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psnet.ahrq.gov/issue/regulating-patient-safety-patient-protection-and-affordable-care-act
June 17, 2020 - Commentary
Regulating patient safety: The Patient Protection and Affordable Care … Citation Text:
Regulating patient safety: The Patient Protection and Affordable Care Act. … discusses the primary regulatory categories supported by the 2010 Patient Protection and Affordable Care … Related Resources From the Same Author(s)
The limits of current A.I. in health care … April 21, 2015
Language barriers to health care in the United States.
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psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
August 28, 2024 - without adequate fidelity to the underlying principles or customization for the health care context. … Health care should also recognize that RCA need not be synonymous with incident investigation. … Once a risk control or other safety solution is introduced, health care organizations need to monitor … Int J Qual Health Care. 2018;30:39-43. [go to PubMed] 20. … May 8, 2024
Quality and reporting of large-scale improvement programmes: a review of maternity
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psnet.ahrq.gov/issue/integrative-total-worker-health-framework-keeping-workers-safe-and-healthy-during-covid-19
October 19, 2022 - Resources From the Same Author(s)
Optimizing Pediatric Patient Safety in the Emergency Care … Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care … March 4, 2015
Seroprevalence of SARS-CoV-2 among frontline health care personnel in a … Related Resources
Burnout and its relationship to self-reported quality of patient care
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psnet.ahrq.gov/web-mm/saved-ecmo
May 05, 2017 - The patient was transferred to the intensive care unit and was weaned off ECMO after five days. … She was extubated after nine days in intensive care and survived without any neurological sequelae. … Recently, there has been a push for hospitals to develop a cardio-obstetrics team to coordinate care … December 31, 2014
A clinical pharmacist-led transitions of care program for veterans … with two planned care transitions (hospital to skilled care and skilled care to home) amid the COVID-
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psnet.ahrq.gov/issue/mitigating-bias-ai-point-care
March 08, 2023 - Newspaper/Magazine Article
Mitigating bias in AI at the point of care. … Citation Text:
Mitigating bias in AI at the point of care. Decamp M, Lindvall C. … Computerized clinical support is vulnerable to bias due to widespread health care inequalities that … Cite
Citation
Citation Text:
Mitigating bias in AI at the point of care … Ambulatory Care
Medicine
Nurse Care
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psnet.ahrq.gov/issue/what-words-convey-potential-patient-narratives-inform-quality-improvement
August 19, 2015 - March 20, 2019
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … November 16, 2022
Seroprevalence of SARS-CoV-2 among frontline health care personnel … The missing evidence: a systematic review of patients' experiences of adverse events in health care … View More
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Ambulatory Clinic or Office
Health Care
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psnet.ahrq.gov/issue/patient-safety-dermatology-review-literature
May 25, 2022 - View More
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Ambulatory Clinic or Office
Health Care
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psnet.ahrq.gov/issue/framing-family-conversation-after-early-diagnosis-iatrogenic-injury-and-incidental-findings
November 14, 2011 - from repetitive training of operating room personnel using high-fidelity simulation at the point of care … High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care … 25, 2009
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Operating Room
Health Care
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psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-improvement-dermatology
September 30, 2015 - April 21, 2021
A new index for obstetrics safety and quality of care: integrating cesarean … Dermatology faces a reckoning: lack of darker skin in textbooks and journals harms care
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psnet.ahrq.gov/issue/misdiagnosed-food-allergy-resulting-severe-malnutrition-infant
April 24, 2018 - August 20, 2018
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care
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psnet.ahrq.gov/periodic-issue/periodic-issue-470
December 31, 2024 - This study evaluated satisfaction with an e-feedback system for hospitalists (focused on care escalation … Emergency department boarding and overcrowding can contribute to unsafe care. … Care omission, treatment delay, and staff distraction illustrate topics covered by this notice. … Maternal health care faces a variety of patient safety challenges. … This special issue examines a range of elements that impact psychological safety in health care.
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psnet.ahrq.gov/issue/opioid-prescribing-patterns-and-complications-dermatology-medicare-population
May 25, 2022 - January 18, 2023
Urgent referrals from primary care to dermatology for lesions suspicious
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psnet.ahrq.gov/issue/effects-teamwork-training-adverse-outcomes-and-process-care-labor-and-delivery-randomized
January 10, 2017 - Classic
Effects of teamwork training on adverse outcomes and process of care … Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized … Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized … January 10, 2017
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 19, 2022
Seroprevalence of SARS-CoV-2 among frontline health care personnel in
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psnet.ahrq.gov/issue/differences-reasons-alert-overrides-contraindicated-co-prescriptions-admitting-department
January 23, 2017 - Specialized nurses' role in ensuring patient safety within the context of telehealth in home care … October 23, 2024
Delivery at an inadequate level of maternal care is associated with … 1, 2009
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Hospitals
Health Care
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psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care
August 04, 2021 - Classic
Continuous improvement as an ideal in health care … Continuous improvement as an ideal in health care. New Engl J Med. 1989;320(1):53-56. … Two approaches to improving quality in health care are illustrated in this article. … Berwick calls on the health care leaders to begin applying the continuous improvement model in medicine … Continuous improvement as an ideal in health care. New Engl J Med. 1989;320(1):53-56.
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psnet.ahrq.gov/issue/improving-diagnosis-health-care
September 12, 2018 - Book/Report
Classic
Improving Diagnosis in Health Care. … Citation Text:
Improving Diagnosis in Health Care. … Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine … Linkedin
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September 23, 2015
Committee on Diagnostic Error in Health Care … The group has now released a report about diagnosis, which they describe as a blind spot in health care
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psnet.ahrq.gov/issue/world-patient-safety-day
September 30, 2020 - The 2025 theme is "Safe care for every newborn and every child" with the slogan “Patient safety from … Explicit objectives of the event include increasing awareness worldwide of maternal and neonatal care … caregiver engagement in safety, and advocacy to advance research focused on pediatric and newborn care … April 26, 2006
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Health Care Providers … Health Care Executives and Administrators
Educators
Policy Makers
Medication Safety
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psnet.ahrq.gov/node/33561/psn-pdf
September 15, 2024 - setting
Patient death or serious injury associated with the use or function of a device in patient care … suicide, or self-harm that results in serious injury, while being cared for in
a healthcare setting
Care … or staff death or serious disability associated with an electric shock in the course of a patient
care … death or serious injury associated with a burn incurred from any source in the course
of a patient care … Because Never Events are devastating and preventable, health care organizations are under increasing
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psnet.ahrq.gov/issue/unequal-treatment-confronting-racial-and-ethnic-disparities-health-care
June 15, 2011 - Book/Report
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care … Citation Text:
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. … This publication examines strategies to minimize these impacts such as interpreter use, localized care … July 27, 2011
How Can Health Care Organizations Become More Health Literate? … July 8, 2016
Crossing the Global Quality Chasm: Improving Health Care Worldwide.
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psnet.ahrq.gov/issue/teamstepps-video-toolkit
April 06, 2022 - Problems in communication are common contributors to patient care mistakes. … April 1, 2024
Making health care safer. Think sepsis. Time matters. … September 7, 2016
Making health care safer: protect patients from antibiotic resistance … linking interprofessional education interventions to improving the delivery of safe and effective patient care