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Showing results for "health care home".

3601. The Wrongful Resuscitation | PSNet
      psnet.ahrq.gov/web-mm/wrongful-resuscitation
      October 12, 2012 - The error of resuscitating a patient because health care providers were unaware of his code status reflects … It is this delayed communication that can lead to higher health care costs and higher utilization of … Rather, health care providers need to be trained in a goal-based approach to advance care planning in … Second, based on understanding where the patient is in his or her disease trajectory, the health care … Health Care Transitions and Incident Feeding Tube Insertion Among Persons with Advanced Cognitive Impairment

3602. Medication Reconciliation Pitfalls | PSNet
      psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
      May 01, 2006 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Process Variation The health care professionals in this case failed to accurately review and document … Allowing for at least two health care professionals in verifying the identity, dosage, and instructions … health care professional and made available across all patient encounters. … Care Providers Risk Managers Quality and Safety Professionals View More

3603. Assisting beginners in root cause analysis operations: analysis and recommendations regarding the spread of COVID-19 in nursing facilities for the elderly. | PSNet
      psnet.ahrq.gov/issue/assisting-beginners-root-cause-analysis-operations-analysis-and-recommendations-regarding
      June 08, 2022 - analysis using the prevention and recovery information system for monitoring and analysis method in healthcare … May 25, 2022 Prioritising recommendations following analyses of adverse events in healthcare … Promoting patient and nurse safety: testing a behavioural health intervention in a learning healthcare … system: results of the DEMEANOR pragmatic, cluster, cross-over trial. … October 28, 2020 Expanding frontiers of risk management: care safety in nursing home

3604. IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. | PSNet
      psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events
      February 15, 2017 - Cambridge, MA: Institute for Healthcare Improvement; November 2015. … Cambridge, MA: Institute for Healthcare Improvement; November 2015. … Cambridge, MA: Institute for Healthcare Improvement; November 2015. … August 9, 2017 Optimizing a Business Case for Safe Health Care: An Integrated Approach … Care Executives and Administrators Geriatrics Epidemiology of Errors and Adverse Events Audit

3605. Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-ethical-implications-healthcare-sick-leave-policies-pandemic-era
      September 16, 2020 - care. … July 6, 2022 Communication with patients and families regarding health care-associated … care clinician behaviors. … October 28, 2020 Expanding frontiers of risk management: care safety in nursing home … May 6, 2020 Understanding and addressing sources of anxiety among health care professionals

3606. Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. | PSNet
      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 View More See More About The Topic Long-Term Care Health … Care Providers Health Care Executives and Administrators Organizational Behaviorists Geriatrics

3607. Sustaining Improvement. | PSNet
      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 View More See More About The Topic Hospitals Health Care

3608. Multidose drug dispensing and discrepancies between medication records. | PSNet
      psnet.ahrq.gov/issue/multidose-drug-dispensing-and-discrepancies-between-medication-records
      November 06, 2013 - Qual Saf Health Care. 2010;19(5):e42. doi:10.1136/qshc.2009.038745. … Qual Saf Health Care . 2010; 19 (5) :e42 . View more articles from the same authors. … Qual Saf Health Care. 2010;19(5):e42. doi:10.1136/qshc.2009.038745. … Electronic communication of medication information between nurses in home health care and general practitioners … August 22, 2015 Patients' negative experiences with health care settings brought to light

3609. A scoping review of the methodological approaches used in retrospective chart reviews to validate adverse event rates in administrative data. | PSNet
      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.

3610. A Costly Colonoscopy Leads to a Delay in Diagnosis | PSNet
      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

3611. Medication dosage calculation among nursing students: does digital technology make a difference? A literature review. | PSNet
      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.

3612. All in the History | PSNet
      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 View More

3613. The pursuit of better diagnostic performance: a human factors perspective. | PSNet
      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.

3614. Development of an instrument to measure seniors' patient safety health beliefs: the Seniors Empowerment and Advocacy in Patient Safety (SEAPS) survey. | PSNet
      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 View More See More About The Topic Long-Term Care Health … Care Providers Educators Geriatrics Quality Improvement Strategies View More

3615. The effect of medication reconciliation in elderly patients at hospital discharge. | PSNet
      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 View More

3616. Psn-Pdf (pdf file)
      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.

3617. Assessment of the National Patient Safety Initiative: Context and Baseline Evaluation Report 1. | PSNet
      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 View More See More About The Topic Health Care Executives

3618. Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. | PSNet
      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 View More See More About The Topic Health … Care Providers Geriatrics Pharmacy Ordering/Prescribing Errors Epidemiology of Errors and

3619. Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. | PSNet
      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 View More See More About The Topic Hospitals Health … Care Executives and Administrators General Internal Medicine Hospital Medicine Benchmarking

3620. Technical Expert Panel | PSNet
      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