-
psnet.ahrq.gov/issue/improving-patient-safety-through-simulation-training-anesthesiology-where-are-we
October 13, 2018 - Simulation was initially applied to improve crisis management in anesthesia , and recently it has … July 23, 2018
Creating a high-reliability health care system: improving performance on … core processes of care at Johns Hopkins Medicine. … July 31, 2019
Knowledge retention after simulated crisis: importance of independent practice … June 9, 2011
Crises in clinical care: an approach to management.
-
psnet.ahrq.gov/issue/sedation-and-patient-safety
August 28, 2024 - Crit Care Nurs Clin North Am. 2007;17(3). doi:10.1016/j.ccell.2005.04.009. … Crit Care Nurs Clin North Am . 2007; 17 (3) . … Crit Care Nurs Clin North Am. 2007;17(3). doi:10.1016/j.ccell.2005.04.009. … May 24, 2015
Crisis management during anaesthesia: the development of an anaesthetic … crisis management manual.
-
www.ahrq.gov/teamstepps-program/evidence-base/simulation.html
July 01, 2023 - Simulation-based training in anesthesia crisis resource management (ACRM): A decade of experience. … critical care professions. … Simulated laparoscopic operating room crisis: An approach to enhance the surgical team performance. … International Journal of Health Care Quality Assurance 26(2), 174-88. … Nontechnical skills in anesthesia crisis management with repeated exposure to simulation-based education
-
psnet.ahrq.gov/issue/randomised-controlled-trial-assess-effect-just-time-training-procedural-performance-proof
May 31, 2017 - November 12, 2014
Seroprevalence of SARS-CoV-2 among frontline health care personnel … the patient portal have a higher rate of "loop closure" on diagnostic tests and referrals in primary care … Influence of socioeconomic bias on emergency medicine resident decision making and patient care … August 19, 2020
Filling the gap: simulation-based crisis resource management training … March 21, 2018
Pediatric crisis resource management training improves emergency medicine
-
psnet.ahrq.gov/issue/deep-dive-racial-and-ethnic-disparities-health-and-healthcare
March 10, 2021 - Racist behavior directed at either patients or clinicians can degrade the safety of care. … August 22, 2018
Deep Dive: Safe Ambulatory Care, Strategies for Patient Safety & Risk … November 13, 2019
Critical Care Safety: Essentials for ICU Patient Care and Technology … Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision. … April 27, 2022
A crisis within a crisis.
-
psnet.ahrq.gov/issue/diagnostic-strategy-covid-19-pandemic-bench-bedside-blueprint-policymakers
April 17, 2025 - November 9, 2016
Center for Health Care Human Factors. … August 19, 2020
Roadmap to Health Care Safety for Massachusetts. … Nursing Homes
February 24, 2022
Patient-safety incidents during COVID-19 health crisis … in France: An exploratory sequential multi-method study in primary care. … June 3, 2020
Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings
-
psnet.ahrq.gov/node/39528/psn-pdf
May 19, 2010 - being used to improve communication, interprofessional collaboration,
and situational awareness in crisis … Training may take place "in the field" or in simulated patient
care scenarios, and has been widely implemented … the effects of
multidisciplinary teamwork training on obstetric teams' ability to navigate simulated crisis … teamwork-training
https://psnet.ahrq.gov/issue/multidisciplinary-approaches-reducing-error-and-risk-patient-care-setting
-
psnet.ahrq.gov/issue/safer-and-more-appropriate-opioid-prescribing-large-healthcare-systems-comprehensive-approach
June 10, 2020 - This retrospective pre–post intervention study describes a large health care system's initiative to improve … opioid prescribing, patient monitoring, and care coordination for patients with chronic pain . … June 10, 2020
Factors that affect opioid quality improvement initiatives in primary care … April 16, 2018
Coupling policymaking with evaluation—the case of the opioid crisis. … December 13, 2017
What can physicians do to help curb the opioid crisis?
-
psnet.ahrq.gov/issue/covid-19-bears-down-doctors-confront-difficult-choices-elective-surgeries
March 31, 2010 - Delays in elective surgery and other procedures have the potential to lessen safe patient care. … This news story describes the decision-making dilemma for physicians to limit patient access to care … December 6, 2023
Woman works to end Black maternal health crisis after daughter dies … August 19, 2020
Avoiding care during the pandemic could mean life or death. … August 12, 2020
New U.S. health crisis looms as patients without COVID-19 delay care.
-
psnet.ahrq.gov/issue/provider-implicit-bias-bringing-awareness-clinical-practice
November 30, 2016 - This article discusses the influence of implicit biases on care delivery and highlights the increased … generated to improve understanding and initiative design to reduce the impact of implicit bias on care … Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care … November 10, 2021
A crisis within a crisis. … September 15, 2021
Doctors' unconscious bias affects quality of health care services,
-
psnet.ahrq.gov/issue/overview-research-priorities-surgical-simulation-what-literature-shows-has-been-achieved
June 17, 2015 - Simulation has been explored as a way to improve teamwork, crisis management , and technical skills … the alarm: a cross-sectional study exploring the factors affecting patients' willingness to escalate care … A systematic review to identify the factors that affect failure to rescue and escalation of care … September 12, 2016
Escalation of care in surgery: a systematic risk assessment to prevent … September 30, 2009
Multidisciplinary crisis simulations: the way forward for training
-
psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announcements-understand-and-improve-diagnostic
August 15, 2018 - Publish Funding Opportunity Announcements to Understand and Improve Diagnostic Safety in Ambulatory Care … Diagnostic errors occur in all settings of care and are a primary challenge to safe health care. … Author(s)
AHRQ Announces Interest in Health Services Research to Address the Opioids Crisis … April 20, 2022
Making Health Care Safer in Ambulatory Care Settings and Long-term Care … 3, 2019
AHRQ Announces Interest in Health Services Research to Address the Opioids Crisis
-
psnet.ahrq.gov/issue/california-mans-painful-and-terrifying-road-monkeypox-diagnosis
August 17, 2022 - and individual challenges for patients presenting with monkeypox symptoms to get the diagnosis and care … August 19, 2020
Avoiding care during the pandemic could mean life or death. … August 12, 2020
As college students return, a crisis in campus care awaits. … July 29, 2020
New U.S. health crisis looms as patients without COVID-19 delay care. … July 29, 2020
When health care moves online, many patients are left behind.
-
psnet.ahrq.gov/issue/just-bag-it
November 04, 2020 - Related Resources From the Same Author(s)
National drug shortages worsen during COVID-19 crisis … Cohort study of individuals with lung cancer presenting in ambulatory care in the United States. … September 30, 2020
Delivering High-Quality Cancer Care: Charting a New Course for a System … in Crisis. … July 5, 2016
Medication errors reported in a pediatric intensive care unit for oncologic
-
psnet.ahrq.gov/issue/delay-or-avoidance-medical-care-because-covid-19-related-concerns-united-states-june-2020
September 23, 2020 - Study
Classic
Delay or avoidance of medical care because … Delay or avoidance of medical care because of COVID-19-related concerns - United States, June 2020. … in internal medicine, paediatrics, family medicine and critical care in the USA. … June 1, 2022
View More
Related Resources
A crisis within a crisis … August 19, 2020
Avoiding care during the pandemic could mean life or death.
-
psnet.ahrq.gov/perspective/suicide-prevention
March 24, 2025 - Instead, clinics should learn about what crisis services there are in the area. … Most people who go to a crisis center do not get sent to an emergency department. … In many cases, you can call the crisis center from the primary care clinic and have a consultation right … Many crisis centers will do that as a service they provide to the community. … Those crisis resources and crisis telephone and text lines are super important to provide to patients
-
psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
March 25, 2025 - Instead, clinics should learn about what crisis services there are in the area. … Most people who go to a crisis center do not get sent to an emergency department. … In many cases, you can call the crisis center from the primary care clinic and have a consultation right … Many crisis centers will do that as a service they provide to the community. … Those crisis resources and crisis telephone and text lines are super important to provide to patients
-
psnet.ahrq.gov/issue/bringing-surgeons-down-earth
August 17, 2016 - August 17, 2016
Clues to better health care from old malpractice lawsuits. … October 23, 2018
Health-care providers want patients to read medical records, spot errors … June 9, 2011
Crisis management during anaesthesia: the development of an anaesthetic … crisis management manual. … April 6, 2011
Crises in clinical care: an approach to management.
-
psnet.ahrq.gov/issue/using-ecological-systems-theory-understand-blackwhite-disparities-maternal-morbidity-and
February 08, 2023 - Factors influencing disparities include access to preconception and prenatal care, implicit bias among … health care providers, the need for quality improvement among black-serving hospitals, and policies … health care quality among African American college students in Georgia, USA. … Cases of Poor-quality Care Since the Dobbs Decision. … April 6, 2022
A crisis within a crisis.
-
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'?