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psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
March 01, 2013 - The Literature on Health Care Simulation Education: What Does It Show?
David A. … The Literature on Health Care Simulation Education: What Does It Show?. PSNet [internet]. … An international leader in health care simulation, Dr. … The scale of decentralization of health care is massive. … RW : If a large health care system wanted to get into the simulation business, it strikes me that they
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psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-leadership-needed-hhs-prioritize-prevention
October 15, 2008 - Book/Report
Health-Care-Associated Infections in Hospitals: Leadership Needed from … Citation Text:
Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize … from the Healthcare Infection Control Practices Advisory Committee. … December 6, 2011
Health-Care–Associated Infections in Hospitals: Continuing Leadership … January 14, 2009
Health-Care-Associated Infections in Hospitals: An Overview of State
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psnet.ahrq.gov/issue/health-care-leaders-action-guide-hospital-strategies-reducing-preventable-mortality
May 06, 2015 - Book/Report
Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable … Citation Text:
Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality … the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare … October 12, 2011
Financial incentives to promote health care quality: the hospital acquired … December 1, 2010
Health Care Leader Action Guide to Reduce Avoidable Readmissions.
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psnet.ahrq.gov/issue/how-psos-help-health-care-organizations-improve-patient-safety-culture
May 25, 2016 - Book/Report
How PSOs Help Health Care Organizations Improve Patient Safety Culture … Citation Text:
How PSOs Help Health Care Organizations Improve Patient Safety Culture. … Rockville, MD: Agency for Healthcare Research and Quality; April 2016. AHRQ Pub. No. 16-0026-EF. … Care Organizations Improve Patient Safety Culture. … Rockville, MD: Agency for Healthcare Research and Quality; April 2016. AHRQ Pub.
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psnet.ahrq.gov/issue/improving-diagnosis-health-care-next-imperative-patient-safety
July 15, 2015 - Commentary
Classic
Improving diagnosis in health care—the … Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. … Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. … January 22, 2016
Improving Diagnosis in Health Care. … Care Providers
Health Care Executives and Administrators
Medicine
Diagnostic Errors
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psnet.ahrq.gov/issue/understanding-safer-practices-health-care-prologue-role-indicators
May 07, 2008 - Study
Understanding safer practices in health care: a prologue for the role of indicators … Understanding safer practices in health care: a prologue for the role of indicators. … Understanding safer practices in health care: a prologue for the role of indicators. … February 23, 2011
Are the Agency for Healthcare Research and Quality obstetric trauma … Targeted chart review of pediatric patient safety events identified by the Agency for Healthcare
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psnet.ahrq.gov/issue/randomized-trial-multifactorial-strategy-prevent-serious-fall-injuries
August 04, 2021 - This study randomized primary care practices across ten health care systems to evaluate the effectiveness … Citation
Related Resources From the Same Author(s)
Enabling a learning healthcare … system with automated computer protocols that produce replicable and personalized clinician actions. … August 4, 2021
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … Care Providers
Primary Care
Geriatrics
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psnet.ahrq.gov/issue/patient-safety-womens-health-care-framework-progress
January 12, 2011 - Commentary
Patient safety in women's health care: a framework for progress. … Patient safety in women's health care: a framework for progress. … The author provides a complete overview of errors in health care and discusses solutions to address … Patient safety in women's health care: a framework for progress. … January 30, 2005
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See More About The Topic
Health Care Providers
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psnet.ahrq.gov/issue/resilience-healthcare-and-clinical-handover
August 19, 2009 - Qual Saf Health Care. 2009;18(4):256-60. doi:10.1136/qshc.2008.030163. … Qual Saf Health Care . 2009; 18 (4) :256-60 . … Qual Saf Health Care. 2009;18(4):256-60. doi:10.1136/qshc.2008.030163. … April 24, 2018
Enabling a learning healthcare system with automated computer protocols … delivery network.
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psnet.ahrq.gov/issue/ahrq-announces-interest-research-about-epidemiology-patient-safety-risks-and-harms-ambulatory
August 15, 2018 - Care Settings. … Care Settings. … Delivery Systems (R18). … April 3, 2019
Health Care Simulation to Advance Safety: Responding to Ebola and Other … September 29, 2017
AHRQ Health Services Research Projects: Making Health Care Safer in
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psnet.ahrq.gov/issue/health-care-associated-infections-hai-portal
February 28, 2018 - Multi-use Website
Health Care–Associated Infections (HAI) Portal. … Citation Text:
Health Care–Associated Infections (HAI) Portal. Joint Commission. … Care–Associated Infections (HAI) Portal. … Care, Second Edition. … August 17, 2016
Healthcare–Associated Infections (HAI).
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psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-event-review
May 15, 2013 - Study
Measuring harm in health care: optimizing adverse event review. … Measuring Harm in Health Care: Optimizing Adverse Event Review. … Measuring Harm in Health Care: Optimizing Adverse Event Review. … May 17, 2017
The Healthcare Complaints Analysis Tool: development and reliability testing … November 18, 2016
Healthcare professionals' views on feedback of a patient safety culture
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psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse-events-health-care
February 22, 2010 - care. … care. … care. … care. … Dealing with errors, crimes and misdemeanours around adverse events in healthcare.
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psnet.ahrq.gov/issue/fda-recommends-health-care-professionals-discuss-naloxone-all-patients-when-prescribing
December 16, 2020 - Press Release/Announcement
FDA recommends health care professionals discuss naloxone … Citation Text:
FDA recommends health care professionals discuss naloxone with all patients when prescribing … The FDA calls for health care professionals to educate patients about naloxone when prescribing opioid … September 29, 2010
FDA advises health care professionals and patients about insulin pen … June 28, 2023
Request for Information: Creating a National Healthcare System Action Alliance
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psnet.ahrq.gov/issue/preventable-medication-harm-across-health-care-settings-systematic-review-and-meta-analysis
July 31, 2019 - care settings: a systematic review and meta-analysis. … Preventable medication harm across health care settings: a systematic review and meta-analysis. … Preventable medication harm across health care settings: a systematic review and meta-analysis. … September 2, 2020
Beyond 'find and fix': improving quality and safety through resilient healthcare … systems.
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psnet.ahrq.gov/issue/safety-and-quality-health-care-where-are-we-now
August 07, 2018 - Special or Theme Issue
The Safety and Quality of Health Care: Where are We Now? … Citation Text:
The Safety and Quality of Health Care: Where are We Now? … Care: Where are We Now? … March 24, 2021
Human Factors Engineering for Healthcare Applications. … Care Providers
Health Care Executives and Administrators
Allied Health Services
Medicine
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psnet.ahrq.gov/issue/veterans-health-care-veterans-health-administration-processes-responding-reported-adverse
August 15, 2012 - Book/Report
Veterans Health Care: Veterans Health Administration Processes for Responding … Citation Text:
Veterans Health Care: Veterans Health Administration Processes for Responding to Reported … August 15, 2012
DOD and VA Health Care: Medication Needs During Transitions May Not Be … January 8, 2014
VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans … Care System.
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psnet.ahrq.gov/issue/traditions-research-interruptions-healthcare-conceptual-review
April 19, 2017 - Interruptions are prevalent in health care delivery settings. … engineering, and applied cognitive psychology as prominent research traditions examining interruptions in health … care. … April 19, 2017
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Hospitals
Health … Care Providers
Interruptions and distractions
Epidemiology of Errors and Adverse Events
Error
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psnet.ahrq.gov/issue/using-ventilator-splitters-during-covid-19-pandemic-letter-health-care-providers
June 02, 2021 - care providers. … Citation Text:
Using ventilator splitters during the COVID-19 pandemic--letter to health care providers … care providers. … June 2, 2021
FDA alerts patients and health care professionals of EpiPen auto-injector … October 5, 2022
COVID-19 Focused Inspection Initiative in Healthcare.
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psnet.ahrq.gov/node/841306/psn-pdf
December 14, 2022 - Resilient healthcare reflects the capacity of the entire healthcare system
to adjust to challenges and … professionals as the
necessary and creative assets of the healthcare system that can address safety … safety-ii-behavior-pediatric-intensive-care-unit
https://psnet.ahrq.gov/issue/developing-tools-enhance-adaptive-capacity-safety-ii-health-care-providers-childrens-hospital … Safety-I, Safety-II and resilience engineering.Curr Probl Pediatr Adolesc
Health Care. 2015;45(12):382 … Resilient health care: turning patient safety on its head.Int J Qual
Health Care. 2015;27(5):418-420