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psnet.ahrq.gov/node/852460/psn-pdf
August 16, 2023 - The AHRQ Safety Program for Perinatal Care, Phase 2
developed toolkits consisting of case scenarios, … toolkit-improving-perinatal-safety
https://psnet.ahrq.gov/issue/linking-patient-safety-climate-missed-nursing-care-labor-and-delivery-units-findings-laborrns
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psnet.ahrq.gov/issue/when-water-breaks
February 06, 2019 - Racial disparities and inequities detract from safe maternal care. … This feature article discusses the history of obstetric care in the United States and examines the roots … of unsafe care for Black mothers that perpetuate in that community today. … February 6, 2019
Long-term care healthcare-associated infections in 2021: an analysis … Cases of Poor-quality Care Since the Dobbs Decision.
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psnet.ahrq.gov/issue/abortion-bans-have-consequences-wanted-pregnancies-too
August 16, 2023 - health of both mothers and babies, and a variety of circumstances create challenges to this complex care … This article describes delays in care for a pregnant patient due to legal and policy concerns that … Poll: Many Sick Americans Experience Significant Financial Problems and Report Their Care … November 1, 2023
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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/issue/hiding-plain-sight-inconvenient-facts-patient-safety-non-247-theatre-site-staffed-obstetric
November 02, 2022 - November 2, 2022
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … May 1, 2015
Decreasing handoff-related care failures in children's hospitals. … June 28, 2010
Measuring perceptions of safety climate in primary care: a cross-sectional … February 21, 2024
Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs … September 15, 2021
Maternal and neonatal health care worker well-being and patient safety
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psnet.ahrq.gov/issue/doctors-quest-piece-together-american-health-care
October 05, 2022 - Book/Report
Fragmented: A Doctor's Quest to Piece Together American Health Care. … Citation Text:
Fragmented: A Doctor's Quest to Piece Together American Health Care. Yurkiewicz I. … care omissions that harm patients. … ’s ability to provide the safest care possible. … August 10, 2016
Lost Mothers: Maternal Care and Preventable Deaths.
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psnet.ahrq.gov/issue/healing-our-own-randomized-trial-assess-benefits-peer-support
May 19, 2021 - May 4, 2022
In situ simulation for adoption of new technology to improve sepsis care … resources utilization after transitions of care: a meta-analysis of randomized controlled trials. … February 15, 2023
A new index for obstetrics safety and quality of care: integrating … June 1, 2022
Psychometric properties of the perinatal missed care survey and missed care … November 25, 2020
The psychological experience of obstetric patients and health care
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psnet.ahrq.gov/issue/national-patient-safety-goal-improve-health-care-equity
September 11, 2019 - Newspaper/Magazine Article
National patient safety goal to improve health care equity … Citation Text:
National patient safety goal to improve health care equity. R3 Report. … Health care inequities persist despite increasing awareness they negatively affect quality, safety … National Patient Safety Goal initiative to increase focus on equity as a safety priority across all care … January 16, 2025
Roadmap to Health Care Safety for Massachusetts.
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psnet.ahrq.gov/perspective/equity-patient-safety
September 24, 2024 - Introduction
Safety and equity are among the central components that determine quality of care … Inequitable care is unfair or unjust care received by specific individuals or groups. … Clinician Biases
Clinician biases may impact the safety of care received by historically minoritized … 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.
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psnet.ahrq.gov/issue/interdisciplinary-collaboration-maintain-culture-safety-labor-and-delivery-setting
January 02, 2017 - This commentary describes a program to enhance teamwork and safety culture in obstetric care and … January 2, 2017
Triggers, bundles, protocols, and checklists—what every maternal care
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psnet.ahrq.gov/issue/obstetric-practice-guidelines-labors-love-lost
April 30, 2014 - A typology of electronic health record workarounds in small-to-medium size primary care … 2009
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Labor and Delivery
Health Care
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psnet.ahrq.gov/issue/quality-and-safety-womens-health-care-2nd-ed
July 26, 2017 - Organizational Policy/Guidelines
Quality and Safety in Women's Health Care. … Citation Text:
Quality and Safety in Women's Health Care. Second Edition. … Women's Health Care Physicians; Committee on Patient Safety and Quality Improvement. … Women's Health Care Physicians; Committee on Patient Safety and Quality Improvement. … January 11, 2017
Improving Diagnosis in Health Care.
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psnet.ahrq.gov/issue/time-now-addressing-implicit-bias-obstetrics-and-gynecology-education
November 16, 2022 - Racism and implicit biases can threaten the safety of care. … in this article outline how implicit bias can affect health professional trainees and impact patient care … July 20, 2022
Incidence of adverse drug events and medication errors in intensive care
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psnet.ahrq.gov/issue/care-clinician-after-adverse-event
March 03, 2021 - Review
Care of the clinician after an adverse event. … Care of the clinician after an adverse event. … Care of the clinician after an adverse event. … May 27, 2011
Effects of teamwork training on adverse outcomes and process of care in … June 12, 2019
Artificial intelligence systems for complex decision-making in acute care
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psnet.ahrq.gov/issue/near-miss-audit-obstetrics
March 06, 2024 - March 31, 2021
The association between health care staff engagement and patient safety … WebM&M Cases
Lack of Sepsis Recognition Leads to Delay in Care … November 1, 2016
Triggers, bundles, protocols, and checklists—what every maternal care … identification and classification of near-miss events on labor and delivery in a large, national health care … 2011
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See More About The Topic
Labor and Delivery
Health Care
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psnet.ahrq.gov/issue/effects-leadership-curricula-and-without-implicit-bias-training-graduate-medical-education
January 31, 2024 - Resources From the Same Author(s)
Adverse safety events in emergency medical services care … January 31, 2024
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … Association between measured teamwork and medical errors: an observational study of prehospital care … July 14, 2021
Optimizing Pediatric Patient Safety in the Emergency Care Setting.
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psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people
September 08, 2021 - Newspaper/Magazine Article
To improve health care, focus on fixing systems — not … To improve health care, focus on fixing systems — not people. Harvard Business Review. … This commentary describes elements of a care operating system designed to support patient safety and … To improve health care, focus on fixing systems — not people. Harvard Business Review. … Care.
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psnet.ahrq.gov/issue/road-zero-preventable-birth-injuries
January 05, 2012 - September 29, 2017
Question answering systems for health professionals at the point of care … ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care … safety with neonates via handoff communication during delivery: a call for interprofessional health care … 2006
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See More About The Topic
Labor and Delivery
Health Care … Providers
Quality and Safety Professionals
Obstetrics
Neonatology and Intensive Care
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psnet.ahrq.gov/issue/advancing-diagnostic-excellence-older-adults-proceedings-workshop-brief
April 20, 2022 - The care of older adult patients can be complicated due to comorbidities, bias and polypharmacy . … April 20, 2022
Crossing the Global Quality Chasm: Improving Health Care Worldwide. … September 7, 2021
Racial disparities in preventable adverse events attributed to poor care … August 18, 2021
Telediagnosis for Acute Care: Implications for the Quality and Safety … March 4, 2020
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See More About The Topic
Researchers
Health Care
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psnet.ahrq.gov/issue/achieving-excellence-diagnosis-acute-cardiovascular-events
May 12, 2021 - : Rebuilding the Foundation of Health Care. … May 19, 2021
Crossing the Global Quality Chasm: Improving Health Care Worldwide. … September 12, 2018
Advancing Diagnostic Excellence for Maternal Health Care: Proceedings … October 5, 2021
- October 6, 2021
Crisis Standards of Care: Ten Years of Successes … November 15, 2022
Diagnoses Without Names: Challenges for Medical Care, Research, and
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psnet.ahrq.gov/issue/development-and-implementation-checklists-obstetrics
July 13, 2010 - Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care … October 1, 2016
Triggers, bundles, protocols, and checklists—what every maternal care … 2011
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See More About The Topic
Labor and Delivery
Health Care