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psnet.ahrq.gov/issue/people-processes-health-it-and-accurate-patient-identification
April 11, 2018 - Newspaper/Magazine Article
People, processes, health IT and accurate patient identification … Citation Text:
People, processes, health IT and accurate patient identification. Quick Safety. … June 17, 2020
Mental health conditions leading cause of pregnancy-related deaths. … June 16, 2019
A decade of health information technology usability challenges and the … March 6, 2019
Identifying electronic health record usability and safety challenges in
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psnet.ahrq.gov/node/33798/psn-pdf
January 01, 2015 - recent shift toward a
framework of a just culture that incorporates appropriate accountability in health … The Arguments for More Accountability
Errors are a part of the human condition; it will never be possible … For example, failing to perform hand hygiene
demonstrably leads to health care–associated infections … A recent survey of physicians, nurses, medical students, and hospital patients found that both health … Ultimately, 78% of the audience, which included health professionals and patient advocates, agreed with
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psnet.ahrq.gov/issue/prioritizing-patient-safety-through-quality-measurement
November 14, 2011 - s)
Medicaid program; payment adjustment for provider-preventable conditions including health … November 14, 2011
Medicare and Medicaid Programs and the Children’s Health Insurance … Medicare and Medicaid Services mandated anesthesiology oversight for procedural sedation in a large health
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psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
February 12, 2020 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … 'Diagnostic overshadowing': worse physical health care for people with mental illness. … Department of Health and Human Services. … Department of Health and Human Services. … November 16, 2022
The impact of racism on child and adolescent health.
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psnet.ahrq.gov/issue/are-vital-home-health-workers-now-safety-threat
March 28, 2018 - Newspaper/Magazine Article
Are vital home health workers now a safety threat? … Citation Text:
Are vital home health workers now a safety threat? Galewitz P. … Kaiser Health News. March 25, 2020. … Kaiser Health News. March 25, 2020. … Kaiser Health News. March 25, 2020.
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psnet.ahrq.gov/issue/registered-nurses-efforts-ensure-safety-home-dwelling-older-patients
July 19, 2019 - This qualitative study with 13 registered nurses in Sweden explored how nurses ensure safe home health … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … July 5, 2023
Patient safety in home health care: a grounded theory study. … Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health
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psnet.ahrq.gov/web-mm/all-history
February 28, 2011 - Up-to-date information regarding patient condition, care, treatment, medications, services, and recent … Information transfer from prehospital to ED health care providers. … place with qualified personnel and equipment Send medical record copies related to the emergency condition … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/near-misses-and-unsafe-conditions-reported-pediatric-emergency-research-network
June 07, 2017 - 14, 2011
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Emergency Departments
Health
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psnet.ahrq.gov/issue/impact-medical-errors-and-malpractice-health-economics-quality-and-patient-safety
November 28, 2018 - Book/Report
Impact of Medical Errors and Malpractice on Health Economics, Quality … Citation Text:
Impact of Medical Errors and Malpractice on Health Economics, Quality, and Patient Safety … March 19, 2008
Handbook of Human Factors and Ergonomics in Health Care and Patient Safety … Resolving malpractice claims after tort reform: experience in a self-insured Texas public academic health … June 27, 2018
Relationship between state malpractice environment and quality of health
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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - For example, if a patient receives the correct medications for a particular condition (effectiveness … improve their health. … health needs. … Oftentimes, quality metrics and measures are taken out of context, so they’re isolated into one condition … We want to make sure that we prescribe the right medicine, to the right person, for the right condition
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psnet.ahrq.gov/issue/what-causes-medication-administration-errors-mental-health-hospital-qualitative-study-nursing
March 11, 2020 - Study
What causes medication administration errors in a mental health hospital? … What causes medication administration errors in a mental health hospital? … What causes medication administration errors in a mental health hospital? … settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE) study. … August 11, 2021
Medication safety in mental health hospitals: a mixed-methods analysis
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psnet.ahrq.gov/issue/woman-works-end-black-maternal-health-crisis-after-daughter-dies-after-giving-birth
May 27, 2020 - Newspaper/Magazine Article
Woman works to end Black maternal health crisis after … Citation Text:
Woman works to end Black maternal health crisis after daughter dies after giving birth … This article discusses the case of one mother whose discounted health concerns contributed to diagnostic … Cite
Citation
Citation Text:
Woman works to end Black maternal health … See More About The Topic
General Public
Labor and Delivery
Obstetrics
Public Health
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psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
February 19, 2020 - or not.( 8 ) Falls that are not preventable are caused by a new or previously unrecognized medical condition … In: Making Health Care Safer: A Critical Analysis of Patient Safety Practices. … Practices in Hospital Setting Universal Fall Precautions (All patients) Evaluation of the condition … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/diagnostic-and-triage-accuracy-digital-and-online-symptom-checker-tools-systematic-review
May 05, 2021 - September 2, 2020
The impact of electronic health record interoperability on safety and … December 7, 2022
Patient safety in inpatient mental health settings: a systematic review … February 9, 2022
Diagnostic errors, health disparities, and artificial intelligence: … a combination for health or harm. … February 27, 2019
Health apps and health policy: what is needed?
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psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling
June 28, 2023 - unreported, and unaddressed. 1 The impact of outpatient adverse drug events (ADEs) on patients and health … Health Aff (Millwood). 2018 Nov;37(11):1877-1883. … Am J Health Syst Pharm. 2023 Feb 15;80(4):207-214.
Schiff GD, Klinger E, Salazar A, et al. … April 5, 2023
Inaccurate penicillin allergy labeling, the electronic health record, and … Care Providers
Pharmacists
Health Care Executives and Administrators
Side Effects/Adverse Drug
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psnet.ahrq.gov/node/861838/psn-pdf
January 31, 2024 - unreported,
and unaddressed.1 The impact of outpatient adverse drug events (ADEs) on patients and health … Addressed
Previous research on the impact of outpatient ADEs demonstrates the burden on patients and health … Just as with IVR-type technology, a host of vendors
have solutions that can work with health systems … Health Aff (Millwood). 2018 Nov;37(11):1877-1883. … Am J Health Syst Pharm. 2023
Feb 15;80(4):207-214.
2. Schiff GD, Klinger E, Salazar A, et al.
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psnet.ahrq.gov/primer/burnout
November 20, 2024 - not classified as a medical condition. 1 The most accepted definition from the 11 th Revision of the … Department of Health and Human Services. … Department of Health and Human Services. … December 23, 2016
Making health care safer: what is the contribution of health psychology … Health Care Executives and Administrators
Mental Health Care (Psychiatry and Clinical Psychology
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psnet.ahrq.gov/issue/analysis-incident-reports-related-electronic-medication-management-how-they-change-over-time
March 10, 2021 - Deployment of electronic health records, including electronic medication management (EMM) systems, can … Medication safety amid technological change: usability evaluation to inform inpatient nurses' electronic health … See More About The Topic
Hospitals
Nurse Care
Administration Errors
Electronic Health
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psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
September 23, 2024 - Failure to rescue typically refers to a health system’s slow or ineffective response to clinical deterioration … discussion, leading to strong educational benefits with clear takeaways and action items relevant to health … the contribution of technical aspects of an operation or management of a common or esoteric surgical condition … Patient Safety Innovations
System Approaches to Social Determinants of Health … Care Providers
Health Care Executives and Administrators
View More
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psnet.ahrq.gov/primer/telehealth-and-patient-safety
July 27, 2022 - Health jpmarcin@ucdavis.edu References Friedman AB, Gervasi S, Song H, et al. … BMC Health Serv Res . 2022;22(1):833. [ Free full text ] Baker DW. … Telemed J E Health . 2016;22(4):282-287. [ Free full text ] Hays RD, Skootsky SA. … Department of Health and Human Services. … Department of Health and Human Services.