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psnet.ahrq.gov/weekly-resource/rss.xml
January 01, 2024 - (Fact Sheet/FAQs, Government Resource) Advancing Health Care Safety for All. … The mental health patient safety domain is understudied. … prescribing tasks using standard practices (control) and five using a prototype decision support that integrated … (Study) Implementation of a high-reliability organization framework in a large integrated health care … Medication safety is a persistent challenge across health care.
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psnet.ahrq.gov/issue/surgical-site-verification-through-z
October 26, 2022 - Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral … April 3, 2024
Seroprevalence of SARS-CoV-2 among frontline health care personnel in a … September 23, 2020
Nurse workarounds in the electronic health record: an integrative … A follow-up study from US Veterans Health Administration medical centers. … May 21, 2013
Implementing the World Health Organization surgical safety checklist: a
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psnet.ahrq.gov/issue/supervision-autonomy-and-medical-error-teaching-clinic
November 26, 2014 - An open and psychologically safe clinical learning environment enables residents and the health care … Related Resources From the Same Author(s)
Transitioning between electronic health … Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral
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psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
July 01, 2011 - Behavioral health staff in free-standing psychiatric hospitals may have limited access to physicians … seclusion ( 18 ), which may involve increasing staff–patient ratios and providing staff training in behavioral … Whenever possible, trainees should be integrated into existing hospital safety and quality processes, … Improving Diagnosis in Health Care. … Emergency department medical clearance of patients with psychiatric or behavioral emergencies, Part 1
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psnet.ahrq.gov/node/33876/psn-pdf
August 01, 2018 - Building a Safety Program in a Vast Health Care Network
March 1, 2019
Phrampus P. … As hospital-based health care in the United States has consolidated, large health care systems have … Several systems have become fully integrated health delivery networks
and have developed their own insurance … change in workflow or
a computerized reminder—worked in a clinic or hospital that is part of a large integrated … In summary, while the development of large, integrated health care networks offer major opportunities
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psnet.ahrq.gov/periodic-issue/periodic-issue-430
March 27, 2024 - JAMA Health Forum . 2024; 5 (2) :e235514 . … Intervention types included electronic health record (EHR) dashboards, communication, and structured … Health Shots . KFF News and Michigan Public. February 22, 2024. … The history of systemic racism is emerging to motivate health care equity and safety efforts. … (UF Health) and the executive director of UF Health’s Quality and Patient Safety Initiative.
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psnet.ahrq.gov/issue/against-silence-development-and-first-results-patient-survey-assess-experiences-safety
March 24, 2021 - of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units of 2 integrated … health care systems. … administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology in an integrated … health system. … December 8, 2021
Analysis of readmissions in a mobile integrated health transitional
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psnet.ahrq.gov/issue/patient-safety-organizations-new-paradigm-quality-management-and-communication-systems
March 10, 2021 - February 15, 2023
Analysis of readmissions in a mobile integrated health transitional … August 9, 2013
Creating complex health improvement programs as mindful organizations: … August 9, 2006
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Health Care Executives
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psnet.ahrq.gov/node/73875/psn-pdf
October 27, 2021 - Human Factors in Health Care. London, UK: Health
Education England; 2019. … .2011.08.012
http://doi:10.1097/SIH.0b013e31802b68ee
https://www.hee.nhs.uk/sites/default/files/documents/Health
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psnet.ahrq.gov/issue/new-horizons-patient-safety-safe-communication-evidence-based-core-competencies-case-studies
November 19, 2018 - November 19, 2018
The aspects of healthcare quality that are important to health professionals … of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health … A Workbook for Health Care Leaders.
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psnet.ahrq.gov/issue/saving-patient-ryan-can-advanced-electronic-medical-records-make-patient-care-safer
February 11, 2014 - This observational study examined the effect of electronic health records on adverse events by comparing … the number of events at hospitals with advanced electronic health records versus those without such … Researchers found that hospitals with advanced electronic health records experienced fewer adverse events … The authors conclude that advanced electronic health records improve patient safety. … August 7, 2013
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Hospitals
Health
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psnet.ahrq.gov/issue/teams-psychologists-helping-teams-evolution-science-team-training
February 26, 2020 - This article provides an overview of team training science and highlights aviation, military, and health … 2020
Early experience of peer advocate program: using quality improvement to optimize behavioral … February 26, 2025
A systematic review of team training in health care: ten questions. … June 12, 2019
What are the critical success factors for team training in health care? … May 8, 2013
Twelve best practices for team training evaluation in health care.
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psnet.ahrq.gov/issue/inevitability-physician-burnout-implications-interventions
April 17, 2024 - Many health care professionals exhibit symptoms of burnout, and national studies have shown that approximately … June 28, 2023
Employee silence in health care: charting new avenues for leadership and
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psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger
March 14, 2023 - reports of error and harm can prompt organizations and clinicians to look for similar risks in their own health
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psnet.ahrq.gov/issue/falls-prevention-mayo-clinic-rochester-path-quality-care
January 22, 2017 - September 20, 2011
Health care failure mode and effect analysis to reduce NICU line–associated … Related Resources
Root cause analysis of reported patient falls in ORs in the Veterans Health
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psnet.ahrq.gov/issue/measurement-and-training-teamstepps-dimensions-using-medical-team-performance-assessment-tool
March 09, 2009 - Related Resources From the Same Author(s)
Reducing medical error in the Military Health … February 15, 2011
The anatomy of health care team training and the state of practice: … January 2, 2017
The clinical transformation of Ascension Health: eliminating all preventable … April 22, 2009
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Hospitals
Health
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psnet.ahrq.gov/issue/quality-and-safety-nursing-competency-approach-improving-outcomes-second-edition
May 13, 2009 - The Crossing the Quality Chasm report provided a framework to improve quality and safety in health … Copy Citation
Related Resources From the Same Author(s)
Health Care Errors … September 11, 2019
Building a Better Delivery System: A New Engineering/Health Care Partnership … June 15, 2011
SAFER Electronic Health Records: Safety Assurance Factors for EHR Resilience … May 13, 2015
Improving Usability, Safety and Patient Outcomes With Health Information
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psnet.ahrq.gov/issue/second-victim-casualties-and-how-physician-leaders-can-help
August 28, 2024 - October 14, 2016
Integrated approach to reduce perinatal adverse events: standardized … June 10, 2018
How to develop a second victim support program: a toolkit for health care … an adverse health event: a literature review. … September 19, 2016
Health care workers as second victims of medical errors. … April 24, 2013
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Hospitals
Health
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psnet.ahrq.gov/issue/intimidation-concept-analysis
May 20, 2020 - October 1, 2007
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Health Care Providers … Health Care Executives and Administrators
Organizational Behaviorists
Safety Scientists
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psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-patient-safety
September 07, 2022 - From the Same Author(s)
Emergency preparedness: be ready for unanticipated electronic health … See More About The Topic
Hospitals
Long-Term Care
Ambulatory Clinic or Office
Health