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psnet.ahrq.gov/issue/using-medical-error-reporting-drive-patient-safety-efforts
September 18, 2024 - critical incident technique to explore the factors influencing medical registrars' provision of safe care … 23, 2020
Incidence, nature and causes of avoidable significant harm in primary care … Protocols During a Time of Crisis
March 15, 2023
Seven features of safety in maternity … July 23, 2010
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Health Care Providers
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psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024
May 08, 2024 - October 29, 2008
Quality framework for remote antenatal care: qualitative study with … May 8, 2024
Seven features of safety in maternity units: a framework based on multisite … everyday work as a dynamic non-event and adaptations to manage safety in intraoperative anaesthesia care … July 26, 2023
Identifying what is known about improving operating room to intensive care
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psnet.ahrq.gov/issue/neonatal-near-miss-audits-systematic-review-and-call-action
August 04, 2021 - May 25, 2022
Seroprevalence of SARS-CoV-2 among frontline health care personnel in a … November 29, 2023
Proceed with reasonable care: when legal principles inform training … February 9, 2022
Safety, Equity and Engagement in Maternity Services. … January 20, 2021
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Intensive Care Units … Labor and Delivery
Obstetrics
Pediatrics
Neonatology and Intensive Care
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psnet.ahrq.gov/issue/clinical-handover-incident-reporting-one-uk-general-hospital
May 03, 2023 - Int J Qual Health Care. 2010;22(5):396-401. doi:10.1093/intqhc/mzq048. … Int J Qual Health Care . 2010; 22 (5) :396-401 . … Int J Qual Health Care. 2010;22(5):396-401. doi:10.1093/intqhc/mzq048. … May 3, 2023
Safety of medication use in primary care. … October 19, 2022
HSIB Maternity Investigation Programme Year in Review 2021/22.
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psnet.ahrq.gov/issue/improving-patient-safety-culture-through-teamwork-and-communication-teamstepps
November 21, 2016 - October 5, 2022
Improving Safety in Maternity Services: a Toolkit for Teams. … Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care … January 23, 2017
Health Care Simulation to Advance Safety: Responding to Ebola and Other … June 12, 2007
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Hospitals
Health Care
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psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-care-coordination-veterans
July 27, 2022 - Book/Report
Comprehensive Healthcare Inspection Summary Report: Evaluation of Care … Citation Text:
Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination … at the Phoenix VA Health Care System in Arizona. … Emergency at the VA Southern Nevada Health Care System in Las Vegas. … August 10, 2022
The Safety of Maternity Services in England.
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psnet.ahrq.gov/issue/enhancing-patient-safety-and-risk-management-through-clinical-pathways-oncology
September 13, 2023 - Integrated care pathways (ICPs) are patient-centered and multidisciplinary. … October 11, 2023
Seven features of safety in maternity units: a framework based on multisite … 1, 2023
An intervention to increase situational awareness and the Culture of Mutual Care … June 10, 2020
Ensuring effective care transition communication: implementation of an … 21, 2019
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Hospitals
Ambulatory Care
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psnet.ahrq.gov/issue/problem-root-cause-analysis
August 28, 2024 - cause analysis (RCA) is a strategy to investigate incidents that has gained acceptance in health care … Risk controls identified in action plans following serious incident investigations in secondary care … May 22, 2024
Quality framework for remote antenatal care: qualitative study with women … May 8, 2024
Quality and reporting of large-scale improvement programmes: a review of maternity … July 20, 2011
Patient safety systems in the primary health care of diabetes—a story of
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psnet.ahrq.gov/issue/how-do-no-harm-empowering-local-leaders-make-care-safer-low-resource-settings
March 03, 2021 - Commentary
How to do no harm: empowering local leaders to make care safer in low-resource … How to do no harm: empowering local leaders to make care safer in low-resource settings. … How to do no harm: empowering local leaders to make care safer in low-resource settings. … April 27, 2022
Proceed with reasonable care: when legal principles inform training to … February 9, 2022
Safety, Equity and Engagement in Maternity Services.
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psnet.ahrq.gov/issue/hard-talk-dealing-disruptive-physician
April 24, 2018 - Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care … units of 2 integrated health care systems. … Related Resources
How unprofessional behaviours between healthcare staff threaten patient care … January 19, 2022
Seven features of safety in maternity units: a framework based on multisite … October 21, 2020
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Health Care Executives
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psnet.ahrq.gov/issue/leading-quality-and-safety-frontline-case-study-department-leaders-nursing-homes
February 28, 2024 - , 2021
Resilience from a stakeholder perspective: the role of next of kin in cancer care … October 20, 2014
Determination of health-care teamwork training competencies: a Delphi … April 5, 2023
Tools for establishing a sustainable safety culture within maternity services … April 26, 2023
From theory to policy in resilient health care: policy recommendations … Nurse Care
Culture of Safety
Teamwork Training
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psnet.ahrq.gov/issue/pc-standards-maternal-safety
September 06, 2017 - This report reviews the new Joint Commission Provision of Care, Treatment, and Services (PC) standards … developed to improve the reliability of maternal care. … September 6, 2017
National patient safety goal to improve health care equity. … 2009
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Labor and Delivery
Health Care
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psnet.ahrq.gov/issue/prevention-failure-rescue-obstetric-patients-realist-review
April 20, 2022 - potentially fatal complication that results in the patient’s death, is particularly tragic in obstetric care … February 15, 2023
Psychometric properties of the perinatal missed care survey and missed … care during labor and birth. … trainees' performance
February 17, 2021
The second victim phenomenon in health care … April 27, 2019
Attitudes toward safety and teamwork in a maternity unit with embedded
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psnet.ahrq.gov/issue/relationship-between-resident-burnout-and-safety-related-and-acceptability-related-quality
October 21, 2020 - This systematic review examined whether resident physician burnout reduces safety or quality of care … Citation
Related Resources From the Same Author(s)
Seven features of safety in maternity … 21, 2020
Adverse-drug-event rates for high-cost and high-use drugs in the intensive care … Burnout
September 27, 2022
Testing an intervention to improve health care … August 24, 2022
Eliminating explicit and implicit biases in health care: evidence and
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psnet.ahrq.gov/issue/multi-professional-simulation-based-team-training-obstetric-emergencies-improving-patient
July 29, 2020 - the Same Author(s)
Signs and symptoms to determine if a patient presenting in primary care … February 1, 2023
Seven features of safety in maternity units: a framework based on multisite … Association of unexpected newborn deaths with changes in obstetric and neonatal process of care … April 13, 2022
Psychometric properties of the perinatal missed care survey and missed … care during labor and birth.
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psnet.ahrq.gov/issue/wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settings
June 09, 2021 - reporting data to identify how ambulatory patient identification errors contribute to wrong patient care … May 31, 2023
HSIB Maternity Investigation Programme Year in Review 2021/22.
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psnet.ahrq.gov/issue/managing-patient-safety-and-staff-safety-nursing-homes-exploring-how-leaders-nursing-homes
September 13, 2023 - , 2021
Resilience from a stakeholder perspective: the role of next of kin in cancer care … April 5, 2023
Tools for establishing a sustainable safety culture within maternity services … August 28, 2024
From theory to policy in resilient health care: policy recommendations … 2025
Improving nursing home safety through adoption of a practical resilient health care … Geriatrics
Nurse Care
Communication between Providers
Culture of Safety
View More
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psnet.ahrq.gov/issue/analysis-intervention-employability-pharmacy-related-medication-safety-reports-tertiary
November 21, 2021 - September 13, 2023
Seven features of safety in maternity units: a framework based on … 21, 2020
An intervention to increase situational awareness and the Culture of Mutual Care … Related Resources
A hard look at hard stops and workarounds in the acute care
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psnet.ahrq.gov/issue/families-experiences-central-line-infection-children-qualitative-study
July 29, 2020 - ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care … September 29, 2021
Seven features of safety in maternity units: a framework based on … September 11, 2024
The Safe Home Care Intervention Study: implementation methods and … delivery in home care settings: a systematic review. … March 2, 2011
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Home Care
Health Care
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psnet.ahrq.gov/issue/risk-perception-labour-ward-mixed-methods-study
June 08, 2022 - Labor and delivery wards are high-risk care environments. … Author(s)
Healthcare-related infections within nursing homes (NHS): a qualitative study of care … May 19, 2021
Maternal and neonatal health care worker well-being and patient safety climate … Experience and Support Tool Survey
December 23, 2020
Seven features of safety in maternity … 23, 2020
Information and power: women of color's experiences interacting with health care