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psnet.ahrq.gov/issue/comparative-issues-aviation-and-surgical-crew-resource-management-1-are-we-too-solution
October 30, 2013 - Many health care systems have applied crew resource management methods originally developed by the … This article highlights the differences between the aviation and health care operating environments and … October 30, 2013
Reduced postdischarge incidents after implementation of a hospital-to-home … August 18, 2010
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Operating Room
Health … Care Providers
Health Care Executives and Administrators
Educators
Surgery
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psnet.ahrq.gov/primer/personal-health-literacy
October 31, 2023 - , and it involves interaction between the individual patient and the health care system, as well as other … ) in making health care decisions. … care systems assume that all patients are at risk of not understanding medical information, and they … Therefore, health care providers must integrate a health literacy approach to care in all health care … How health care systems can begin to address the challenge of limited literacy.
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psnet.ahrq.gov/issue/respectful-maternity-care-dissemination-and-implementation-perinatal-safety-culture-improve
June 08, 2011 - Delivery and Outcomes. … Delivery and Outcomes. … Delivery and Outcomes. … Making Healthcare Safer IV Series. … December 24, 2008
Resident Safety Practices in Nursing Home Settings.
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psnet.ahrq.gov/issue/qualitative-study-what-care-workers-do-provide-patient-safety-home-through-telecare
September 08, 2021 - of patient safety huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer Healthcare … March 2, 2016
Health care workers' experiences of workplace incidents that posed a risk … Evaluation of older persons' medications: a critical incident technique study exploring healthcare … November 30, 2022
The presence and potential impact of psychological safety in the healthcare … May 3, 2023
Home medical device safety tops ECRI'S list of healthcare technology.
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psnet.ahrq.gov/issue/awareness-racial-and-ethnic-bias-and-potential-solutions-address-bias-use-health-care
November 16, 2022 - care algorithms. … Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms … Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms … February 27, 2009
Preventing home medication administration errors. … August 17, 2022
Employee silence in health care: charting new avenues for leadership
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psnet.ahrq.gov/issue/education-and-training-nurses-use-advanced-medical-technologies-home-care-related-patient
July 15, 2020 - Education and training of nurses in the use of advanced medical technologies in home … May 4, 2022
Toward safer health care: a review strategy of FDA medical device adverse … March 3, 2021
Identifying no-harm incidents in home healthcare: a cohort study using … August 5, 2020
Making Medical Devices Safer at Home. … January 9, 2013
Patient safety culture in home care: experiences of home-care nurses.
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psnet.ahrq.gov/issue/caregiver-perspectives-safety-home-dementia-care
January 20, 2010 - Study
Caregiver perspectives on safety in home dementia care. … health care: a grounded theory study. … February 22, 2023
Exploring nursing-sensitive events in home healthcare: a national multicenter … health care. … Nurse Managers
Geriatrics
Home Nursing
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psnet.ahrq.gov/issue/flow-information-contributing-medication-incidents-home-care-analysis-considering-incident
May 01, 2024 - Ensuring medication safety in home care settings has unique challenges . … December 18, 2019
Negative emotions experienced by healthcare staff following medication … October 23, 2024
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FDA alerts health … care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide … November 16, 2022
FDA advises health care professionals and patients about insulin pen
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psnet.ahrq.gov/issue/interventions-increase-clinical-incident-reporting-health-care
September 02, 2009 - Review
Interventions to increase clinical incident reporting in health care. … Interventions to increase clinical incident reporting in health care. … Interventions to increase clinical incident reporting in health care. … illness getting noticed sooner - SIGNS-for-Kids: developing an illness recognition tool to connect home … August 14, 2013
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Health Care Executives
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psnet.ahrq.gov/issue/adverse-events-long-term-care-residents-transitioning-hospital-back-nursing-home
April 28, 2021 - Adverse events in long-term care residents transitioning from hospital back to nursing home … Adverse Events in Long-term Care Residents Transitioning From Hospital Back to Nursing Home. … Common adverse events included falls , pressure ulcers, health care–associated infections , and adverse … December 10, 2008
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Long-Term Care
Health … Care Providers
Health Care Executives and Administrators
Geriatrics
Discontinuities, Gaps,
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psnet.ahrq.gov/issue/transitioning-newborns-nicu-home-resource-toolkit
August 01, 2012 - Rockville, MD: Agency for Healthcare Research and Quality; December 2013. … Rockville, MD: Agency for Healthcare Research and Quality; December 2013. … care providers in a tertiary pediatric intensive care unit. … November 23, 2016
Health care failure mode and effect analysis to reduce NICU line–associated … Care Providers
Health Care Executives and Administrators
Critical Care
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psnet.ahrq.gov/issue/types-and-patterns-safety-concerns-home-care-client-and-family-caregiver-perspectives
December 29, 2014 - Int J Qual Health Care. 2016;28(2):214-220. doi:10.1093/intqhc/mzw006. … Int J Qual Health Care . 2016; 28 (2) :214-220 . … Int J Qual Health Care. 2016;28(2):214-220. doi:10.1093/intqhc/mzw006. … : a qualitative analysis
October 2, 2019
Safer healthcare at home: detecting, correcting … Care
Health Care Providers
Family Members and Caregivers
Medicine
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psnet.ahrq.gov/issue/work-nurses-provide-good-and-safe-services-children-receiving-hospital-home-qualitative
March 08, 2023 - Patients receiving hospital-level care at home (hospital-at-home, (HAH)) have fewer complications, … health care-a systematic review. … Barriers and facilitators to patient engagement in patient safety from patients and healthcare … February 22, 2023
Exploring nursing-sensitive events in home healthcare: a national multicenter … February 6, 2013
Patient safety culture in home care: experiences of home-care nurses
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psnet.ahrq.gov/issue/individualized-medication-review-older-people-multimorbidity-comparative-analysis-between
May 04, 2022 - and in a nursing home. … and in a nursing home. … 2021
An evidence and consensus-based definition of second victim: a strategic topic in healthcare … virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare … polypharmacy--a qualitative study using focus group interviews with older patients, their relatives, and healthcare
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psnet.ahrq.gov/issue/enhancing-safe-medication-use-home-care-insights-informal-caregivers
December 02, 2020 - Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare … January 15, 2025
Electronic medication reconciliation tools aimed at healthcare professionals … August 16, 2023
The challenge of risk prevention in home healthcare-an interview study … : the views of patients and healthcare professionals - a qualitative study. … safety educational framework for healthcare providers, patients, and caregivers.
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psnet.ahrq.gov/issue/augmenting-health-care-failure-modes-and-effects-analysis-simulation
December 18, 2024 - Study
Augmenting health care failure modes and effects analysis with simulation. … Augmenting health care failure modes and effects analysis with simulation. … Augmenting health care failure modes and effects analysis with simulation. … an analysis of the safety of analgesic prescription practice in the transition from the hospital to home … May 6, 2009
Five topics health care simulation can address to improve patient safety:
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psnet.ahrq.gov/issue/partnering-prevent-falls-using-multimodal-multidisciplinary-team
June 22, 2010 - This commentary describes an initiative that reduced falls at a large health care system and highlights … for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare … care. … Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home … August 29, 2011
Achieving quality improvement in the nursing home: influence of nursing
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psnet.ahrq.gov/issue/identification-serious-and-reportable-events-home-care-delphi-survey-develop-consensus
November 27, 2013 - Int J Health Care Qual. 2014;26(2):136-143. doi:10.1093/intqhc/mzu008. … Int J Health Care Qual . 2014; 26 (2) :136-143 . … Home care is one of the fastest growing sectors of the health care field, but recent research has raised … Int J Health Care Qual. 2014;26(2):136-143. doi:10.1093/intqhc/mzu008. … August 18, 2010
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See More About The Topic
Home Care
Health
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psnet.ahrq.gov/issue/surveys-patient-safety-culture-nursing-home-survey-user-database-report
February 28, 2024 - Agency for Healthcare Research and Quality; 2011-2025. … Agency for Healthcare Research and Quality; 2011-2025. … April 23, 2014
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Related Resources
Making Healthcare Safer … January 16, 2025
National Healthcare Quality and Disparities Reports. … July 6, 2022
Making Health Care Safer in Ambulatory Care Settings and Long-term Care
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psnet.ahrq.gov/issue/implementation-patient-safety-structures-and-processes-patient-centered-medical-home
September 28, 2022 - Implementation of patient safety structures and processes in the patient-centered medical home … Implementation of patient safety structures and processes in the patient-centered medical home. … team-based, coordinated, accessible health care. … care use, medication adherence, and chronic condition control. … December 2, 2020
Patient safety in primary care: conceptual meanings to the health care