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psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
January 29, 2021 - and obstetric care, and approaches to improve patient safety during labor and delivery. … Health Care Manag (Frederick ). 2020;39(3):122-127. [ Available at ] Nelson D. … Pediatr Emerg Care . 2007;23(7):498-503. [ Available at ] Stewart NH, Arora VM. … When policy meets reality: the new 18-hour on-call shift policy and the Israeli anesthesia workforce crisis … The anesthesia workforce crisis revisited.
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digital.ahrq.gov/ahrq-funded-projects/leveraging-health-system-telehealth-and-informatics-infrastructure-create
January 01, 2024 - post-COVID-19 to ensure equal access and high-quality care. … Primary Care
Specialty Care
Health Care Theme
Access to Care
Learning Health … post-COVID-19 to ensure equal access and high-quality care. … Crisis mode activated
The COVID-19 pandemic presented the healthcare system with one of the biggest … Telehealth informing patient care post-COVID-19 to ensure equal access and high-quality care Through
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psnet.ahrq.gov/node/33874/psn-pdf
February 01, 2019 - Out of the Crisis. … Washington,
DC: Committee on Quality of Health Care in America, Institute of Medicine. … From triple to quadruple aim: care of the patient requires care of the provider. … Address safety across the entire care continuum
6. Support the health care workforce
7. … Partner with patients and families for the safest care
8.
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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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blike.pdf
January 01, 2003 - care. … usually fewer than 200 in a cohort) without a
fatality.6–8 Given the expected incidence of an induced crisis … The same simulated event was used to “crash test” actual care settings
where sedation care is provided … Training applications range from teaching basic skills to high-order crisis
resource allocation and … Crisis management in
anesthesiology. Philadelphia: Churchill Livingstone;
1994.
23.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/sickle-cell-dental-rapid-response.pdf
July 01, 2024 - Outcomes • Mortality
• Painful vaso-occlusive crisis
• Infection
• Organ damage
• Stroke
• Acute … professional,
timing of dental services
• Outcomes of interest: mortality, painful vaso-occlusive crisis … should be postponed
until the patient is in a
non-crisis state. … Oral analgesia for treatment of painful crisis
in sickle cell anemia Ann Emerg Med, 15(7), 787-91 … Oral morphine protocol
evaluation for the treatment of vaso-occlusive crisis in paediatric sickle cell
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-King_1.pdf
April 07, 2008 - make patient care safe and efficient. … common goals of quality
and safety in care. … anesthesiology over a decade ago with
the work of David Gaba and colleagues who developed Anesthesia Crisis … Simulation-
based training in anesthesia crisis resource
management (ACRM): A decade of experience. … Anesthesia
crisis resource management training: Teaching
anesthesiologists to handle critical incidents
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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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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
April 01, 2023 - Hand Hygiene in Outpatient Care, Home-Based Care, and Long-Term Care Facilities
https://apps.who.int … Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management
http://www.ihi.org/ … the incredible challenge that healthcare organizations and
frontline workers face with the COVID-19 crisis … Recipes for Staffing Transformation
Leadership Response to a Sentinel Event: Respectful, Effective Crisis … Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management
4.
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meps.ahrq.gov/data_files/publications/rf43/rf43.pdf
August 01, 2019 - inform patients, providers, and policymakers as they continue to
monitor the effects of the opioid crisis … PhD
Introduction
In recent years, inappropriate use of prescription opioids has become a national crisis … In response to this crisis, in 2016,
the Centers for Disease Control and Prevention (CDC) released new … inform patients, providers, and
policymakers as they continue to monitor the effects of the opioid crisis … Out-of-pocket medical spending for care of chronic
conditions.
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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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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empower-staff-transcript.pdf
April 01, 2022 - Aseptic Technique, Including How To Obtain Buy-In From Physicians
AHRQ Safety Program for Intensive Care … Assistant Clinical Professor
Associate Program Director, Anesthesia Critical Care Fellowship Program … met each other and are familiar with
each other and each other's roles, communication is better in crisis … Again, they're
trying to bring up something that really is standard of care. … Speaking up in advocacy for the patient is part of every health
care provider’s role.
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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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www.ahrq.gov/news/events/nac/2017-07-nac/nacmtg0717-minutes.html
November 01, 2017 - in care. … study cost effectiveness, and to study the larger health system picture when considering the opioid crisis … , and the ongoing AHRQ effort to advance primary care and primary care research. … These surveys indicate, respectively, how care is used/covered, what providers pay for care, and what … regulatory environment (e.g., Medicaid expansion) or national medical emergencies (e.g., the opioid crisis
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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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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/community-resources-and-recovery-supports
January 01, 2025 - Email Updates
The Academy
Integrating Behavioral Health & Primary Care … Medications for Opioid Use Disorder Playbook
Integrating Behavioral Health and Primary Care … Age 12-17 Behavioral-Developmental Health
Community Engagement for Whole-Person Care … Case or Care Management: These services can help establish stability in a patient's path to recovery … Accessed April 29, 2025. https://nida.nih.gov/nidamed-medical-health-professionals/opioid-crisis-pain-management
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
April 01, 2025 - All staff involved in the delivery of care related to a defect should be present when this defect is … [enter response]
[enter response]
[enter response]
Were test results available to help make care … (Example: Oncoming care team was debriefed by outgoing staff regarding patient’s condition.) … enter response]
[enter response]
[enter response]
Was verbal or written communication during a crisis … (Example: There was a pharmacist dedicated to the intensive care unit [ICU].)
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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.