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psnet.ahrq.gov/issue/dispensing-errors
December 02, 2020 - December 2, 2020
The safety of health care for ethnic minority patients: a systematic … July 15, 2020
Why do healthcare professionals fail to escalate as per the early warning … August 12, 2020
Identifying no-harm incidents in home healthcare: a cohort study using
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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - 16, 2021
This innovation was identified by the AHRQ PSNet Editorial Team from the AHRQ Health … Care Innovations Exchange . … Qual Saf Health Care. 2004;13 Suppl 1:i96-i104. … Department of Health and Human Services, the Agency for Healthcare Research and Quality, or of the submitter … Care Executives and Administrators
Quality and Safety Professionals
Information Professionals
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psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
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 … must ensure balance, independence and objectivity in all its CME activities to promote improvements in health … care and not proprietary interests of a commercial interest. … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/issue/human-right-based-approach-dealing-adverse-events-residential-care-facilities
May 27, 2011 - July 25, 2008
Effect of interventions to improve safety culture on healthcare workers … August 24, 2022
Long-term care healthcare-associated infections in 2021: an analysis
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psnet.ahrq.gov/periodic-issue/periodic-issue-471
December 31, 2024 - Healthcare (Basel) . 2024; 12 (20) :2046 . … Through healthcare and non-healthcare examples, this study aims to identify conditions that influence … Agency for Healthcare Quality and Research . … developed to support patient safety improvement efforts across healthcare systems. … Agency for Healthcare Quality and Research. Fed Register.
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psnet.ahrq.gov/issue/redesigning-morbidity-and-mortality-program-university-affiliated-pediatric-anesthesia
March 27, 2024 - April 12, 2011
Enabling a learning healthcare system with automated computer protocols … June 10, 2009
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See More About The Topic
General Hospitals
Health … Care Providers
Quality and Safety Professionals
Anesthesiology
Pediatrics
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psnet.ahrq.gov/innovation/clinical-pharmacy-specialists-provide-transitional-care-and-improve-medication-safety
October 30, 2024 - systems involving the use of pharmacists and other mid-level providers to administer transitional care … By leveraging the ability of other health care professionals/mid-level providers to practice at the top … Agency for Healthcare Research and Quality. September 7, 2019. … Agency for Healthcare Research and Quality. Hospital readmissions . … Healthcare Cost and Utilization Project (HCUP) Statistical Brief #248.
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psnet.ahrq.gov/node/33854/psn-pdf
March 01, 2018 - "(2) Missed care thus represents a form of health care underuse
which, argues safety expert James Reason … , is the most common cause of quality problems in health care,
more so than overuse or misuse combined … conditions—including staffing levels—are not met,
services are suspended.(13) Such approaches are rare in health … care. … Safer Healthcare: Strategies for the Real World. New York, NY: Springer; 2016.
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psnet.ahrq.gov/issue/national-implementation-project-prevent-catheter-associated-urinary-tract-infection-nursing
April 05, 2017 - October 19, 2022
View More
Related Resources
National Healthcare … January 9, 2024
Long-term care healthcare-associated infections in 2021: an analysis … care providers' perspectives. … August 25, 2010
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See More About The Topic
Long-Term Care
Health … Care Providers
Geriatrics
Infectious Diseases
Indwelling Tubes and Catheters
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psnet.ahrq.gov/node/60977/psn-pdf
January 08, 2020 - It is the responsibility of the healthcare organization to put barriers in place to prevent the
holes … This aids members of the
healthcare team in being sure they are talking about the same drug. … Our healthcare systems could improve standards of practice in
relation to sending prescription orders … by the entire healthcare team to be active partners in their care
because it makes care safer.? … role in their own healthcare.
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psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
September 01, 2012 - In health care, they are frequently used to help remind teams of important safety, team, or procedural … care has led to some confusion regarding whether the checklist is a "tick box" exercise or a method … Surgical safety checklists, like many health care improvement tools, could benefit from regular review … and update to address changing threats, challenges, or opportunities.( 17,18 ) Although the delivery … of health care can never be made completely safe, risks can be appropriately managed through individual
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psnet.ahrq.gov/issue/protocol-safe-use-hazardous-drugs-or
May 13, 2015 - This article describes a protocol developed by one hospital to minimize healthcare workers exposure to … Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health … care.
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psnet.ahrq.gov/issue/criteria-selection-paediatric-patients-susceptible-reconciliation-error
December 12, 2021 - error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health … Care. … May 5, 2021
Development and usability testing of the Agency for Healthcare Research and
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psnet.ahrq.gov/issue/investigating-impact-intensive-care-unit-interruptions-patient-safety-events-and-electronic
October 18, 2023 - August 30, 2023
Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism
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psnet.ahrq.gov/issue/eliminating-central-line-associated-bloodstream-infections-pediatric-oncology-patients
July 19, 2023 - Reducing healthcare-associated infections (HAIs) is a patient safety priority . … August 16, 2023
Building a Culture of Safety in Health Care.
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psnet.ahrq.gov/issue/pediatric-medical-errors-part-1-case-pediatric-drug-overdose-case
April 22, 2020 - September 20, 2023
What do healthcare staff think about the quality and safety of care
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psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-intervention-innovation
July 23, 2024 - system of more than 500 clinics and 16 hospitals in North Carolina. … Disseminating wins from the innovation with stakeholders outside the healthcare system may help garner … Summary
UNC Health is a nonprofit healthcare system of more than 500 clinics and 16 hospitals in North … View More
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Researchers
General Public
Hospitals
Health … Care Providers
Health Care Executives and Administrators
View More
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psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - care provider. … care providers at the bedside. … Health care providers must establish that the NGT is in the correct location before using it and continue … If a patient is agitated, health care providers must assess the potential contributing factors and treat … January 23, 2019
Changes in prevalence of health care-associated infections in U.S. hospitals
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psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
May 01, 2019 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … a Stroke
June 1, 2018
Perspective
How Does Health … Care Simulation Affect Patient Care? … 2004
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See More About The Topic
Emergency Departments
Health … Care Providers
Nurse Managers
Emergency Medicine
Cardiology
View More
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psnet.ahrq.gov/issue/exploring-impact-safety-culture-incident-reporting-lessons-learned-machine-learning-analysis
February 21, 2024 - A critical reflection on the use of SHERPA and FRAM in healthcare. … June 10, 2020
The problem with making Safety-II work in healthcare. … June 19, 2013
Enabling a learning healthcare system with automated computer protocols … associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare … delivery network.