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psnet.ahrq.gov/issue/microbiological-evaluation-two-hand-hygiene-procedures-achieved-healthcare-workers-during
June 13, 2011 - delivery network. … January 3, 2017
Enabling a learning healthcare system with automated computer protocols … April 24, 2018
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … September 30, 2020
Expanding frontiers of risk management: care safety in nursing home … December 27, 2018
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Health Care Providers
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psnet.ahrq.gov/curated-library/patient-and-family-engagement-long-term-care
April 10, 2024 - CMS) support transparency through the provision of publicly available information on the quality of health … care service in the United States. … Unlicensed healthcare personnel who administer the medication (social and healthcare assistants and helpers … care service in the United States. … to support informed consumer health care provider selection activities.
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psnet.ahrq.gov/issue/2024-national-impact-assessment-centers-medicare-medicaid-services-cms-quality-measures
November 23, 2015 - Lessons learned are included to enhance the resilience of the health care system for future emergencies … October 15, 2008
Ensuring Healthcare Safety Throughout the COVID-19 Pandemic. … June 10, 2020
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Related Resources
Making Healthcare Safer … 2020
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Hospitals
Long-Term Care
Home
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psnet.ahrq.gov/issue/model-increasing-patient-safety-intensive-care-unit-increasing-implementation-rates-proven
September 23, 2020 - Qual Saf Health Care. 2009;18(1):74-80. doi:10.1136/qshc.2007.024844. … Qual Saf Health Care . 2009; 18 (1) :74-80 .
View more articles from the same authors. … Qual Saf Health Care. 2009;18(1):74-80. doi:10.1136/qshc.2007.024844. … September 23, 2020
Enabling a learning healthcare system with automated computer protocols … delivery network.
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psnet.ahrq.gov/node/73128/psn-pdf
July 01, 2022 - Disclaimer
This innovation was identified by the AHRQ PSNet Editorial Team from the AHRQ Health Care … Patient eligibility for in-home hospital care is assessed in the health care setting;
eligible patients … Home health care support: Home health care services and equipment, including blood tests,
intravenous … health care, and have some physicians who are willing to make
house calls. … Healthcare-associated infections in the elderly: what's new.
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psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
July 19, 2023 - The patient's condition improved and he was discharged to home. … This tragic case reflects both positives and negatives about our health care system. … Take-Home Points
Mental illness can be life threatening. … June 5, 2024
Enabling a learning healthcare system with automated computer protocols … Care Providers
Emergency Medicine
Mental Health Care (Psychiatry and Clinical Psychology)
Discontinuities
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psnet.ahrq.gov/node/72586/psn-pdf
December 23, 2020 - care and not
proprietary interests of a commercial interest.? … care providers as they go about
their daily work. … Pressures on Health Systems
While healthcare systems work continuously to adapt to a multitude of pressures … Furthermore, healthcare systems are encouraged to always be
ready situations in which demand for hospital … Washington (DC): National Academies Press (US); 2004. 10, Health Care.
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psnet.ahrq.gov/issue/national-survey-patient-safety-experiences-hospital-medicine-during-covid-19-pandemic
November 30, 2022 - care systems. … July 9, 2018
Seroprevalence of SARS-CoV-2 among frontline health care personnel in a … January 12, 2022
"At home, with care": lessons from New York City home-based primary … September 23, 2020
The psychological experience of obstetric patients and health care … and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare
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psnet.ahrq.gov/print/pdf/node/74279
January 01, 2022 - National Healthcare Safety Network. … in the incidence of healthcare-associated infections from 2019 to 2020. … The COVID-19 pandemic has disrupted many aspects of health care delivery, including how hospitals
prevent … diagnosis-physical-and-mental-health-conditions-primary-care-during-covid-19-pandemic
The COVID-19 pandemic has led to patients delaying or forgoing necessary health … care, which can
contribute to diagnostic and treatment delays.
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psnet.ahrq.gov/issue/using-internet-deliver-education-drug-safety
March 23, 2011 - Qual Saf Health Care. 2006;15(5):329-33. … Qual Saf Health Care . 2006; 15 (5) :329-33 . … Qual Saf Health Care. 2006;15(5):329-33. … May 25, 2011
Enabling a learning healthcare system with automated computer protocols … delivery network.
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psnet.ahrq.gov/node/862999/psn-pdf
February 21, 2024 - Health tech hazards: at-home medical devices, AI
governance on ECRI's new list. … Healthcare IT News. February 1, 2024. … This article highlights
a set of concerns regarding the use of health care technologies and their potential … in this annual compilation of technology threats in health care. … assessing-biases-medical-decisions-clinician-and-ai-chatbot-responses-patient-vignettes
https://psnet.ahrq.gov/issue/home-medical-device-safety-tops-ecris-list-healthcare-technology
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psnet.ahrq.gov/node/851357/psn-pdf
July 12, 2023 - The challenge of risk prevention in home healthcare-an
interview study with nurses in municipal care … The challenge of risk prevention in home healthcare—an interview study
with nurses in municipal care … https://psnet.ahrq.gov/issue/challenge-risk-prevention-home-healthcare-interview-study-nurses-municipal … https://psnet.ahrq.gov/issue/challenge-risk-prevention-home-healthcare-interview-study-nurses-municipal-care … ://psnet.ahrq.gov/issue/patient-safety-home-health-care-grounded-theory-study
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psnet.ahrq.gov/issue/characterisations-adverse-events-detected-university-hospital-4-year-study-using-global
December 09, 2020 - Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … February 4, 2009
Identifying no-harm incidents in home healthcare: a cohort study using … January 25, 2023
Adverse events in patients in home healthcare: a retrospective record … December 31, 2014
Characterization of adverse events detected in a large health care … June 2, 2010
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Hospitals
Health Care
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psnet.ahrq.gov/issue/racism-pain-medicine-we-can-and-should-do-more
December 15, 2008 - Systemic racism in healthcare can threaten patient safety and contribute to heath disparities . … December 15, 2008
Disparate perspectives: exploring healthcare professionals' misaligned … and in a nursing home. … February 10, 2015
Medication discrepancy rates and sources upon nursing home intake: … September 8, 2021
Systems thinking for managing COVID-19 in health care systems: seven
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psnet.ahrq.gov/node/842760/psn-pdf
January 18, 2023 - health care. … health care. … healthcare is common among older adults, who are often vulnerable to patient safety events due to
factors … healthcare services, perceived gaps in care coordination, and
preventable adverse outcomes. … The researchers found that home healthcare was not associated with self-
reported gaps in care coordination
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psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
July 08, 2022 - care systems are not optimally designed to prevent errors. … Given that health care professionals are highly trained and accustomed to working in teams, they develop … The modern healthcare system has non-routine episodes of medication administration that can lead to errors … References Institute of Medicine (US) Committee on Quality of Health Care in America, Kohn LT, Corrigan … Cognitive load and its implications for health care. NEJM Catalyst .
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psnet.ahrq.gov/issue/quality-and-safety-healthcare-switzerland
March 23, 2022 - Book/Report
Quality and Safety of Healthcare in Switzerland. … Citation Text:
Quality and Safety of Healthcare in Switzerland. Vincent C, Staines A. … URL
Cite
Citation
Citation Text:
Quality and Safety of Healthcare … and in a nursing home. … September 5, 2008
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Health Care Executives
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psnet.ahrq.gov/node/60242/psn-pdf
March 01, 2021 - care system (Wishard Health Services
now called Eskenazi Health) serving many medically indigent patients … care system to realize cost savings through the implementation of the GRACE
program. … To date, the GRACE program has been
successfully implemented within 26 health care systems other than … Medical Center: Impact on Health Care Utilization and Quality
of Life. … +Care+Model+at+an+Academic+Medical+Center%3A+Impact+on+Health+Care+Utilization+and+Quality+of+Life
https
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psnet.ahrq.gov/node/61118/psn-pdf
January 01, 2021 - Bracing for the storm: one health care system's planning
for the COVID-19 surge. … Bracing for the storm: one health care system's planning for the COVID-19
surge. … https://psnet.ahrq.gov/issue/bracing-storm-one-health-care-systems-planning-covid-19-surge
This article … https://psnet.ahrq.gov/issue/bracing-storm-one-health-care-systems-planning-covid-19-surge
https://psnet.ahrq.gov
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psnet.ahrq.gov/sites/default/files/2020-03/final_spotlight_case_delays_in_the_ed_powerpoint_for_cme_review_03.09.2020.pdf
January 01, 2020 - system (e.g. increased ED and inpatient length of stay)
19
11. … Take-Home Points (3)
40
• Effective teamwork and communication between healthcare
teams and providers … is necessary for efficient, high quality
health care, especially when treating complex medical or … Healthcare providers
should train in teams to support a team-based healthcare
delivery paradigm. … Points
Take-Home Points (1)
Take-Home Points (2)
Take-Home Points (3)
Take-Home Points (4)
Thank