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psnet.ahrq.gov/issue/patient-involvement-evaluation-safety-oral-antineoplastic-treatment-failure-mode-and-effects
June 18, 2013 - Qual Manag Health Care. 2019;28(1):33-38. doi:10.1097/QMH.0000000000000199. … Qual Manag Health Care . 2019; 28 (1) :33-38 . … groups identified distinct risks, with patient engagement providing unique information about the home … Qual Manag Health Care. 2019;28(1):33-38. doi:10.1097/QMH.0000000000000199. … December 22, 2021
Healthcare failure mode and effect analysis in the chemotherapy preparation
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psnet.ahrq.gov/node/852699/psn-pdf
August 30, 2023 - HHS Secretary
Xavier Becerra has asked healthcare systems to recommit to patient safety through the … The pandemic accelerated a shift from healthcare in the hospital toward healthcare in the home and the … Initiatives
such as the RISE to Health: National Coalition for Equity in Health Care bring together … tool and high reliability principles to make healthcare systems more impermeable to disruptions. … As the healthcare system recovers from the pandemic, preventing harm in a coordinated and intentional
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psnet.ahrq.gov/issue/brave-men-and-emotional-women-theory-guided-literature-review-gender-bias-health-care-and
October 16, 2024 - care and gendered norms towards patients with chronic pain. … “Brave men” and “emotional women”: a theory-guided literature review on gender bias in health care and … “Brave men” and “emotional women”: a theory-guided literature review on gender bias in health care and … care algorithms. … August 17, 2022
Eliminating explicit and implicit biases in health care: evidence and
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psnet.ahrq.gov/issue/top-five-review-post-pandemic-patient-safety-priorities
July 10, 2024 - The COVID pandemic posed wide-ranging challenges to both society at large as well as to the health care … system, revealing weaknesses and degrading safety achievements. … data explores the role of workforce demands during the crisis to affect falls, medication safety, healthcare … November 16, 2022
The National Imperative to Improve Nursing Home Quality: Honoring Our
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psnet.ahrq.gov/web-mm/inpatient-stroke-management-adolescent-type-1-diabetes-and-home-insulin-pump
February 01, 2023 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … care and not proprietary interests of a commercial interest. … Patients with T1D are accustomed to knowing more about diabetes technology than many of their health … care providers and as a result may be skeptical about inpatient recommendations for changes. 7 , 12 … Care Providers
Nurses
Hospital Medicine
Pediatric Endocrinology
View More
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psnet.ahrq.gov/issue/evaluation-association-between-nursing-home-survey-patient-safety-culture-nhsops-measures-and
April 05, 2017 - This prospective cohort study measured nursing home safety culture using the AHRQ Nursing Home Survey … September 15, 2010
How active resisters and organizational constipators affect health … care–acquired infection prevention efforts. … July 13, 2022
Health care safety during the pandemic and beyond--building a system that … December 21, 2017
A hybrid methodology for modeling risk of adverse events in complex health-care
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psnet.ahrq.gov/issue/dying-care
January 18, 2023 - Nursing home residents, staff , and care processes were particularly vulnerable to COVID-19 . … Citation
Related Resources From the Same Author(s)
Implicit racial bias, health … care provider attitudes, and perceptions of health care quality among African American college students … March 8, 2019
White patients’ physical responses to healthcare treatments are influenced … November 4, 2020
Sent home to die.
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psnet.ahrq.gov/issue/systematic-literature-review-effectiveness-and-safety-paediatric-hospital-home-care
December 12, 2014 - Systematic literature review on the effectiveness and safety of paediatric hospital-at-home … Systematic literature review on the effectiveness and safety of paediatric hospital-at-home care as a … Hospital at home was not associated with increased hospital readmissions or adverse events. … April 26, 2023
AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare … Care
Health Care Providers
Pediatrics
Nurse Care
View More
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psnet.ahrq.gov/issue/new-ahrq-sops-workplace-safety-supplemental-item-set-nursing-homes
December 10, 2024 - Agency for Healthcare Research and Quality. January 24, 2023. … Delivery and Outcomes. … View More
Related Resources
Surveys on Patient Safety Culture Nursing Home … October 5, 2022
Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants … July 6, 2022
SOPS Nursing Home Survey: What You Need to Know.
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psnet.ahrq.gov/issue/how-experiencing-preventable-medical-problems-changed-patients-interactions-primary-health
December 13, 2023 - care. … How experiencing preventable medical problems changed patients' interactions with primary health care … How experiencing preventable medical problems changed patients' interactions with primary health care … July 29, 2015
Patient safety incidents in home hospice care: the experiences of hospice … May 7, 2007
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See More About The Topic
Health Care Providers
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psnet.ahrq.gov/issue/organizational-climate-determinants-resident-safety-culture-nursing-homes
June 24, 2020 - June 24, 2020
Seroprevalence of SARS-CoV-2 among frontline health care personnel in a … April 12, 2023
Enabling a learning healthcare system with automated computer protocols … January 4, 2021
View More
Related Resources
National Healthcare … November 25, 2009
View More
See More About The Topic
Long-Term Care
Health … Care Providers
Health Care Executives and Administrators
Organizational Behaviorists
Geriatrics
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psnet.ahrq.gov/issue/expanding-frontiers-risk-management-care-safety-nursing-home-during-covid-19-pandemic
February 15, 2023 - Int J Qual Health Care. 2021;33(1):mzaa085. doi:10.1093/intqhc/mzaa085. … Int J Qual Health Care . 2021; 33 (1) :mzaa085 . … a COVID-19 infection prevention and control plan for nursing homes , emphasizing protections for healthcare … Int J Qual Health Care. 2021;33(1):mzaa085. doi:10.1093/intqhc/mzaa085. … October 12, 2022
Healthcare-related infections within nursing homes (NHS): a qualitative
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psnet.ahrq.gov/issue/hybrid-methodology-modeling-risk-adverse-events-complex-health-care-settings
November 11, 2015 - Study
A hybrid methodology for modeling risk of adverse events in complex health-care … A Hybrid Methodology for Modeling Risk of Adverse Events in Complex Health-Care Settings. … A Hybrid Methodology for Modeling Risk of Adverse Events in Complex Health-Care Settings. … healthcare facilities during the coronavirus disease 2019 (COVID-19) pandemic. … July 13, 2022
Evaluation of the association between Nursing Home Survey on Patient Safety
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psnet.ahrq.gov/issue/creating-highly-reliable-health-care-how-reliability-enhancing-work-practices-affect-patient
January 12, 2022 - Study
Creating highly reliable health care: how reliability-enhancing work practices … Creating Highly Reliable Health Care. ILR Review. 2016;69(4). doi:10.1177/0019793916642759. … Creating Highly Reliable Health Care. ILR Review. 2016;69(4). doi:10.1177/0019793916642759. … approaches for real-time integration of patient-reported safety information during older adults’ hospital-to-home-health … care transitions.
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psnet.ahrq.gov/issue/covid-19-focused-inspection-initiative-healthcare
April 01, 2024 - The impact of nursing home inspections to ensure the quality and safety of the service environment is … infection control was determined to be a contributor to the early spread of COVID amongst nursing home … April 1, 2024
FDA alerts patients and health care professionals of EpiPen auto-injector … August 26, 2020
Healthcare system-wide implementation of opioid-safety guideline recommendations … Care Executives and Administrators
Policy Makers
Geriatrics
Public Health
View More
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psnet.ahrq.gov/issue/dementia-and-risk-adverse-warfarin-related-events-nursing-home-setting
February 23, 2011 - Study
Dementia and risk of adverse warfarin-related events in the nursing home setting … Dementia and risk of adverse warfarin-related events in the nursing home setting. … Dementia and risk of adverse warfarin-related events in the nursing home setting. … February 1, 2006
View More
See More About The Topic
Long-Term Care
Health … Care Providers
Nurse Managers
Geriatrics
Mental Health Care (Psychiatry and Clinical Psychology
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psnet.ahrq.gov/issue/human-factors-engineering-its-place-and-potential-or-safety
May 24, 2017 - principles and educational models that can help identify opportunities to improve reliability of health … care delivery. … COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare … September 30, 2020
Linking patient safety culture to quality ratings in the nursing home … Care Executives and Administrators
Surgery
Surgical Complications
Epidemiology of Errors and
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psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010-2015-interim-data-national-efforts
December 24, 2008 - Medicare nonpayment and reporting requirements have stimulated health care organizations to focus on … reducing hospital-acquired conditions (HACs) such as health care–associated infections and never … May 24, 2015
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer … May 1, 2017
AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative … July 27, 2018
How PSOs Help Health Care Organizations Improve Patient Safety Culture.
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psnet.ahrq.gov/issue/fda-advises-health-care-professionals-and-patients-about-insulin-pen-packaging-and-dispensing
June 22, 2011 - Press Release/Announcement
FDA advises health care professionals and patients about … Citation Text:
FDA advises health care professionals and patients about insulin pen packaging and dispensing … August 5, 2020
FDA alerts health care professionals to the temporary absence of warning … July 15, 2020
View More
Related Resources
FDA alerts health care … Ambulatory Clinic or Office
Health Care Providers
Patients
View More
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psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
December 01, 2007 - care delivery systems, and with some of the nation's health care leaders. … care delivery backwards and forwards—are themselves not immune from seeing these issues fall through … care delivery venues. … care system, if this prevents patients bouncing back to hospitals. … Other aspects of the health care system also present barriers to an effective transfer of care.