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psnet.ahrq.gov/issue/organizational-readiness-change-leverage-point-improving-safety-national-nursing-home-survey
August 26, 2020 - of patient safety huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer Healthcare … November 16, 2022
Healthcare-associated adverse events in alternate level of care patients
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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/facilitators-and-barriers-care-transitions-comparing-perspectives-hospital-and-community
July 21, 2021 - Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare … Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare … analyzed incident reports, discharge planning meetings, and focus groups with hospital and community healthcare … The authors recommend that hospital and community healthcare staff perspectives be taken into account … August 10, 2022
Employee silence in health care: charting new avenues for leadership
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psnet.ahrq.gov/issue/operationalizing-occupational-fatigue-pharmacists-exploratory-factor-analysis
March 23, 2022 - Fatigue has been linked to safety-related outcomes among many types of healthcare providers and settings … Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the VA Central Ohio Healthcare … System in Columbus.
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psnet.ahrq.gov/primer/medication-reconciliation
September 07, 2019 - 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
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psnet.ahrq.gov/issue/racism-pain-medicine-we-can-and-should-do-more
December 15, 2008 - Systemic racism in healthcare can threaten patient safety and contribute to heath disparities . … December 15, 2008
Disparate perspectives: exploring healthcare professionals' misaligned … September 8, 2021
Systems thinking for managing COVID-19 in health care systems: seven
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psnet.ahrq.gov/issue/factfinders
February 17, 2021 - Promoting patient and nurse safety: testing a behavioural health intervention in a learning healthcare … system: results of the DEMEANOR pragmatic, cluster, cross-over trial. … January 26, 2022
Healthcare system-wide implementation of opioid-safety guideline recommendations … transitions intervention to ensure patient safety and satisfaction when transferred from hospital to home health … care-a systematic review.
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psnet.ahrq.gov/issue/reporting-improving-how-root-cause-analysis-teams-shape-patient-safety-culture
July 31, 2024 - conducted at one French hospital, examined whether MMCs and EFCs improve patient safety culture among healthcare … clinical errors: associations with socio-demographic, professional, burnout, and mental health factors in healthcare … June 22, 2022
Support for healthcare professionals after surgical patient safety incidents … August 5, 2020
Measuring safety of healthcare: an exercise in futility?
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psnet.ahrq.gov/issue/do-quality-and-safe-care-champions-community-nursing-teams-positively-impact-patients
October 19, 2022 - April 12, 2023
AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety … February 15, 2023
Advancing Patient Safety: Reviews From the Agency for Healthcare Research … and Quality's Making Healthcare Safer III Report. … April 29, 2020
Zero harm in health care.
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psnet.ahrq.gov/issue/care-homes-use-medicines-study-prevalence-causes-and-potential-harm-medication-errors-care
April 22, 2011 - Qual Saf Health Care . 2009; 18 (5) :341-346 . … February 23, 2011
Enabling a learning healthcare system with automated computer protocols … delivery network. … Care System Safer through Implementation and Innovation. … Care Providers
Health Care Executives and Administrators
Geriatrics
Discontinuities, Gaps,
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psnet.ahrq.gov/issue/generative-artificial-intelligence-patient-safety-and-healthcare-quality-review
November 16, 2022 - Generative artificial intelligence, patient safety and healthcare quality: a review. … Generative artificial intelligence, patient safety and healthcare quality: a review. … November 16, 2022
Seroprevalence of SARS-CoV-2 among frontline health care personnel … July 10, 2024
Attention among health care professionals : a scoping review. … April 10, 2024
To do no harm - and the most good - with AI in health care.
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psnet.ahrq.gov/issue/moving-beyond-weekend-effect-how-can-we-best-target-interventions-improve-patient-care
September 09, 2015 - February 9, 2022
Has the COVID pandemic strengthened or weakened health care teams? … May 10, 2023
Defining avoidable healthcare-associated harm in prisons: a mixed-method … More
See More About The Topic
Researchers
Hospitals
Emergency Departments
Health … Care Executives and Administrators
Policy Makers
View More
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psnet.ahrq.gov/issue/clinical-pharmacists-and-inpatient-medical-care-systematic-review
September 09, 2013 - None of the studies demonstrated a worse overall outcome, and only one suggested increased health care … May 8, 2017
Effect of pharmacist counseling intervention on health care utilization following … February 12, 2020
The impact of pharmacists-led medicines reconciliation on healthcare
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psnet.ahrq.gov/issue/systems-approach-patient-centered-care
November 21, 2021 - The authors suggest system-level changes to help health care professionals ensure that they deliver patient-centered … November 21, 2021
Enabling a learning healthcare system with automated computer protocols … care disparities. … September 19, 2016
Toward a safer health care system: the critical need to improve measurement … May 11, 2016
View More
See More About The Topic
Health Care Executives
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psnet.ahrq.gov/issue/risk-propensity-and-safe-medication-administration
December 08, 2010 - January 4, 2006
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … June 9, 2021
Interventions promoting employee "speaking-up" within healthcare workplaces … November 4, 2020
Health care-associated infections among critically ill children in the … Care. … care.
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psnet.ahrq.gov/issue/are-online-patient-reviews-associated-health-care-outcomes-systematic-review-literature
September 16, 2020 - Review
Are online patient reviews associated with health care outcomes? … Are online patient reviews associated with health care outcomes? … Are online patient reviews associated with health care outcomes? … care-associated infections: a systematic review. … January 27, 2021
Hospital- and system-wide interventions for health care-associated infections
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psnet.ahrq.gov/issue/vital-signs-epidemiology-sepsis-prevalence-health-care-factors-and-opportunities-prevention
September 23, 2020 - Study
Vital signs: epidemiology of sepsis: prevalence of health care factors and … Vital Signs: Epidemiology of Sepsis: Prevalence of Health Care Factors and Opportunities for Prevention … Investigators found that 72% of patients had exposure to at least one health care factor during the 30 … November 16, 2016
Making health care safer. Think sepsis. Time matters. … July 30, 2014
Health care-associated invasive MRSA infections, 2005-2008.
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psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-reduce-medication-errors-process-drug
August 23, 2017 - Study
Using Healthcare Failure Mode and Effect Analysis to reduce medication errors … Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug … May 11, 2014
Augmenting health care failure modes and effects analysis with simulation … January 27, 2012
View More
See More About The Topic
Hospitals
Health … Care Providers
Health Care Executives and Administrators
General Internal Medicine
Hospital
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psnet.ahrq.gov/issue/fixing-patient-safety-are-we-nearly-there-yet
April 14, 2021 - May 1, 2015
View More
Related Resources
Making Healthcare Safer … January 16, 2025
Examining the Impact of Artificial Intelligence (AI) on Healthcare Safety … July 22, 2024
Feeling safe in the context of digitalization in healthcare: a scoping … Making Healthcare Safer IV Series. … August 9, 2023
Issues and complexities in safety culture assessment in healthcare.
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psnet.ahrq.gov/issue/nursing-interventions-reduce-medication-errors-paediatrics-and-neonates-systematic-review-and
November 24, 2021 - January 18, 2023
Pharmacist-led educational interventions provided to healthcare providers … Interventions to reduce medication dispensing, administration, and monitoring errors in pediatric professional healthcare