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psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
July 28, 2021 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … She was transported to the recovery room in stable condition and examinations by the neurology and cardiology … checks otherwise implemented in the hospital setting. 3,4,5 In addition, rapid changes in the patient’s condition … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Given her clinical condition, a fall risk armband was applied, and general safety and fall-prevention … both cases presented, cognitive impairment was noted either from dementia or delirium due to a medical condition … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/checklist-based-intervention-improve-surgical-outcomes-michigan-evaluation-keystone-surgery
May 01, 2015 - PSNet interview and perspective explore the development and use of checklists to augment safety in health … September 24, 2017
Hospital-Acquired Condition Reduction Program is not associated with
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psnet.ahrq.gov/primer/personal-health-literacy
October 31, 2023 - Personal Health Literacy
Citation Text:
Bakerjian D. Personal Health Literacy. … , 7 new innovations in health literacy research, 8 how health literacy impacts public health and health … health care and health outcomes. … Therefore, health care providers must integrate a health literacy approach to care in all health care … health.
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psnet.ahrq.gov/node/854973/psn-pdf
October 31, 2023 - Digital health literacy requires personal health literacy skills. … can foster digital health literacy by applying health literacy best practices to their health
promotion … health literacy as a “digital determinant of health” and seeks to
advance digital health literacy at … Health Online 2023: One in three American adults have gone online to figure out
a medical condition. … Re-prioritizing digital health and health literacy in Healthy People
2030 to affect health equity.
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psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
February 26, 2025 - Her research in health law draws from her unique training in public health, law, and health social sciences … We spoke with her about disclosure and apology in health care as well as the intersection between health … and also to promote better health outcomes. … treatment injury" in New Zealand), an example of that might be if a patient had a preexisting medical condition … , say a heart condition, then went to a hospital to have heart surgery and the allegation was that the
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psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
April 26, 2023 - That’s how we differentiated it from condition-specific monitoring that most clinicians are used to. … So, if you use the condition-specific monitoring approach in the general care setting where the prevalence … Our research shows if you set up alerts at traditional ICU levels, or even a more condition-specific … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
April 26, 2023 - That’s how we differentiated it from condition-specific monitoring that most clinicians are used to. … So, if you use the condition-specific monitoring approach in the general care setting where the prevalence … Our research shows if you set up alerts at traditional ICU levels, or even a more condition-specific … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/33589/psn-pdf
September 15, 2024 - The concept of high reliability is
attractive for health care, due to the complexity of operations and … Sometimes people interpret high reliability as meaning
effective standardization of health care processes … principles of high reliability go beyond
standardization: high reliability is better described as a condition … AHRQ has outlined practical strategies for health care organizations aiming to become
highly reliable … High-reliability health care: getting there from here. Milbank Q. 2013;91:459-
490.
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psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
August 05, 2009 - hospital, are critical, high-risk moments during which patients and families assume care of a medical condition … typically reduced) may also facilitate the acquisition of new and complex information about a medical condition … Department of Health and Human Services. … Department of Health and Human Services. … Health literacy and recall of medical instructions.
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psnet.ahrq.gov/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
March 15, 2023 - RPM allows you to better monitor or manage an acute or chronic health condition from a distance over … and look for outliers and trends to see where individual or organizational approaches to managing a condition … could impact that population's health. … selection is important on the front end: Who is really going to benefit from remote monitoring and for what condition … medical officer watch the patient and react to objective information that might indicate the patient’s condition
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psnet.ahrq.gov/issue/cost-health-care-associated-infections-united-states
November 02, 2022 - Study
Cost of health care-associated infections in the United States. … Cost of health care-associated infections in the United States. … Cost of health care-associated infections in the United States. … May 11, 2022
Improving allergy documentation: a retrospective electronic health record … January 14, 2014
Health for life. Keys to safer hospitals.
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psnet.ahrq.gov/issue/advancing-maternal-health-equity-and-reducing-maternal-mortality-workshop
May 19, 2021 - Meeting/Conference Proceedings
Advancing Maternal Health Equity and Reducing Maternal … Citation Text:
Advancing Maternal Health Equity and Reducing Maternal Mortality Workshop. … This virtual event examined maternal health conditions in the United States to improve health system … May 12, 2021
Health Literacy: Past, Present, and Future: Workshop Summary. … September 2, 2015
Crossing the Global Quality Chasm: Improving Health Care Worldwide.
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psnet.ahrq.gov/issue/attitudes-and-barriers-medical-emergency-team-system-tertiary-paediatric-hospital
April 11, 2011 - January 3, 2017
Implementation of Condition Help: family teaching and evaluation of family … View More
See More About The Topic
Children's Hospitals
Specialty Hospitals
Health
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psnet.ahrq.gov/issue/patient-safety-satisfaction-and-quality-hospital-care-cross-sectional-surveys-nurses-and
December 12, 2014 - December 4, 2016
Condition concern: an innovative response system for enhancing hospitalized … July 23, 2008
View More
See More About The Topic
Hospitals
Nurses
Health
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psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
June 19, 2024 - Innovator
Summary
Venous thromboembolism (VTE) is a serious but preventable medical condition … estimates from the Centers for Disease Control and Prevention (CDC). 1 VTE can also cause chronic health … Implemented
2005
Problem Addressed
Deep vein thrombosis (DVT) is a medical condition … Section I: Deep vein thrombosis and pulmonary embolism as major public health problems. … Venous thromboembolism: a public health concern.
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psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
October 28, 2020 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Two health care providers noted her tanned skin and inquired about use of tanning salons. … fatal. 7 Approach to Optimize Patient Safety This case highlights the challenge of diagnosing a rare condition … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - Department of Health and Human Services (HHS) declared the end of the federal COVID-19 public health … Initiatives such as the RISE to Health: National Coalition for Equity in Health Care bring together … Department of Health and Human Services. … Department of Health and Human Services. … Care Providers
Health Care Executives and Administrators
Non-Health Care Professionals
Patient
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psnet.ahrq.gov/web-mm/cognitive-overload-icu
June 01, 2005 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Over the next 8 hours, despite maximal treatment, the patient's condition worsened, with progressive … was actively managing her complex care while intermittently updating the family about her worsening condition … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - care, both within health care organizations and at the
health care system, regional, and national levels … These stakeholders are more interested in how health care affects health outcomes
and less interested … enrolled in fee-for-service Medicare, in support of CMS
programs that include:
Hospital-Acquired Condition … /health-care-quality-outcomes-indicators.htm
https://www.oecd.org/health/health-care-quality-outcomes-indicators.htm … Despite challenges due to varying definitions and data quality across health providers and health systems