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psnet.ahrq.gov/web-mm/refused-medication-error
November 01, 2005 - The following morning, his next-of-kin and health care surrogate provided documentation of the patient's … Nonadherence has been estimated to cost the United States health care system between $100 billion and … First, patient and family engagement is an important component in all health care safety programs.( 12 … Priority Areas for National Action: Transforming Health Care Quality. … Oakbrook Terrace, IL: Joint Commission Center for Transforming Health Care; 2016.
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psnet.ahrq.gov/issue/hospital-medication-errors-cross-sectional-study
September 30, 2020 - Int J Qual Health Care. 2021;33(1):mzaa136. doi:10.1093/intqhc/mzaa136. … Int J Qual Health Care . 2021; 33 (1) :mzaa136 . … Int J Qual Health Care. 2021;33(1):mzaa136. doi:10.1093/intqhc/mzaa136. … August 24, 2022
Pharmacist-led educational interventions provided to healthcare providers
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psnet.ahrq.gov/issue/improving-standardization-paging-communication-using-quality-improvement-methodology
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 6, 2014
Enabling a learning healthcare system with automated computer protocols … View More
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Children's Hospitals
Physicians
Health … Care Executives and Administrators
Information Professionals
Pediatrics
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psnet.ahrq.gov/issue/1300-days-and-counting-risk-model-approach-preventing-retained-foreign-objects-rfos
April 12, 2019 - August 11, 2021
Design and testing of the safety agenda mobile app for managing health … care managers' patient safety responsibilities. … Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare
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psnet.ahrq.gov/issue/mid-staffs-scandal-10-years-inquiry-chair-worries-nhs-staff-too-scared-speak
December 18, 2019 - The Francis report is a primary example of a large-scale examinations of health care system failure … care. … February 5, 2020
Interprofessional model on speaking up behaviour in healthcare professionals … ‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health … care.
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psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
August 05, 2022 - is taking and then using this list to provide correct medications for patients anywhere within the health … care system. 2 Medication discrepancies are unexplained differences among documented regimens across … system. 7 Additionally, older age and a higher number of recorded medications are strongly associated … Care Providers. … Care Providers
Quality and Safety Professionals
Community Pharmacy
View More
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psnet.ahrq.gov/issue/establishing-ambulatory-medicine-quality-and-safety-oversight-structure-leveraging-fractal
July 01, 2017 - physician and a nurse, which established accountability, standards, and best practices across a large health … care system to engage frontline staff in developing and sustaining improvements. … Operating management system for high reliability: leadership, accountability, learning and innovation in healthcare … care system. … May 3, 2017
Creating a high-reliability health care system: improving performance on
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psnet.ahrq.gov/issue/sustaining-reductions-catheter-related-bloodstream-infections-michigan-intensive-care-units
May 25, 2011 - January 15, 2014
Creating high reliability in health care organizations. … catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare … April 1, 2009
View More
See More About The Topic
Intensive Care Units
Health … Care Providers
Quality and Safety Professionals
Critical Care
Infectious Diseases
View
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psnet.ahrq.gov/node/49466/psn-pdf
October 14, 2004 - In: Carroll R,
American Society for Healthcare Risk Management (ASHRM), eds. … Risk management handbook for health
care organizations. 4th ed. … Making health care safer: a critical analysis of
patient safety practices. … Rockville, MD: Agency for Healthcare Research and Quality; 2001: 501-510. … Risk management handbook for health care
organizations. 4th ed.
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psnet.ahrq.gov/issue/patient-safety-implications-wearing-face-mask-prevention-era-covid-19-pandemic-systematic
September 16, 2020 - The COVID-19 pandemic extended face-masking requirements from healthcare providers to the general public … September 15, 2021
Guidance for health care leaders during the recovery stage of the
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psnet.ahrq.gov/issue/australian-hospital-leaders-provision-safe-care-implications-safety-i-and-safety-ii
August 18, 2021 - the Same Author(s)
Broadening the concept of patient safety culture through value-based healthcare … August 18, 2021
Safety-II and the study of healthcare safety routines: two paths forward … April 21, 2021
Moving on after critical incidents in health care: a qualitative study … July 19, 2019
Understanding the healthcare workplace learning culture through safety … July 23, 2008
View More
See More About The Topic
Hospitals
Health Care
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psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
January 31, 2024 - care providers. 3 While this case has some obvious systems failures in terms of adequate nurse staffing … care setting already upset about their health condition. … care provider(s) involved with the patient should have an immediate conversation to discuss the situation … care professionals to remain open-minded and non-judgmental, and to refrain from becoming defensive. … Discharging a patient AMA does not confer any protection against future legal action if the health care
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psnet.ahrq.gov/issue/emedication-monitoring
April 25, 2018 - Copy Citation
Related Resources From the Same Author(s)
Making Health Care … March 6, 2005
Thirty Safe Practices for Better Health Care. … July 10, 2019
Health Care–Associated Infections. … Care System Safer through Implementation and Innovation. … November 7, 2022
AHRQ Health Care Innovations Exchange.
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psnet.ahrq.gov/issue/self-reported-patient-safety-competence-among-new-graduates-medicine-nursing-and-pharmacy
February 14, 2015 - More
Related Resources
Pharmacist-led educational interventions provided to healthcare
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psnet.ahrq.gov/node/49463/psn-pdf
October 14, 2004 - care system.(5) While research on the benefits of CPOE and clinical decision support systems give reason … Joint Commission on Accreditation of Healthcare Organizations Web
Site. … Some unintended consequences of information technology in health care: the
nature of patient care information … Making health care safer: a critical analysis of patient safety practices. … A Health Care Bar Coding System in Action.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?
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psnet.ahrq.gov/print/pdf/node/845971
January 01, 2024 - Int J Qual Health Care. 2024;36:mzae087. … care system. … Health care-associated infections continue to be one of the most common health care-related
complications … Health care-associated infections continue to be one of the most common health care-related
complications … care system.
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psnet.ahrq.gov/node/49802/psn-pdf
August 01, 2017 - In health care, they are frequently used to help remind teams of important safety, team, or
procedural … 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 … [Available at]
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
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psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
January 01, 2024 - from TeamSTEPPSTM, “a systematic approach developed by the Department of Defense and the Agency for Healthcare
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psnet.ahrq.gov/innovation/implementing-watcher-program-improve-timeliness-recognition-deterioration-hospitalized
June 30, 2021 - 2022
Developing strategic recommendations for implementing smart pumps in advanced healthcare … systems to improve intravenous medication safety. … View More
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Hospitals
Children's Hospitals
Health … Care Providers
Quality and Safety Professionals
Pediatrics
View More
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psnet.ahrq.gov/issue/early-prognostic-value-medical-emergency-team-calling-criteria-patients-admitted-intensive
March 24, 2021 - Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare … June 22, 2009
Teamwork and patient safety in dynamic domains of healthcare: a review