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psnet.ahrq.gov/issue/adverse-events-associated-home-blood-transfusion-retrospective-cohort-study
October 20, 2021 - Safety in home health care delivery is receiving increasing attention . … September 14, 2022
Exploring nursing-sensitive events in home healthcare: a national … collaboratives
February 26, 2020
Oral chemotherapy: a home safety educational framework for healthcare
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psnet.ahrq.gov/periodic-issue/periodic-issue-417
November 29, 2023 - Int J Qual Health Care . 2023; 35 :mzad086 . … Book/Report
Advancing Diagnostic Excellence for Maternal Health Care: Proceedings … Maternal health care is rapidly emerging as a high-risk service that is vulnerable to communication, … Health care organizations require a systems approach to address patient safety challenges and sustain … This session will feature three health care executives who will discuss how to align quality and safety
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psnet.ahrq.gov/issue/assessment-nursing-home-reporting-major-injury-falls-quality-measurement-nursing-home-compare
August 24, 2022 - March 1, 2023
Healthcare-associated adverse events in alternate level of care patients … March 10, 2021
Unintended consequences of health care reform: impact of changes in payor
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psnet.ahrq.gov/issue/learning-excellence-healthcare-new-approach-incident-reporting
August 31, 2022 - Learning from excellence in healthcare: a new approach to incident reporting. … Learning in health care can be motivated by seeing and building on the success of others. … Learning from excellence in healthcare: a new approach to incident reporting. … 16, 2008
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Intensive Care Units
Health … Care Providers
Critical Care
Epidemiology of Errors and Adverse Events
Error Reporting
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psnet.ahrq.gov/issue/moral-distress-intensive-care-unit-personnel-not-consistently-associated-adverse-medication
November 02, 2010 - January 12, 2022
Enabling a learning healthcare system with automated computer protocols … , 2007
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General Hospitals
Health … Care Providers
Critical Care
Critical Care Nursing
Medication Errors/Preventable Adverse Drug
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psnet.ahrq.gov/issue/pharmacist-participation-physician-rounds-and-adverse-drug-events-intensive-care-unit
February 10, 2011 - December 23, 2008
Seroprevalence of SARS-CoV-2 among frontline health care personnel … delivery network. … July 19, 2023
Enabling a learning healthcare system with automated computer protocols … 21, 2010
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Intensive Care Units
Health … Care Providers
Critical Care
Pharmacy
Medication Errors/Preventable Adverse Drug Events
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psnet.ahrq.gov/issue/partnered-pharmacist-charting-admission-general-medical-and-emergency-short-stay-unit-cluster
July 06, 2011 - May 18, 2022
Enabling a learning healthcare system with automated computer protocols … August 4, 2021
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare … delivery network.
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psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
September 01, 2005 - care fields into health care. … What is less good is that it is actually impossible to answer the question "Is the health care system … and improving health care quality and safety. … Notwithstanding any challenges on a day-to-day level about where the health care system stood, he was … Health Care Executives and Administrators
Non-Health Care Professionals
Nurse Staffing Ratios
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psnet.ahrq.gov/issue/tragedy-policy-quantitative-study-nurses-attitudes-toward-patient-advocacy-activities
June 01, 2011 - and Quality
April 26, 2023
CHaMP: A model for building a center to support health … care worker well-being after experiencing an adverse event. … Annual Perspective
Annual Perspective: Psychological Safety of Healthcare
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psnet.ahrq.gov/issue/impact-hospital-wide-hand-hygiene-initiative-healthcare-associated-infections-results
September 20, 2011 - Study
Impact of a hospital-wide hand hygiene initiative on healthcare-associated … Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an … care–associated infections . … September 18, 2024
Microsystems in health care: Part 2. … care facilities.
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psnet.ahrq.gov/issue/designing-and-pilot-testing-leadership-intervention-improve-quality-and-safety-nursing-homes
April 29, 2020 - April 29, 2020
From theory to policy in resilient health care: policy recommendations … and lessons learnt from the Resilience in Healthcare Research Program. … October 9, 2024
Issues and complexities in safety culture assessment in healthcare. … 2008
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Long-Term Care
Home Care
Health … Care Executives and Administrators
Geriatrics
Epidemiology of Errors and Adverse Events
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psnet.ahrq.gov/issue/effect-residential-care-pharmacist-medication-administration-practices-aged-care-controlled
August 31, 2016 - March 15, 2023
Understanding safer practices in health care: a prologue for the role … December 13, 2017
Impact of pharmacist-provided medication therapy management on healthcare
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psnet.ahrq.gov/issue/pediatric-quality-and-safety-nursing-perspective
February 15, 2017 - Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and health … care expenditures. … August 14, 2024
Generative artificial intelligence, patient safety and healthcare quality
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psnet.ahrq.gov/issue/new-index-obstetrics-safety-and-quality-care-integrating-cesarean-delivery-rates-maternal-and
March 16, 2022 - September 22, 2021
Pharmacist-led educational interventions provided to healthcare providers … September 23, 2020
The psychological experience of obstetric patients and health care
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psnet.ahrq.gov/issue/improving-medication-reconciliation-comprehensive-evaluation-veterans-affairs-skilled-nursing
May 19, 2021 - By using Healthcare Failure Mode and Effect Analysis (FMEA), researchers uncovered several factors … April 20, 2022
Communication with health care workers regarding health care-associated
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psnet.ahrq.gov/print/pdf/node/74279
January 01, 2022 - National Healthcare Safety Network. … in the incidence of healthcare-associated infections from 2019 to 2020. … The COVID-19 pandemic has disrupted many aspects of health care delivery, including how hospitals
prevent … diagnosis-physical-and-mental-health-conditions-primary-care-during-covid-19-pandemic
The COVID-19 pandemic has led to patients delaying or forgoing necessary health … care, which can
contribute to diagnostic and treatment delays.
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psnet.ahrq.gov/issue/statement-prevention-retained-foreign-bodies-after-surgery
October 15, 2018 - Preventing Patient Falls: A Systematic Approach From the Joint Commission Center for Transforming Healthcare
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psnet.ahrq.gov/node/60242/psn-pdf
March 01, 2021 - care system (Wishard Health Services
now called Eskenazi Health) serving many medically indigent patients … care system to realize cost savings through the implementation of the GRACE
program. … To date, the GRACE program has been
successfully implemented within 26 health care systems other than … Medical Center: Impact on Health Care Utilization and Quality
of Life. … +Care+Model+at+an+Academic+Medical+Center%3A+Impact+on+Health+Care+Utilization+and+Quality+of+Life
https
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psnet.ahrq.gov/issue/review-incidents-related-health-information-technology-swedish-healthcare-characterise-system
December 20, 2023 - Study
A review of incidents related to health information technology in Swedish healthcare … A review of incidents related to health information technology in Swedish healthcare to characterise … analysis, researchers explored factors contributing to HIT-related patient safety incidents in Swedish healthcare … A review of incidents related to health information technology in Swedish healthcare to characterise
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psnet.ahrq.gov/primer/medication-reconciliation
March 15, 2025 - 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 … A 2013 systematic review published as part of the AHRQ Making Health Care Safer II report also found … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services