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psnet.ahrq.gov/node/846975/psn-pdf
March 28, 2023 - The perinatal mental health condition bundle was released in early February 2023. … If you are an OB/GYN who has seen a patient who needs medication for their
mental health condition, … I experienced a perinatal mental health condition myself, and I remember thinking that I must just not … There is still deep shame in even admitting that a mental health condition is happening. … One area the
perinatal mental health condition bundle emphasizes that other bundles may not mention
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psnet.ahrq.gov/issue/improving-patient-safety-shifting-power-health-professionals-patients
June 01, 2014 - Special or Theme Issue
Improving patient safety by shifting power from health professionals … Citation Text:
Improving patient safety by shifting power from health professionals to patients. … policy is intended to encourage patients and caregivers to request a second opinion if a patient’s health … condition is deteriorating and they feel their concerns are not being taken seriously by the healthcare … February 6, 2024
A proposed approach to allegations of sexual boundary violation in health
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psnet.ahrq.gov/issue/impact-repeated-reimbursement-penalties-hospital-total-quality-scores
November 16, 2022 - The Hospital-Acquired Condition (HAC) Reduction Program (HACRP) assesses penalties on hospitals with … April 10, 2024
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … May 18, 2022
Testing an intervention to improve health care worker well-being during … Changes in hospital-acquired conditions and mortality associated with the hospital-acquired condition … September 29, 2021
Unintended consequences of health care reform: impact of changes in
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psnet.ahrq.gov/issue/patient-safety-issues-continue-plague-american-hospitals
November 20, 2015 - High-quality, reliable safe health care is a complex challenge. … Resources
Changes in hospital safety following penalties in the US Hospital Acquired Condition … characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition … February 10, 2015
The economics of health care quality and medical errors. … October 27, 2010
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See More About The Topic
Hospitals
Health
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psnet.ahrq.gov/issue/diagnostic-overshadowing-among-groups-experiencing-health-disparities
February 10, 2021 - Sentinel Event Alerts
Diagnostic overshadowing among groups experiencing health disparities … Citation Text:
Diagnostic overshadowing among groups experiencing health disparities. … A clinician's knowledge of an existing condition can implicitly affect treatment recommendations and … November 24, 2021
Physical and verbal violence against health care workers. … December 23, 2016
Safe use of health information technology.
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psnet.ahrq.gov/node/854835/psn-pdf
October 25, 2023 - Improving patient safety by shifting power from health
professionals to patients. … https://psnet.ahrq.gov/issue/improving-patient-safety-shifting-power-health-professionals-patients
This … policy is intended to encourage patients and caregivers to request a second
opinion if a patient’s health … condition is deteriorating and they feel their concerns are not being taken
seriously by the healthcare … https://psnet.ahrq.gov/issue/improving-patient-safety-shifting-power-health-professionals-patients
https
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psnet.ahrq.gov/issue/cleveland-clinic-health-system-comprehensive-framework-health-system-patient-safety
January 04, 2017 - Commentary
Cleveland Clinic Health System: a comprehensive framework for a health … Citation Text:
Cleveland Clinic Health System: a comprehensive framework for a health system patient … System: a comprehensive framework for a health system patient safety initiative. … 2023
Measurement matters: changing penalty calculations under the hospital acquired condition … December 4, 2016
Building a highway to quality health care.
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psnet.ahrq.gov/node/33584/psn-pdf
March 15, 2025 - The dynamic environment in which health care is delivered requires clinicians to maintain situational … dialogue among clinicians in order to achieve a shared mental model—the "big picture" of
the patient's condition … the intensive care unit team and the cardiac surgery team were aware of the patient's deteriorating
condition … Poor communication between
the two teams meant the severity of the patient's condition was not appreciated … studies have shown that poor levels of communication exist between
clinicians at all levels of the health
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psnet.ahrq.gov/node/73183/psn-pdf
April 28, 2021 - hearing-impairment-and-amelioration-avoidable-medical-error-cross-sectional-
survey
Hearing impairment can lead to misunderstanding of a patient’s health … condition, treatment, or follow up
care. … Health systems and clinicians
should find ways to identify patients with hearing loss and develop alternate … hearing-impairment-and-amelioration-avoidable-medical-error-cross-sectional-survey
https://psnet.ahrq.gov/issue/time-take-hearing-loss-seriously
https://psnet.ahrq.gov/issue/health-literacy-and-patient-safety-events … https://psnet.ahrq.gov/issue/health-literacy-past-present-and-future-workshop-summary
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psnet.ahrq.gov/issue/correlation-between-hospital-finances-and-quality-and-safety-patient-care
January 12, 2022 - May 11, 2022
Association of measured quality with financial health among U.S. hospitals … Changes in hospital-acquired conditions and mortality associated with the hospital-acquired condition … 21, 2020
Changes in hospital safety following penalties in the US Hospital Acquired Condition … characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition
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psnet.ahrq.gov/issue/effect-hospital-wide-measure-readmissions-reduction-program
February 14, 2017 - compared to other hospitals, a concern that has been raised with regard to Medicare's Hospital-Acquired Condition … May 3, 2018
Complication rates, hospital size, and bias in the CMS Hospital-Acquired Condition … October 29, 2017
Optimizing a Business Case for Safe Health Care: An Integrated Approach … how the application of financial structures to safety and quality can drive accountability in a large health
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psnet.ahrq.gov/primer/rapid-response-systems
July 18, 2024 - Patients whose condition deteriorates acutely while hospitalized often exhibit warning signs (such as … Urine output less than 50 cc over 4 hours Staff member has significant concern about the patient's condition … to directly request additional assistance from a specially trained individual(s) when the patient's condition … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/47760/psn-pdf
February 06, 2019 - Services financially penalizes hospitals with increased numbers of
HACs through the Hospital-Acquired Condition … saving-lives-and-saving-money-hospital-acquired-conditions-update
https://psnet.ahrq.gov/issue/hospital-acquired-condition-hac-reduction-program … issue/impact-medicares-nonpayment-program-hospital-acquired-conditions
https://psnet.ahrq.gov/primer/health-care-associated-infections
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psnet.ahrq.gov/issue/medicare-trims-payments-800-hospitals-citing-patient-safety-incidents
July 19, 2017 - Kaiser Health News. March 1, 2019. … Kaiser Health News. March 1, 2019.
View more articles from the same authors. … Kaiser Health News. March 1, 2019. … March 3, 2021
Hospital-Acquired Condition Reduction Program is not associated with additional … 4, 2019
Changes in hospital safety following penalties in the US Hospital Acquired Condition
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psnet.ahrq.gov/issue/long-term-risk-overdose-or-mental-health-crisis-after-opioid-dose-tapering
August 25, 2021 - Study
Long-term risk of overdose or mental health crisis after opioid dose tapering … Long-term risk of overdose or mental health crisis after opioid dose tapering. … Long-term risk of overdose or mental health crisis after opioid dose tapering. … adherence, and chronic condition control. … medication adherence, and chronic condition control.
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psnet.ahrq.gov/node/44372/psn-pdf
June 21, 2016 - characteristics associated with penalties in the
Centers for Medicare & Medicaid Services Hospital-
Acquired Condition … Characteristics Associated With Penalties in the Centers
for Medicare & Medicaid Services Hospital-Acquired Condition … weight to concerns about unintended consequences of pay-for-performance programs leading
to widening health
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psnet.ahrq.gov/issue/association-changing-hospital-readmission-rates-mortality-rates-after-hospital-discharge
August 20, 2018 - calculated monthly 30-day risk-adjusted readmission rates and 30-day risk-adjusted mortality rates for each condition … between hospitals' monthly trends in 30-day readmissions and 30-day mortality after discharge for each condition … May 18, 2022
Physical and verbal violence against health care workers. … June 28, 2017
Call to Action: Preventable Health Care Harm Is a Public Health Crisis … and Patient Safety Requires a Coordinated Public Health Response.
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psnet.ahrq.gov/issue/early-impact-2011-acgme-duty-hour-regulations-surgical-outcomes
May 01, 2015 - August 20, 2018
Hospital-Acquired Condition Reduction Program is not associated with … 4, 2019
Changes in hospital safety following penalties in the US Hospital Acquired Condition … Changes in hospital-acquired conditions and mortality associated with the hospital-acquired condition … April 1, 2009
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Operating Room
Health
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psnet.ahrq.gov/node/33562/psn-pdf
September 15, 2024 - Patients whose condition deteriorates acutely while hospitalized often exhibit warning signs (such as … failure-rescue
https://psnet.ahrq.gov/issue/100000-lives-campaign-setting-goal-and-deadline-improving-health-care-quality … Urine output less than 50 cc over 4 hours
Staff member has significant concern about the patient's condition … to directly request additional assistance from a specially trained individual(s)
when the patient's condition
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psnet.ahrq.gov/issue/predicting-avoidable-hospital-events-maryland
April 06, 2022 - Health Serv Res. 2022;57(1):192-199. doi:10.1111/1475-6773.13891. … Health Serv Res. 2022;57(1):192-199. doi:10.1111/1475-6773.13891. … of behavioral health and primary care to improve patient care. … 2016
Measurement matters: changing penalty calculations under the hospital acquired condition … care use, medication adherence, and chronic condition control.