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www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
July 14, 2023 - Advancing Diagnostic Equity through Clinician Engagement,
Community Partnerships, and Connected Care … : Incidence and
Contributing Factors (R01) and AHRQ Improving Diagnostic
Safety in Ambulatory Care … • Assessment of pharmacist-led transitions of care service using an
admissions-enhanced patient … The HRSA Bureau of Primary Health Care
(BPHC) is managing ongoing efforts to address this issue. … clinicians (in clearance)
o National Guidelines for Child and Youth Behavioral Health Crisis
Care
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/naa-october-2024-webinar-slides.pdf
January 01, 2024 - Resolve workforce turnover crisis to drive safety and well-
being
4
The Workplace Change Collaborative … and the Journey to Highly Reliable Care
Allan Frankel, MD, Senior Vice President
Operational excellence … /reliable-care-delivery
https://www.vizientinc.com/our-solutions/care-delivery-excellence/reliable-care-delivery … The Primary Care Work-life Survey (Lenhart, PI)
measured burnout across OHSU primary care
clinics in … Questions to Run On
Share With Us
Speaker Welcome
Leadership.... and the Journey to Highly Reliable Care
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meps.ahrq.gov/data_files/publications/st290/stat290.pdf
August 01, 2010 - and the cost and quality of that care. … Health insurance helps people get timely
access to medical care and protects them against the risk of … America's Uninsured Crisis: Consequences for Health and Health Care. Washington, D. … Access to Health Care--Sources and Barriers, 1996. MEPS Research Findings No. 3. AHCPR Pub. … Medical Care, July 2003: 41(7)
Supplement: III-5-III-12.
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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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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-behavioral-health.html
May 01, 2024 - Appendix D: Grant Summaries
P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury … To Treat Chronic Pain in Primary Care
S5: Developing a Mobile Tool to Improve Self-Care and Shared … References
Our nation faces a behavioral health crisis as mental health and substance … within the primary care setting leads to improved care and reduced costs. 35 AHRQ defines behavioral … care” and “collaborative care”) 33 as: The care that results from a practice team of primary care and
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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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effectivehealthcare.ahrq.gov/sites/default/files/pdf/topic-brief1-care-coordination.pdf
April 01, 2021 - Rapid Evidence Product
April 2021
Care Coordination and Care Plans for
Transitions Across Care … coordination and care plans for transitions across care settings (“transitional care interventions … Care Coordination and
Care Plans for Transitions Across Care Settings. … or work.1 At the
same time, the country is also coping with an opioid and substance use disorders crisis … essential role in treating pain, and pain management in the context
of the nation’s substance use crisis
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/topic-brief1-care-coordination.pdf
April 01, 2021 - Rapid Evidence Product
April 2021
Care Coordination and Care Plans for
Transitions Across Care … coordination and care plans for transitions across care settings (“transitional care interventions … Care Coordination and
Care Plans for Transitions Across Care Settings. … or work.1 At the
same time, the country is also coping with an opioid and substance use disorders crisis … essential role in treating pain, and pain management in the context
of the nation’s substance use crisis
-
www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
January 01, 2025 - Despite efforts
to provide safe, effective care, adverse events still occur. … of domain experts (obstetrical nurses and
physicians), and systematic observations of the system of care … The safety crisis is highlighted by medical malpractice
judgments that have reached historic proportions … Despite the crisis in obstetric malpractice, no validated system exists to improve patient safety in … Red Alert - Women’s Health Care at Risk,
2003.
Ananth CV, Wilcox AJ.
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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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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/service-models
January 01, 2019 - Massachusetts Primary Care Clinic Nurse Care Manager Model: This model, also known as the Massachusetts … Collaborative Care Model of Office Based Opioid Treatment With Buprenorphine, uses nurse care managers … to conduct followup, outreach, and care coordination. … Patients are then transferred to primary care for the maintenance phase of treatment. … For example, the recent opioid crisis has led to an influx of grant funding to States.
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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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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital_survey_composites-spanish.pdf
October 01, 2009 - version of the Hospital Survey on Patient Safety
Culture was developed by Premier, Inc., a health care … alliance of more than 2,200 U.S. hospitals and
63,000 other health care sites. … Frecuentemente, trabajamos en “tipo crisis” intentando hacer mucho, muy rápidamente.
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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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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
April 01, 2023 - to
care. … Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management
http://www.ihi.org/resources … Toolkit To Improve Antibiotic Use in Ambulatory Care
https://www.ahrq.gov/antibiotic-use/ambulatory-care … Ambulatory Surgical Centers
Just Culture
Leadership Response to a Sentinel Event: Respectful, Effective Crisis … Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management
5.
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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.