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psnet.ahrq.gov/node/40165/psn-pdf
December 29, 2014 - Int J Qual Health Care. 2011;23(2):182-6. doi:10.1093/intqhc/mzq082. … Current health
policy reform often debates the virtues of international care delivery models as a driver … The authors advocate for improved sharing of clinical information (e.g.,
electronic health records) … issue/literacy-and-misunderstanding-prescription-drug-labels
https://psnet.ahrq.gov/issue/taking-pulse-health-care-systems-experiences-patients-health-problems-six-countries … https://psnet.ahrq.gov/issue/chronic-condition-experiences-patients-complex-health-care-needs-eight-countries
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psnet.ahrq.gov/perspective/conversation-heidi-wald-md
November 26, 2019 - You can have an 80 year old in amazing physical condition [that would not be considered frail], or you … younger patients. 1 As individuals age, the likelihood increases that they have a chronic medical condition … Older adults are at an increased risk of experiencing a hospital acquired condition (HAC) or safety event … Edmonton Frail Scale. 6 Consider a horizontal approach The typical approach for preventing HACs on a condition … by condition basis has been very successful, with continuous and steady declines in the rate of HACs
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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/node/42149/psn-pdf
December 23, 2016 - psnet.ahrq.gov/issue/medical-device-alarm-safety-hospitals
The cacophony of alarms in hospitals has led many health … care providers to become desensitized to them,
a condition known as alarm fatigue.
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psnet.ahrq.gov/node/45392/psn-pdf
August 17, 2016 - Because bias on the part of
health care providers can contribute to diagnostic errors, improving the … The authors suggest that similar diagnostic
accuracy should be a key condition when creating groups
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psnet.ahrq.gov/node/47434/psn-pdf
January 21, 2019 - Health Serv Res.
2019;54(1):86-96. doi:10.1111/1475-6773.13066. … https://psnet.ahrq.gov/primer/surgical-site-infections
https://psnet.ahrq.gov/issue/hospital-acquired-condition-hac-reduction-program
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psnet.ahrq.gov/issue/adverse-events-hospitals-care-study-incidence-among-medicare-beneficiaries-two-selected
January 14, 2009 - Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December … Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December … Less than 1% of patients experienced a never event, and approximately 4% experienced a condition on CMS's … Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December … February 15, 2017
Electronic Health Record Programs: Participation Has Increased, but
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psnet.ahrq.gov/issue/managing-risk-hazardous-conditions-improvisation-not-enough
November 06, 2024 - Health care is considered a high-risk industry due to clinical, administrative, economic, and regulatory … RIS
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psnet.ahrq.gov/issue/exploratory-analysis-association-between-healthcare-associated-infections-hospital-financial
June 12, 2024 - with increased hospital costs, underscoring the importance of infection control policies to patient health … and hospital financial health . … September 26, 2018
Complication rates, hospital size, and bias in the CMS Hospital-Acquired Condition … June 28, 2017
Health care-associated infections: a meta-analysis of costs and financial … impact on the US health care system.
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psnet.ahrq.gov/issue/evaluation-effects-human-factors-and-ergonomics-health-care-and-patient-safety-practices
June 29, 2022 - Review
An evaluation of the effects of human factors and ergonomics on health care … An Evaluation of the Effects of Human Factors and Ergonomics on Health Care and Patient Safety Practices … Human factors engineering has been increasingly applied in health care. … March 29, 2023
Factors associated with mental health outcomes among health care workers … April 15, 2020
Hospital financial condition and the quality of patient care.
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psnet.ahrq.gov/issue/simulation-debriefing-enhanced-needs-assessment-address-quality-markers-health-care
June 22, 2022 - Study
Simulation-debriefing enhanced needs assessment to address quality markers in health … Simulation-debriefing enhanced needs assessment to address quality markers in health care: an innovation … Assessment (SDENA) to identify behavioral barriers and enablers for implementing healthcare-acquired condition … Simulation-debriefing enhanced needs assessment to address quality markers in health care: an innovation … July 2, 2019
Personal formularies of primary care physicians across 4 health care systems
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psnet.ahrq.gov/issue/what-are-unintended-patient-safety-consequences-healthcare-technologies-qualitative-study
February 26, 2020 - , five themes emerge: inequity of access, increased end-user burden, loss of the human element of health … the potential "gaming" of technology wherein a patient enters falsified data to suggest a worsening condition … September 27, 2023
Impact of providing patients access to electronic health records on … July 10, 2024
Implementation of a health information technology safety classification … system in the Veterans Health Administration's Informatics Patient Safety Office.
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psnet.ahrq.gov/node/33568/psn-pdf
June 15, 2024 - developed to analyze industrial accidents, RCA is now widely deployed as an error analysis tool in health … at the interface between humans and a complex system) and latent
errors (the hidden problems within health … psnet.ahrq.gov/glossary/active-error-or-active-failure
https://psnet.ahrq.gov/glossary/latent-error-or-latent-condition … https://psnet.ahrq.gov/glossary/latent-error-or-latent-condition
https://psnet.ahrq.gov/primer/detection-safety-hazards
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psnet.ahrq.gov/issue/epidemiology-patterns-care-and-mortality-patients-acute-respiratory-distress-syndrome
August 04, 2021 - finding suggests that interventions are needed to promptly identify and treat this time-sensitive condition … January 8, 2025
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … October 7, 2020
Clinicians' use of health information exchange technologies for medication … 25, 2010
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Intensive Care Units
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psnet.ahrq.gov/issue/clinical-decision-support-early-recognition-sepsis
July 29, 2020 - Sepsis is a clinical condition that can be rapidly fatal, thus prompt recognition and treatment is critical … May 20, 2020
eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical … ) alerts and overrides in the inpatient setting following implementation of a commercial electronic health … September 2, 2018
How health care changes when algorithms start making diagnoses.
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psnet.ahrq.gov/issue/patient-perceptions-misdiagnosis-endometriosis-results-online-national-survey
February 05, 2020 - Endometriosis is a common clinical condition that is often subject to missed or delayed diagnosis . … with endometriosis, three-quarters reported being misdiagnosed with another physical and/or mental health … administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology in an integrated health … 2008
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Health
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psnet.ahrq.gov/issue/building-program-expanded-peer-support-entire-health-care-team-no-one-left-behind
May 26, 2021 - Study
Building a program of expanded peer support for the entire health care team … Building a program of expanded peer support for the entire health care team: no one left behind. … The most common event supported was inability to stop the progress of a medical condition, including … Building a program of expanded peer support for the entire health care team: no one left behind. … October 19, 2022
The perception of the patient safety climate by health professionals
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psnet.ahrq.gov/node/38428/psn-pdf
February 18, 2009 - Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; December … Less than 1% of patients
experienced a never event, and approximately 4% experienced a condition on
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psnet.ahrq.gov/issue/promoting-safety-and-quality-through-human-resource-practices-executive-summary
September 14, 2011 - October 18, 2011
AHRQ Health Information Technology Research: 2018 Year in Review. … March 27, 2019
Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health … Patient Safety Result in 1.3 Million Fewer Patient Harms: Interim Update on 2013 Annual Hospital-Acquired Condition … Health Care System. … December 14, 2009
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Hospitals
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psnet.ahrq.gov/web-mm/dependence-vs-pain
October 30, 2019 - generally not be my initial treatment of choice for opioid withdrawal if that was the only medical condition … addition, introduction of buprenorphine in this patient, who may need surgical management of his acute condition … it would be appropriate to evaluate the patient for other causes of his abdominal pain and worsening condition … The patient's worsening condition in the face of opioid agonist therapy should have given the covering … Take-Home Points Opioid dependence is a chronic, treatable medical condition.