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psnet.ahrq.gov/issue/how-active-resisters-and-organizational-constipators-affect-health-care-acquired-infection
September 15, 2010 - Study
How active resisters and organizational constipators affect health care–acquired … How active resisters and organizational constipators affect health care-acquired infection prevention … How active resisters and organizational constipators affect health care-acquired infection prevention … October 13, 2018
Characteristics of healthcare organisations struggling to improve quality … Care Providers
Health Care Executives and Administrators
General Internal Medicine
Hospital
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psnet.ahrq.gov/issue/little-shop-errors-innovative-simulation-patient-safety-workshop-community-health-care
October 14, 2009 - care professionals. … Little shop of errors: an innovative simulation patient safety workshop for community health care professionals … Little shop of errors: an innovative simulation patient safety workshop for community health care professionals … November 13, 2024
Smart Healthcare Safety. … Care Providers
Educators
Nurse Care
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psnet.ahrq.gov/issue/case-study-research-view-complexity-science
January 03, 2017 - relationship patterns within a complex adaptive system, is better suited for studying and understanding health … care systems than traditional theoretical models. … November 17, 2015
Health care huddles: managing complexity to achieve high reliability … Patient Safety Organizations: a new paradigm in quality management and communication systems in healthcare
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psnet.ahrq.gov/issue/safety-culture-building-and-sustaining-cultural-change-aviation-and-healthcare
August 02, 2016 - This book presents a safety culture model as a tactic to assess and improve safety in health care. … August 2, 2016
Misadventures in Health Care: Inside Stories. … Health Care System. … November 6, 2019
Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor … Health Care Executives and Administrators
Medicine
Culture of Safety
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psnet.ahrq.gov/issue/effects-interdisciplinary-collaboration-hospitals-medication-errors-integrative-review
June 16, 2021 - Communication failures hinder safety of health care delivery and are particularly prevalent in medication … May 26, 2021
The safety of health care for ethnic minority patients: a systematic review … The missing evidence: a systematic review of patients' experiences of adverse events in health … care. … the cognitive psychology and healthcare literature.
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psnet.ahrq.gov/issue/family-identified-barriers-medication-reconciliation
September 01, 2018 - Medication reconciliation continues to be a challenging endeavor for health care systems since being … March 20, 2024
Bad behavior in healthcare: an insidious threat to patients, staff, and … November 21, 2016
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Health Care Providers
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psnet.ahrq.gov/issue/what-happens-when-healthcare-innovations-collide
December 06, 2017 - Commentary
What happens when healthcare innovations collide? … What happens when healthcare innovations collide? … Innovation within a health care system can be hindered when different interventions compete for time … What happens when healthcare innovations collide? … February 1, 2012
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Hospitals
Health
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psnet.ahrq.gov/issue/leading-high-reliability-organizations-healthcare
May 06, 2015 - High reliability has been recently adopted as a goal for health care. … April 12, 2017
Leading Health Care Transformation: A Primer for Clinical Leaders. … October 11, 2016
Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor … November 23, 2016
Building a highway to quality health care. … Thinking About Learning for Improvement in Health Care.
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psnet.ahrq.gov/issue/flow-accuracy-iv-smart-pumps-outside-patient-rooms-during-covid-19
October 12, 2022 - The COVID-19 pandemic has led to many changes in health care delivery. … 2022
Developing strategic recommendations for implementing smart pumps in advanced healthcare … systems to improve intravenous medication safety.
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psnet.ahrq.gov/issue/agent-change
September 01, 2021 - September 1, 2021
Health Care Leader Action Guide to Reduce Avoidable Readmissions. … November 2, 2022
Fixing a broken healthcare system. … Systems. … system. … May 30, 2018
A learning health care system using computer-aided diagnosis.
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psnet.ahrq.gov/issue/towards-high-reliability-organising-healthcare-strategy-building-organisational-capacity
January 06, 2016 - This commentary outlines a framework that focuses on integrating competencies at all levels of the health … care workforce across the organization to support high reliability . … June 21, 2015
Improving health care quality and patient safety through peer-to-peer assessment … July 11, 2018
Enabling a learning healthcare system with automated computer protocols … September 21, 2022
Ethical duty of health care systems to address interfacility medical
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psnet.ahrq.gov/issue/disclosing-large-scale-adverse-events-us-veterans-health-administration-lessons-media
August 18, 2021 - August 18, 2021
Improving healthcare systems' disclosures of large-scale adverse events … delivery network. … August 20, 2018
Enabling a learning healthcare system with automated computer protocols … April 24, 2018
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … January 29, 2018
Healthcare system-wide implementation of opioid-safety guideline recommendations
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psnet.ahrq.gov/issue/national-priorities-and-goals-aligning-our-efforts-transform-americas-healthcare
March 23, 2012 - consensus program involving 28 national organizations that sought to outline goals for improving the US health … care system and share examples of such efforts in patient safety and other identified areas. … March 23, 2012
Safe Practices for Better Healthcare–2009 Update. … August 19, 2009
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Health Care Providers … Health Care Executives and Administrators
Patients
Medication Errors/Preventable Adverse Drug
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psnet.ahrq.gov/issue/novel-high-impact-studies-evaluating-health-system-and-healthcare-professional-responsiveness
May 01, 2017 - Rockville, MD: Agency for Healthcare Research and Quality; May 14, 2020. … care delivery systems, health care professionals, and the overall U.S. health care system in response … January 15, 2014
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer … September 23, 2020
Hospital- and system-wide interventions for health care-associated … June 10, 2020
Epidemiology of and risk factors for coronavirus infection in health care
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psnet.ahrq.gov/issue/mandatory-reporting-impaired-medical-practitioners-protecting-patients-supporting
September 01, 2016 - Discussing the mandated reporting of impaired clinicians in the Australian health care system, this … system with automated computer protocols that produce replicable and personalized clinician actions. … January 12, 2022
Bracing for the storm: one health care system's planning for the COVID … March 28, 2011
Remedies sought and obtained in healthcare complaints. … April 11, 2018
Understanding psychological safety in health care and education organizations
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psnet.ahrq.gov/issue/framework-safe-reliable-and-effective-care
January 27, 2016 - A systems approach to safety can achieve lasting improvements in health care. … This report presents a nine-component framework that emphasizes elements of the learning health care … February 25, 2013
Improving the Reliability of Health Care. … August 11, 2010
Optimizing a Business Case for Safe Health Care: An Integrated Approach … October 25, 2017
Center for Health Care Human Factors.
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psnet.ahrq.gov/issue/questions-are-answer
December 24, 2008 - Agency for Healthcare Research and Quality. … for patients such as videos, tools, and checklists to help support their safe interaction with the health … care system. … Agency for Healthcare Research and Quality. … October 18, 2017
Improving Health Care Quality: A Guide for Patients and Families.
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psnet.ahrq.gov/issue/anticoagulation-patient-safety-goal-compliance-university-health-system-methods-achieving
March 09, 2022 - This article explains how an academic health care system launched an initiative to accomplish the anticoagulation … January 15, 2025
Electronic medication reconciliation tools aimed at healthcare professionals … February 28, 2024
Correlates of missed or late versus timely diagnosis of dementia in healthcare … December 3, 2008
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General Hospitals
Health … Care Providers
Health Care Executives and Administrators
General Internal Medicine
Hospital
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psnet.ahrq.gov/issue/challenging-hierarchy-healthcare-teams-ways-flatten-gradients-improve-teamwork-and-patient
October 29, 2017 - Navigating hierarchy in health care is challenging at both team and organizational levels. … care systems. … May 29, 2019
Enabling a learning healthcare system with automated computer protocols … August 4, 2021
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … October 4, 2023
Making Health Care Safer II: An Updated Critical Analysis of the Evidence
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psnet.ahrq.gov/issue/patient-safety-perceptions-survey-iowa-physicians-pharmacists-and-nurses
February 01, 2012 - The investigators surveyed health care providers to determine their perceptions on patient safety in … the health care system. … staff participating in the Institute for Healthcare Improvement's 100,000 Lives Campaign. … February 2, 2011
Health care safety during the pandemic and beyond--building a system … February 6, 2013
Changes in prevalence of health care-associated infections in U.S. hospitals