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  1. Little shop of errors: an innovative simulation patient safety workshop for community health care professionals. | PSNet

    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 View More

  2. Medical malpractice claims by members of the uniformed services. | PSNet

    psnet.ahrq.gov/issue/medical-malpractice-claims-members-uniformed-services
    November 14, 2011 - care system. … November 17, 2021 Focusing on Health Care Safety. … November 30, 2016 Healthcare system-wide implementation of opioid-safety guideline recommendations … May 10, 2023 Request for Information: Creating a National Healthcare System Action Alliance … December 21, 2022 Cybersecurity is Patient Safety: Policy Options in the Health Care

  3. Case study research: the view from complexity science. | PSNet

    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

  4. Should health care providers be forced to apologise after things go wrong? | PSNet

    psnet.ahrq.gov/issue/should-health-care-providers-be-forced-apologise-after-things-go-wrong
    March 14, 2016 - Commentary Should health care providers be forced to apologise after things go wrong … Should health care providers be forced to apologise after things go wrong? … Should health care providers be forced to apologise after things go wrong? … February 10, 2021 Seroprevalence of SARS-CoV-2 among frontline health care personnel … March 4, 2009 View More See More About The Topic Hospitals Health Care

  5. Effects of interdisciplinary collaboration in hospitals on medication errors: an integrative review. | PSNet

    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.

  6. Safety Culture: Building and Sustaining a Cultural Change in Aviation and Healthcare. | PSNet

    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

  7. Family-identified barriers to medication reconciliation. | PSNet

    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 View More See More About The Topic Health Care Providers

  8. What happens when healthcare innovations collide? | PSNet

    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 View More See More About The Topic Hospitals Health

  9. Leading High-Reliability Organizations in Healthcare. | PSNet

    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.

  10. Agent of change. | PSNet

    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.

  11. Flow accuracy of IV smart pumps outside of patient rooms during COVID-19. | PSNet

    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.

  12. Towards high-reliability organising in healthcare: a strategy for building organisational capacity. | PSNet

    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

  13. Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses. | PSNet

    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

  14. National Priorities and Goals: Aligning Our Efforts to Transform America's Healthcare. | PSNet

    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 View More See More About The Topic Health Care Providers … Health Care Executives and Administrators Patients Medication Errors/Preventable Adverse Drug

  15. Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID-19 (R01). | PSNet

    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

  16. Mandatory reporting of impaired medical practitioners: protecting patients, supporting practitioners. | PSNet

    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

  17. A Framework for Safe, Reliable, and Effective Care. | PSNet

    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.

  18. Questions Are the Answer. | PSNet

    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.

  19. Anticoagulation patient safety goal compliance at a university health system: methods for achieving the goal. | PSNet

    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 View More See More About The Topic General Hospitals Health … Care Providers Health Care Executives and Administrators General Internal Medicine Hospital

  20. Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. | PSNet

    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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