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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201524.html
August 01, 2015 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring.pptx
July 01, 2023 - Situation Monitoring: Severe Hypertension - PowerPoint Presentation
Situation Monitoring
Severe Hypertension
Module 4 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 4 of the SPPC-II Teamwork Toolkit. In this module, we will talk about situation monito…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
May 01, 2003 - Physician Event Reporting: Training the Next Generation of Physicians
353
Physician Event Reporting: Training
the Next Generation of Physicians
Quang-Tuyen Nguyen, Joanna Weinberg, Lee H. Hilborne
Abstract
Physician reporting of adverse events and unsafe situations remains extremely
low, despite the increa…
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/crane.html
August 01, 2017 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state3.html
January 01, 2024 - that improve access to patient information, provide decision support, notify providers of potential medication … errors, and enhance communication and coordination. 167,168
While EHRs have supported the diagnostic
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ce.effectivehealthcare.ahrq.gov/research/findings/studies/index.html
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-creative-strategies-nembhard.pdf
January 01, 2014 - 30 31 32
35 35
0
20
40
60
80
100
GER UK AUS NZ NETH CAN SWIZ FRA SWE NOR US
poor quality: medication … errors, preventable hospital admissions,
mortality, etc.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/daugherty-report.pdf
January 01, 2024 - professionals, the Institute for Safe Medication Practices (ISMP) found intimidation as a
root cause of medication … error: half of the respondents reported feeling pressured into giving a
medication for which they had
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/202201.html
January 01, 2022 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
April 01, 2023 - Patient Safety Primer: Medication Errors
https://psnet.ahrq.gov/primers/primer/23
A growing evidence … Tool
Patient Fall Prevention and Management Protocol With Toileting Program
Patient Safety Primer: Medication … Errors
Patient Safety Primer: Safety Culture
Patient Safety Self-Assessment Tool
Person-Centered Care … Patient Safety Primer: Medication Errors
23. Person-Centered Care
24.
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ce.effectivehealthcare.ahrq.gov/questions/resources/articles.html
November 01, 2020 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module10/10_ts_office_measmt.pptx
January 20, 2006 - Results: Measures
Patient outcome measures
Examples: Complication rates, infection rates, measurable medication … errors, patient experience measures
Clinical process measures
Examples: Length of patient wait time,
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ce.effectivehealthcare.ahrq.gov/health-literacy/improve/pharmacy/guide/train2.html
September 01, 2020 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-slides.pptx
June 01, 2021 - Communication failures were the root cause of the majority of sentinel events
Intimidation can lead to medication … error
Health care professionals reported feeling pressure to give a medication
They could not effectively
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ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/810.html
April 01, 2022 - Effectiveness of pharmacist intervention to reduce medication errors and health-care resources utilization
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Issue Brief 8
Distributed Cognition and the Role
of Nurses in Diagnostic Safety in the
Emergency Department
PATIENT
SAFETY
e
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e
Issue Brief 8
Distributed Cognition and the Rol…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
November 01, 2021 - NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency
Patient Safety and
COVID-19:
A Qualitative Analysis
of Concerns During
the Public Health
Emergency
NPSD Data Spotlight
This document is in the public domain and may b…
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ce.effectivehealthcare.ahrq.gov/research/findings/index.html
August 01, 2023 - Skip to main content
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