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psnet.ahrq.gov/issue/ssssh-handover-protected-medical-handover-optimising-quality-and-prioritising-safety-regional
March 08, 2017 - March 21, 2018
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … December 19, 2018
Enabling a learning healthcare system with automated computer protocols … January 12, 2022
Addressing the health care needs of people who identify as transgender … June 26, 2019
Breast cancer treatment delays by socioeconomic and health care access … January 10, 2007
Creating high reliability in health care organizations.
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psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
March 25, 2020 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … care provider independently verify all drug administrations to every patient. … in anesthesia. 9
Minimizing distractions when drawing up medications
It is very important that health … care providers minimize distractions when drawing up medications when there is no one else present who … Health care practitioners have a duty to report these systemic problems so that they can be remedied.
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psnet.ahrq.gov/node/49497/psn-pdf
December 01, 2005 - Is it poor technical skills and coordination of manual activities on the part of
the health care team … JCAHO issued several recommendations to health care organizations that care for pregnant women and
newborns … 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.
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psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
July 10, 2024 - Amy Helwig: Health plans, like all other stakeholders in health care, are invested in the best care … Hearing directly from consumers themselves and their own lived experiences in the healthcare system will … care organization or health care professional level. … professionals by serving as a bridge linking a patient’s health care services. … care system.
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psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
July 10, 2024 - care organization or health care professional level. … professionals by serving as a bridge linking a patient’s health care services. … Health Care Manag . 2005;24(3):245-256. doi:10.1097/00126450-200507000-00009 Yount, N., Zebrak, K. … Hearing directly from consumers themselves and their own lived experiences in the healthcare system will … care system.
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psnet.ahrq.gov/periodic-issue/periodic-issue-388
April 26, 2023 - The COVID-19 pandemic resulted in many changes to the delivery of healthcare. … BMJ Health Care Inform . 2023;30(1):e100653. … The COVID-19 pandemic resulted in many changes to the delivery of healthcare. … Review
Economic evaluations of interventions to prevent and control health-care-associated … Health care-associated infections continue to be one of the most common health care-related complications
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psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
February 26, 2025 - Albert Wu : The term came from the recognition that when a patient is seriously injured by health care … A second victim is the health care provider involved in the incident who feels in some way responsible … AW : I think that there are two ways that health care workers are traumatized. … We need to have policies and procedures for handling health care workers as well. … Care Providers
Organizational Behaviorists
Mental Health Care (Psychiatry and Clinical Psychology
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psnet.ahrq.gov/web-mm/transfusion-overload
September 23, 2020 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Related Resources From the Same Author(s)
Seroprevalence of SARS-CoV-2 among frontline health … care personnel in a multistate hospital network--13 academic medical centers, April-June 2020. … May 1, 2004
View More
See More About The Topic
Hospitals
Health … Care Providers
Cardiology
Hematology
Transfusion Complications
View More
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psnet.ahrq.gov/node/72693/psn-pdf
January 29, 2021 - care provider independently verify all drug administrations to
every patient. … outcomes in anesthesia.9
Minimizing distractions when drawing up medications
It is very important that health … care providers minimize distractions when drawing up medications when
there is no one else present … Health care practitioners have a duty to report these systemic problems so that
they can be remedied … Newsletter
1987;2(4)
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
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psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
March 01, 2011 - The recommendations were designed to be applicable across settings (community and academic), health care … Qual Saf Health Care. 2005;14:401-407. [go to PubMed]
3. … Our culture in health care is very different from those other industries that have adopted some effective … So health care is a more complex environment, and it's sometimes harder to adapt to those strategies. … January 25, 2017
Effect of pharmacist counseling intervention on health care utilization
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psnet.ahrq.gov/node/841305/psn-pdf
January 27, 2023 - Ellen Deutsch: About 10 years ago, I was privileged to attend one of the early Resilient Health Care … Ellen Deutsch: Resilient healthcare is an approach to healthcare delivery that strives to provide the … To begin to understand how healthcare is provided, you can conceptualize
healthcare delivery as a linear … of the
complexity of healthcare systems. … assets and not as the problem in healthcare delivery.
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psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
January 01, 2015 - Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care
Paul … Introduction
Virginia Mason Medical Center is a nonprofit regional health care system in the Seattle … Standard work is a particularly troublesome concept to many health care professionals. … We're well past the point where people can say Lean does not work in health care. … Care Providers
Health Care Executives and Administrators
Policy Makers
Gynecology
View
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psnet.ahrq.gov/node/49407/psn-pdf
July 01, 2003 - This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research
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psnet.ahrq.gov/node/33841/psn-pdf
September 01, 2017 - RW: What's the business failure that prevents digital health care from being as high quality or as safe … Google, Amazon, credit bureaus, they all know more about us at times than our health care system does … Nursing will
be of increasing importance, and they are the largest health care workforce we have, especially … there was a large smattering of federal folks: FDA [Food and Drug
Administration], AHRQ [Agency for Healthcare
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psnet.ahrq.gov/node/860050/psn-pdf
January 04, 2024 - Health care organizations that are unable to maintain expertise in recognizing NAT and other
manifestations … [Available at]
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
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psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph
December 01, 2012 - Certain ways that our health care system is structured are not amenable to good patient health. … care system about $40 billion per year. … care systems to appreciate the frequency of delirium in ICU patients and the important short- and long-term … Institute for Healthcare Improvement. … Care Providers
Geriatrics
Neurology
Diagnostic Errors
View More
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psnet.ahrq.gov/node/49771/psn-pdf
July 01, 2016 - Research has shown that poor usability can lead to adverse
events in health care. … Handbook of Human Factors and Ergonomics in Health Care
and Patient Safety. 2nd ed. … Health Information Management: Integrating Information Technology in Health Care Work. … Unintended consequences of information technologies in health
care—an interactive sociotechnical analysis … Improvement, trust, and the healthcare workforce. Qual Saf Health Care 2003;12:448-
452.
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psnet.ahrq.gov/web-mm/hyperbilirubinemia-refractory-phototherapy
March 01, 2006 - how the application of financial structures to safety and quality can drive accountability in a large health … care system. … March 24, 2017
Enabling a learning healthcare system with automated computer protocols … June 1, 2003
View More
See More About The Topic
Hospitals
Health … Care Providers
Facility and Group Administrators
Engineers
Neonatology and Intensive Care
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psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
August 01, 2006 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … 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.
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psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
December 01, 2012 - care systems to appreciate the frequency of delirium in ICU patients and the important short- and long-term … Certain ways that our health care system is structured are not amenable to good patient health. … care system about $40 billion per year. … March 11, 2013
Enabling a learning healthcare system with automated computer protocols … Inouye, MD, MPH
December 1, 2012
Creating high reliability in health care organizations