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  1. Health Care–Acquired Urinary Tract Infection: The Problem and Solutions | PSNet

    psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
    November 01, 2008 - Health Care–Acquired Urinary Tract Infection: The Problem and Solutions Lindsay E. … Health Care–Acquired Urinary Tract Infection: The Problem and Solutions. PSNet [internet]. … Health Care–Acquired Urinary Tract Infection: The Problem and Solutions. PSNet [internet]. … Clin Perform Qual Health Care. 1998;6:172-178. [go to PubMed]   16. … Health Care–Acquired Urinary Tract Infection: The Problem and Solutions. PSNet [internet].

  2. Reducing harm to patients. Using patient safety dashboards at the board level. | PSNet

    psnet.ahrq.gov/issue/reducing-harm-patients-using-patient-safety-dashboards-board-level
    February 22, 2010 - This commentary describes how hospital and health care system board members can develop facility-specific … December 18, 2013 Enabling a learning healthcare system with automated computer protocols … December 4, 2016 Building a highway to quality health care. … April 1, 2010 Health-care industry agrees on patient safety rules. … November 15, 2006 View More See More About The Topic Health Care Executives

  3. 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

  4. Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting. | PSNet

    psnet.ahrq.gov/issue/incident-reporting-practices-preanalytical-phase-low-reported-frequencies-primary-health-care
    February 18, 2009 - care setting. … care setting. … care setting. … A questionnaire study of blood collection practices in primary health care. … Care Providers Health Care Executives and Administrators Family Medicine Primary Care

  5. Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition. | PSNet

    psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-health-care-proactive-risk-reduction-third-edition
    May 18, 2016 - Book/Report Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction … Citation Text: Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition … May 24, 2015 Strategies for Addressing Health Care Worker Fatigue. … July 22, 2020 Mistake-Proofing the Design of Health Care Processes. … March 22, 2016 Applicability of Healthcare Failure Mode and Effects Analysis to healthcare

  6. Should medical malpractice prevention be considered separately or as an integral part of comprehensive health care safety improvement? | PSNet

    psnet.ahrq.gov/issue/should-medical-malpractice-prevention-be-considered-separately-or-integral-part-comprehensive
    March 19, 2019 - care safety improvement? … care safety improvement? … care safety improvement? … March 19, 2019 Personal formularies of primary care physicians across 4 health care systems … March 17, 2010 View More See More About The Topic Health Care Executives

  7. Approach to Improving Patient Safety: Communication | PSNet

    psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
    August 31, 2020 - of healthcare. … Communication throughout a patient’s interaction with the health care system, including during diagnosis … Looking ahead, as health care delivery seeks a better ‘new normal,’ we need to learn more about communication … Int J Qual Health Care . 2020;32(5):342-346. doi: 10.1093/intqhc/mzaa034. [ PSNet ] 2 .   … Care Delivery and Pharmacists During the COVID-19 Pandemic June 29, 2020

  8. 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

  9. 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

  10. 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

  11. 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.

  12. 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.

  13. 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

  14. 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

  15. 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

  16. 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

  17. 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.

  18. 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

  19. 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

  20. 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.
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