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481. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreensum.html
     April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests Executive Summary Previous … Page Next Page Table of Contents Health Care Systems for Tracking Colorectal Cancer Screening … The intervention is intended to be conducted by a central entity, such as a health care delivery system … care delivery systems and with clinical and policy working groups. … It is most transferable to health care system settings with a central entity that: Is motivated to

482. Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. | PSNet
     psnet.ahrq.gov/issue/alcohol-and-drug-testing-health-professionals-following-preventable-adverse-events-bad-idea
     January 02, 2017 - Human error and fallibility are a part of health care delivery that can be exacerbated by fatigue and … January 2, 2017 The normalization of deviance in healthcare delivery. … March 3, 2010 Personal formularies of primary care physicians across 4 health care systems

483. Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. | PSNet
     psnet.ahrq.gov/issue/measurement-and-monitoring-safety-impact-and-challenges-putting-conceptual-framework-practice
     January 24, 2018 - This study examined the impact of a safety assessment intervention across nine public health care systems … clinical teams and healthcare organisations in maintaining safety. … June 3, 2016 Exploring the "Black Box" of recommendation generation in local health care … December 31, 2012 View More See More About The Topic Hospitals Health … Care Providers Medicine Epidemiology of Errors and Adverse Events Culture of Safety

484. Update: Patient Engagement in Safety | PSNet
     psnet.ahrq.gov/perspective/update-patient-engagement-safety
     January 01, 2017 - care systems wishing to engage patients. … While patients are skilled at detecting diagnostic errors and identifying health care system blind spots … A children's health care system shared its strategies for reducing safety events through pediatric … care systems that were not designed with patients at the center. … This will allow engaged patients to help health care systems identify safety hazards, regain trust after

485. Leapfrog hospital safety scores 'depressing.' | PSNet
     psnet.ahrq.gov/issue/leapfrog-hospital-safety-scores-depressing
     November 13, 2013 - reports on a national evaluation of hospitals that found little improvement in safety in the profiled health … care systems. … Citation Related Resources From the Same Author(s) ECRI announces top 10 healthcare … August 22, 2007 View More See More About The Topic Hospitals Health … Care Providers Patients General Internal Medicine Hospital Medicine View More

486. U.S. Preventive Services Task Force Recommendations | Digital Healthcare Research
     digital.ahrq.gov/health-care-theme/us-preventive-services-task-force-recommendations
     January 01, 2023 - U.S. Preventive Services Task Force Recommendations Patient-Centered Outcomes Research Clinical Decision Support (CDS) Connect Description This research developed and maintained the CDS Connect platform, including its public repository of CDS resources and tools. Current work…

487. The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. | PSNet
     psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-incident-reporting-tool-increases-psychiatrist
     March 10, 2021 - Incident reporting systems are widely implemented in health care systems, but they are often underutilized … February 22, 2019 Seroprevalence of SARS-CoV-2 among frontline health care personnel … January 31, 2013 Enabling a learning healthcare system with automated computer protocols … September 27, 2017 Medication errors in mental healthcare: a systematic review. … Care Executives and Administrators Mental Health Care (Psychiatry and Clinical Psychology)

488. Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals. | PSNet
     psnet.ahrq.gov/issue/putting-out-fires-qualitative-study-exploring-use-patient-complaints-drive-improvement-three
     October 27, 2021 - An Annual Perspective described how patients can effectively coengineer safer health care systems. … October 27, 2021 Striving for high reliability in healthcare: a qualitative study of … Related Resources Can patients contribute to safer care in meetings with healthcare … October 21, 2010 View More See More About The Topic Hospitals Health … Care Providers Health Care Executives and Administrators Epidemiology of Errors and Adverse Events

489. A human factors engineering paradigm for patient safety: designing to support the performance of the healthcare professional. | PSNet
     psnet.ahrq.gov/issue/human-factors-engineering-paradigm-patient-safety-designing-support-performance-healthcare
     February 02, 2011 - Qual Saf Health Care. 2006;15 Suppl 1:i59-65. … care professionals and uses them as a vehicle for changing the health care system.  … Qual Saf Health Care. 2006;15 Suppl 1:i59-65. … delivery network. … April 24, 2018 Enabling a learning healthcare system with automated computer protocols

490. Creating a foundation for the design of culturally-informed health IT - 2011 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/creating-foundation-design-culturally-informed-health-it/annual-summary/2011
     January 01, 2011 - An approach to confronting racial and ethnic health care disparities has been to develop initiatives … to enhance the cultural appropriateness of health care. … care systems, and health promotion campaigns. … care disparities by creating new, culturally-responsive approaches to the design of health IT for use … care decisionmaking through the use of integrated data and knowledge management.

491. Healthcare in a land called PeoplePower: nothing about me without me. | PSNet
     psnet.ahrq.gov/issue/healthcare-land-called-peoplepower-nothing-about-me-without-me
     March 18, 2019 - care system for a mythical republic called PeoplePower. … Although they conclude that their health care system remains detached from financial, historical, and … March 18, 2019 Enabling a learning healthcare system with automated computer protocols … delivery network. … February 3, 2011 Transformation of health care at the front line.

492. Governing the quality and safety of healthcare: a conceptual framework. | PSNet
     psnet.ahrq.gov/issue/governing-quality-and-safety-healthcare-conceptual-framework
     September 03, 2011 - Health care leadership can support the success of improvement initiatives. … Drawing from the governance and health care literature, the authors suggest a framework to explore teamwork … Systems. … system. … August 8, 2018 A learning health care system using computer-aided diagnosis.

493. Using Health Information Technology to Support Population-Based Clinical Practice - 2012 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-support-population-based-clinical-practice/annual-summary/2012
     January 01, 2012 - care delivery system and the public’s health. … Working closely with Intermountain Healthcare and their flagship pediatric hospital, Primary Children … system hospitals and clinics. … care quality improvement, and biomedical informatics. 2012 Activities: Dr. … care decisionmaking through the use of integrated data and knowledge management.

494. Improving communication with patients with limited English proficiency. | PSNet
     psnet.ahrq.gov/issue/improving-communication-patients-limited-english-proficiency
     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

495. The Report of the Short Life Working Group on Reducing Medication-related Harm. | PSNet
     psnet.ahrq.gov/issue/report-short-life-working-group-reducing-medication-related-harm
     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

496. Resilience in healthcare and clinical handover. | PSNet
     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.

497. Traditions of research into interruptions in healthcare: a conceptual review. | PSNet
     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 View More See More About The Topic Hospitals Health … Care Providers Interruptions and distractions Epidemiology of Errors and Adverse Events Error

498. Five Years of Experience Using Front-line Ownership to Improve Healthcare Quality and Safety. | PSNet
     psnet.ahrq.gov/issue/five-years-experience-using-front-line-ownership-improve-healthcare-quality-and-safety
     March 09, 2016 - Citation Text: Five Years of Experience Using Front-line Ownership to Improve Healthcare Quality and … Patient safety leaders have noted the need to recognize the complexity of health care systems in order … March 9, 2016 Healthcare-Associated Infections. … April 28, 2021 Patient Safety February 26, 2020 Ethical duty of health … care systems to address interfacility medical error discovery.

499. Safety and Ethics in Healthcare: A Guide to Getting it Right. | PSNet
     psnet.ahrq.gov/issue/safety-and-ethics-healthcare-guide-getting-it-right
     May 21, 2019 - Citation Text: Safety and Ethics in Healthcare: A Guide to Getting it Right. … This book provides a four-part treatment on improving health care safety, featuring discussions on the … weaknesses of the health care system, safety basics, error management, and error prevention. … November 10, 2017 Handbook of Human Factors and Ergonomics in Health Care and Patient … March 9, 2018 Leading Health Care Transformation: A Primer for Clinical Leaders.

500. 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