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psnet.ahrq.gov/issue/what-doctors-can-learn-factory-floor
June 13, 2011 - This essay relates what health care systems can learn from industry about making the work environment … delivery network. … January 5, 2017
Complexity science: the challenge of complexity in health care. … December 24, 2008
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Health Care Providers … Health Care Executives and Administrators
Quality Improvement Strategies
Culture of Safety
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psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
November 16, 2022 - on the healthcare delivery side. … system, too. … Qual Saf Health Care . 2006;15(Suppl I):i50–8.
5. … Older adult patients and care partners as knowledge brokers in fragmented health care. … Care Providers
Health Care Executives and Administrators
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psnet.ahrq.gov/issue/seeing-systems-health-care-organizations
January 25, 2023 - Commentary
Seeing systems in health care organizations. … Seeing systems in health care organizations. Physician Exec. 2007;33(4):20-9. … Seeing systems in health care organizations. Physician Exec. 2007;33(4):20-9. … February 15, 2011
Seroprevalence of SARS-CoV-2 among frontline health care personnel … October 6, 2016
Engineering a Learning Healthcare System: A Look at the Future: Workshop
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psnet.ahrq.gov/issue/factors-associated-mental-health-outcomes-among-health-care-workers-exposed-coronavirus
March 24, 2019 - Study
Factors associated with mental health outcomes among health care workers exposed … Factors associated with mental health outcomes among health care workers exposed to coronavirus disease … Factors associated with mental health outcomes among health care workers exposed to coronavirus disease … June 22, 2022
Communication with health care workers regarding health care-associated … December 2, 2020
Emotional exhaustion among US health care workers before and during
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psnet.ahrq.gov/issue/department-defense-health-care-quality
February 11, 2025 - Book/Report
Department of Defense Health Care Quality. … Citation Text:
Department of Defense Health Care Quality. … Department of Defense's health care program in including culture of safety development, error and … May 20, 2020
Engineering a Learning Healthcare System: A Look at the Future: Workshop … July 5, 2016
Corporate Responsibility and Health Care Quality: A Resource for Health
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psnet.ahrq.gov/issue/human-factors-healthcare
May 01, 2013 - concepts are central to improvement in high-risk industries and efforts are emerging to enfold them into health … care organizations to improve safety. … October 19, 2022
Factors associated with mental health outcomes among health care workers … and Quality's Making Healthcare Safer III Report. … February 5, 2014
Human Factors and Ergonomics in Healthcare Delivery: A Special Issue
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psnet.ahrq.gov/issue/hospital-and-system-wide-interventions-health-care-associated-infections-systematic-review
January 12, 2022 - Review
Hospital- and system-wide interventions for health care-associated infections … Hospital- and system-wide interventions for health care-associated infections: a systematic review. … Hospital- and system-wide interventions for health care-associated infections: a systematic review. … February 6, 2019
Are online patient reviews associated with health care outcomes? … June 3, 2020
Epidemiology of and risk factors for coronavirus infection in health care
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psnet.ahrq.gov/issue/eliminating-explicit-and-implicit-biases-health-care-evidence-and-research-needs
May 11, 2016 - Review
Eliminating explicit and implicit biases in health care: evidence and research … Eliminating explicit and implicit biases in health care: evidence and research needs. … Implicit biases among healthcare providers can contribute to poor decision-making and impede safe, … review assessed the efficacy of interventions designed to reduce explicit and implicit biases among healthcare … Eliminating explicit and implicit biases in health care: evidence and research needs.
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psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives
July 24, 2013 - Patient Safety And The "Just Culture": A Primer For Health Care Executives. … How they are applied to various situations in health care and how the individuals involved should be … Patient Safety And The "Just Culture": A Primer For Health Care Executives. … December 18, 2019
Listening for What Matters: Avoiding Contextual Errors in Health Care … Managing Moral Problems in Health Care Systems.
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psnet.ahrq.gov/issue/negative-behaviours-health-care-prevalence-and-strategies
May 01, 2024 - Study
Negative behaviours in health care: prevalence and strategies. … Negative behaviours in health care: Prevalence and strategies. … Negative behaviours in health care: Prevalence and strategies. … October 12, 2009
Enabling a learning healthcare system with automated computer protocols … Staff
March 31, 2022
Implicit bias in healthcare professionals: a systematic
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psnet.ahrq.gov/issue/escape-fire-designs-future-health-care
May 26, 2010 - Book/Report
Escape Fire: Designs for the Future of Health Care. … Citation Text:
Escape Fire: Designs for the Future of Health Care. Berwick DM. … This book presents a decade's worth of keynote speeches made by the Institute for Healthcare Improvement's … February 25, 2015
Misadventures in Health Care: Inside Stories. … Health Care Executives and Administrators
Narrative/Storytelling
Culture of Safety
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psnet.ahrq.gov/issue/im-sorry-laws-support-apologies-health-care
March 11, 2020 - Commentary
I'm sorry: laws that support apologies in health care. … factors associated with an increased risk of being a reported case of preventable harm in first-line health … care: a case-control study
March 11, 2020
Healthcare system-wide implementation … A case study from a large metropolitan healthcare trust. … July 7, 2021
Making communication and resolution programmes mission critical in healthcare
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psnet.ahrq.gov/issue/cognitive-systems-engineering-health-care
October 11, 2016 - Book/Report
Cognitive Systems Engineering in Health Care. … Citation Text:
Cognitive Systems Engineering in Health Care. … Care. … November 10, 2017
Handbook of Human Factors and Ergonomics in Health Care and Patient … May 21, 2019
Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor Scott
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psnet.ahrq.gov/issue/patient-safety-systems-primary-health-care-diabetes-story-missed-opportunities
March 28, 2011 - Review
Patient safety systems in the primary health care of diabetes—a story of missed … Patient safety systems in the primary health care of diabetes—a story of missed opportunities? … Patient safety systems in the primary health care of diabetes—a story of missed opportunities? … delivery network. … July 29, 2020
Enabling a learning healthcare system with automated computer protocols
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psnet.ahrq.gov/issue/high-reliability-health-care
May 06, 2015 - Measurement Tool/Indicator
High Reliability in Health Care. … Citation Text:
High Reliability in Health Care. … Development of high reliability remains an elusive goal for health care organizations. … The Joint Commission has also advocated for achieving high reliability in health care. … April 6, 2016
What Every Health Care Organization Should Know about Sentinel Events.
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psnet.ahrq.gov/issue/testing-intervention-improve-health-care-worker-well-being-during-covid-19-pandemic-cluster
October 16, 2024 - Study
Testing an intervention to improve health care worker well-being during the … Testing an intervention to improve health care worker well-being during the COVID-19 pandemic: a cluster … Among 28 hospitals and federally qualified health centers (FQHCs) and 2,077 health care workers, the … April 27, 2022
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … November 16, 2022
Enabling a learning healthcare system with automated computer protocols
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psnet.ahrq.gov/issue/champ-model-building-center-support-health-care-worker-well-being-after-experiencing-adverse
January 18, 2023 - Commentary
CHaMP: A model for building a center to support health care worker well-being … CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse … care for medical students, clinicians, staff, and other healthcare workers. … August 12, 2020
Communication with health care workers regarding health care-associated … June 24, 2020
Building a program of expanded peer support for the entire health care
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psnet.ahrq.gov/issue/health-care-quality-and-disparities-lessons-first-national-reports
April 03, 2005 - Special or Theme Issue
Health Care Quality and Disparities: Lessons from the First … Citation Text:
Health Care Quality and Disparities: Lessons from the First National Reports. … National Healthcare Disparities Report (NHDR), are provided in this special issue. … May 17, 2006
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Health Care Providers … Health Care Executives and Administrators
Non-Health Care Professionals
Error Reporting and Analysis
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psnet.ahrq.gov/issue/assessment-health-information-technology-related-outpatient-diagnostic-delays-us-veterans
June 24, 2020 - care system: a qualitative study of aggregated root cause analysis data. … care system: a qualitative study of aggregated root cause analysis data. … care system: a qualitative study of aggregated root cause analysis data. … June 24, 2020
Toward safer health care: a review strategy of FDA medical device adverse … October 6, 2021
Healthcare-related infections within nursing homes (NHS): a qualitative
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psnet.ahrq.gov/issue/situation-background-assessment-recommendation-sbar-communication-tool-handoff-health-care
March 03, 2021 - care- a narrative review. … Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care … Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care … care system high reliability organizations. … system.