs Decision. … August 10, 2022
A crisis within a crisis.
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psnet.ahrq.gov/issue/sources-power-how-people-make-decisions
November 19, 2015 - Copy Citation
Related Resources From the Same Author(s)
Out of the Crisis … September 26, 2012
A Crisis in Health Care: A Call to Action on Physician Burnout. … Workforce Safety
January 18, 2023
A Framework for Safe, Reliable, and Effective Care … February 15, 2017
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The Color of Care … June 17, 2015
Misadventures in Health Care: Inside Stories.
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psnet.ahrq.gov/issue/doctors-must-stop-tuning-out-black-women-it-happened-me-pregnant-ob-gyn
June 24, 2020 - Structural racism and implicit biases can lead to poor quality of care and adverse outcomes among Black … Author(s)
Medical bias: from pain pills to COVID-19, racial discrimination in health care … June 17, 2020
Dying for Care. … July 5, 2023
Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision … August 10, 2022
A crisis within a crisis.
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psnet.ahrq.gov/issue/industry-automates-adverse-events-continue-haunt-caregivers
February 08, 2023 - This article discusses how several health care organizations used health information technology to … March 11, 2020
Leadership through crisis: fighting the fatigue pandemic in healthcare … February 22, 2023
Medical crisis checklists in the emergency department: a simulation-based … Patient Safety Indicators at an academic veterans affairs hospital: addressing dual goals of clinical care
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psnet.ahrq.gov/node/836939/psn-pdf
April 27, 2022 - psnet.ahrq.gov//#4
https://psnet.ahrq.gov//#1
https://psnet.ahrq.gov//#1
Faced with an unexpected crisis … and avoid
clinician burnout during times of crisis. … Planning and Development Process
Given the urgency of the crisis, the innovation team rapidly developed … The virtual hospitalist: a critical
innovation during the COVID-19 crisis. … The virtual hospitalist: a
critical innovation during the COVID-19 crisis.
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psnet.ahrq.gov/issue/medication-overload-americas-other-drug-problem
April 01, 2020 - A culture of prescribing, deficits in information and knowledge, and fragmented care contribute to the … August 9, 2017
Factors associated with mental health outcomes among health care workers … April 15, 2020
A Crisis in Health Care: A Call to Action on Physician Burnout. … March 27, 2019
Addressing the Opioid Crisis in the United States. … Health Care Providers
Risk Managers
Quality and Safety Professionals
View More
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psnet.ahrq.gov/issue/uneven-burden-maternal-mortality-us
November 15, 2011 - Washington DC: National Institute for Health Care Management. August 2, 2022. … Washington DC: National Institute for Health Care Management. August 2, 2022. … Washington DC: National Institute for Health Care Management. August 2, 2022. … Cases of Poor-quality Care Since the Dobbs Decision. … April 27, 2022
A crisis within a crisis.
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psnet.ahrq.gov/issue/safety-shortcomings-spotted-sunrise-catheter-case
September 01, 2011 - September 1, 2011
Optimizing Crisis Resource Management to Improve Patient Safety and … Team Performance--A Handbook for Acute Care Health Professionals. … March 13, 2019
The other opioid crisis: hospital shortages lead to patient pain, medical … September 27, 2006
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See More About The Topic
Intensive Care Units … Patients
Neonatology and Intensive Care
Indwelling Tubes and Catheters
Active Errors
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psnet.ahrq.gov/issue/non-accidental-injuries-infants-attending-emergency-department
May 31, 2023 - the problems include lack of information sharing, inconsistent guidance, and emergency department care … March 1, 2023
Harm Caused by Delays in Transferring Patients to the Right Place of Care … April 26, 2023
Care Delivery within Community Mental Health Teams. … May 10, 2023
Crisis in the Lakeshore Hospital ER. … the COVID-19 Gemba: using observation and high reliability strategies to achieve safety in a time of crisis
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psnet.ahrq.gov/issue/covid-19-dominates-annual-list-patient-safety-concerns
May 26, 2021 - Safe care is influenced by both global and local changes in the environment. … April 8, 2020
Broken, fragmented health-care system failed daughter who died by suicide … March 25, 2020
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Related Resources
A crisis within a crisis … December 23, 2020
Think health care workers are tested often for the Coronavirus? … December 16, 2020
The optimal use of telehealth to deliver safe patient care.
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psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deaths
October 02, 2024 - This series examines the negative impact of abortion care limitations in the United States. … April 28, 2021
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … September 23, 2020
Measuring harm in health care: optimizing adverse event review. … July 19, 2023
Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision … April 26, 2023
A crisis within a crisis.
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psnet.ahrq.gov/issue/mothers-face-broken-addiction-treatment-system
January 25, 2023 - felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care … July 5, 2023
Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision … April 27, 2022
A crisis within a crisis.
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psnet.ahrq.gov/node/33623/psn-pdf
December 01, 2005 - contentious special sessions, Florida passed Senate Bill 2D to address the medical malpractice insurance
"crisis … The health care crisis in
Florida has led to reduced access of care for patients and has exacerbated … Why has this crisis developed? … professional and clinical
conditions observed in the US, while fomenting a major social and political crisis … It is tempting to view the situation in Florida as a stand-alone crisis, but in fact it
should be viewed
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psnet.ahrq.gov/issue/medical-error-and-vulnerable-communities
November 04, 2020 - This article discusses medical error, ineffective response to error, social trust and health care, state … Patients' perception of safety while receiving specialist community palliative care. … Safety
Health Plan Patient Safety Initiatives
July 10, 2024
Crisis … April 14, 2021
National drug shortages worsen during COVID-19 crisis: proposal for a … May 29, 2019
View More
See More About The Topic
Health Care Executives
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psnet.ahrq.gov/issue/enhancing-patient-safety-pediatric-emergency-department-teams-communication-and-lessons-crew
April 26, 2023 - Pediatr Emerg Care. 2010;26(12):942-8; quiz 949-51. doi:10.1097/PEC.0b013e3181fec9cf. … Pediatr Emerg Care . 2010; 26 (12) :942-8; quiz 949-51 . … Pediatr Emerg Care. 2010;26(12):942-8; quiz 949-51. doi:10.1097/PEC.0b013e3181fec9cf. … December 18, 2017
Pediatric crisis resource management training improves emergency medicine … April 8, 2011
Building a simulation-based crisis resource management course for emergency
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psnet.ahrq.gov/issue/few-hospitals-are-willing-bear-cost-providing-psychiatric-care-kids
March 15, 2023 - Citation Text:
Few hospitals are willing to bear the cost of providing psychiatric care for kids. … October 18, 2023
Building a Culture of Safety in Health Care. … July 5, 2023
Care Delivery within Community Mental Health Teams. … April 5, 2023
Crisis in the Lakeshore Hospital ER. … Safe clinical practice for patients hospitalised in mental health wards during a suicidal crisis
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psnet.ahrq.gov/issue/infection-prevention-operating-room-anesthesia-work-area
March 02, 2014 - health care–associated infections in the operating room. … July 2, 2014
An evaluation of hand hygiene in an intensive care unit: are visitors a … May 24, 2015
Crisis management during anaesthesia: the development of an anaesthetic … crisis management manual. … April 6, 2011
Crises in clinical care: an approach to management.
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psnet.ahrq.gov/issue/laura-levis-death-outside-er-has-changed-hospital-signage-lighting-mass
May 05, 2021 - Incomplete information and building design problems can reduce access to care and contribute to harm … April 12, 2023
Think health care workers are tested often for the Coronavirus? … August 9, 2023
Deep learning is a black box, but health care won't mind. … Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision. … August 10, 2022
A crisis within a crisis.
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psnet.ahrq.gov/issue/stranded-er-seniors-await-hospital-care-and-suffer-avoidable-harm
December 05, 2018 - Newspaper/Magazine Article
Stranded in the ER, seniors await hospital care and suffer … Citation Text:
Stranded in the ER, seniors await hospital care and suffer avoidable harm. … Dangers and deaths around black pregnancies seen as a ‘completely preventable’ health crisis … Improving Diagnostic Safety and Quality
April 26, 2023
Crisis … awaiting long-term care in hospital.