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psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
August 01, 2010 - Academic Health Centers: Leading Change in the 21st Century. … We do this by asking housestaff and nurses to observe the current condition. … Decoding the data, developing observations in the current condition, and then applying these principles … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/walking-out-hospital-after-attempted-suicide
March 29, 2023 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … attempt, patient management must include suicide precautions irrespective of the patient’s medical condition … Police and mental health clinicians often will approach mental health crises together and collaboratively … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
March 09, 2022 - Wound care was initiated with home health nurses performing wet-to-dry dressing changes. … The patient was discharged, but his condition worsened over the following week, with increasing back … fluid (CSF) leaks through the dural tear into the surrounding tissue, forming a fibrous capsule, the condition … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/perspective/ems-patient-safety-field
July 28, 2021 - professionals to educate the community about better health. … There's a huge number of ways to get the right resources to the patient at the right time for their condition … It's also important for mental health and chemical abuse populations. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
April 28, 2021 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Serial Dopplers of distal arterial pulses were normal, and the patient was discharged home in stable condition … Leape, MD Department of Health Policy and Management Harvard School of Public Health References … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/code-blue-where
March 30, 2020 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … main hospital building, hospitals must provide screening and emergency stabilization for any medical condition … Health Lawyers Wkly. September 5, 2003. 6. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … systems that are geographically separated and use siloed health information systems. … rates.( 8,9 ) Unfortunately, this patient did not see a physician soon enough after discharge, his condition … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/print/pdf/node/867461
January 31, 2024 - OECD Health Working Papers, No. 121. … Patient complaints have the potential to be used for care improvement as they surface problems in health … CMS) support transparency through the provision of
publicly available information on the quality of health … Development of an instrument to measure seniors' patient safety health beliefs: the Seniors
Empowerment … OECD Health Working Papers, No. 121.
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psnet.ahrq.gov/issue/rethinking-high-reliability-healthcare-role-error-management-theory-towards-advancing-high
May 11, 2019 - Despite two decades of broad-based initiatives to improve the quality and safety of health care, progress … This commentary discusses how embedding preoccupation with failure and building resiliency in health … June 29, 2022
Responding to health information technology reported safety events: insights … May 8, 2019
Teaching patient safety in global health: lessons from the Duke Global Health … May 13, 2015
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Health Care Executives
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psnet.ahrq.gov/issue/malnourishment-epidemic-plagues-hospitals-really
June 04, 2014 - October 23, 2019
Health systems and hospitals in pursuit of high reliability. … May 17, 2006
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See More About The Topic
Hospitals
Health Care … Providers
Health Care Executives and Administrators
Nutrition/Dietetics
Hospital Medicine
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psnet.ahrq.gov/issue/addressing-nurse-fatigue-promote-safety-and-health-joint-responsibilities-registered-nurses
November 16, 2015 - Organizational Policy/Guidelines
Addressing nurse fatigue to promote safety and health … Citation Text:
Addressing nurse fatigue to promote safety and health: joint responsibilities of registered … This position statement outlines the shared responsibility of nurses and health care organizations to … November 19, 2014
FDASIA Health IT Report: Proposed Strategy and Recommendations for … June 10, 2018
Health care worker fatigue.
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psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
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 … During observation in the ED, the patient’s condition improved considerably with intravenous fluids, … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/learning-accountability-patient-outcomes
July 01, 2017 - (s)
A model for the departmental quality management infrastructure within an academic health … Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health … 2017
Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health … January 4, 2012
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See More About The Topic
Hospitals
Health … Care Providers
Health Care Executives and Administrators
General Internal Medicine
Hospital
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psnet.ahrq.gov/issue/structural-and-organizational-issues-patient-safety-comparison-health-care-other-high-hazard
February 09, 2011 - Classic
Structural and organizational issues in patient safety: a comparison of health … Citation Text:
Structural and organizational issues in patient safety: a comparison of health care … February 19, 2010
Cleveland Clinic Health System: a comprehensive framework for a health … July 14, 2010
Escape Fire: Lessons for the Future of Health Care. … February 7, 2019
Escape Fire: Designs for the Future of Health Care.
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psnet.ahrq.gov/issue/trends-adverse-event-rates-hospitalized-patients-2010-2019
June 22, 2022 - November 20, 2024
Electronic health record adoption and rates of in-hospital adverse … February 24, 2016
Health care-associated infections among critically ill children in
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psnet.ahrq.gov/issue/perfect-possible
March 06, 2005 - As part of the "Health for Life" series , Drs. … December 8, 2021
Escape Fire: Lessons for the Future of Health Care. … February 7, 2019
Escape Fire: Designs for the Future of Health Care. … March 29, 2007
Cleveland Clinic Health System: a comprehensive framework for a health … Care Providers
Health Care Executives and Administrators
Non-Health Care Professionals
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psnet.ahrq.gov/issue/medicare-and-medicaid-programs-reform-requirements-long-term-care-facilities-proposed-rule
October 21, 2015 - Washington, DC: US Department of Health and Human Services. … Linkedin
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November 23, 2015
Washington, DC: US Department of Health … Washington, DC: US Department of Health and Human Services. … October 30, 2019
Goals and Priorities for Health Care Organizations to Improve Safety … Using Health IT.
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psnet.ahrq.gov/issue/strategically-advancing-patient-and-family-advisory-councils-new-york-state-hospitals
February 22, 2017 - 2023
Partnering with Patients and Families to Design a Patient- and Family-Centered Health … January 27, 2012
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Related Resources
Roadmap to Health … June 27, 2018
AHRQ Health Information Technology Division's 2017 Annual Report.
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psnet.ahrq.gov/issue/safety-assurance-factors-ehr-resilience-safer-guides
January 10, 2007 - Health information technologies are seen to both contribute to and detract from health care safety . … Using Health IT. … February 20, 2019
Health IT Safety Center Roadmap. … December 18, 2013
Health IT Patient Safety Action and Surveillance Plan. … July 23, 2014
Health IT Hazard Manager.
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psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
April 27, 2022 - care spending in the United States than any other condition. 1 While most cases of neck and back pain … UC Davis Health David Barnes, MD, FACEP Health Sciences Clinical Professor Residency Program Director … US Health Care Spending by Payer and Health Condition, 1996-2016. Jama 2020;323(9):863–84. … Department of Health and Human Services. … Department of Health and Human Services.