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psnet.ahrq.gov/issue/theory-policy-resilient-health-care-policy-recommendations-and-lessons-learnt-resilience
July 19, 2023 - Commentary
From theory to policy in resilient health care: policy recommendations … From theory to policy in resilient health care: policy recommendations and lessons learnt from the Resilience … in Healthcare Research Program. … From theory to policy in resilient health care: policy recommendations and lessons learnt from the Resilience … October 30, 2019
Restoring trust in VA health care.
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psnet.ahrq.gov/issue/cost-health-care-associated-infections-united-states
November 02, 2022 - Study
Cost of health care-associated infections in the United States. … Cost of health care-associated infections in the United States. … Healthcare-associated infections (HAIs) result in poorer patient outcomes and increased costs . … Cost of health care-associated infections in the United States. … June 17, 2010
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Hospitals
Health Care
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psnet.ahrq.gov/issue/simulation-debriefing-enhanced-needs-assessment-address-quality-markers-health-care
June 22, 2022 - care: an innovation for prospective hazard analysis. … Simulation-debriefing enhanced needs assessment to address quality markers in health care: an innovation … Simulation-Debriefing Enhanced Needs Assessment (SDENA) to identify behavioral barriers and enablers for implementing healthcare-acquired … 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/training-health-care-professionals-patient-safety
July 09, 2008 - Commentary
Training health care professionals for patient safety. … Citation Text:
Training health care professionals for patient safety. Clancy CM. … care professionals for patient safety. … Care Organizations. … December 22, 2010
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Health Care Providers
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psnet.ahrq.gov/issue/deficiencies-quality-management-processes-and-delays-communication-test-results-and-follow
March 01, 2023 - Care System in Arizona. … Care System in Arizona. … Care System in Arizona. … Care System. … Louis Health Care System in Missouri.
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psnet.ahrq.gov/issue/patient-safety-supporting-culture-continuous-quality-improvement-hospitals-and-other-health
August 09, 2023 - Care Organizations. … Care Organizations. … and Quality and other health care entities to build support for research and improvements in patient … Care Organizations. … Delivery and Outcomes.
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psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
September 01, 2006 - care systems. … care systems might learn from. … Many health care systems have already made great strides forward in the complex task of improving patient … Institutional resilience in healthcare systems. Qual Health Care. 2001;10:29-32. … Now some HMOs are like us in that way, and other countries' health care systems run much like the VA.
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psnet.ahrq.gov/issue/seroprevalence-sars-cov-2-among-frontline-health-care-personnel-multistate-hospital-network
October 19, 2022 - Study
Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate … Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network - … This study examined the prevalence and risk factors for COVID-19 infection among frontline healthcare … Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network - … July 22, 2013
Enabling a learning healthcare system with automated computer protocols
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psnet.ahrq.gov/issue/special-section-iea-health-care-2021
August 02, 2010 - Special or Theme Issue
Special Section: IEA Health Care 2021. … Citation Text:
Special Section: IEA Health Care 2021. Hum Factors. 2024;66(3):633-769. … care. … Health care information technologies , workarounds, and nontechnical skills measurement are discussed … care delivery?
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psnet.ahrq.gov/issue/urgent-need-improve-health-care-quality-institute-medicine-national-roundtable-health-care
May 27, 2015 - The urgent need to improve health care quality. … This 1998 consensus report articulates a definition of health care quality and indicts the US health … care system for significant systematic failures to deliver high-quality care, giving several illustrative … in a national health care quality improvement effort. … The urgent need to improve health care quality.
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psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance
November 18, 2020 - Organizational learning in health care. Health Forum J. 2001;44(2):32-35. … Delivery and Outcomes. … system. … December 17, 2009
Healthcare system-wide implementation of opioid-safety guideline recommendations … Non-Health Care Professionals
Learning Organization
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psnet.ahrq.gov/issue/identifying-barriers-and-opportunities-telehealth-implementation-amidst-covid-19-pandemic
July 07, 2021 - care delivery? … care delivery? … care delivery? … COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare … care.
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psnet.ahrq.gov/issue/unaccountable-what-hospitals-wont-tell-you-and-how-transparency-can-revolutionize-health-care
July 07, 2021 - Care. … December 18, 2019
Listening for What Matters: Avoiding Contextual Errors in Health Care … Managing Moral Problems in Health Care Systems. … System Used Tragedy to Transform Itself and Redefine Just Culture. … October 3, 2017
Shining a Light: Safer Health Care Through Transparency.
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psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizations-deal-major-failures
March 13, 2013 - Commentary
Classic
When things go wrong: how health care … When things go wrong: how health care organizations deal with major failures. … The authors analyzed case studies of serious, longstanding failures in healthcare delivery—such as the … When things go wrong: how health care organizations deal with major failures. … August 9, 2006
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Health Care Executives
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psnet.ahrq.gov/issue/health-care-workers-experiences-workplace-incidents-posed-risk-patient-and-worker-injury
June 23, 2021 - Study
Health care workers' experiences of workplace incidents that posed a risk of … Health care workers’ experiences of workplace incidents that posed a risk of patient and worker injury … Critical incidents are emotionally distressing for healthcare workers but teamwork and trust among … Health care workers’ experiences of workplace incidents that posed a risk of patient and worker injury … July 23, 2019
Health care workers as second victims of medical errors.
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psnet.ahrq.gov/issue/redeployment-health-care-workers-covid-19-pandemic-qualitative-study-health-system-leaders
March 17, 2021 - Study
Redeployment of health care workers in the COVID-19 pandemic: a qualitative … Redeployment of health care workers in the COVID-19 pandemic: a qualitative study of health system leaders … Redeployment of health care workers in the COVID-19 pandemic: a qualitative study of health system leaders … Care. … April 8, 2020
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Hospitals
Health Care
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psnet.ahrq.gov/issue/recommendations-safe-effective-use-adaptive-cds-us-healthcare-system-amia-position-paper
March 24, 2021 - Emerging Classic
Recommendations for the safe, effective use of adaptive CDS in the US healthcare … system: an AMIA position paper. … Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position … Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position … March 24, 2021
Enabling a learning healthcare system with automated computer protocols
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psnet.ahrq.gov/issue/views-and-experiences-patients-and-health-care-professionals-disclosure-adverse-events
August 25, 2021 - Review
The views and experiences of patients and health-care professionals on the … The views and experiences of patients and health‐care professionals on the disclosure of adverse events … The views and experiences of patients and health‐care professionals on the disclosure of adverse events … March 31, 2021
The association between health care staff engagement and patient safety … August 26, 2020
Moving on after critical incidents in health care: a qualitative study
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psnet.ahrq.gov/issue/health-care-professionals-perceptions-unprofessional-behaviour-clinical-workplace
November 03, 2021 - Study
Health care professionals' perceptions of unprofessional behaviour in the clinical … Health care professionals’ perceptions of unprofessional behaviour in the clinical workplace. … This study describes the frequency and types of unprofessional behavior among health care professionals … Health care professionals’ perceptions of unprofessional behaviour in the clinical workplace. … systems.
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psnet.ahrq.gov/issue/considering-safety-and-quality-artificial-intelligence-health-care
August 12, 2020 - care. … Considering the Safety and Quality of Artificial Intelligence in Health Care. … care providers. … Considering the Safety and Quality of Artificial Intelligence in Health Care. … May 22, 2019
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care