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561. Stem the Tide: Addressing the Opioid Epidemic. | PSNet
     psnet.ahrq.gov/issue/stem-tide-addressing-opioid-epidemic
     April 15, 2021 - This report reviews tools to help health care systems target eight areas of focus that have potential … July 21, 2021 Building a Culture of Safety in Health Care. … the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare … May 29, 2024 Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers … November 28, 2012 View More See More About The Topic Health Care Providers

562. Critical Deficiencies at the Washington DC VA Medical Center. | PSNet
     psnet.ahrq.gov/issue/critical-deficiencies-washington-dc-va-medical-center
     December 16, 2020 - care delivery, this report by the Office of Inspector General outlines 40 recommendations to address … Care System, Minnesota. … Care System in Arizona. … Louis Health Care System in Missouri. … Care System in Las Vegas.

563. Chapter 4. Factors to Consider when Analyzing Data for Multiple Project Sites | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter4.html
     December 01, 2017 - ARRA ACTION: Comparative Effectiveness of Health Care Delivery Systems for American Indians and Alaska … Previous Page Next Page Table of Contents ARRA ACTION: Comparative Effectiveness of Health … Care Delivery Systems for American Indians and Alaska Natives Using Enhanced Data Infrastructure Executive … Potential Future Uses of the Data Infrastructure References Appendix A: AHRQ/IHS Improving Health … Care Delivery Data Project.

564. Appendix A: Priority Topics | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsrapa.html
     February 01, 2014 - Compare the effectiveness (including resource utilization, workforce needs, net health care expenditures … care needs (e.g., the elderly, homeless, mentally challenged) after hospital discharge. … care needs. … Compare the effectiveness of different treatment approaches (e.g., integrating mental health care and … care on outcomes including depression, anxiety, physical symptoms, physical disability, prescription

565. With New Funds Proposed for 2024, AHRQ is Poised to Tackle Critical Healthcare Challenges | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/blog/ahrqviews/ahrq-2024-proposed-budget.html
     March 01, 2023 - It offers a blueprint to improve healthcare delivery systems by reducing fragmentation and realigning … systems and improve the quality of care people receive. … Several budgetary items also aim to promote equity in a healthcare system that too often fails minority … systems in producing high-quality care, including $3 million to advance health equity in healthcare … delivery

566. Fixing healthcare from the inside, today. | PSNet
     psnet.ahrq.gov/issue/fixing-healthcare-inside-today
     February 28, 2011 - Commentary Classic Fixing healthcare from the inside, today … Fixing health care from the inside, today. Harv Bus Rev. 2005;83(9):78-91, 158. … This commentary provides a broad overview of the issues facing health care systems in their efforts to … Approaches for improvement that draw from the experiences of non-health care organizations, such as … Fixing health care from the inside, today. Harv Bus Rev. 2005;83(9):78-91, 158.

567. 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…

568. 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

569. 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

570. 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

571. 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

572. 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

573. 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

574. 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)

575. 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.

576. 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

577. 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.

578. 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

579. 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.

580. 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