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psnet.ahrq.gov/node/846563/psn-pdf
March 21, 2023 - of safety, health systems understand and acknowledge the
high-risk and complex nature of providing care … High stakes patient care must be provided despite complex patient conditions, incomplete information, … underinvestment in public
health infrastructure, and moral injury from being unable to provide the care … Healthcare workers generally enjoy
challenges and take pride in providing the best patient care, these … Healthcare worker burnout is
a national crisis and is caused by many different factors, including moral
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psnet.ahrq.gov/node/850675/psn-pdf
June 14, 2023 - Impact of Families on Safe Patient Care
As essential members of the care team, families play a critical … shift report and planning for care transitions from hospital to home. … index.html
https://psnet.ahrq.gov//#2
https://psnet.ahrq.gov//#2
https://psnet.ahrq.gov/issue/how-safe-your-care-measurement-and-monitoring-safety-through-eyes-patients-and-their-care … With the CARE Act, patients are asked to
provide a family member or other care partner name for listing … planning efforts could help
hospitals to adapt quickly to the changing conditions of this type of crisis
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www.ahrq.gov/sites/default/files/2024-01/taekman-report.pdf
January 01, 2024 - Recently, many medical centers have implemented team training in the
form of crisis resource management … menus linked to the patient and objects in the care
environment. … Career Guide to Industries: Health Care.
U.S. … Simulation-based training in anesthesia
crisis resource management (ACRM): A decade of experience. … Cutting Edge 3-D Virtual Environments for the Health Care Professional.
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psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
May 01, 2011 - Third, patients want to know how the physician, other health care workers, and the health care system … However, health care workers may hesitate to provide this information to patients. … The relationship with malpractice claims among primary care physicians and surgeons. … The medical malpractice 'crisis': recent trends and the impact of state tort reform. … Providers
Non-Health Care Professionals
Primary Care
View More
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/plan-integrate-mat-for-oud/understanding-components-of-mat
February 01, 2025 - Mental Health Services Administration (SAMHSA), including the State Targeted Response to the Opioid Crisis … The model emphasizes care coordination and features a "care connector" such as a registered nurse or … The OBOT-B Collaborative Care Model. … However, with the OBOT-B Collaborative Care Model, NCMs take on the responsibilities of complex care … Don’t take a “one-size-fits-all” approach to patient care.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/aggression_executive.pdf
October 01, 2016 - of the protocol, the van de Sande et al. trial used
a more comprehensive protocol that included a Crisis … Eliminating seclusion and restraint
in recovery-oriented crisis services. … Crisis services in the ‘living room’.
Behavioral Healthcare. 2006 Jul;26(7):12-, 4. … Removal from stimuli for crisis
intervention: using least restrictive methods to improve the
quality … of patient care.
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psnet.ahrq.gov/node/49588/psn-pdf
August 01, 2009 - Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care. … The practicing nurse needs to focus on the care of patients. … Over time, if
overcrowding in any venue of care persists, all care providers become overtaxed and anxious … approach to unplanned staffing deficits is to proactively define the action steps to take prior to the
crisis … In: Measuring the Quality of Care. Willis LD,
Linwood ME, eds.
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www.ahrq.gov/sites/default/files/2024-01/vanschaik-report.pdf
January 01, 2024 - reports
describing ISBTT programs found that the majority of these programs are based in principles of
Crisis … We conducted this work in two acute care units and the pediatric
intensive care unit, with sessions … High
Performance Teamwork Scale (MHPTS).35 The MHPTS was developed for
interprofessional teamwork in crisis … Instead, most ISBTT programs draw on conceptual frameworks, such as
Crisis Resource Management and TeamSTEPPS … When team conflicts threaten quality of care: a
study of health care professionals' experiences and perceptions
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psnet.ahrq.gov/node/49450/psn-pdf
June 01, 2004 - Third, patients want to know how
the physician, other health care workers, and the health care system … However, health care workers may hesitate to provide this information to patients. … Physician and public opinions on quality of health care and
the problem of medical errors. … The
relationship with malpractice claims among primary care physicians and surgeons. … The medical malpractice 'crisis': recent trends and the impact of state tort reform.
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/invest-in-trust-guide.pdf
May 01, 2021 - And I know they had
to do it because of the
circumstances, we’re in a
pandemic, a crisis situation … -
nuhw-members-sound-the-alarm-about-mounting-covid-19-
crisis/
Pless, A., McLennan, S.R., Nicca, D. … 19-vaccine/
https://nuhw.org/amid-vaccinations-nuhw-members-sound-the-alarm-about-mounting-covid-19-crisis … /
https://nuhw.org/amid-vaccinations-nuhw-members-sound-the-alarm-about-mounting-covid-19-crisis/
https … ://nuhw.org/amid-vaccinations-nuhw-members-sound-the-alarm-about-mounting-covid-19-crisis/
https://doi.org
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psnet.ahrq.gov/node/49501/psn-pdf
February 03, 2006 - Commands, readbacks, and monitoring help bridge authority gradients and ensure the
crisis-resistant … Care must be
customized. … Transitions in care: studying safety in emergency department signovers. … Profiles in patient safety:
emergency care transitions. … Emergency care transitions.
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psnet.ahrq.gov/primer/failure-rescue
September 15, 2024 - promote the capacity to detect and respond to evolving and unpredictable situations through improved crisis … Failure to rescue in surgical patients: a review for acute care surgeons. … Failure to rescue: a quality indicator for postoperative care. … Med Care . 1992;30(7):615-629. [ Free full text ] Ward ST, Dimick JB, Zhang W, et al. … Crit Care Explor . 2022;4(9):e0744. [ Free full text ] Barboi C, Tzavelis A, Muhammad LN.
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www.ahrq.gov/workingforquality/events/webinar-federal-agency-alignment-to-the-six-priorities.html
November 01, 2016 - really is health and health care. … All of these actions help reduce burden on the health care system, improve health care quality, and improve … Making care safer by reducing harm caused in the delivery of care [Slide 17]
Peter Briss: We also … People often will postpone getting help until they are in crisis, and so our first step was to promote … We feel like suicide prevention is absolutely critical, and the more people are aware of crisis action
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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - They diagnosed the patient as having developed a pain crisis due to the effects of the naloxone and advised … him to come to the urgent care center, where intravenous opioids were administered for uncontrolled … Unfortunately, this case scenario illustrates that an alert alone does not ensure optimal care and may … Acceptability and feasibility of naloxone prescribing in primary care settings: a systematic review. … May 27, 2011
Vital signs: maternity care experiences — United States, April 2023.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/ptsd-adults-trauma-interventions_research-protocol.pdf
November 08, 2012 - and the prevention of PTSD.21
CISD has expanded to become CISM, a multicomponent, comprehensive crisis … methods such as pre-
incident training for people with high-risk occupations, one-on-one individual crisis … following a traumatic event in nondisaster field
settings, including hospital trauma centers, rape crisis … OR "preventative"[tiab] OR "early
intervention"[tiab] OR "Emergency Treatment/psychology"[Mesh] OR "Crisis … , and others with experience in making health care decisions.
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/pxMbTT69NULYZRaZ9xs7Du
May 01, 2004 - primary care setting. … No studies recruited
patients from primary care settings. … Among children aged 18 and younger,
who had a history of attempted suicide, brief
emergency crisis intervention … Suicidal ideation in primary care.
J Gen Intern Med. 1996;11(8):447–453.
15. … Care and Harvard Medical
School, Boston, MA)
C.
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psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur
May 26, 2021 - during the night shift
The Case
A 55-year-old woman was admitted to the intensive care unit … Additionally, more often given the opioid crisis, multi-modal pain control strategies are commonly utilized … Sleep hygiene Protocol to Improve Sleep and Delirium In a Surgical Intensive Care Unit. … Perceptions and practices regarding sleep in the intensive care unit. … A survey of 1,223 critical care providers.
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psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
August 30, 2023 - Impact of System Failures on Healthcare Workers
Healthcare workers deliver care as part of complex … High stakes patient care must be provided despite complex patient conditions, incomplete information, … Healthcare workers generally enjoy challenges and take pride in providing the best patient care, these … Healthcare worker burnout is a national crisis and is caused by many different factors, including moral … Providers
Health Care Executives and Administrators
Non-Health Care Professionals
Psychological
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psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
May 29, 2024 - She was then transferred to the intensive care unit. … team interfaced with the outpatient care team. … Improving Diagnosis in Health Care. … A prospective, mixed methods study in primary care. … Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/opioids-chronic-pain-surveillance-report-1-final.pdf
April 01, 2022 - ) found opioid dose
reduction or discontinuation
associated with increased risk
of mental health crisis … Association of Dose Tapering With
Overdose or Mental Health Crisis Among
Patients Prescribed Long-term … • Pain at the end of life
• Acute pain
• Pain due to active malignancy
• Pain due to sickle cell crisis … Association of Dose Tapering With
Overdose or Mental Health Crisis Among
Patients Prescribed Long-term … Improving
chronic pain care and opioid safety in va
primary care: Implementation and
evaluation of