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psnet.ahrq.gov/issue/patient-safety-supporting-culture-continuous-quality-improvement-hospitals-and-other-health
August 09, 2023 - Patient Safety: Supporting a Culture of Continuous Quality Improvement in Hospitals and Other Health Care … Patient Safety: Supporting a Culture of Continuous Quality Improvement in Hospitals and Other Health Care … Carolyn Clancy reviews the work of the Agency for Healthcare Research and Quality and other health care … October 2, 2013
Respectful Maternity Care: Dissemination and Implementation of Perinatal … Ambulatory Care
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psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
November 25, 2020 - monitor alarm functions were silenced to help the patient rest until a bed became available on the maternity … It was piloted in 6 hospitals in a regional system with 29 maternity facilities in California. … The obstetric hemorrhage bundle described by the California Maternity Quality Care Collaborative (CMQCC … major challenges in the United States, with rising incidence despite the increasing sophistication of maternity … care.
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psnet.ahrq.gov/issue/teamstepps-diagnosis-improvement
July 17, 2024 - AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety by Enhancing Care … July 17, 2024
Preventable Hospitalizations: A Window Into Primary and Preventive Care … February 28, 2024
Respectful Maternity Care: Dissemination and Implementation of Perinatal … July 23, 2023
Diagnostic Safety Across Transitions of Care Throughout the Healthcare … Quality and Safety Professionals
Medicine
Nurse Care
Clinical Misdiagnosis
View
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psnet.ahrq.gov/issue/patient-safety-essentials-toolkit
January 08, 2020 - January 9, 2019
No Place Like Home: Advancing the Safety of Care in the Home. … July 23, 2018
Providing Safe, High-Quality Maternity Care in Rural US Hospitals. … August 16, 2017
A practical framework for patient care teams to prospectively identify … December 27, 2014
Unit-based care teams and the frequency and quality of physician–nurse … June 14, 2006
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See More About The Topic
Health Care Executives
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psnet.ahrq.gov/issue/national-action-plan-advance-patient-safety
October 16, 2024 - organizations convened by the Institute for Healthcare Improvement – provides direction for health care … November 25, 2020
Providing Safe, High-Quality Maternity Care in Rural US Hospitals. … August 19, 2020
Zero harm in health care. … March 18, 2020
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See More About The Topic
Hospitals
Long-Term Care
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psnet.ahrq.gov/issue/interprofessional-collaboration-among-care-professionals-obstetrical-care-are-perceptions
May 28, 2014 - Study
Interprofessional collaboration among care professionals in obstetrical care … Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned … Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned … of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity … care.
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psnet.ahrq.gov/issue/advancing-diagnostic-excellence-maternal-health-care
October 19, 2022 - Meeting/Conference Proceedings
Advancing Diagnostic Excellence in Maternal Health Care … Citation Text:
Advancing Diagnostic Excellence in Maternal Health Care. … Board on Health Care Services, National Academies of Science, Engineering, and Medicine. … Board on Health Care Services, National Academies of Science, Engineering, and Medicine. … August 16, 2023
After Roe: Challenges in the Provision of Lifesaving Care.
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psnet.ahrq.gov/issue/best-practices-administering-sops-surveys
January 10, 2024 - Copy Citation
Related Resources From the Same Author(s)
Respectful Maternity … Care: Dissemination and Implementation of Perinatal Safety Culture to Improve Equitable Maternal Healthcare … AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety by Enhancing Care … February 28, 2024
Preventable Hospitalizations: A Window Into Primary and Preventive Care … Ambulatory Care
Culture of Safety
Research Directions
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psnet.ahrq.gov/issue/diagnostic-errors-hospitalized-adults-who-died-or-were-transferred-intensive-care
October 13, 2021 - Diagnostic errors in hospitalized adults who died or were transferred to intensive care … Citation Text:
Diagnostic errors in hospitalized adults who died or were transferred to intensive care … study reviewed the health records of 2,428 adult inpatients who were transferred to the intensive care … May 11, 2014
Respectful Maternity Care: Dissemination and Implementation of Perinatal … Critical Care
Critical Care Nursing
Clinical Misdiagnosis
Diagnostic Test Interpretation
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psnet.ahrq.gov/issue/reporting-hazards-and-near-misses-ambulatory-care-setting
October 19, 2011 - Reporting of hazards and near-misses in the ambulatory care setting. … J Nurs Care Qual. 2011;26(4):328-334. doi:10.1097/NCQ.0b013e3182109204. … Reporting of hazards and near-misses in the ambulatory care setting. … 7, 2022
Association of clinical nursing work environment with quality and safety in maternity … care in the United States.
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psnet.ahrq.gov/issue/new-ahrq-sops-workplace-safety-supplemental-item-set-nursing-homes
December 10, 2024 - became more apparent during the COVID pandemic as an essential component to support effective and safe care … December 10, 2024
Respectful Maternity Care: Dissemination and Implementation of Perinatal … February 15, 2023
Preventable Hospitalizations: A Window Into Primary and Preventive Care … December 15, 2011
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See More About The Topic
Long-Term Care … Quality and Safety Professionals
Geriatrics
Nurse Care
Latent Errors
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psnet.ahrq.gov/issue/understanding-factors-influencing-safety-and-team-functionality-operative-vaginal-birth
September 01, 2016 - Labor and delivery is a high-risk care setting that requires teamwork among different clinical areas … This qualitative study with maternity care providers in Australia identified significant communication … November 9, 2011
Anticoagulant medication errors in hospitals and primary care: a cross-sectional … October 23, 2024
Factors Affecting the Delivery of Safe Care in Midwifery Units. … Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care
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psnet.ahrq.gov/issue/psnet-glossary
February 22, 2023 - February 7, 2024
Respectful Maternity Care: Dissemination and Implementation of Perinatal
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psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety
May 01, 2017 - from comprehensive unit-based safety program principles to reduce errors in maternal and neonatal care … Team training modules and care bundles are shared to enable skill development. … May 1, 2017
Preventable Hospitalizations: A Window Into Primary and Preventive Care, … AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety by Enhancing Care … June 14, 2024
- December 14, 2025
Respectful Maternity Care: Dissemination and Implementation
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psnet.ahrq.gov/issue/how-communication-among-members-health-care-team-affects-maternal-morbidity-and-mortality
November 12, 2014 - Commentary
How communication among members of the health care team affects maternal … How Communication Among Members of the Health Care Team Affects Maternal Morbidity and Mortality. … Communication failures in obstetric care can increase risk of harm for the mother and the infant. … How Communication Among Members of the Health Care Team Affects Maternal Morbidity and Mortality. … December 30, 2012
Attitudes toward safety and teamwork in a maternity unit with embedded
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psnet.ahrq.gov/issue/problem-incident-reporting
February 28, 2024 - This commentary discusses weaknesses in health care incident reporting systems that limit their ability … July 21, 2017
Delivering high reliability in maternity care: in situ simulation as a … View More
Related Resources
Transformational improvement in quality care … November 6, 2015
Prevalence and nature of medication administration errors in health care … March 27, 2013
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See More About The Topic
Hospitals
Health Care
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psnet.ahrq.gov/issue/mistakes-we-make-dialysis
April 04, 2018 - Insufficient application of new evidence to inform treatment decisions can hinder safe care delivery … Stroke hospitalization after misdiagnosis of "benign dizziness" is lower in specialty care … of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity … care.
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psnet.ahrq.gov/issue/nursing-care-quality-and-adverse-events-us-hospitals
November 04, 2009 - Nursing care quality and adverse events in US hospitals. … Nursing care quality and adverse events in US hospitals. … January 22, 2016
Missed nursing care in pediatrics. … 12, 2014
Association of clinical nursing work environment with quality and safety in maternity … care in the United States.
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psnet.ahrq.gov/issue/harm-caused-delays-transferring-patients-right-place-care
March 01, 2023 - Book/Report
Harm Caused by Delays in Transferring Patients to the Right Place of Care … Citation Text:
Harm Caused by Delays in Transferring Patients to the Right Place of Care. … April 26, 2023
Care Delivery within Community Mental Health Teams. … November 4, 2020
HSIB Maternity Investigation Programme Year in Review 2021/22. … Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision.
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psnet.ahrq.gov/issue/healthcare-simulation-dictionary-third-edition
January 10, 2024 - Copy Citation
Related Resources From the Same Author(s)
Respectful Maternity … January 10, 2024
Preventable Hospitalizations: A Window Into Primary and Preventive Care … October 26, 2016
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care … August 9, 2023
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI … March 14, 2018
Health Care Simulation to Advance Safety: Responding to Ebola and Other