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psnet.ahrq.gov/issue/impact-leadership-walkarounds-operational-cultural-and-clinical-outcomes-systematic-review
October 12, 2022 - August 19, 2020
Context-sensitive decision support (infobuttons) in electronic health
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psnet.ahrq.gov/issue/analysis-major-errors-and-equipment-failures-anesthesia-management-considerations-prevention
May 27, 2011 - June 16, 2021
eSIMPLER: a dynamic, electronic health record-integrated checklist for
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psnet.ahrq.gov/issue/do-team-processes-really-have-effect-clinical-performance-systematic-literature-review
November 13, 2019 - November 13, 2019
Aftermath of an adverse event: supporting health care professionals
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psnet.ahrq.gov/issue/debriefing-emergency-department-after-clinical-events-practical-guide
November 16, 2022 - 21, 2011
WebM&M Cases
Dropping the Ball Despite an Integrated … 2004
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Emergency Departments
Health
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psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024
May 08, 2024 - Improving safety by evaluating the impact of the supply chain and drug shortages on health-systems
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psnet.ahrq.gov/issue/using-agency-healthcare-research-and-quality-patient-safety-indicators-targeting-nursing
April 03, 2017 - resident duty hour reform on surgical and procedural patient safety indicators among hospitalized Veterans Health
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www.ahrq.gov/sites/default/files/2024-02/wachs2-report.pdf
January 01, 2024 - The working hypothesis was that contextual information
integrated with visual hand gesture information … World Health Organization, others. WHO Guidelines for Safe Surgery 2009: Safe Surgery Saves
Lives. … Vision-based User Interfaces for Health Applications: A Survey. Adv. Vis. Comput.
2006;771–82.
6. … Health
Care. 2004;13(5):327–327.
10. … Health
Care. 2004;13(5):330–4.
12. Boochever SS.
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www.ahrq.gov/news/newsletters/e-newsletter/959.html
May 01, 2025 - insecurity screening is a feasible and effective approach to addressing the issue, leading to better health … (draft open for comment through May 30): Mindfulness-Based Interventions for Wellbeing and Mental Health … From improving heart health to advancing behavioral health integration, EvidenceNOW offers tailored guidance … This webinar will discuss how clinicians, interdisciplinary team members and health system managers can … "Everything is electronic health record-driven": the role of the electronic health record in the emergency
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psnet.ahrq.gov/issue/impact-computerised-physician-order-entry-cpoe-incidence-chemotherapy-related-medication
May 25, 2022 - ) alerts and overrides in the inpatient setting following implementation of a commercial electronic health … May 19, 2021
Potentially inappropriate prescribing and its associations with health-related … Related Resources
Patient safety threats in information management using health … June 10, 2018
Implementation of an integrated computerized prescriber order-entry system … for chemotherapy in a multisite safety-net health system.
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psnet.ahrq.gov/issue/challenges-and-potential-solutions-patient-safety-infectious-agent-isolation-environment
October 27, 2021 - Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Survey on Drug Use and Health … June 22, 2022
Health care safety during the pandemic and beyond--building a system that … June 2, 2021
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Hospitals
Health Care … Executives and Administrators
Public Health
Infectious Diseases
Medication Safety
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psnet.ahrq.gov/issue/electronic-approaches-making-sense-text-adverse-event-reporting-system
August 03, 2022 - large-scale adverse event disclosure support program generated through embedded research in the Veterans Health … Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health … February 22, 2019
Implications of electronic health record downtime: an analysis of patient … September 24, 2017
Screening electronic health record–related patient safety reports
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psnet.ahrq.gov/issue/barriers-and-facilitators-improving-patient-safety-learning-systems-systematic-review
October 16, 2024 - Incident reporting systems offer important opportunities for health systems to learn from safety events … This systematic review of 22 studies identified barriers and facilitators influencing how health systems … 2017
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Outcomes of Michigan Medicine's integrated … Effect of patient safety education interventions on patient safety culture of health … March 1, 2023
Why accountability sharing in health care organizational cultures means
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psnet.ahrq.gov/issue/walkrounds-practice-corrupting-or-enhancing-quality-improvement-intervention-qualitative
December 30, 2014 - The United Kingdom's National Health Service uses walkrounds widely, and this qualitative study utilized … Related Resources From the Same Author(s)
Culture and behaviour in the English National Health … and family test: a qualitative study of concerns that influence the willingness of English National Health … March 3, 2011
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Hospitals
Health Care
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psnet.ahrq.gov/issue/patient-and-public-involvement-healthcare-systematic-mapping-review-systematic-reviews
August 24, 2016 - Patients , caregivers, and the public are invaluable in the evaluation and delivery of health services … 2022
Lessons learned for reducing the negative impact of adverse events on patients, health … effective implementation of healthcare workers support interventions after patient safety incidents in health … November 15, 2017
The impacts of using community health volunteers to coach medication
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psnet.ahrq.gov/issue/influence-professional-identity-how-receiver-receives-and-responds-speaking-message-cross
August 10, 2022 - November 25, 2020
A national study links nurses' physical and mental health to medical … 2023
Effect of patient safety education interventions on patient safety culture of health … August 25, 2021
A high-reliability organization framework for health care: a multiyear … September 30, 2020
Why accountability sharing in health care organizational cultures
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psnet.ahrq.gov/issue/culture-change-infection-control-applying-psychological-principles-improve-hand-hygiene
November 21, 2021 - resulted in a sustained improvement in hand hygiene rates, an accomplishment that has led to a drop in health … November 18, 2016
Health care huddles: managing complexity to achieve high reliability … the Canadian patient safety climate survey (Can-PSCS) to measure provider perceptions of PSC across health … December 6, 2013
Parent willingness to remind health care workers to perform hand hygiene
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www.ahrq.gov/patient-safety/reports/liability/pichert.html
August 01, 2017 - implement system-wide surveillance for behaviors that undermine a culture of safety, and (5) promote behavioral … Most physicians take self‑corrective actions that address behavioral and systems issues that dissatisfy … Administration, Sanford Health, Sioux Falls, SD. … Washington, DC: Department of Health and Human Services, Health Resources and Services Administration … Qual Saf Health Care 2006; 15:13-6.
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www.ahrq.gov/sites/default/files/2024-07/carroll-report.pdf
January 01, 2024 - translation, making written corrections and other notations for
transcripts as needed, which were integrated … good health. … Integrated Regional Information Network.
Plaisted, L (2002). … Society of Behavioral Medicine Annual Meeting; 2006 Mar 22-26;
San Francisco, CA. … San Francisco: Society of Behavioral Medicine; 2006.
8. [abstract to be submitted] Carroll JC.
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www.ahrq.gov/news/newsletters/e-newsletter/957.html
May 01, 2025 - AHRQ is proud to contribute to this mission by providing hospitals and health systems with tools and … Jennifer Poon, Ph.D., chairperson of the American Academy of Pediatrics Section on Developmental and Behavioral … Health care delivery of clinical preventive services for people with disabilities : a systematic review … Technological barriers to providing pediatric mental and behavioral healthcare in emergency departments … Health Serv Res 2024 Dec;59(6):e14214. Epub 2023 Aug 21. Access the abstract on PubMed®.
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/intimate-partner-violence-and-abuse-of-elderly-and-vulnerable-adults-screening
June 24, 2025 - in IPV (standardized mean difference, −0.34 [95% CI, −0.59 to −0.08]) and 1 RCT (n = 336) assessing behavioral … Limited evidence suggested that home visiting and behavioral counseling interventions addressing multiple … The RCT assessing behavioral counseling during prenatal care found a reduction in both IPV and some adverse … An integrated intervention to reduce intimate partner violence in pregnancy: a randomized controlled … Very preterm birth is reduced in women receiving an integrated behavioral intervention: a randomized