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psnet.ahrq.gov/issue/systematic-review-safety-checklists-use-medical-care-teams-acute-hospital-settings-limited
July 29, 2020 - January 11, 2023
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … bedside clinical staff to activate the rapid response system in a multi-campus Australian metropolitan healthcare … June 25, 2009
Evidence review conducted for the Agency for Healthcare Research and Quality
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psnet.ahrq.gov/issue/medication-safety-systems-and-important-role-pharmacists
July 19, 2023 - May 18, 2022
Why do healthcare professionals fail to escalate as per the early warning … February 3, 2011
Making Health Care Safer II: An Updated Critical Analysis of the Evidence … July 18, 2018
The impact of pharmacists-led medicines reconciliation on healthcare outcomes
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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/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
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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/issue/adverse-events-long-term-care-hospitals-national-incidence-among-medicare-beneficiaries
February 15, 2017 - The OIG recommends that patient safety efforts undertaken by the Agency for Healthcare Research and Quality … Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health … Care System. … September 6, 2006
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Long-Term Care
Health … Care Executives and Administrators
Policy Makers
Geriatrics
Medical Complications
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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
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psnet.ahrq.gov/innovations-exchange
May 01, 2021 - It is based on AHRQ’s Health Care Innovations Exchange , which shares many health care innovations, … While available for anyone to search, the Health Care Innovations Exchange has not had new content added … In order to preserve and update some of the patient safety content on the Health Care Innovations Exchange … Professionals
(2)
Health Care Professionals
(1)
Error Types … Patient Safety Innovations
Affordable Housing Community Offers Seniors Onsite Health Care
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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
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Intensive Care Units
Health … Care Providers
Quality and Safety Professionals
Critical Care
Infectious Diseases
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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/situ-simulation-adoption-new-technology-improve-sepsis-care-rural-emergency-departments
November 10, 2021 - Engagement (SCORE) survey: a brief, diagnostic, and actionable metric for the ability to speak up in healthcare … feel safe: psychological safety moderates the relationship between voice and perceived contribution to healthcare
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psnet.ahrq.gov/issue/impact-technological-and-departmental-changes-incident-rates-radiation-oncology-over
February 16, 2022 - 18, 2021
The role of the informal and formal organisation in voice about concerns in healthcare … June 29, 2022
The presence and potential impact of psychological safety in the healthcare … 2019
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Ambulatory Clinic or Office
Health … Care Executives and Administrators
Information Professionals
Medical Oncology
Interventional
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psnet.ahrq.gov/web-mm/wrong-blade-lack-familiarity-pediatric-emergency-equipment
June 01, 2018 - 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 … 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/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
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psnet.ahrq.gov/issue/improving-quality-written-prescriptions-general-hospital-influence-10-years-serial-audits-and
August 24, 2022 - August 24, 2022
CHaMP: A model for building a center to support health care worker well-being … April 5, 2023
Enabling a learning healthcare system with automated computer protocols … August 4, 2021
Trends in healthcare incident reporting and relationship to safety and … April 24, 2018
Making Health Care Safer II: An Updated Critical Analysis of the Evidence
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psnet.ahrq.gov/issue/risk-analysis-method-evaluate-impact-computerized-provider-order-entry-system-patient-safety
September 15, 2021 - Combined proactive risk assessment: unifying proactive and reactive risk assessment techniques in health … care. … June 29, 2022
Healthcare failure mode and effect analysis in the chemotherapy preparation
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psnet.ahrq.gov/issue/clinical-information-transfer-and-medication-reconciliation-patients-transferred-pediatric
September 28, 2010 - September 18, 2019
Evidence review conducted for the Agency for Healthcare Research and
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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?