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psnet.ahrq.gov/node/850362/psn-pdf
June 14, 2023 - Medication errors are costly, contributing to patient suffering, healthcare expenses, and distrust … within the
healthcare system.1 Transitions of care are an especially vulnerable time for patients, … medication storage during hospitalization
In the United States, each health care system has its own … psnet.ahrq.gov//#5
https://psnet.ahrq.gov//#6
https://psnet.ahrq.gov/issue/resilience-and-resilience-engineering-health-care … Home medications must be brought by the patient, provided to the
nurse, approved by the healthcare provider
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psnet.ahrq.gov/issue/northeastern-university-hospital-surge-capacity-planning-model-bed-ventilator-and-ppe-1-30
December 24, 2008 - Rockville, MD; Agency for Healthcare Research and Quality: 2020. … August 19, 2020
Making Healthcare Safer III. … May 4, 2022
Using ventilator splitters during the COVID-19 pandemic--letter to health … care providers. … October 28, 2020
Systems thinking for managing COVID-19 in health care systems: seven
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psnet.ahrq.gov/issue/assessment-overuse-medical-tests-and-treatments-us-hospitals-using-medicare-claims
August 11, 2021 - Overtreatment and overuse of healthcare services have been identified as potential sources of patient … September 15, 2021
Personal formularies of primary care physicians across 4 health care … systems. … View More
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Cognitive biases and moral characteristics of healthcare … May 5, 2021
Nursing home residents with dementia: association between place of death
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psnet.ahrq.gov/issue/mhealth-design-promote-medication-safety-children-medical-complexity
July 14, 2010 - July 14, 2010
Disparate perspectives: exploring healthcare professionals' misaligned … : the views of patients and healthcare professionals - a qualitative study. … May 5, 2021
Identifying no-harm incidents in home healthcare: a cohort study using trigger … Electronic communication of medication information between nurses in home health care and general practitioners … Home Nursing
Administration Errors
Communication Improvement
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psnet.ahrq.gov/issue/inpatient-telemedicine-and-new-models-care-during-covid-19-hospital-design-strategies-enhance
August 18, 2021 - The COVID-19 pandemic has led to dramatic changes in healthcare delivery . … February 7, 2022
Impact of full personal protective equipment on alertness of healthcare … February 17, 2021
Home health staff perspectives on infection prevention and control: … View More
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Hospitals
Intensive Care Units
Health … Care Executives and Administrators
Information Professionals
Public Health
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psnet.ahrq.gov/issue/receipt-antibiotics-hospitalized-patients-and-risk-clostridium-difficile-infection-subsequent
September 29, 2017 - Clostridium difficile diarrhea is a common and highly morbid health care–associated infection . … care systems. … September 4, 2019
The safety of outpatient health care: review of electronic health records … September 9, 2020
The safety of inpatient health care. … May 18, 2011
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Hospitals
Health Care
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psnet.ahrq.gov/issue/racial-differences-antibiotic-prescribing-primary-care-pediatricians
April 22, 2020 - October 19, 2022
Preventing home medication administration errors. … November 16, 2022
Seroprevalence of SARS-CoV-2 among frontline health care personnel … June 15, 2022
Personal formularies of primary care physicians across 4 health care systems … Implementation of patient safety structures and processes in the patient-centered medical home … care: a case-control study
March 11, 2020
Association of opioid prescriptions from
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psnet.ahrq.gov/issue/telemedicine-ensuring-safe-equitable-person-centered-virtual-care
March 29, 2006 - Boston, MA: Institute for Healthcare Improvement; 2021. … Care at VA Clinic Locations Prior to the Pandemic. … care delivery? … December 23, 2020
"At home, with care": lessons from New York City home-based primary … August 19, 2020
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See More About The Topic
Health Care Executives
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psnet.ahrq.gov/node/49633/psn-pdf
September 01, 2011 - assert that adverse events can be directly influenced by the health care systems in which patients receive … care-associated infections, reconciled medications,
reduced harm from falls, and reduced health care-associated … care-
associated infections, and other high risk conditions such as unplanned weight loss. … Rockville, MD: Agency for Healthcare Research and Quality; January 2001. [Available at]
8. … [Available at]
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
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psnet.ahrq.gov/issue/promoting-safety-and-quality-through-human-resource-practices-executive-summary
September 14, 2011 - Rockville, MD: Agency for Healthcare Research and Quality; August 2011. … care setting can impact patient outcomes. … Copy Citation
Related Resources From the Same Author(s)
Nursing Home Survey … September 16, 2015
AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative … Health Care System.
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psnet.ahrq.gov/issue/impact-high-reliability-education-adverse-event-reporting-registered-nurses
January 07, 2011 - Health care providers underreport patient safety events . … March 10, 2021
Personal formularies of primary care physicians across 4 health care systems … March 10, 2011
Preventing home medication administration errors.
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psnet.ahrq.gov/node/33660/psn-pdf
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. … The coach doesn't provide health care per se but moves with the patient across care settings. … care system, if this prevents patients bouncing back to hospitals.
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psnet.ahrq.gov/issue/wrong-administration-route-medications-domestic-setting-review-underestimated-public-health
December 15, 2021 - summarizes the incidence self-administered medication errors in domestic settings and the role of healthcare … December 15, 2021
Medication errors' causes analysis in home care setting: a systematic … July 7, 2021
Patient safety monitoring in acute care in a decentralized national health … care system: conceptual framework and initial set of actionable indicators. … June 9, 2021
Patient–pharmacist communication during a post-discharge pharmacist home
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psnet.ahrq.gov/issue/early-identification-and-evaluation-severe-pressure-injuries
October 10, 2018 - This article summarizes recommended actions to assist health care teams in mitigating harmful healthcare-acquired … April 11, 2018
Promoting psychosocial well-being of health care staff during crisis. … January 17, 2024
Healthcare-associated adverse events in alternate level of care patients … September 14, 2022
Accuracy of pressure ulcer events in US nursing home ratings. … August 24, 2022
The National Imperative to Improve Nursing Home Quality: Honoring Our
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psnet.ahrq.gov/issue/adverse-events-long-term-care-hospitals-national-incidence-among-medicare-beneficiaries
February 15, 2017 - The OIG recommends that patient safety efforts undertaken by the Agency for Healthcare Research and Quality … Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health … Care System. … October 29, 2008
Nursing Home Complaint Investigations. … Care Executives and Administrators
Policy Makers
Geriatrics
Medical Complications
View
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psnet.ahrq.gov/node/849333/psn-pdf
May 24, 2023 - Patient safety in home health care: a grounded theory
study. … Patient safety in home health care: a grounded theory
study. … https://psnet.ahrq.gov/issue/patient-safety-home-health-care-grounded-theory-study
Home care settings … that the healthcare team plays an important
role in creating and promoting safe home care, including … https://psnet.ahrq.gov/issue/patient-safety-home-health-care-grounded-theory-study
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2009-comparative-database-report
November 30, 2016 - Measuring safety culture in health care organizations remains a key step in improving patient safety … Rockville, MD: Agency for Healthcare Research and Quality; 2009. … May 2, 2018
AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative … Health Care System. … May 19, 2010
View More
See More About The Topic
Hospitals
Health Care
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psnet.ahrq.gov/node/33597/psn-pdf
April 10, 2024 - Although this group of organizations are not considered health care facilities,
they do provide some … And, while
there has been a significant decline in nursing home admissions, health care utilization … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/primer/health-care-associated-infections … /issue/national-patient-safety-goals
While these efforts are all important, fundamental health care … system issues such as adequate staffing,
improved safety culture, and enhanced training must be addressed
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psnet.ahrq.gov/issue/resilience-view-health-system-resilience-scoping-review-empirical-studies-and-reviews
March 11, 2013 - systems and organizations. … This analysis identified 80 studies and 30 reviews of healthcare resilience from 2004 through June 2021 … Designing and pilot testing of a leadership intervention to improve quality and safety in nursing homes and home … Consequences of Safety-II on governmental regulation of healthcare quality. … August 12, 2020
Communication with health care workers regarding health care-associated
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psnet.ahrq.gov/issue/when-should-leader-apologize-and-when-not
October 07, 2020 - A national implementation project to prevent catheter-associated urinary tract infection in nursing home … March 20, 2024
To do no harm - and the most good - with AI in health care. … Care System Learn from the VA's Quality and Safety Transformation? … September 1, 2006
Fixing a broken healthcare system. … August 3, 2005
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Health Care Executives