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Diagnostic Safety Issue Briefs. | PSNet

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December 24, 2008 - Topics covered include electronic health records documentation, patient partnership and rural health care … the Same Author(s) Preventable Hospitalizations: A Window Into Primary and Preventive Care … AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety by Enhancing Care … February 28, 2024 Respectful Maternity Care: Dissemination and Implementation of Perinatal … March 18, 2020 AHRQ Research Summit on Improving Diagnosis in Health Care.

The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science. | PSNet

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February 17, 2021 - Maternal safety is threatened by systemic biases, care complexities, and diagnostic issues. … October 23, 2019 Telediagnosis for Acute Care: Implications for the Quality and Safety … September 8, 2021 View More Related Resources Respectful Maternity … January 10, 2024 Understanding and Improving Diagnostic Safety in Ambulatory Care. … June 1, 2022 Psychometric properties of the perinatal missed care survey and missed care

Antimicrobial stewardship: another focus for patient safety? | PSNet

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May 29, 2024 - October 31, 2014 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … March 11, 2015 Is health care getting safer? … September 12, 2012 Vital signs: maternity care experiences — United States, April 2023 … More Related Resources Compendium of Strategies to Prevent HAIs in Acute Care … of care: a matter of patient safety and nonmaleficent practice.

Early warnings, weak signals and learning from healthcare disasters. | PSNet

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February 28, 2024 - workarounds and routine investigations into system causes of errors to reveal latent safety hazards in health care … December 21, 2018 Delivering high reliability in maternity care: in situ simulation as … May 8, 2013 View More See More About The Topic Hospitals Health Care

VHA's movement for change: implementing high-reliability principles and practices. | PSNet

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August 21, 2024 - March 20, 2015 Vital signs: maternity care experiences — United States, April 2023. … August 31, 2022 Care and Oversight Deficiencies Related to Multiple Homicides at the … May 13, 2020 Zero harm in health care. … More See More About The Topic Hospitals Ambulatory Clinic or Office Health Care … Executives and Administrators Medicine Nurse Care View More

Remembering to learn: the overlooked role of remembrance in safety improvement. | PSNet

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February 28, 2024 - This commentary discusses learning from failure , or remembrance, in health care and suggests avenues … December 21, 2018 Delivering high reliability in maternity care: in situ simulation as … quality: an urgent call to integrate quality improvement and patient safety education with clinical care … Thinking About Learning for Improvement in Health Care. … May 21, 2016 Equipped: overcoming barriers to change to improve quality of care (theories

Governing the safety of artificial intelligence in healthcare. | PSNet

psnet.ahrq.gov/issue/governing-safety-artificial-intelligence-healthcare

February 28, 2024 - The unintended risks associated with integrating artificial intelligence (AI) systems into health care … December 21, 2018 Delivering high reliability in maternity care: in situ simulation as … Perspective Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care … Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care … Transitions November 16, 2022 Artificial intelligence in health care: accountability

Malnutrition in Hospitalized Adults: A Systematic Review. | PSNet

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December 21, 2022 - August 9, 2023 Preventable Hospitalizations: A Window Into Primary and Preventive Care … July 7, 2021 AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI … December 10, 2024 Respectful Maternity Care: Dissemination and Implementation of Perinatal … September 29, 2017 View More See More About The Topic Hospitals Health Care

Information and power: women of color's experiences interacting with health care providers in pregnancy and birth. | PSNet

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June 18, 2020 - Study Information and power: women of color's experiences interacting with health care … Information and power: women of color's experiences interacting with health care providers in pregnancy … Women of color report receiving substandard care due to provider and structural racism . … Information and power: women of color's experiences interacting with health care providers in pregnancy … February 7, 2024 Vital signs: maternity care experiences — United States, April 2023.

Staying safe while getting well. | PSNet

psnet.ahrq.gov/issue/staying-safe-while-getting-well

February 05, 2014 - Actions such as working with a care partner , tracking medications, and recognizing fall risks can … March 9, 2011 Harm Caused by Delays in Transferring Patients to the Right Place of Care … August 16, 2023 Amid lack of accountability for bias in maternity care, a California … Scoping review of patients' attitudes about their role and behaviours to ensure safe care … at the direct care level.

AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. | PSNet

psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-and-preliminary-0

October 23, 2019 - This AHRQ report found a reduction in HACs from 99 per 1000 acute care discharges to 86 per 1000 discharges … October 23, 2019 Preventable Hospitalizations: A Window Into Primary and Preventive Care … December 18, 2008 Respectful Maternity Care: Dissemination and Implementation of Perinatal … December 9, 2009 Health-Care-Associated Infections in Hospitals: An Overview of State … Providers Health Care Executives and Administrators Hospital Medicine Infectious Diseases

Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety. | PSNet

psnet.ahrq.gov/issue/documenting-diagnosis-exploring-impact-electronic-health-records-diagnostic-safety

August 16, 2023 - legislation supporting its quality, and reasons its improvement contributes to the value and safety of care … July 27, 2018 Respectful Maternity Care: Dissemination and Implementation of Perinatal … September 13, 2023 View More See More About The Topic Hospitals Long-Term Care … Ambulatory Care Medicine Clinical Misdiagnosis View More

Striving for diagnostic excellence. | PSNet

psnet.ahrq.gov/issue/striving-diagnostic-excellence

January 09, 2018 - March 11, 2020 Why the nation needs a policy push on patient-centered health care. … June 8, 2011 Respectful Maternity Care: Dissemination and Implementation of Perinatal … October 4, 2023 View More See More About The Topic Hospitals Ambulatory Care

Thematic analysis of women's perspectives on the meaning of safety during hospital-based birth. | PSNet

psnet.ahrq.gov/issue/thematic-analysis-womens-perspectives-meaning-safety-during-hospital-based-birth

May 08, 2019 - of engaging patients in safety is eliciting their perspective on how they experience both routine care … 14, 2011 Information and power: women of color's experiences interacting with health care … Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care … 21, 2021 Information and power: women of color's experiences interacting with health care … August 22, 2018 Transferring responsibility and accountability in maternity care: clinicians

Organisation for Economic Co-operation and Development: Health at a Glance 2019. | PSNet

psnet.ahrq.gov/issue/organisation-economic-co-operation-and-development-health-glance-2019

June 05, 2019 - This report documents the overall state of health care, based on an international analysis of population … health and health system performance data, with specific chapters on prescribing in primary care, … Safe primary care - prescribing Surgical complications and health care-associated infections Obstetric … May 22, 2023 HSIB Maternity Investigation Programme Year in Review 2021/22. … Policy Makers Primary Care Obstetrics View More

Physician perspectives on addressing anti-Black racism. | PSNet

psnet.ahrq.gov/issue/physician-perspectives-addressing-anti-black-racism

July 26, 2023 - Anti-Black racism not only impacts the care a patient receives, but whether they seek care in the future … June 5, 2024 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … 31, 2024 A proposed approach to allegations of sexual boundary violation in health care … December 13, 2023 Amid lack of accountability for bias in maternity care, a California … 27, 2020 View More See More About The Topic Hospitals Ambulatory Care

Hard Truths: the Journey to Putting Patients First. | PSNet

psnet.ahrq.gov/issue/hard-truths-journey-putting-patients-first

December 04, 2015 - This two-part report outlines actions that health care leaders in the United Kingdom have committed to … September 9, 2015 High Quality Care for All: NHS Next Stage Review Final Report. … February 19, 2020 'Reading the Signals' : Maternity and Neonatal Services in East Kent … July 23, 2008 View More See More About The Topic Hospitals Health Care

Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage. | PSNet

psnet.ahrq.gov/issue/toolkits-reduce-hypertension-pregnancy-and-obstetric-hemorrhage

August 01, 2012 - The AHRQ Safety Program for Perinatal Care , Phase 2 developed toolkits consisting of case scenarios … August 9, 2023 Preventable Hospitalizations: A Window Into Primary and Preventive Care … January 17, 2024 Respectful Maternity Care: Dissemination and Implementation of Perinatal … January 10, 2024 Advancing Diagnostic Excellence in Maternal Health Care.

The prosecution of RaDonda Vaught: an ethical and legal mistake. | PSNet

psnet.ahrq.gov/issue/prosecution-radonda-vaught-ethical-and-legal-mistake

November 16, 2022 - January 18, 2023 Implicit racial bias, health care provider attitudes, and perceptions … of health care quality among African American college students in Georgia, USA. … April 17, 2024 Amid lack of accountability for bias in maternity care, a California family … August 16, 2023 Medication mix-up: what happened at Vanderbilt and how it impacts health care

Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. | PSNet

psnet.ahrq.gov/issue/association-simulation-training-rates-medical-malpractice-claims-among-obstetrician

December 02, 2020 - April 6, 2022 Ambulatory virtual care during a pandemic: patient safety considerations … outcomes and trainees' performance February 17, 2021 Delivering high reliability in maternity … care: in situ simulation as a source of organisational resilience.

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