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Patient Safety Research Summaries. | PSNet

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December 24, 2008 - The application of evidence in real situations helps to embed innovation across systems and sustain care … Enhancing Healthcare Facility Design (PDF) Enhancing Teamwork and Leadership (PDF) Enhancing 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

Factors influencing nurses' decisions to raise concerns about care quality. | PSNet

psnet.ahrq.gov/issue/factors-influencing-nurses-decisions-raise-concerns-about-care-quality

June 22, 2009 - Study Factors influencing nurses' decisions to raise concerns about care quality. … Factors influencing nurses' decisions to raise concerns about care quality. … Factors influencing nurses' decisions to raise concerns about care quality. … December 16, 2020 Care and outcomes of patients with in-hospital stroke. … 2025 View More Related Resources Seven features of safety in maternity

E-prescribing and medication safety in community settings: a rapid scoping review. | PSNet

psnet.ahrq.gov/issue/e-prescribing-and-medication-safety-community-settings-rapid-scoping-review

January 22, 2025 - Using simulation to augment root cause analysis for patient safety incidents at a tertiary care … November 16, 2022 Vital signs: maternity care experiences — United States, April 2023 … November 14, 2018 A systematic review of team training in health care: ten questions. … Understanding the medication safety challenges for patients with mental illness in primary care … factors that could influence patient acceptability of the use of the PINCER intervention in primary care

Addressing the Opioid Crisis in the United States. | PSNet

psnet.ahrq.gov/issue/addressing-opioid-crisis-united-states

November 18, 2011 - Discussing the results of an effort to determine how individuals, communities, and health care at large … January 27, 2016 Providing Safe, High-Quality Maternity Care in Rural US Hospitals. … November 5, 2015 A Framework for Safe, Reliable, and Effective Care. … August 8, 2012 Optimizing a Business Case for Safe Health Care: An Integrated Approach … June 21, 2016 View More See More About The Topic Health Care Providers

A combined assessment tool of teamwork, communication, and workload in hospital procedural units. | PSNet

psnet.ahrq.gov/issue/combined-assessment-tool-teamwork-communication-and-workload-hospital-procedural-units

August 04, 2021 - Effective teamwork and communication are cornerstone to the delivery of safe patient care. … August 25, 2010 Improving health care quality and patient safety through peer-to-peer … September 20, 2023 Vital signs: maternity care experiences — United States, April 2023 … May 11, 2019 Teamwork in obstetric critical care. … Labor and Delivery Ambulatory Clinic or Office Medicine Critical Care View More

Organizational learning: health care leaders need to design structures and processes that enhance collective learning. | PSNet

psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance

November 18, 2020 - Commentary Organizational learning: health care leaders need to design structures … Organizational learning in health care. Health Forum J. 2001;44(2):32-35. … Organizational learning in health care. Health Forum J. 2001;44(2):32-35. … November 18, 2020 Respectful Maternity Care: Dissemination and Implementation of Perinatal … Non-Health Care Professionals Learning Organization

Early prognostic value of the medical emergency team calling criteria in patients admitted to intensive care from the emergency department. | PSNet

psnet.ahrq.gov/issue/early-prognostic-value-medical-emergency-team-calling-criteria-patients-admitted-intensive

March 24, 2021 - Crit Care Med. 2008;36(3):775-781. doi:10.1097/CCM.0B013E3181643C15. … Crit Care Med. 2008;36(3):775-781. doi:10.1097/CCM.0B013E3181643C15. … 7, 2022 Association of clinical nursing work environment with quality and safety in maternity … care in the United States. … to preventable errors in care.

Perinatal high reliability. | PSNet

psnet.ahrq.gov/issue/perinatal-high-reliability

September 29, 2010 - background on high-reliability organizations and discusses how these concepts are applied in obstetric care … 9, 2015 Smart pumps improve medication safety but increase alert burden in neonatal care … February 10, 2012 Skilful anticipation: maternity nurses' perspectives on maintaining … March 3, 2010 Challenges faced in providing safe care in rural perinatal settings. … Providers Health Care Executives and Administrators Obstetrics Neonatology and Intensive Care

Access to Clinical Information at the Bedside. | PSNet

psnet.ahrq.gov/issue/access-clinical-information-bedside

March 16, 2022 - Patient misidentification in emergent situations can reduce the appropriateness of care delivery and … Copy Citation Related Resources From the Same Author(s) Maternity Pre-arrival … May 31, 2023 Harm Caused by Delays in Transferring Patients to the Right Place of Care … April 26, 2023 Care Delivery within Community Mental Health Teams. … September 6, 2023 Care Delivery within Community Mental Health Teams.

Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy. | PSNet

psnet.ahrq.gov/issue/understanding-principles-high-reliability-organizations-through-eyes-vione-clinical-program

November 15, 2023 - 30, 2005 'I guess I'll wait to hear'- communication of blood test results in primary care … November 16, 2022 Delivering high reliability in maternity care: in situ simulation as … June 30, 2021 Medication use and cognitive impairment among residents of aged care facilities … design of the electronic health record drives overuse, but purposeful design can nudge improved patient care … May 27, 2011 View More See More About The Topic Health Care Executives

Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement. | PSNet

psnet.ahrq.gov/issue/critical-incidents-involving-medical-emergency-team-5-year-retrospective-assessment

November 11, 2020 - Dimens Crit Care Nurs. 2021;40(3):186-191. doi:10.1097/dcc.0000000000000473. … Dimens Crit Care Nurs . 2021; 40 (3) :186-191 . … Dimens Crit Care Nurs. 2021;40(3):186-191. doi:10.1097/dcc.0000000000000473. … 7, 2022 Association of clinical nursing work environment with quality and safety in maternity … care in the United States.

Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. | PSNet

psnet.ahrq.gov/issue/assessing-evidence-context-sensitive-effectiveness-and-safety-patient-safety-practices

July 27, 2018 - July 27, 2018 Respectful Maternity Care: Dissemination and Implementation of Perinatal … May 3, 2006 Designing and Delivering Whole-Person Transitional Care: Hospital Guide to … November 1, 2016 Preventable Hospitalizations: A Window Into Primary and Preventive Care … October 6, 2021 Industrial and Systems Engineering and Health Care: Critical Areas of

Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-quality and safety considerations. | PSNet

psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-telemedicine-obstetrics-quality-and-safety

August 10, 2022 - This guideline examines its use in pregnancy-related care, discusses the benefits and suggests actions … August 10, 2022 A new index for obstetrics safety and quality of care: integrating cesarean … September 22, 2021 Challenges and strategies for patient safety in primary care: a qualitative … December 23, 2020 Providing Safe, High-Quality Maternity Care in Rural US Hospitals. … 2017 View More See More About The Topic Labor and Delivery Health Care

Mid Staffordshire NHS Foundation Trust Quality Report. | PSNet

psnet.ahrq.gov/issue/mid-staffordshire-nhs-foundation-trust-quality-report

October 24, 2024 - Newcastle Upon Tyne, UK: Care Quality Commission; October 9, 2014. … Twitter Linkedin Copy URL November 12, 2014 Newcastle Upon Tyne, UK: Care … This report highlights insights from staff about the trust's current ability to deliver safe care and … Newcastle Upon Tyne, UK: Care Quality Commission; October 9, 2014. … January 23, 2019 Safety, Equity and Engagement in Maternity Services.

Preventing maternal death. | PSNet

psnet.ahrq.gov/issue/preventing-maternal-death

April 26, 2023 - these recommendations is then assessed as part of Joint Commission accreditation surveys at health care … Perspective Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care … 2009 View More See More About The Topic Labor and Delivery Health Care

Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inpatient setting: a systematic review. | PSNet

psnet.ahrq.gov/issue/improving-perceptions-patient-safety-through-standardizing-handoffs-emergency-department

December 21, 2022 - Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care … December 18, 2017 Vital signs: maternity care experiences — United States, April 2023 … October 12, 2011 Factors that affect opioid quality improvement initiatives in primary care … 2022 View More Related Resources Handoffs and transitions of care … Providers Health Care Executives and Administrators Emergency Medicine Emergency Nursing

Modifications to medical emergency team activation criteria and implications for patient safety: a point prevalence study. | PSNet

psnet.ahrq.gov/issue/modifications-medical-emergency-team-activation-criteria-and-implications-patient-safety

July 20, 2022 - Aust Crit Care. 2021;34(6):580-586. doi:10.1016/j.aucc.2021.01.004. … Aust Crit Care . 2021; 34 (6) :580-586 . View more articles from the same authors. … Aust Crit Care. 2021;34(6):580-586. doi:10.1016/j.aucc.2021.01.004. … 2, 2008 Association of clinical nursing work environment with quality and safety in maternity … care in the United States.

Standardizing a Patient Safety Taxonomy. | PSNet

psnet.ahrq.gov/issue/standardizing-patient-safety-taxonomy

September 06, 2011 - September 6, 2011 Antibiotic Stewardship in Acute Care: A Practical Playbook. … Annual Perspective Communication During Transitions of Care … Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health Care … December 6, 2011 Maternity ward at Highland under fire from patients. … Health Care Executives and Administrators Non-Health Care Professionals Communication Improvement

Maternal Safety and Perinatal Mental Health | PSNet

psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health

March 28, 2023 - While much of maternal safety focuses on care provided during the in-hospital stay, perinatal care … Maternity care and postpartum care cross the care continuum in a way that makes it uniquely challenging … It is challenging when people cannot access care or pay for care. … , transitions of care, and access to care. … It is worth noting however, that maternity care is typically a bundled cost in the United States and

A longitudinal study of clinical peer review's impact on quality and safety in US hospitals. | PSNet

psnet.ahrq.gov/issue/longitudinal-study-clinical-peer-reviews-impact-quality-and-safety-us-hospitals

March 29, 2023 - Development of high reliability remains an elusive goal for health care organizations. … This survey of 300 health care organizations found that this state of affairs did not improve between … June 1, 2022 Nurse work environment and its impact on reasons for missed care, safety … 29, 2021 Association of clinical nursing work environment with quality and safety in maternity … care in the United States.

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