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psnet.ahrq.gov/issue/nurse-physician-communication-long-term-care-setting-perceived-barriers-and-impact-patient
February 23, 2011 - March 17, 2021
The association of nursing home characteristics and quality with adverse … Organization (HRO) Principles and Patient Safety
February 26, 2025
National Healthcare … November 23, 2011
Nursing Home Survey on Patient Safety Culture: 2011 User Comparative … June 2, 2010
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Long-Term Care
Health … Care Providers
Health Care Executives and Administrators
Organizational Behaviorists
Geriatrics
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psnet.ahrq.gov/issue/sustaining-improvement
January 09, 2019 - August 9, 2017
Improving the Reliability of Health Care. … July 27, 2018
Bracing for the storm: one health care system's planning for the COVID- … November 11, 2020
Health care quality and safety in a correctional system: creating goals … April 17, 2018
Transforming Health Care: A Compendium of Reports From the National Patient … June 23, 2010
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Hospitals
Health Care
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psnet.ahrq.gov/issue/medication-error-reporting-nursing-homes-identifying-targets-patient-safety-improvement
March 24, 2011 - Qual Saf Health Care. 2010;19(3):218-22. doi:10.1136/qshc.2008.031260. … Qual Saf Health Care . 2010; 19 (3) :218-22 . … Qual Saf Health Care. 2010;19(3):218-22. doi:10.1136/qshc.2008.031260. … June 15, 2011
Patterns in nursing home medication errors: disproportionality analysis … February 9, 2011
Seroprevalence of SARS-CoV-2 among frontline health care personnel in
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psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
September 01, 2014 - care system in this way. … Ultimately, we need to better understand why our health care system has evolved to be so complex that … Clinicians and health care systems should address this problem systematically, just as they do with other … Physicians and other health care professionals can help patients navigate the health care system and … Like other patient safety issues, clinicians and health care systems should address this problem systematically
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psnet.ahrq.gov/issue/scoping-review-methodological-approaches-used-retrospective-chart-reviews-validate-adverse
April 29, 2020 - Int J Qual Health Care. 2024;36(2):mzae037. doi:10.1093/intqhc/mzae037. … Int J Qual Health Care . 2024; 36 (2) :mzae037 . … Int J Qual Health Care. 2024;36(2):mzae037. doi:10.1093/intqhc/mzae037. … system. … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care.
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psnet.ahrq.gov/issue/medication-dosage-calculation-among-nursing-students-does-digital-technology-make-difference
October 12, 2022 - Citation
Related Resources From the Same Author(s)
Causes of adverse events in home … October 12, 2022
Identifying no-harm incidents in home healthcare: a cohort study using … October 13, 2021
Exploring nursing-sensitive events in home healthcare: a national multicenter … Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health … care system: use of medication administration record and bar code scanning technology.
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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/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/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/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/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/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/issue/assessment-national-patient-safety-initiative-context-and-baseline-evaluation-report-1
May 21, 2014 - The authors report on the history of Agency for Healthcare Research and Quality's (AHRQ) involvement … Health Care System. … Care System. … Care Settings. … October 2, 2013
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Health Care Executives
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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/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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Health … Care Providers
Geriatrics
Pharmacy
Ordering/Prescribing Errors
Epidemiology of Errors and
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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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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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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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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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Hospitals
Health Care