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psnet.ahrq.gov/web-mm/all-history
February 28, 2011 - The 2008 Joint Commission Patient Safety Goal 2E requires all health care providers to "implement a standardized … Many health care systems require EMS providers to radio the receiving ED prior to arrival. … The Joint Commission Accreditation Program: Ambulatory Health Care National Patient Safety Goals. … Information transfer from prehospital to ED health care providers. … Care Providers
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psnet.ahrq.gov/issue/trends-pregnancy-related-deaths-and-federal-efforts-reduce-them
May 27, 2020 - March 19, 2014
Health-Care-Associated Infections in Hospitals: Leadership Needed from … June 7, 2008
Artificial Intelligence in Health Care: Benefits and Challenges of Technologies … Maternity Care: Dissemination and Implementation of Perinatal Safety Culture to Improve Equitable Maternal Healthcare … Delivery and Outcomes.
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psnet.ahrq.gov/issue/strategies-improving-clinician-psychological-safety-reporting-and-discussing-diagnostic-error
October 06, 2021 - System: Current State and a Call to Action. … Making Healthcare Safer IV Series. … March 18, 2020
AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative … February 20, 2019
AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative … November 30, 2016
AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative
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psnet.ahrq.gov/issue/occupational-therapy-utilization-veterans-dementia-retrospective-review-root-cause-analyses
March 25, 2020 - error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health … Care. … November 16, 2022
Healthcare-associated adverse events in alternate level of care patients … 2018
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See More About The Topic
Hospitals
Long-Term Care
Health … Care Executives and Administrators
Quality and Safety Professionals
Allied Health Services
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psnet.ahrq.gov/issue/patient-safety-essentials-toolkit
January 08, 2020 - Boston, MA: Institute for Healthcare Improvement; 2019. … Boston, MA: Institute for Healthcare Improvement; 2019. … January 9, 2019
No Place Like Home: Advancing the Safety of Care in the Home. … Care Reliability. … June 14, 2006
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Health Care Executives
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psnet.ahrq.gov/node/838147/psn-pdf
July 01, 2020 - CMS) support transparency through the provision of
publicly available information on the quality of health … care service in the United States. … enables
access to comparative quality and safety data from doctors & clinicians, hospital, nursing home … , home
health, hospice, inpatient rehabilitation facilities, long-term care hospitals, and dialysis … facilities to support
informed consumer health care provider selection activities.
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psnet.ahrq.gov/issue/patients-who-die-suicide-study-treatment-patterns-and-patient-safety-incidents-norway
April 20, 2022 - 2022
An evidence and consensus-based definition of second victim: a strategic topic in healthcare … medication review in older people with multimorbidity: a comparative analysis between patients living at home … and in a nursing home. … About The Topic
Psychiatric Facilities
Ambulatory Clinic or Office
Risk Managers
Mental Health … Care (Psychiatry and Clinical Psychology)
Psychiatric Nursing
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psnet.ahrq.gov/issue/development-instrument-measure-seniors-patient-safety-health-beliefs-seniors-empowerment-and
February 15, 2011 - January 10, 2011
Patient safety incidents in home hospice care: the experiences of hospice … April 24, 2018
Enabling a learning healthcare system with automated computer protocols … A national implementation project to prevent catheter-associated urinary tract infection in nursing home … June 22, 2011
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Long-Term Care
Health … Care Providers
Educators
Geriatrics
Quality Improvement Strategies
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psnet.ahrq.gov/issue/pursuit-better-diagnostic-performance-human-factors-perspective
September 24, 2017 - care delivery research: an ongoing assessment. … February 27, 2019
Challenges in health care simulation: are we learning anything new? … March 4, 2011
The human factors of home health care: a conceptual model for examining … and innovative approach to healthcare system safety. … Care.
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psnet.ahrq.gov/issue/effect-medication-reconciliation-elderly-patients-hospital-discharge
February 04, 2009 - April 6, 2022
Healthcare workers' experiences of patient safety in the intensive care … July 12, 2023
The safe day call: reducing silos in health care through frontline risk … August 13, 2014
Electronic medication reconciliation tools aimed at healthcare professionals … and in a nursing home. … Care
Health Care Providers
Health Care Executives and Administrators
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psnet.ahrq.gov/node/33735/psn-pdf
August 01, 2012 - support systems, when implemented in isolation and exclusive of efforts to
improve communication between health … care providers, may have only limited benefits. … CMS Nursing Home Compendium 2010 Edition. … Improving medication safety in the nursing home setting: the case
of warfarin. … The safety of warfarin therapy in the nursing home setting. Am J
Med. 2007;120:539-544.
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psnet.ahrq.gov/Information/Panel
January 01, 2012 - Care . … Her interdisciplinary scholarship aims to improve healthcare delivery and relies on close partnerships … She currently serves as the Vice President of Healthcare Delivery Research at MedStar Health Research … delivery. … As an engineer at a non-profit healthcare system, he directed human factors and patient safety science
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psnet.ahrq.gov/issue/improving-emergency-department-discharge-process
April 23, 2014 - System: Current State and a Call to Action. … October 5, 2015
Resident Safety Practices in Nursing Home Settings. … November 1, 2016
Resident Safety Practices in Nursing Home Settings. … 16, 2009
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See More About The Topic
Emergency Departments
Health … Care Executives and Administrators
Emergency Medicine
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/issue/deprescribing-medicines-older-people-living-multimorbidity-and-polypharmacy-tailor-evidence
April 03, 2005 - and in a nursing home. … July 7, 2021
Enabling a learning healthcare system with automated computer protocols … polypharmacy--a qualitative study using focus group interviews with older patients, their relatives, and healthcare … Latch
September 1, 2008
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See More About The Topic
Health … Care Providers
Geriatrics
Pharmacy
Ordering/Prescribing Errors
Epidemiology of Errors and
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psnet.ahrq.gov/web-mm/snfs-opening-black-box
August 27, 2012 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health … care settings, 2001–2011. … September 1, 2004
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See More About The Topic
Long-Term Care
Health … Care Providers
Quality and Safety Professionals
Geriatrics
Palliative Care
View More
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psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2010-user-comparative-database-report
November 30, 2016 - Rockville, MD: Agency for Healthcare Research and Quality; March 2010. … Rockville, MD: Agency for Healthcare Research and Quality; March 2010. … Health Care System. … September 15, 2010
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See More About The Topic
Hospitals
Health … Care Executives and Administrators
General Internal Medicine
Hospital Medicine
Benchmarking
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psnet.ahrq.gov/issue/re-engineered-discharge-red-toolkit
June 20, 2014 - March 27, 2019
Resident Safety Practices in Nursing Home Settings. … October 26, 2016
AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative … May 29, 2024
Diagnostic Safety Across Transitions of Care Throughout the Healthcare System … January 16, 2013
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See More About The Topic
Hospitals
Health … Care Providers
Health Care Executives and Administrators
General Internal Medicine
Hospital
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psnet.ahrq.gov/issue/prevent-medication-errors-new-years-resolution-teaching-patients-about-their-medications
January 18, 2011 - Home Healthc Nurse. 2007;25(1):59-62. … Home Healthc Nurse . 2007; 25 (1) :59-62 .
View more articles from the same authors. … Home Healthc Nurse. 2007;25(1):59-62. … Patient Safety
March 1, 2007
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See More About The Topic
Health … Care Providers
Health Care Executives and Administrators
Patients
Medicine
Pharmacy
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psnet.ahrq.gov/issue/becoming-high-reliability-organization-operational-advice-hospital-leaders
January 10, 2018 - Rockville, MD: Agency for Healthcare Research and Quality; February 2008. … January 10, 2018
Resident Safety Practices in Nursing Home Settings. … July 27, 2018
AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative … Health Care System. … May 19, 2010
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See More About The Topic
Hospitals
Health Care
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psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2014-user-comparative-database-report
May 11, 2016 - Rockville, MD: Agency for Healthcare Research and Quality; March 2014. … Rockville, MD: Agency for Healthcare Research and Quality; March 2014. … Rockville, MD: Agency for Healthcare Research and Quality; March 2014. … Health Care System. … May 19, 2010
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See More About The Topic
Hospitals
Health Care