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psnet.ahrq.gov/issue/path-diagnostic-excellence-includes-feedback-calibrate-how-clinicians-think
May 04, 2022 - Commentary
Emerging Classic
The path to diagnostic excellence includes … The Path to Diagnostic Excellence Includes Feedback to Calibrate How Clinicians Think. … The Path to Diagnostic Excellence Includes Feedback to Calibrate How Clinicians Think.
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psnet.ahrq.gov/innovation/project-nurture-engages-pregnant-people-substance-use-disorder-improves-maternal-and
September 23, 2024 - program receive Level 1 addiction treatment (i.e., outpatient services) from an integrated care team that includes … Maternity care includes services such as prenatal care, maternity stay, postpartum care, breastfeeding … Substance use treatment includes services such as SUD assessment, individual and group counseling, MAT … This includes peer mentoring on topics such as pregnancy, SUD recovery, and parenting, as well as coordinating … Most notably this includes ensuring that patients feel supported and not shamed.
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psnet.ahrq.gov/issue/healthcare-simulation-dictionary-third-edition
January 10, 2024 - The terms in the initial collection have been expanded to reflect changes in the field which now includes … This third edition includes a broader set of terms related to patient safety.
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psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-hospital-survey-20-user-database-report
December 18, 2024 - The 2024 report includes data from 445 hospitals. … This update includes a report focused on the workplace safety supplemental items.
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psnet.ahrq.gov/issue/clinical-decision-support-alert-malfunctions-analysis-and-empirically-derived-taxonomy
December 04, 2016 - Clinical decision support (CDS) includes electronic alerts that can prevent errors. … The taxonomy includes the origin of the error, which most commonly occurred with introduction of a new
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psnet.ahrq.gov/taxonomy/term/3440
April 10, 2025 - In the context of crisis management, where the phrase is most often used, situational awareness includes
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psnet.ahrq.gov/toolkits
March 01, 2025 - The terms in the initial collection have been expanded to reflect changes in the field which now includes … This third edition includes a broader set of terms related to patient safety. … It includes a user's guide that explains how to conduct a survey on patient safety in a nursing home … Building on the established TeamSTEPPS® principles, this new TeamSTEPPS course includes seven training … This website provides sentinel event data reported to The Joint Commission, which includes information
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psnet.ahrq.gov/issue/future-patient-and-family-engagement-quality-and-patient-safety
February 24, 2025 - This evolving collection includes articles exploring topics such as the involvement of older adults
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-24
June 16, 2019 - This monthly selection includes reports of a near miss when using a medication-reconciliation form as
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-30
June 16, 2019 - This monthly selection of reports includes errors involving epidural medication administered intravenously
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-27
June 16, 2019 - This monthly selection of medication error reports includes examples of errors due to drug labels and
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-37
June 16, 2019 - This monthly error report analysis includes examples of miscommunication regarding medication allergy
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-33
June 16, 2019 - This monthly selection of medication error reports includes information about the risks of cutting medication
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psnet.ahrq.gov/issue/engaging-patients-improving-ambulatory-care
January 17, 2024 - This compendium includes strategies and tools to engage patients in health care improvement that have
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-14
June 16, 2019 - This monthly selection of medication error reports includes an error averted because the pharmacist checked
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psnet.ahrq.gov/issue/hand-hygiene-healthcare-settings
April 06, 2022 - The site includes fact sheets, a press kit, and other materials to help implement the guidelines.
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psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
April 17, 2024 - The update includes the addition of tranexamic acid injections as a high alert medication based on survey
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psnet.ahrq.gov/issue/teamstepps-diagnosis-improvement
July 17, 2024 - Building on the established TeamSTEPPS® principles, this new TeamSTEPPS course includes seven training
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psnet.ahrq.gov/issue/patient-safety-authority
October 07, 2020 - The site includes information on the mandatory statewide Pennsylvania Patient Safety Reporting System
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psnet.ahrq.gov/issue/quality-institute-toolkits
November 09, 2022 - This collection of toolkits provides resources to support safety in ambulatory care and includes information