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psnet.ahrq.gov/issue/restorative-just-culture-exploration-enabling-conditions-successful-implementation
February 08, 2023 - October 2, 2024
Health professionals' experiences of whistleblowing in maternal and newborn
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psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
August 15, 2018 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … have been managed in consultation with or referred to a physician with expertise in management of her condition … dysfunction as well; in these patients, it may be difficult to distinguish a worsening underlying medical condition … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/perspective/burnout-among-health-professionals-and-its-effect-patient-safety
December 22, 2018 - Burnout Among Health Professionals and Its Effect on Patient Safety. PSNet [internet]. … attention as a potential threat to health care quality and patient safety. … Burnout is common among health care workers. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/837960/psn-pdf
August 31, 2022 - Interventions to reduce the incidence of medical error and
its financial burden in health care systems … Interventions to reduce the incidence of
medical error and its financial burden in health care systems … https://psnet.ahrq.gov/issue/interventions-reduce-incidence-medical-error-and-its-financial-burden-health … https://psnet.ahrq.gov/issue/interventions-reduce-incidence-medical-error-and-its-financial-burden-health-care-systems … impact-hospital-acquired-conditions-financial-liabilities-medicare-patients
https://psnet.ahrq.gov/primer/falls
https://psnet.ahrq.gov/issue/health-care-associated-infections-meta-analysis-costs-and-financial-impact-us-health-care
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psnet.ahrq.gov/perspective/application-safety-ii-principles
August 28, 2024 - This approach to patient safety is referred to as Safety-I , which defines safety as a condition where … absence of adverse events, where as few things as possible go wrong, Safety-II defines safety as a condition … Instead of a causal factor, we'll say condition/contributing factor. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/49687/psn-pdf
August 21, 2013 - surgery often have sepsis and renal or respiratory failure as a result of their
underlying surgical condition … case
study above, may have increased awareness of the risk of sudden deterioration of this patient's condition … World Health Organization Surgical Safety Checklist. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/perspective/weekend-effect
April 01, 2008 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Patients who present to the hospital on weekends may have a condition of greater severity or multiple … care organizations begin to embrace a population health perspective. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
November 25, 2020 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Fortunately, the actual source of the patient’s condition was recognized in time, but heroic interventions … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/primer/maternal-safety
January 10, 2024 - Thus, patients are at risk for underuse or omission if they do not receive the right care for their condition … Maternal sepsis is defined as a life-threatening condition with organ dysfunction resulting from infection … It is imperative for US health care agencies and health system leaders to commit resources to improve … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/print/pdf/node/74279
January 01, 2022 - The COVID-19 pandemic has disrupted many aspects of health care delivery, including how hospitals
prevent … Diagnosis of physical and mental health conditions in primary care during the COVID-19 pandemic: a
retrospective … The Lancet Pub Health. 2020;5:e543-e550. … -19-pandemic
https://psnet.ahrq.gov/issue/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,
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psnet.ahrq.gov/issue/preventing-pregnancy-related-mental-health-deaths-insights-14-us-maternal-mortality-review
November 10, 2021 - Study
Preventing pregnancy-related mental health deaths: insights from 14 US maternal … Health Aff (Millwood). 2021;40(10):1551-1559. doi:10.1377/hlthaff.2021.00615. … Health Aff (Millwood) . 2021; 40 (10) :1551-1559 . … Missed diagnosis of mental health conditions can lead to serious adverse outcomes . … Health Aff (Millwood). 2021;40(10):1551-1559. doi:10.1377/hlthaff.2021.00615.
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psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
November 30, 2023 - disturbances in acid-base and electrolyte values while correlating these findings with the underlying clinical condition … be able to diagnose diabetic ketoacidosis (DKA) early, as it is a life-threatening yet preventable condition … Dept of Health and Human Services; 2020. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/organisational-conditions-safety-management-practice-homecare-and-nursing-homes-pre-pandemic
August 03, 2022 - describes the gaps between infection control work-as-imagined and work-as-done in nursing homes and home health … Citation
Related Resources From the Same Author(s)
Employee silence in health … March 10, 2021
Home health staff perspectives on infection prevention and control: implications … More
See More About The Topic
Long-Term Care
Home Care
Geriatrics
Public Health
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psnet.ahrq.gov/node/33561/psn-pdf
September 15, 2024 - ordered by or provided by someone impersonating a physician, nurse,
pharmacist, or other licensed health … patient safety event (not primarily related to the natural course of a patient's illness
or underlying condition … Because Never Events are devastating and preventable, health care organizations are under increasing … Health care facilities are accountable for correcting systematic problems that contributed to
the event … https://psnet.ahrq.gov/primer/reporting-patient-safety-events
https://psnet.ahrq.gov/issue/adverse-health-events-minnesota
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psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
January 31, 2020 - This may include, but is not limited to, notifications, alerts and reminders, condition-specific order … Hettinger is an employee of MedStar Health and is a volunteer with the AAMI Health IT Standards Committee … Department of Health and Human Services (DHHS), Office of the Assistant Secretary for Health; 2011. [ … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/preventable-medication-harm-across-health-care-settings-systematic-review-and-meta-analysis
July 31, 2019 - Review
Classic
Preventable medication harm across health … Preventable medication harm across health care settings: a systematic review and meta-analysis. … Preventable medication harm across health care settings: a systematic review and meta-analysis. … settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE) study. … August 11, 2021
Diagnosis of physical and mental health conditions in primary care during
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psnet.ahrq.gov/issue/artificial-intelligence-will-improve-medical-treatments
February 06, 2019 - Artificial intelligence (AI) can improve the timeliness and accuracy of decision making in health … impressive, human knowledge will still be necessary to achieve the full benefit of AI applications for health … June 20, 2018
Physical and verbal violence against health care workers. … November 2, 2022
Impact of smart pump-electronic health record interoperability on patient … July 12, 2017
The challenges of electronic health records and diabetes electronic prescribing
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psnet.ahrq.gov/web-mm/emergency-error
January 18, 2013 - surgery often have sepsis and renal or respiratory failure as a result of their underlying surgical condition … case study above, may have increased awareness of the risk of sudden deterioration of this patient's condition … World Health Organization Surgical Safety Checklist. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
August 31, 2020 - delayed diagnoses in patients with respiratory problems, missed or delayed diagnosis of a non-COVID-19 condition … Factors associated with mental health outcomes among health care workers exposed to coronavirus disease … Health care workers’ mental health and quality of life during COVID-19: results from a mid-pandemic, … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/addressing-burnout-behavioral-health-workforce-through-organizational-strategies
December 24, 2008 - Book/Report
Addressing Burnout in the Behavioral Health Workforce through Organizational … Rockville, MD: Substance Abuse and Mental Health Services Administration; 2022. … Rockville, MD: Substance Abuse and Mental Health Services Administration; 2022. … December 24, 2008
Costs and Benefits of Health Information Technology. … August 9, 2023
Care Delivery within Community Mental Health Teams.