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Sway: Unravelling Unconscious Bias | PSNet

psnet.ahrq.gov/issue/sway-unravelling-unconscious-bias

August 02, 2016 - This publication discusses how a range of implicit biases affect legal, health care , technological … Emerging Fndings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury … Thinking About Learning for Improvement in Health Care. … February 19, 2020 Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care

Adaptation and implementation of the WHO Safe Childbirth Checklist around the world. | PSNet

psnet.ahrq.gov/issue/adaptation-and-implementation-who-safe-childbirth-checklist-around-world

March 17, 2021 - September 23, 2020 Providing Safe, High-Quality Maternity Care in Rural US Hospitals.

Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees, 2008-17. | PSNet

psnet.ahrq.gov/issue/preventing-pregnancy-related-mental-health-deaths-insights-14-us-maternal-mortality-review

November 10, 2021 - Researchers conclude that addressing gaps maternal mental health care is essential to improving maternal … associated with an increased risk of being a reported case of preventable harm in first-line health care … felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care … July 5, 2023 Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision … September 15, 2021 The Safety of Maternity Services in England.

The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on pregnant Black women: a review of the literature. | PSNet

psnet.ahrq.gov/issue/racial-disparities-maternal-mortality-and-impact-structural-racism-and-implicit-racial-bias

July 13, 2009 - August 2, 2023 Perspective Health Care Delivery and Pharmacists … September 6, 2023 Amid lack of accountability for bias in maternity care, a California … felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care … September 21, 2022 Psychometric properties of the perinatal missed care survey and missed … care during labor and birth.

Zero: Eliminating Unnecessary Deaths in a Post-pandemic NHS. | PSNet

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August 06, 2016 - Emerging Fndings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury … Thinking About Learning for Improvement in Health Care. … February 14, 2024 Fragmented: A Doctor's Quest to Piece Together American Health Care … July 26, 2023 Roadmap to Health Care Safety for Massachusetts. … and Administrators Medicine Nurse Care Epidemiology of Errors and Adverse Events Policies

External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001. | PSNet

psnet.ahrq.gov/issue/external-inquiry-adverse-incident-occurred-queens-medical-centre-nottingham-4th-january-2001

September 10, 2014 - Emerging Fndings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury … April 27, 2022 Coding for Success: Simple Technology for Safer Patient Care. … April 17, 2017 Review into the Quality of Care and Treatment Provided by 14 Hospital … Thinking About Learning for Improvement in Health Care. … Providers Health Care Executives and Administrators Medical Oncology Hospital Pharmacy

Doctors turned my sister away; less than two years later she died of cervical cancer. | PSNet

psnet.ahrq.gov/issue/doctors-turned-my-sister-away-less-two-years-later-she-died-cervical-cancer

September 09, 2020 - September 9, 2020 Seven features of safety in maternity units: a framework based on multisite … October 21, 2020 Deferral of care for serious non-COVID-19 conditions: a hidden harm … September 7, 2022 Delayed access to care and late presentations in children during the … See More About The Topic General Public Ambulatory Clinic or Office Primary Care

ER doctors misdiagnose patients with unusual symptoms. | PSNet

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August 05, 2008 - May 16, 2008 As college students return, a crisis in campus care awaits. … July 29, 2020 Maternity ward at Highland under fire from patients. … July 28, 2021 Doctors' unconscious bias affects quality of health care services, research … September 9, 2020 New U.S. health crisis looms as patients without COVID-19 delay care … ‘They are terrified’: fearing coronavirus, people with potentially fatal conditions avoid emergency care

The inevitability of physician burnout: implications for interventions. | PSNet

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 … April 17, 2024 Understanding the link between burnout and sub-optimal care: why should … June 28, 2023 Employee silence in health care: charting new avenues for leadership and … September 24, 2014 Strengthening open disclosure in maternity services in the English … 2021 Nurse burnout predicts self-reported medication administration errors in acute care

Patient Safety Recommendations for COVID-19 Epidemic Outbreak: 3.0 | PSNet

psnet.ahrq.gov/issue/patient-safety-recommendations-covid-19-epidemic-outbreak-lessons-italian-experience

February 15, 2023 - Dublin, Ireland: International Society for Quality in Health Care; 2021. … Dublin, Ireland: International Society for Quality in Health Care; 2021. … culture; the diagnostic process; patient and family engagement to reduce spread; hospital, pediatric, and maternity … Dublin, Ireland: International Society for Quality in Health Care; 2021. … Units Health Care Executives and Administrators Public Health Nurse Care View More

To be safe, keep track of pills. | PSNet

psnet.ahrq.gov/issue/be-safe-keep-track-pills

March 06, 2005 - November 18, 2020 Health care workers as second victims of medical errors. … September 19, 2016 Maternity ward at Highland under fire from patients.

A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles. | PSNet

psnet.ahrq.gov/issue/multidisciplinary-model-reviewing-severe-maternal-morbidity-cases-and-teaching-residents

August 23, 2023 - September 12, 2016 Improving communication with primary care physicians at the time of … Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care … September 3, 2011 Attitudes toward safety and teamwork in a maternity unit with embedded … View More See More About The Topic Labor and Delivery Physicians Health Care

Serious Adverse Events Reports. | PSNet

psnet.ahrq.gov/issue/serious-adverse-events-reports

November 10, 2011 - July 26, 2017 Quality and Safety in Women's Health Care. Second Edition. … 14, 2018 View More Related Resources 'Reading the Signals' : Maternity … December 6, 2017 Adverse Health Care Events Reporting System: What Have We Learned? … August 1, 2012 View More See More About The Topic Hospitals Health Care

Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984--1995. | PSNet

psnet.ahrq.gov/issue/learning-bristol-report-public-inquiry-childrens-heart-surgery-bristol-royal-infirmary-1984

October 20, 2021 - Their objectives included understanding what happened in Bristol, assessing the quality of care and system … cardiac surgical services in Bristol while section two focuses on recommendations to ensure high quality care … February 19, 2020 'Reading the Signals' : Maternity and Neonatal Services in East Kent … June 17, 2014 Ferrari's Formula One handovers and handovers from surgery to intensive care … July 19, 2006 View More See More About The Topic Hospitals Health Care

Learning Not Blaming. | PSNet

psnet.ahrq.gov/issue/learning-not-blaming

March 28, 2018 - Department of Health and Social Care. London, England: Crown Publishing; July 2015. … Linkedin Copy URL September 9, 2015 Department of Health and Social Care … Department of Health and Social Care. London, England: Crown Publishing; July 2015. … February 19, 2020 'Reading the Signals' : Maternity and Neonatal Services in East Kent … March 9, 2016 Effective Board Governance of Safe Care: A (Theoretically Underpinned)

Integrated approach to reduce perinatal adverse events: standardized processes, interdisciplinary teamwork training, and performance feedback. | PSNet

psnet.ahrq.gov/issue/integrated-approach-reduce-perinatal-adverse-events-standardized-processes-interdisciplinary

September 01, 2018 - processes resulted in a 14% decrease in harm in perinatal care from the baseline period. … Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care … May 22, 2019 How to be a very safe maternity unit: an ethnographic study. … safety with neonates via handoff communication during delivery: a call for interprofessional health care … July 20, 2009 Teamwork in obstetric critical care.

Improving maternal safety at scale with the mentor model of collaborative improvement. | PSNet

psnet.ahrq.gov/issue/improving-maternal-safety-scale-mentor-model-collaborative-improvement

March 31, 2021 - Related Resources From the Same Author(s) Maternal and neonatal health care … Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care … January 20, 2010 Exposure to Leadership WalkRounds in neonatal intensive care units is … Association of unexpected newborn deaths with changes in obstetric and neonatal process of care … August 29, 2018 Skilful anticipation: maternity nurses' perspectives on maintaining safety

How can specialist investigation agencies inform system-wide learning for patient safety? A qualitative study of perspectives on the early years of the English Healthcare Safety Investigation Branch. | PSNet

psnet.ahrq.gov/issue/how-can-specialist-investigation-agencies-inform-system-wide-learning-patient-safety

January 29, 2014 - December 21, 2018 Delivering high reliability in maternity care: in situ simulation as … Initiatives July 10, 2024 Patient safety and artificial intelligence in clinical care … February 3, 2011 View More See More About The Topic Hospitals Ambulatory Care … Medicine Nurse Care Governmental Reporting View More

An intervention to increase situational awareness and the Culture of Mutual Care (Foco) and its effects during COVID-19 pandemic: a randomized controlled trial and qualitative analysis. | PSNet

psnet.ahrq.gov/issue/intervention-increase-situational-awareness-and-culture-mutual-care-foco-and-its-effects

November 21, 2021 - Study An intervention to increase situational awareness and the Culture of Mutual Care … An Intervention to Increase Situational Awareness and the Culture of Mutual Care (Foco) and Its Effects … This study found that a mutual care training can increase situational awareness for healthcare workers … September 13, 2023 Seven features of safety in maternity units: a framework based on … care units and hospital emergency services.

Impact of patient safety bundle and team-based training on obstetric hypertensive emergencies. | PSNet

psnet.ahrq.gov/issue/impact-patient-safety-bundle-and-team-based-training-obstetric-hypertensive-emergencies

July 21, 2021 - a set of evidence-based interventions that has been shown to improve outcomes and safety in health care … April 24, 2018 To do no harm - and the most good - with AI in health care. … on core processes of care at Johns Hopkins Medicine. … November 13, 2024 National Review of Maternity Services in England 2022 to 2024. … September 6, 2023 Advancing Diagnostic Excellence in Maternal Health Care.

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