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psnet.ahrq.gov/node/50611/psn-pdf
October 30, 2019 - the error was identified before any harm occurred, and the
error was investigated and shared in the health … care system in which it occurred. … Brigham and Women's Hospital, Harvard Medical School, Partners HealthCare. … www.ncbi.nlm.nih.gov/pubmed/24862132
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
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psnet.ahrq.gov/issue/teamwork-and-total-quality-management-durable-partnership
September 11, 2019 - November 14, 2018
Creating a high-reliability health care system: improving performance … care personnel. … One health care system's experience. … February 24, 2021
Preventable medication harm across health care settings: a systematic … November 18, 2020
Bracing for the storm: one health care system's planning for the COVID
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psnet.ahrq.gov/issue/use-critical-incident-reports-medical-education-perspective
May 30, 2018 - September 30, 2020
Guidance for health care leaders during the recovery stage of the … February 11, 2009
The Quality in Australian Health Care Study. … January 25, 2023
Implicit racial bias, health care provider attitudes, and perceptions … of health care quality among African American college students in Georgia, USA. … March 16, 2022
Eliminating explicit and implicit biases in health care: evidence and
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psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
February 26, 2025 - BS : At the Patient Safety Center, we work with a lot of different health care systems and many of them … At the same time, I don't think that people who were tweaking and improving processes in health care … had any idea that what started off in one project making life easier for patients and for health care … We need to support our health care workers more directly. … care would be through better self-care among health care workers?
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psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
December 14, 2022 - Curr Probl Pediatr Adolesc Health Care . 2015;45(12):382-389. doi:10.1016/j.cppeds.2015.10.001 … Resilient health care: turning patient safety on its head. … Ellen Deutsch: About 10 years ago, I was privileged to attend one of the early Resilient Health Care … of the complexity of healthcare systems. … Care Providers
Health Care Executives and Administrators
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psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
August 21, 2016 - 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 … Health care organizations that are unable to maintain expertise in recognizing NAT and other manifestations … in the Software
August 21, 2016
Perspective
Health … Care Worker Presenteeism: A Challenge for Patient Safety
October 1, 2017
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psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
May 31, 2023 - 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 … techniques, huddles, or having a formal debrief to go through things were all relatively poorly applied in health … care. … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research
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psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
December 14, 2022 - Ellen Deutsch: About 10 years ago, I was privileged to attend one of the early Resilient Health Care … of the complexity of healthcare systems. … Curr Probl Pediatr Adolesc Health Care . 2015;45(12):382-389. doi:10.1016/j.cppeds.2015.10.001 … Resilient health care: turning patient safety on its head. … Care Providers
Health Care Executives and Administrators
View More
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psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
January 01, 2008 - Inc., the organization for the 6000 physicians employed/affiliated with Partners HealthCare System ( … care system in the United States. … Both also recognized that, in a health care system as large and diverse as AHS, the journey needed to … In a challenging health care environment, replete with financial, operational, and human resource issues … Care Opinion Leaders' Views on the Quality and Safety of Health Care in the United States.
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psnet.ahrq.gov/node/33678/psn-pdf
January 01, 2009 - TG: It's clear that health care workers endorse the concept of disclosure. … But when you talk with
health care workers—and this is what we've found both anecdotally as well as … care
organizations' or health care workers' need to protect themselves from the negative consequences … TG: Health care workers ought to see disclosure as involving at least two phases. … It's important for health care workers to realize that this is a multi-step
process.
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psnet.ahrq.gov/node/33599/psn-pdf
August 30, 2023 - , and it involves interaction between the
individual patient and the health care system, as well as … in making health care decisions. … care systems assume
that all patients are at risk of not understanding medical information, and they … Therefore, health care
providers must integrate a health literacy approach to care in all health care … How health care systems can begin to address
the challenge of limited literacy.
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psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
January 01, 2017 - That is what's different about health care. … Another thing in health care: the reporting is terrible. … has highlighted the risks that patients face when receiving health care. … industry yet never applied to health care. … Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care.
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psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-high-risk
November 13, 2024 - Care Innovations Exchange. … Telepsychiatry: In 2012, began p roviding mental health care and support for substance use disorders … Better quality of health care should be the primary goal and should take precedence over other stakeholder … Centered on the improved quality of health care and patient outcomes, sustainability efforts must merge … Ultrasound in telemedicine: its impact in high-risk obstetric health care delivery.
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psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
April 12, 2023 - 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 … The need for transfer of clinical information across different hospitals or health care systems is an … care.( 20,21 ) Theoretically, telemedicine could alleviate some of the complexities associated with … Care Executives and Administrators
Information Professionals
View More
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psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
October 01, 2004 - 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 … First, patients may have important health care matters neglected when physicians or nurses shift their … October 12, 2022
Transparency and public reporting are essential for a safe health care … system.
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psnet.ahrq.gov/node/865610/psn-pdf
April 24, 2024 - underdeveloped and understudied.3 The Joint Commission identifies suicide within 72 hours of discharge
from a healthcare … The team must consist of members of the healthcare organization who are involved in the
reduction of … ED-SAFE innovation aligns with the Zero Suicide model, an emerging model for suicide prevention in
healthcare … Agency for Healthcare Research and
Quality, Rockville, MD. https://www.hcup-us.ahrq.gov/reports/statbriefs … Health care contacts in the year before suicide death.
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psnet.ahrq.gov/web-mm/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment
January 29, 2021 - 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 … Qual Saf Health Care . 2005;14(3):e3. [ Free full text ]
Gavel G, Walker RWM. … View More
See More About The Topic
Outpatient Surgery
Operating Room
Health … Care Providers
Anesthesiology
Surgery
View More
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psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
January 29, 2021 - As health care providers, we have a responsibility to ensure that the quality of health care is not sacrificed … Use online registers for anesthetic problems
Some health care systems offer online anesthetic problem … This type of online register is useful when a patient receives care in different health care systems … It is very important that all members of the health care team, regardless of their level of experience … care systems.
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psnet.ahrq.gov/node/60362/psn-pdf
April 13, 2018 - Disclaimer
This innovation was identified by the AHRQ PSNet Editorial Team from the AHRQ Health Care … Telepsychiatry: In 2012, began providing mental health care and support for substance use
disorders … Better quality of health care should be the primary goal and should take precedence over other
stakeholder … Centered on the improved quality of health care and patient outcomes, sustainability efforts
must merge … Ultrasound in telemedicine: its impact in high-risk obstetric health care
delivery.
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psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
July 31, 2023 - care. … system to minimize risks associated with transitions of care. … Qual Saf Health Care . 2008;17(3):216-223. [ Free full text ] Panagioti M, Khan K, Keers RN, et al. … The safety of inpatient health care. … Care Providers
Medicine
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