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High-reliability health care: getting there from here. | PSNet

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January 23, 2012 - Study Classic High-reliability health care: getting there … High-reliability health care: getting there from here. … High-reliability health care: getting there from here. … April 20, 2011 Reducing health care hazards: lessons from the Commercial Aviation Safety … Care Providers Health Care Executives and Administrators General Internal Medicine Hospital

Improving communication with patients with limited English proficiency. | PSNet

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January 06, 2018 - Communication in health care is complicated , particularly when there are language barriers between … care. … The author recommends that health care systems enable actions such as direct access to interpreters … Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. … February 15, 2023 Enabling a learning healthcare system with automated computer protocols

Vital signs: epidemiology of sepsis: prevalence of health care factors and opportunities for prevention. | PSNet

psnet.ahrq.gov/issue/vital-signs-epidemiology-sepsis-prevalence-health-care-factors-and-opportunities-prevention

September 23, 2020 - Study Vital signs: epidemiology of sepsis: prevalence of health care factors and … Vital Signs: Epidemiology of Sepsis: Prevalence of Health Care Factors and Opportunities for Prevention … Investigators found that 72% of patients had exposure to at least one health care factor during the 30 … November 16, 2016 Making health care safer. Think sepsis. Time matters. … July 30, 2014 Health care-associated invasive MRSA infections, 2005-2008.

Relationship between job burnout, psychosocial factors and health care–associated infections in critical care units. | PSNet

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January 12, 2022 - Study Relationship between job burnout, psychosocial factors and health care–associated … Relationship between job burnout, psychosocial factors and health care-associated infections in critical … care–associated infections . … Relationship between job burnout, psychosocial factors and health care-associated infections in critical … November 10, 2021 Healthcare professionals' views of smart glasses in intensive care:

The Report of the Short Life Working Group on Reducing Medication-related Harm. | PSNet

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September 09, 2015 - Medication errors are a prominent challenge for health care systems worldwide. … September 9, 2015 Gross Negligence Manslaughter in Healthcare: The Report of a Rapid … August 18, 2021 State of Healthcare 2008. … October 9, 2013 State of Healthcare 2008. … July 15, 2009 View More See More About The Topic Hospitals Health Care

Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. | PSNet

psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys

January 17, 2012 - Study Classic Using Health Care Failure Mode and Effect … Using health care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective … Their system, Health Care Failure Mode Effects Analysis (HFMEA), is documented in detail, including a … care delivery system: you can't fix what you don't know about. … August 15, 2012 Healthcare Failure Mode and Effect Analysis.

FMEA team performance in health care: a qualitative analysis of team member perceptions. | PSNet

psnet.ahrq.gov/issue/fmea-team-performance-health-care-qualitative-analysis-team-member-perceptions

December 31, 2014 - Study FMEA team performance in health care: a qualitative analysis of team member … FMEA Team Performance in Health Care. J Patient Saf. 2009;5(2). doi:10.1097/pts.0b013e3181a852be. … FMEA Team Performance in Health Care. … December 31, 2014 Human factors systems approach to healthcare quality and patient safety … December 22, 2021 Applicability of Healthcare Failure Mode and Effects Analysis to healthcare

What patients' complaints and praise tell the health practitioner: implications for health care quality. A qualitative research study. | PSNet

psnet.ahrq.gov/issue/what-patients-complaints-and-praise-tell-health-practitioner-implications-health-care-quality

February 21, 2024 - What patients' complaints and praise tell the health practitioner: implications for health care quality … Int J Qual Health Care. 2017;29(1):83-89. doi:10.1093/intqhc/mzw139. … Int J Qual Health Care . 2017; 29 (1) :83-89 . … Int J Qual Health Care. 2017;29(1):83-89. doi:10.1093/intqhc/mzw139. … March 8, 2023 Seroprevalence of SARS-CoV-2 among frontline health care personnel in a

“Brave men” and “emotional women”: a theory-guided literature review on gender bias in health care and gendered norms towards patients with chronic pain. | PSNet

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June 09, 2021 - care and gendered norms towards patients with chronic pain. … “Brave men” and “emotional women”: a theory-guided literature review on gender bias in health care and … “Brave men” and “emotional women”: a theory-guided literature review on gender bias in health care and … care algorithms. … August 17, 2022 Eliminating explicit and implicit biases in health care: evidence and

Clinical and economic outcomes attributable to health care–associated sepsis and pneumonia. | PSNet

psnet.ahrq.gov/issue/clinical-and-economic-outcomes-attributable-health-care-associated-sepsis-and-pneumonia

December 09, 2015 - Study Clinical and economic outcomes attributable to health care–associated sepsis … Clinical and economic outcomes attributable to health care-associated sepsis and pneumonia. … Health care–associated infections are common and the subject of wide-scale prevention programs , despite … Clinical and economic outcomes attributable to health care-associated sepsis and pneumonia. … Care Providers Health Care Executives and Administrators Policy Makers Pulmonology

Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Initiative. | PSNet

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October 02, 2013 - Findings and Lessons From the Improving Management of Individuals With Complex Health … Care Needs Through Health IT Grant Initiative. … Care Needs Through Health IT Grant Initiative. … Care Needs Through Health IT Grant Initiative. … Making Healthcare Safer IV Series.

Speaking up for patient safety by hospital-based health care professionals: a literature review. | PSNet

psnet.ahrq.gov/issue/speaking-patient-safety-hospital-based-health-care-professionals-literature-review

October 31, 2011 - Review Speaking up for patient safety by hospital-based health care professionals … Speaking up for patient safety by hospital-based health care professionals: a literature review. … Speaking up for patient safety by hospital-based health care professionals: a literature review. … September 7, 2016 View More Related Resources Why do healthcare … care.

A hybrid methodology for modeling risk of adverse events in complex health-care settings. | PSNet

psnet.ahrq.gov/issue/hybrid-methodology-modeling-risk-adverse-events-complex-health-care-settings

November 11, 2015 - Study A hybrid methodology for modeling risk of adverse events in complex health-care … A Hybrid Methodology for Modeling Risk of Adverse Events in Complex Health-Care Settings. … A Hybrid Methodology for Modeling Risk of Adverse Events in Complex Health-Care Settings. … June 30, 2011 Improving adverse drug event reporting by healthcare professionals. … healthcare facilities during the coronavirus disease 2019 (COVID-19) pandemic.

Effect of pharmacist counseling intervention on health care utilization following hospital discharge: a randomized control trial. | PSNet

psnet.ahrq.gov/issue/effect-pharmacist-counseling-intervention-health-care-utilization-following-hospital

November 26, 2014 - Study Effect of pharmacist counseling intervention on health care utilization following … Effect of Pharmacist Counseling Intervention on Health Care Utilization Following Hospital Discharge: … Effect of Pharmacist Counseling Intervention on Health Care Utilization Following Hospital Discharge: … July 27, 2022 The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated … infections in 2020: a summary of data reported to the National Healthcare Safety Network.

Misdiagnosis, mistreatment, and harm - when medical care ignores social forces. | PSNet

psnet.ahrq.gov/issue/misdiagnosis-mistreatment-and-harm-when-medical-care-ignores-social-forces

November 16, 2022 - This article discusses the risk of misdiagnosis, mistreatment and iatrogenic harm when healthcare providers … care systems, and societies, leading to more effective care with less harm. … July 29, 2020 Seroprevalence of SARS-CoV-2 among frontline health care personnel in a … August 2, 2015 Enabling a learning healthcare system with automated computer protocols … September 28, 2022 Eliminating explicit and implicit biases in health care: evidence

Patient perspectives on adverse event investigations in health care. | PSNet

psnet.ahrq.gov/issue/patient-perspectives-adverse-event-investigations-health-care

December 18, 2024 - Study Patient perspectives on adverse event investigations in health care. … Patient perspectives on adverse event investigations in health care. … Patient perspectives on adverse event investigations in health care. … 18, 2024 Is there a mismatch between the perspectives of patients and regulators on healthcare … April 14, 2011 Seroprevalence of SARS-CoV-2 among frontline health care personnel in

Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. | PSNet

psnet.ahrq.gov/issue/medication-mix-what-happened-vanderbilt-and-how-it-impacts-health-care-providers

March 18, 2020 - care providers. … Citation Text: Medication mix-up: what happened at Vanderbilt and how it impacts health care providers … care providers. … June 1, 2022 Human Factors and Ergonomics in Healthcare. … August 3, 2022 Does malpractice liability make healthcare safer?

As a critical behavior to improve quality and patient safety in health care: speaking up! | PSNet

psnet.ahrq.gov/issue/critical-behavior-improve-quality-and-patient-safety-health-care-speaking

March 13, 2019 - Review As a critical behavior to improve quality and patient safety in health care … As a critical behavior to improve quality and patient safety in health care: speaking up!. … As a critical behavior to improve quality and patient safety in health care: speaking up!. … July 12, 2017 Challenging hierarchy in healthcare teams--ways to flatten gradients to … September 28, 2016 Understanding psychological safety in health care and education organizations

Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model. | PSNet

psnet.ahrq.gov/issue/exploring-leadership-within-systems-approach-reduce-health-care-associated-infections-scoping

October 29, 2017 - Review Exploring leadership within a systems approach to reduce health care–associated … Exploring leadership within a systems approach to reduce health care-associated infections: A scoping … Health care–associated infections (HAIs) are a persistent challenge to patient safety. … Exploring leadership within a systems approach to reduce health care-associated infections: A scoping … care worker perspectives of their motivation to reduce health care–associated infections.

Supporting involved health care professionals (second victims) following an adverse health event: a literature review. | PSNet

psnet.ahrq.gov/issue/supporting-involved-health-care-professionals-second-victims-following-adverse-health-event

April 10, 2019 - Review Supporting involved health care professionals (second victims) following an … Supporting involved health care professionals (second victims) following an adverse health event: a literature … The effects of errors on health care providers are discussed in this AHRQ WebM&M perspective . … September 27, 2023 Peer support by interprofessional health care providers in aftermath … October 17, 2016 Health care workers as second victims of medical errors.

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