AHRQ Search | Home Page

Teamwork Training | PSNet

psnet.ahrq.gov/primer/teamwork-training

September 15, 2024 - Background Providing safe health care depends on highly trained individuals with disparate roles and … While there is no single standardized teamwork training program for health care, all programs stress … care. … The evidence supporting the benefits of such programs in health care is growing. … However, teamwork training is not required for other health care facilities.

Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. | PSNet

psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing

April 27, 2022 - 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. … Perspective The Second Victim Phenomenon: A Harsh Reality of Health … Care Professions May 1, 2011 WebM&M Cases

AI as an ecosystem — ensuring generative AI is safe and effective. | PSNet

psnet.ahrq.gov/issue/ai-ecosystem-ensuring-generative-ai-safe-and-effective

January 16, 2019 - Related Resources Generative artificial intelligence, patient safety and healthcare … July 10, 2024 Attention among health care professionals : a scoping review. … March 27, 2024 To do no harm - and the most good - with AI in health care.

Surgical complications: disclosing adverse events and medical errors. | PSNet

psnet.ahrq.gov/issue/surgical-complications-disclosing-adverse-events-and-medical-errors

September 23, 2020 - 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. … August 20, 2018 Psychological responses, coping and supporting needs of healthcare professionals … 2012 View More See More About The Topic Operating Room Physicians Health … Care Executives and Administrators Surgery Retained Surgical Instruments and Sponges View

Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-synthesis. | PSNet

psnet.ahrq.gov/issue/barriers-and-facilitators-improving-patient-safety-learning-systems-systematic-review

October 16, 2024 - September 11, 2019 The impact of pharmacists-led medicines reconciliation on healthcare … October 23, 2024 Bad behavior in healthcare: an insidious threat to patients, staff, … Effect of patient safety education interventions on patient safety culture of health … care professionals: systematic review and meta-analysis. … March 1, 2023 Why accountability sharing in health care organizational cultures means

Analysis of paediatric long-term ventilation incidents in the community | PSNet

psnet.ahrq.gov/issue/analysis-paediatric-long-term-ventilation-incidents-community

November 06, 2024 - November 1, 2016 Health-care professionals' views about safety in maternity services: … and Quality's Making Healthcare Safer III Report. … July 15, 2020 Safer healthcare at home: detecting, correcting and learning from incidents … October 19, 2012 View More See More About The Topic Home Care Health … Care Providers Pediatrics Device-Related Complications Epidemiology of Errors and Adverse Events

Acute clinical deterioration and consumer escalation: the understanding and perceptions of hospital staff. | PSNet

psnet.ahrq.gov/issue/acute-clinical-deterioration-and-consumer-escalation-understanding-and-perceptions-hospital

May 11, 2022 - Patient and family engagement is essential for safe healthcare. … May 4, 2022 Pharmacist-led educational interventions provided to healthcare providers … Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare

What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM in healthcare. | PSNet

psnet.ahrq.gov/issue/what-kinds-insights-do-safety-i-and-safety-ii-approaches-provide-critical-reflection-use

February 02, 2022 - A critical reflection on the use of SHERPA and FRAM in healthcare. … A critical reflection on the use of SHERPA and FRAM in healthcare. … A critical reflection on the use of SHERPA and FRAM in healthcare. … December 11, 2024 The burden of healthcare utilization, cost, and mortality associated

The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and misuse. | PSNet

psnet.ahrq.gov/issue/prescription-opioid-crisis-role-anaesthesiologist-reducing-opioid-use-and-misuse

November 16, 2022 - April 24, 2018 Enabling a learning healthcare system with automated computer protocols … August 4, 2021 Seroprevalence of SARS-CoV-2 among frontline health care personnel in

Improving medication appropriateness in nursing homes via structured interprofessional medication-review supported by health information technology: a non-randomized controlled study. | PSNet

psnet.ahrq.gov/issue/improving-medication-appropriateness-nursing-homes-structured-interprofessional-medication

January 27, 2021 - July 29, 2020 Identifying no-harm incidents in home healthcare: a cohort study using

One Bronchoscopy, Two Errors | PSNet

psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors

December 09, 2020 - 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 … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … View More See More About The Topic Intensive Care Units Physicians Nurses Health … Care Executives and Administrators Educators View More

Hard to Swallow | PSNet

psnet.ahrq.gov/web-mm/hard-swallow

April 26, 2023 - care team.( 3 ) However, it is by no means the perfect or only tool for communication. … Risk management handbook for health care organizations. 4th ed. … Making health care safer: a critical analysis of patient safety practices. … Risk management handbook for health care organizations. 4th ed. … Care Providers Health Care Executives and Administrators Risk Managers Information Professionals

Medication error identification rates by pharmacy, medical, and nursing students. | PSNet

psnet.ahrq.gov/issue/medication-error-identification-rates-pharmacy-medical-and-nursing-students

June 02, 2021 - June 2, 2021 HIM functions in healthcare quality and patient safety. … September 3, 2011 Peer training using cognitive rehearsal to promote a culture of safety in health … care.

University of Michigan's Patient Safety Enhancement Program (PSEP). | PSNet

psnet.ahrq.gov/issue/university-michigans-patient-safety-enhancement-program-psep

August 31, 2016 - April 26, 2006 Strategic Alliance For Error Reduction in California Healthcare (SAFER … March 6, 2005 View More See More About The Topic Hospitals Health Care

Unannounced versus announced hospital surveys: a nationwide cluster-randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/unannounced-versus-announced-hospital-surveys-nationwide-cluster-randomized-controlled-trial

September 20, 2023 - Int J Qual Health Care. 2017;29(3):406-411. doi:10.1093/intqhc/mzx039. … Int J Qual Health Care . 2017; 29 (3) :406-411 . … Int J Qual Health Care. 2017;29(3):406-411. doi:10.1093/intqhc/mzx039. … August 28, 2024 Impact of unacceptable behaviour between healthcare workers on clinical … February 22, 2023 National patient safety goal to improve health care equity.

Care Managers Use Software-Aided Medication Review Protocol for Frail, Community-Dwelling Seniors, Leading to More Appropriate Medication Use | PSNet

psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-community-dwelling

September 13, 2023 - Seniors who use home health care services and Medicaid waiver programs (which offer support to frail … Older home health care clients often take multiple medications.  … A model for improving medication use in home health care patients. … Health care bill supports pharmacist-provided medication therapy management. [ Available at ] Date … care.

Causes of use errors in ventilation devices--systematic review. | PSNet

psnet.ahrq.gov/issue/causes-use-errors-ventilation-devices-systematic-review

October 12, 2022 - February 16, 2022 Disparate perspectives: exploring healthcare professionals' misaligned … February 9, 2022 Pharmacist-led educational interventions provided to healthcare providers … May 3, 2023 Home medical device safety tops ECRI'S list of healthcare technology.

Potentially inappropriate medication use in hospitalized elders. | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-hospitalized-elders

February 17, 2011 - November 29, 2009 Seroprevalence of SARS-CoV-2 among frontline health care personnel … May 8, 2017 Enabling a learning healthcare system with automated computer protocols that … February 12, 2020 Impact of pharmacist-provided medication therapy management on healthcare

Building a learning organization. | PSNet

psnet.ahrq.gov/issue/building-learning-organization

June 16, 2011 - June 16, 2011 Enabling a learning healthcare system with automated computer protocols … March 20, 2019 Dissecting communication barriers in healthcare: a path to enhancing communication … October 24, 2018 A learning health care system using computer-aided diagnosis. … December 21, 2008 View More See More About The Topic Health Care Executives

Rapid response teams improve outcomes—Part 1, Part 2, and Part 3. | PSNet

psnet.ahrq.gov/issue/rapid-response-teams-improve-outcomes-part-1-part-2-and-part-3

November 30, 2016 - More Related Resources Advancing Patient Safety: Reviews From the Agency for Healthcare … Research and Quality's Making Healthcare Safer III Report. … January 4, 2012 View More See More About The Topic Hospitals Health … Care Executives and Administrators Medicine Epidemiology of Errors and Adverse Events Rapid

Search AHRQ

Results