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psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-venous-thromboembolism
November 16, 2022 - The authors discuss the importance of reporting mechanisms to help health care organizations learn … August 20, 2018
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … Resources
Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care … 2023
WebM&M Cases
Be Picky about your PICCs—Fragmented Care … 1, 2003
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Hospitals
Health Care
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psnet.ahrq.gov/issue/acog-committee-opinion-590-preparing-clinical-emergencies-obstetrics-and-gynecology
May 22, 2019 - This guideline details strategies to ensure care teams in obstetrics and gynecology are prepared to safely … April 1, 2015
Principles of pediatric patient safety: reducing harm due to medical care … Resources
Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care … August 22, 2018
Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening … 2012
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Labor and Delivery
Health Care
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psnet.ahrq.gov/periodic-issue/periodic-issue-473
March 25, 2025 - Most medication safety research occurs in the inpatient setting, with less focus on ambulatory care. … Most medication safety research occurs in the inpatient setting, with less focus on ambulatory care. … This qualitative study with maternity care providers in Australia identified significant communication … Adverse drug events (ADEs) are one of the most common adverse events in long-term care (LTC). … Patient and family engagement in care improvement can yield helpful insights that inform action.
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psnet.ahrq.gov/Information/Panel
January 01, 2012 - Brandt has been active in promoting optimal care for older adults through her educational, clinical, … facilities, population health, health equity, value-based care outcomes, and clinical education. … Medicine , and the International Journal for Quality in Health Care . … Lyndon’s maternal health work has focused on patient safety and quality in maternity and neonatal care … primary care, intensive care, anesthesiology, and trauma.
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psnet.ahrq.gov/issue/wrong-patient-ordering-errors-peripartum-mother-newborn-pairs-unique-patient-safety-challenge
July 28, 2021 - February 22, 2023
Critical care clinicians' experiences of patient safety during the … Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care … units of 2 integrated health care systems. … August 10, 2022
A new index for obstetrics safety and quality of care: integrating cesarean … September 23, 2020
The psychological experience of obstetric patients and health care
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psnet.ahrq.gov/issue/woman-works-end-black-maternal-health-crisis-after-daughter-dies-after-giving-birth
May 27, 2020 - ‘They are terrified’: fearing coronavirus, people with potentially fatal conditions avoid emergency care … October 12, 2022
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Care Post-Roe: Documenting … Cases of Poor-quality Care Since the Dobbs Decision.
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psnet.ahrq.gov/issue/racial-bias-cesarean-decision-making
June 02, 2019 - June 21, 2017
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … May 15, 2019
The effect of multidisciplinary care teams on intensive care unit mortality … May 12, 2021
Maternal and neonatal health care worker well-being and patient safety climate … January 20, 2021
The psychological experience of obstetric patients and health care workers
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psnet.ahrq.gov/issue/recognizing-our-biases-understanding-evidence-and-responding-equitably-application
April 05, 2023 - Adv Neonatal Care. 2023;23(1):31-39. doi:10.1097/anc.0000000000000987. … Adv Neonatal Care . 2023; 23 (1) :31-39 .
View more articles from the same authors. … Racism is increasingly seen as a major contributor to poor maternal care and adverse outcomes. … Adv Neonatal Care. 2023;23(1):31-39. doi:10.1097/anc.0000000000000987. … Units
Health Care Providers
Gynecology
Obstetrics
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psnet.ahrq.gov/issue/effectiveness-communication-interventions-obstetrics-systematic-review
April 13, 2022 - Communication is an essential component of safe patient care. … April 20, 2022
The effect of providing staff training and enhanced support to care homes … on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement … Interprofessional and intraprofessional communication about older people's medications across transitions of care
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psnet.ahrq.gov/issue/crisis-within-crisis
May 05, 2021 - examines how the COVID pandemic has revealed disparities and implicit biases that impact the maternal care … 6, 2022
Nearly all hospital pharmacists say drug shortages are negatively impacting care … August 4, 2021
Peer support by interprofessional health care providers in aftermath of … 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
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psnet.ahrq.gov/issue/why-do-so-many-black-women-die-pregnancy-one-reason-doctors-dont-take-them-seriously
June 07, 2023 - Racial inequities and implicit bias undermine safe maternal care. … Author(s)
As cancer drug shortages grow, some doctors are forced to ration doses or delay care … ‘They are terrified’: fearing coronavirus, people with potentially fatal conditions avoid emergency care … May 6, 2020
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Related Resources
Care Post-Roe: Documenting … Cases of Poor-quality Care Since the Dobbs Decision.
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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - Transferring a patient from one care setting (e.g. hospital, nursing facility, primary care, long-term … care, home health care, or specialist care) to another is termed a “transition of care” by the Centers … Having multiple specialists and providers on a patient’s care team may increase care complexity and the … October 9, 2019
A safety evaluation of the impact of maternity-orientated human factors … training on safety culture in a tertiary maternity unit.
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psnet.ahrq.gov/issue/addressing-health-care-disparities-improving-quality-and-safety
January 27, 2021 - Sentinel Event Alerts
Addressing health care disparities by improving quality and … Citation Text:
Addressing health care disparities by improving quality and safety. … Health care disparities are emerging as a core patient safety issue. … Copy URL
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Citation
Citation Text:
Addressing health care … January 27, 2021
Urgent referrals from primary care to dermatology for lesions suspicious
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psnet.ahrq.gov/web-mm/failure-latch
November 27, 2012 - breastfeeding depends on many factors; thus, it is important to ensure provision of evidence-based care … With a team effort on the part of knowledgeable health care providers, both in the hospital and in the … July 19, 2023
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Related Resources
National Review of Maternity … October 30, 2024
Advancing Diagnostic Excellence in Maternal Health Care. … Providers
Health Care Executives and Administrators
Obstetrics
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psnet.ahrq.gov/issue/miscarriage-treatment-related-morbidities-and-adverse-events-hospitals-ambulatory-surgery
August 10, 2022 - identify and categorise patient-reported breakdowns related to the diagnostic process in ambulatory care … interventions to improve medication safety and patient outcomes on transition from adult intensive care … Resources
Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care … June 28, 2023
Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision
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psnet.ahrq.gov/issue/comparison-methods-reduce-bias-clinical-prediction-models-postpartum-depression
April 15, 2020 - Resources From the Same Author(s)
Factors associated with mental health outcomes among health care … guidelines for timeliness of test results communication to patients in the Veterans Affairs health care … September 23, 2020
The psychological experience of obstetric patients and health care … Researchers
Labor and Delivery
Ambulatory Clinic or Office
Information Professionals
Primary Care
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psnet.ahrq.gov/issue/unequal-treatment-revisited-workshop-series
September 12, 2018 - Health disparities and unequal care contribute to patient and family harm. … This 3-component workshop series explored ethnic and racial disparities in health care. … June 15, 2011
Improving Diagnosis in Health Care. … Care. … September 7, 2021
Unite for Safe Care.
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psnet.ahrq.gov/node/865466/psn-pdf
March 27, 2024 - Inequitable care is
unfair or unjust care received by specific individuals or groups. … https://psnet.ahrq.gov/issue/implicit-racial-bias-health-care-provider-attitudes-and-perceptions-health-care-quality-among … This finding is likely due to care delays in securing an interpreter. … In obstetric and gynecological care, equity and
patient safety has been a particular concern. … J Health Care Poor Underserved.
2010;21(3):879-897. doi:10.1353/hpu.0.0323
6.
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psnet.ahrq.gov/issue/burnout-and-resilience-and-quality-and-safety-programs-obstetrics-and-gynecology
May 29, 2019 - special issue discuss how to address burnout and support resilience in obstetrics and gynecology care … March 10, 2021
Maternal and neonatal health care worker well-being and patient safety … See More About The Topic
Labor and Delivery
Ambulatory Clinic or Office
Health Care … Providers
Health Care Executives and Administrators
Gynecology
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psnet.ahrq.gov/issue/liability-associated-obstetric-anesthesia-closed-claims-analysis
July 13, 2010 - exposures, highlight safety issues, and drive improvement changes have been applied in ambulatory care … Delays in anesthesia care, substandard care, and poor communication between the obstetrician and anesthesiologist … June 23, 2015
Effect of outcome on physician judgments of appropriateness of care. … 2011
The American College of Surgeons' closed claims study: new insights for improving care … September 9, 2011
Effects of teamwork training on adverse outcomes and process of care