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psnet.ahrq.gov/issue/root-causes-errors-simulated-prehospital-pediatric-emergency
June 11, 2014 - January 15, 2025
Personal formularies of primary care physicians across 4 health care … September 9, 2010
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Patient Transport
Health
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psnet.ahrq.gov/issue/effects-learning-climate-and-registered-nurse-staffing-medication-errors
February 15, 2011 - large-scale adverse event disclosure support program generated through embedded research in the Veterans Health … The perceptions of nurses towards barriers to the safe administration of medicines in mental health
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psnet.ahrq.gov/primer/human-factors-engineering
December 15, 2024 - 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 … Human factors engineering has long been used to improve safety in many industries outside of health … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - of those patients did not understand
the next steps after leaving the ED, including what to do if a condition … For instance, health information technology (HIT) provides
powerful avenues for connecting directly … Research Analyst, IMPAQ Health
IMPAQ International
Columbia, MD
References
1. … Int J
Qual Health Care. 2020;32(5):342-346. doi: 10.1093/intqhc/mzaa034. [PSNet]
2. … Oh, the places we’ll go: Patient-reported outcomes and electronic
health records.
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psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy
December 12, 2018 - Stories of mental health system failure provide important insights to raise awareness of ineffective … January 24, 2024
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Discharge from Mental Health … February 28, 2024
Racism in health services for adolescents: a scoping review. … ‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health … More
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Ambulatory Clinic or Office
Primary Care
Mental Health
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psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
August 28, 2024 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … The kidney was explanted, and the patient was transferred to the intensive care unit in critical condition … Int J Qual Health Care. 2018;30:39-43. [go to PubMed] 20. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
February 26, 2025 - that health care delivery is inherently high-risk. … It gives an overview of high reliability in health care. … misunderstanding, a failure to think thoroughly enough about the complex, organizational determinants that condition … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
February 26, 2025 - It gives an overview of high reliability in health care. … misunderstanding, a failure to think thoroughly enough about the complex, organizational determinants that condition … that health care delivery is inherently high-risk. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/curated-library/patient-and-family-engagement-long-term-care
April 10, 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 … OECD Health Working Papers, No. 121. … Wald, MD, MSPH, is the Chief Quality and Safety Officer at SCL Health in Denver, CO.
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psnet.ahrq.gov/node/851184/psn-pdf
July 05, 2023 - Prim Health Care Res Dev. 2023;24:e26. doi:10.1017/s1463423623000129.
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psnet.ahrq.gov/node/33602/psn-pdf
March 15, 2025 - Although comparable data is not currently available for other health
professions, some reports have … They also appreciate that individual awareness of systems science and how to apply it to
health care … The health professions educational system aspires to train clinicians to achieve basic proficiency in … Impaired clinicians—those unable to
perform competently due to illness, mental health conditions, or … Most health
care organizations, and many states, mandate that health professionals formally report colleagues
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psnet.ahrq.gov/issue/nhs-improvement
April 15, 2020 - The National Health Service (NHS) has been a global leader in patient safety improvement since the publication … April 23, 2014
Health Literacy Toolkit. … February 22, 2023
Outsourcing health-care services to the private sector and treatable … July 23, 2008
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Health Care Providers … Health Care Executives and Administrators
Policy Makers
Medicine
Quality Improvement Strategies
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psnet.ahrq.gov/issue/special-issue-resilience-engineering-and-high-reliability-organizations
July 22, 2019 - Copy Citation
Related Resources From the Same Author(s)
Resilient Health … safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health … March 3, 2021
High-Performance Work Systems in Health Care Management: Parts 1-5. … May 21, 2019
Health Literacy Research: Current Status and Future Directions. … December 1, 2010
Large-scale Coordination: Health Care.
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psnet.ahrq.gov/issue/national-patient-safety-alerting-system
April 15, 2020 - National Health Service England
Copy Citation
Save
Save to your library … Facebook
Twitter
Linkedin
Copy URL
May 11, 2016
National Health … response to the Francis report , this three-stage reporting system was launched to help National Health … National Health Service England
Copy Citation
Related Resources From the Same Author … April 23, 2014
Health Literacy Toolkit.
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psnet.ahrq.gov/web-mm/do-me-favor
September 12, 2016 - ultrasound was done, which did find an intrauterine pregnancy; neither the findings nor the patient's condition … The Commentary
This case describes a common scenario among health care professionals. … Making health care safer: a critical analysis of patient safety practices. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/worst-headache
July 01, 2016 - 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 … population, less than 1% of headache patients have SAH, and only an additional 3%-4% have some other serious condition … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/developing-resilience-combat-nurse-burnout
May 01, 2019 - Citation
Related Resources From the Same Author(s)
Drug diversion and impaired health … October 21, 2020
Promoting psychosocial well-being of health care staff during crisis … 20, 2019
Peer training using cognitive rehearsal to promote a culture of safety in health
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psnet.ahrq.gov/issue/deep-medicine-how-artificial-intelligence-can-make-healthcare-human-again
January 07, 2019 - interview with the author, Eric Topol , talked about the role of patients in the new world of digital health … September 21, 2016
Resilient Health Care Series. … 2018
Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health … March 9, 2018
Improving Patient Care Through Safe Health IT. … September 28, 2016
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See More About The Topic
Health Care Providers
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psnet.ahrq.gov/glossary/active-error-or-active-failure
September 13, 2021 - errors are those at the other end of the scalpel, the blunt end referring to the many layers of the health
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psnet.ahrq.gov/perspective/handoffs-and-transitions
February 01, 2007 - 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 … From its earliest days, the patient safety field identified transitions of care as an important latent condition … Department of Health and Human Services. … Department of Health and Human Services.