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psnet.ahrq.gov/issue/developing-measure-value-health-care
February 10, 2021 - Developing a measure of value in health care. … Developing a measure of value in health care. … A relative valuation approach to health care safety. … for health or harm. … 31, 2022
Changes in hospital safety following penalties in the US Hospital Acquired Condition
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psnet.ahrq.gov/issue/impact-repeated-reimbursement-penalties-hospital-total-quality-scores
November 16, 2022 - The Hospital-Acquired Condition (HAC) Reduction Program (HACRP) assesses penalties on hospitals with … April 10, 2024
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … May 18, 2022
Testing an intervention to improve health care worker well-being during … Changes in hospital-acquired conditions and mortality associated with the hospital-acquired condition … September 29, 2021
Unintended consequences of health care reform: impact of changes in
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psnet.ahrq.gov/issue/environmental-cleaning-prevention-healthcare-associated-infections-hais
October 02, 2013 - Copy Citation
Related Resources From the Same Author(s)
Health IT-Enabled … August 17, 2022
AHRQ Health Information Technology Research: 2018 Year in Review. … October 6, 2016
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings … Patient Safety Result in 1.3 Million Fewer Patient Harms: Interim Update on 2013 Annual Hospital-Acquired Condition … October 18, 2011
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See More About The Topic
Hospitals
Health
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psnet.ahrq.gov/node/33584/psn-pdf
March 15, 2025 - The dynamic environment in which health care is delivered requires clinicians to maintain situational … dialogue among clinicians in order to achieve a shared mental model—the "big picture" of
the patient's condition … the intensive care unit team and the cardiac surgery team were aware of the patient's deteriorating
condition … Poor communication between
the two teams meant the severity of the patient's condition was not appreciated … studies have shown that poor levels of communication exist between
clinicians at all levels of the health
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psnet.ahrq.gov/issue/association-changing-hospital-readmission-rates-mortality-rates-after-hospital-discharge
August 20, 2018 - calculated monthly 30-day risk-adjusted readmission rates and 30-day risk-adjusted mortality rates for each condition … between hospitals' monthly trends in 30-day readmissions and 30-day mortality after discharge for each condition … May 18, 2022
Physical and verbal violence against health care workers. … June 28, 2017
Call to Action: Preventable Health Care Harm Is a Public Health Crisis … and Patient Safety Requires a Coordinated Public Health Response.
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psnet.ahrq.gov/issue/vital-signs-epidemiology-sepsis-prevalence-health-care-factors-and-opportunities-prevention
September 23, 2020 - Study
Vital signs: epidemiology of sepsis: prevalence of health care factors and … Vital Signs: Epidemiology of Sepsis: Prevalence of Health Care Factors and Opportunities for Prevention … days prior to being admitted for sepsis or a medical condition requiring frequent health care contact … November 16, 2016
Making health care safer. Think sepsis. Time matters. … July 30, 2014
Health care-associated invasive MRSA infections, 2005-2008.
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psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
September 27, 2023 - psychiatric inpatient facilities resist admitting any new patient who “may have” underlying medical condition … foot, by car, via ambulance, voluntarily, involuntarily), to be evaluated for an emergency medical condition … An EMC is “a medical condition manifesting itself by acute symptoms of sufficient severity (including … to the ED may lead to harms that delay effective treatment of the patient’s underlying psychiatric condition … and regulations mandate that every patient presenting to an ED be evaluated for an emergency medical condition
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psnet.ahrq.gov/issue/improving-quality-health-care-who-will-lead
June 14, 2011 - Improving the quality of health care: who will lead? Health Aff (Millwood). 2001;20(5):164-79. … Health Aff (Millwood) . 2001; 20 (5) :164-79 . … Improving the quality of health care: who will lead? Health Aff (Millwood). 2001;20(5):164-79. … September 7, 2022
Anti-black racism as a chronic condition. … Health Care Executives and Administrators
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psnet.ahrq.gov/issue/ahrq-health-literacy-universal-precautions-toolkit-2nd-edition
April 30, 2008 - Toolkit
AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition. … Citation Text:
AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition. Brach C, ed. … The AHRQ Health Literacy Universal Precautions Toolkit, 3rd edition, can help primary care practices … of health information, and enhance support for patients of all health literacy levels. … Patient Safety Result in 1.3 Million Fewer Patient Harms: Interim Update on 2013 Annual Hospital-Acquired Condition
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psnet.ahrq.gov/node/49853/psn-pdf
February 01, 2019 - patient
monitoring during intrahospital transfer, and failure to raise concerns about the patient's condition … After the
intrahospital transfer, the checklist may include reassessment of patient condition, a reminder … To Err Is Human: Building a Safer Health System. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
April 01, 2005 - on the contribution of system factors or looking at diagnostic errors across a disease or clinical condition … The specialty experts are clinicians (e.g., gynecologists) who have expertise in the specific condition … KPSC typically uses two research physicians and four to six specialists in the particular condition being … records to identify patients with a certain condition or event. … Improving Diagnosis in Health Care . National Academies Press; 2015.
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psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
November 25, 2020 - An EMC is statutorily defined by EMTALA as:
(1) A medical condition manifesting itself by acute … to assure, within reasonable medical probability, that no material deterioration of the condition is … health record (EHR) platform. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/primer/rapid-response-systems
July 18, 2024 - Patients whose condition deteriorates acutely while hospitalized often exhibit warning signs (such as … Urine output less than 50 cc over 4 hours Staff member has significant concern about the patient's condition … to directly request additional assistance from a specially trained individual(s) when the patient's condition … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/primer/communication-between-clinicians
September 15, 2024 - dialogue among clinicians in order to achieve a shared mental model —the "big picture" of the patient's condition … the intensive care unit team and the cardiac surgery team were aware of the patient's deteriorating condition … Poor communication between the two teams meant the severity of the patient's condition was not appreciated … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
June 16, 2021 - After the intrahospital transfer, the checklist may include reassessment of patient condition, a reminder … If the patient's condition requires it, the intrahospital transfer should be performed by qualified and … To Err Is Human: Building a Safer Health System. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/correlation-between-hospital-finances-and-quality-and-safety-patient-care
January 12, 2022 - May 11, 2022
Association of measured quality with financial health among U.S. hospitals … Changes in hospital-acquired conditions and mortality associated with the hospital-acquired condition … 21, 2020
Changes in hospital safety following penalties in the US Hospital Acquired Condition … characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition
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psnet.ahrq.gov/node/33562/psn-pdf
September 15, 2024 - Patients whose condition deteriorates acutely while hospitalized often exhibit warning signs (such as … failure-rescue
https://psnet.ahrq.gov/issue/100000-lives-campaign-setting-goal-and-deadline-improving-health-care-quality … Urine output less than 50 cc over 4 hours
Staff member has significant concern about the patient's condition … to directly request additional assistance from a specially trained individual(s)
when the patient's condition
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psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
November 25, 2020 - of a condition requiring time-sensitive treatment” or “who has a potential threat to life, limb, or … It is possible that staff would have identified the patient’s condition or deterioration earlier had … However, the staff failed to follow the policy and the patient’s condition worsened unnoticed. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
April 29, 2020 - The plan was for a home health nurse to evaluate the skin breakdown later in the week. … Although details about her overall condition are not available, her mobility and peripheral sensation … However, the patient’s worsening condition probably justified a follow-up video or in-person visit the … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/warning-health-it-may-be-hazardous-your-healthcare
July 30, 2008 - Commentary
WARNING health IT may be hazardous to your healthcare. … Citation Text:
WARNING health IT may be hazardous to your healthcare. Dimick C. … a taxonomy that hospitals and vendors can use to detect, sort, and analyze risks associated with health … Changes in hospital-acquired conditions and mortality associated with the hospital-acquired condition … May 22, 2015
Clinical ICT Systems in the Victorian Public Health Sector.