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psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
August 30, 2023 - may have on the healthcare system, safety failure reporting, and the culture of safety in many healthcare … systems. … Although healthcare workers may make errors, given the complexity of healthcare delivery, adverse events … delivery. … Care Providers 
  Health Care Executives and Administrators 
  Non-Health Care Professionals 
  Psychological
                                     
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psnet.ahrq.gov/issue/keeping-our-promises-research-practice-and-policy-issues-health-care-reliability
September 24, 2016 - Care Reliability. … Citation Text: 
 Keeping our Promises: Research, Practice, and Policy Issues in Health Care Reliability … Care Reliability. … January 26, 2022 
 
 
 
 
 
 
 
 Taking the pulse of health care systems: experiences of patients with … October 1, 2007 
 
 
 
 
 
 
 
 
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    Health Care Executives
                                     
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psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-useful-proactive-risk-analysis-pediatric
June 13, 2011 - Qual Saf Health Care. 2006;15(1):58-63. … Qual Saf Health Care. 2006;15(1):58-63. … delivery network. … of the use of HFMEA in Dutch health care. … May 28, 2015 
 
 
 
 
 
 
 
 Enabling a learning healthcare system with automated computer protocols
                                     
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psnet.ahrq.gov/issue/system-weaknesses-contributing-causes-accidents-health-care
August 31, 2022 - System weaknesses as contributing causes of accidents in health care. … Int J Qual Health Care. 2005;17(1):5-13. … Int J Qual Health Care .  2005; 17 (1) :5-13 . … Int J Qual Health Care. 2005;17(1):5-13. … care systems?
                                     
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psnet.ahrq.gov/issue/patient-and-health-care-professional-perspectives-stigma-integrated-behavioral-health
January 12, 2022 - Study 
 
 
 
 
 
 
 
 
 
 Patient and health care professional perspectives on stigma in integrated behavioral … Patient and health care professional perspectives on stigma in integrated behavioral health: barriers … Stigma  can prevent patients from seeking  necessary  mental health care. … September 28, 2022 
 
 
 
 
 
 
 
 Enabling a learning healthcare system with automated computer protocols … Care Providers 
  Primary Care 
  Mental Health Care (Psychiatry and Clinical Psychology) 
  Epidemiology
                                     
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psnet.ahrq.gov/issue/patient-safety-primary-care-conceptual-meanings-health-care-team-and-patients
September 28, 2022 - Study 
 
 
 
 
 
 
 
 
 
 Patient safety in primary care: conceptual meanings to the health care team … Patient safety in primary care: conceptual meanings to the health care team and patients. … Patient safety in primary care: conceptual meanings to the health care team and patients. … July 22, 2020 
 
 
 
 
 
 
 
 Communication with patients and families regarding health care-associated … April 13, 2022 
 
 
 
 
 
 
 
 Health care provider factors associated with patient-reported adverse
                                     
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psnet.ahrq.gov/issue/complexity-and-adoption-innovation-health-care
June 16, 2012 - Health Care; 2003. … Health Care; 2003. … Health Care; 2003. … December 14, 2016 
 
 
 
 
 
 
 
 Improving Diagnosis in Health Care. … System: Current State and a Call to Action.
                                     
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psnet.ahrq.gov/issue/use-safety-climate-questionnaire-uk-health-care-factor-structure-reliability-and-usability
June 15, 2011 - Qual Saf Health Care. 2006;15(5):347-53. … Qual Saf Health Care .  2006; 15 (5) :347-53 . … Qual Saf Health Care. 2006;15(5):347-53. … December 4, 2013 
 
 
 
 
 
 
 
 Enabling a learning healthcare system with automated computer protocols … delivery network.
                                     
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psnet.ahrq.gov/issue/improving-reliability-health-care
November 18, 2011 - Book/Report 
 
 
 
 
 
 
 
 
 
 Improving the Reliability of Health Care. … Citation Text: 
 Improving the Reliability of Health Care.  Nolan T, Resar R, Haraden C, et al. … Boston, MA: Institute for Healthcare Improvement; 2004. … This report shares a three-step model for applying reliability principles to health care. … Care.
                                     
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psnet.ahrq.gov/issue/eight-years-decreased-methicillin-resistant-staphylococcus-aureus-health-care-associated
March 23, 2012 - Eight years of decreased methicillin-resistant Staphylococcus aureus health care-associated infections … These findings underscore the success of patient safety practices in reducing  health care–associated … Eight years of decreased methicillin-resistant Staphylococcus aureus health care-associated infections … May 25, 2011 
 
 
 
 
 
 
 
 Enabling a learning healthcare system with automated computer protocols … April 12, 2017 
 
 
 
 
 
 
 
 Healthcare system-wide implementation of opioid-safety guideline recommendations
                                     
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psnet.ahrq.gov/issue/making-health-care-safer-stopping-c-difficile-infections
April 06, 2022 - Image/Poster 
 
 
 
 
 
 
 
 
 
 Making health care safer: stopping C. difficile infections. … Citation Text: 
 Making health care safer: stopping C. difficile infections. … care providers prevent  health care–associated infections . … April 6, 2022 
 
 
 
 
 
 
 
 Making health care safer. Think sepsis. Time matters. … system.
                                     
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psnet.ahrq.gov/issue/five-system-barriers-achieving-ultrasafe-health-care
September 29, 2017 - Five system barriers to achieving ultrasafe health care. Ann Intern Med. 2005;142(9):756-64. … This commentary builds on the notion that our health care system requires structured efforts to improve … The article concludes with graphic presentation of a strategic view of safety in health care and the … Five system barriers to achieving ultrasafe health care. Ann Intern Med. 2005;142(9):756-64. … November 24, 2010 
 
 
 
 
 
 
 
 Creating high reliability in health care organizations.
                                     
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psnet.ahrq.gov/issue/health-care-serial-murder-patient-safety-orphan
July 28, 2014 - Commentary 
 
 
 
 
 
 
 
 
 
 Health care serial murder: a patient safety orphan. … Health care serial murder: a patient safety orphan. Jt Comm J Qual Saf. 2010;36(4):186-191. … July 28, 2014 
 
 
 
 
 
 
 
 Effect of the transformation of the Veterans Affairs Health Care System … Kizer, MD, MPH: health care quality evangelist. … May 1, 2016 
 
 
 
 
 
 
 
 Enabling a learning healthcare system with automated computer protocols that
                                     
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psnet.ahrq.gov/issue/health-care-equity
May 16, 2018 - Special or Theme Issue 
 
 
 
 
 
 
 
 
 
 Health Care Equity 
 
 
 
 
 Citation Text: 
 Health Care … Health care inequities are the result of both clinical and community system failures. … Care Equity Jt Comm J Qual Patient Saf. 2024;50(1);1-92. … September 25, 2013 
 
 
 
 
 
 
 
 Teamwork in Healthcare. … and Quality's Making Healthcare Safer III Report.
                                     
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psnet.ahrq.gov/issue/medical-bias-pain-pills-covid-19-racial-discrimination-health-care-festers
June 24, 2020 - Medical bias: from pain pills to COVID-19, racial discrimination in health care festers. … The COVID-19 pandemic has highlighted a range of weaknesses in the health care system including supply … Medical bias: from pain pills to COVID-19, racial discrimination in health care festers. … June 17, 2020 
 
 
 
 
 
 
 
 Implicit racial bias, health care provider attitudes, and perceptions of … health care quality among African American college students in Georgia, USA.
                                     
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psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
December 14, 2022 - Curr Probl Pediatr Adolesc Health Care . 2015;45(12):382-389. doi:10.1016/j.cppeds.2015.10.001 … Resilient health care: turning patient safety on its head. … Ellen Deutsch:  About 10 years ago, I was privileged to attend one of the early Resilient Health Care … of the complexity of healthcare systems. … Care Providers 
  Health Care Executives and Administrators 
 
 
 
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psnet.ahrq.gov/issue/time-transparent-standards-quality-reporting-health-care-organizations
July 07, 2021 - Commentary 
 
 
 
 
 
 
 
 
 
 Time for transparent standards in quality reporting by health care organizations … Time for Transparent Standards in Quality Reporting by Health Care Organizations. … Time for Transparent Standards in Quality Reporting by Health Care Organizations. … August 3, 2022 
 
 
 
 
 
 
 
 Why accountability sharing in health care organizational cultures means … September 23, 2020 
 
 
 
 
 
 
 
 Ethical duty of health care systems to address interfacility medical
                                     
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psnet.ahrq.gov/issue/does-employee-safety-matter-patients-too-employee-safety-climate-and-patient-safety-culture
September 01, 2021 - Employee safety climate and patient safety culture in health care. … Employee safety climate and patient safety culture in health care. … Safety culture  is an essential aspect of  high reliability  health care systems. … Employee safety climate and patient safety culture in health care. … November 30, 2022 
 
 
 
 
 
 
 
 The association between health care staff engagement and patient safety
                                     
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psnet.ahrq.gov/issue/how-health-care-complexity-leads-cooperation-and-affects-autonomy-health-care-professionals
October 27, 2021 - health care professionals. … How health care complexity leads to cooperation and affects the autonomy of health care professionals … Health Care Anal. 2008;16(4):329-341. doi:10.1007/s10728-007-0080-6. … How health care complexity leads to cooperation and affects the autonomy of health care professionals … Health Care Anal. 2008;16(4):329-341. doi:10.1007/s10728-007-0080-6.
                                     
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psnet.ahrq.gov/perspective/equity-patient-safety
September 24, 2024 - marginalized groups are sometimes viewed socially, as problems beyond the scope of healthcare systems … They noted that if healthcare systems leverage telehealth as a tool to improve availability of care, … The checklist also enabled identification of areas in the healthcare delivery infrastructure in which … Thomas, DrPH, MPH, MBA  
Vice President, Healthcare Delivery Research 
MedStar Health 
Fredericksburg … J Health Care Poor Underserved . 2010;21(3):879-897. doi:10.1353/hpu.0.0323 
 Meadows AR, Byfield R,