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psnet.ahrq.gov/node/49408/psn-pdf
July 01, 2003 - wrong site, wrong person, or wrong procedure surgery.(2)
The Joint Commission on Accreditation of Healthcare … Joint Commission on Accreditation of Healthcare Organizations. … Qual Saf Health
Care. 2002;11:40-4.[ go to PubMed ]
17. Wald H and Shojania KG. … Making health care safer: a critical analysis of patient safety practices. … Wireless computing and health care. J Med Pract Manage. 2003;18:250-5.[ go to PubMed ]
19.
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psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
August 01, 2018 - care simulation programs have spread to many parts of the United States health care system, including … of health care. … Methods Used in Health Care Simulation
Four main methods are used in health care simulation: human … Advocating for Health Care Simulation
We now have been employing simulation in health care for over … care systems to more widely adopt simulation training for safety critical functions.
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psnet.ahrq.gov/node/49723/psn-pdf
January 01, 2015 - care. … Often an important part of a health care professional's job is to monitor critical life signals of patients … care [16,17]). … Achieving this requires open and
transparent communication between the health care teams, ongoing education … [Available at]
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … One strategy to aid healthcare professionals in achieving important clinical interventions is to use … Healthcare systems and providers should use multi-layered education to inform patients about appropriate … naloxone use. 14,15
Individual providers and healthcare systems need to do a better job of identifying
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psnet.ahrq.gov/web-mm/translating-normal-abnormal
October 02, 2019 - Discuss the current role of machine translation systems in health care settings. … Describe the limitations of machine translation system use in health care. … Federal policies require that health care organizations that receive federal funding take reasonable … It is the responsibility of the health care system to ensure that adequate communication occurs between … health care providers and patients with limited English proficiency.
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psnet.ahrq.gov/periodic-issue/periodic-issue-333
March 31, 2022 - Burnout in healthcare providers has been linked to lower patient safety and increased adverse events. … Study
Internet of things in healthcare for patient safety: an empirical study. … Burnout in healthcare providers has been linked to lower patient safety and increased adverse events. … Patient suicide is a reoccurring sentinel event that is a challenge for the veteran’s health care community … Staff March 31, 2022
A psychologically safe environment for healthcare teams is desirable for
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psnet.ahrq.gov/web-mm/privacy-or-safety
December 01, 2011 - care system create new opportunities for health data sharing and may impose greater risks. … care system—is considered research, and the patient's prior consent is needed unless a Privacy Board … care delivery systems should consult with their privacy officer, seek counsel, or review guidance from … Paving the regulatory road to the "learning health care system." … Care Providers
Health Care Executives and Administrators
Information Professionals
Neurology
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psnet.ahrq.gov/web-mm/bleeding-risk
November 01, 2003 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research … View More
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Hospitals
Long-Term Care
Health … Care Providers
Non-Health Care Professionals
Medicine
View More
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psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
October 31, 2023 - care and not proprietary interests of a commercial interest. … system
System-related errors, which include technological or organizational barriers
Cognitive errors … Finally, all healthcare delivery systems should have systems in place to ensure that all patients receive … Free full text
Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering … Care Providers
Anesthesiology
Primary Care
Clinical Misdiagnosis
View More
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psnet.ahrq.gov/issue/paediatric-adverse-drug-reactions-reported-sweden-1987-2001
June 17, 2014 - incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare
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psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
May 27, 2020 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Latex Allergy
August 31, 2022
Seroprevalence of SARS-CoV-2 among frontline health … care personnel in a multistate hospital network--13 academic medical centers, April-June 2020. … May 29, 2024
Health care-associated infections among critically ill children in
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psnet.ahrq.gov/node/49738/psn-pdf
August 21, 2015 - care system create new opportunities for health data sharing and may impose
greater risks. … care
system—is considered research, and the patient's prior consent is needed unless a Privacy Board … care delivery systems should
consult with their privacy officer, seek counsel, or review guidance from … Paving the regulatory road to the "learning health care system." … onc-ehr-adoption-hospitals-has-tripled-hitech
https://www.stanfordlawreview.org/online/privacy-paradox/learning-health-care-system
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psnet.ahrq.gov/web-mm/forgotten-med
July 01, 2006 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Some unintended consequences of information technology in health care: the nature of patient care information … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … May 23, 2018
Using learning communities to support adoption of health care innovations
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psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
February 26, 2020 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Available at ]
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … August 23, 2023
Patient safety in emergency departments: a problem for health care systems
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psnet.ahrq.gov/node/49604/psn-pdf
June 01, 2010 - Qual Saf Health Care. 2009;18:261-266. [go to PubMed]
3. … Handoff strategies in settings with high
consequences for failure: lessons for health care operations … Int J Qual Health Care. 2004;16:125-132. [go
to PubMed]
4. … Using simulation to teach and study healthcare handoffs. Simul Healthc. 2010;5:191-192. … winter/03_grant.htm
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
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psnet.ahrq.gov/node/850361/psn-pdf
June 14, 2023 - psnet.ahrq.gov//#22
primary care provider might have empowered him to take the initiative for his subsequent health … care. … system to minimize risks associated with transitions of care. … Qual Saf Health Care. 2008;17(3):216-223. [Free full text]
3. … The safety of inpatient health care. N Engl J Med.
2023;388(2):142-153. [Available at]
5.
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psnet.ahrq.gov/web-mm/slippery-slide-life
January 21, 2017 - Is it poor technical skills and coordination of manual activities on the part of the health care team … Historically, health care professionals have trained by engaging in rigorous classroom activities followed … How can health care organizations develop simulation-based training programs? … Patient safety is an important issue at every health care institution in our country. … Methods to educate and train future generations of health care professionals must evolve away from
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psnet.ahrq.gov/node/49468/psn-pdf
December 16, 2004 - In health care, we call these "systems." … Most
systems, even simple ones, operating in health care organizations today fall short of this characterization … The Joint Commission does not operate health care organizations, nor does it design organization
systems … These guideposts, and indeed the accreditation process itself, are intended to help health care
organizations … Indeed, it is the transition to true cultures of safety across all health care organizations that will
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psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
July 19, 2023 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … This tragic case reflects both positives and negatives about our health care system. … June 5, 2024
Enabling a learning healthcare system with automated computer protocols … 2003
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See More About The Topic
Emergency Departments
Health … Care Providers
Emergency Medicine
Mental Health Care (Psychiatry and Clinical Psychology)
Discontinuities
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psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - care meets the real world of patients' everyday lives. … Qual Saf Health Care. 2007;16:127-131. [go to PubMed]
7. Wysowski DK, Governale LA, Swann J. … Qual Saf Health Care. 2004;13(suppl 1):i85-i90. [go to PubMed]
18. … RW : People talked about the lack of teams in health care as being partly we've never had the organizational … When we think about our patient-facing technology, we need to be looking outside of health care to other