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psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
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 … care. … care. … care works.
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psnet.ahrq.gov/issue/amid-lack-accountability-bias-maternity-care-california-family-seeks-justice
September 06, 2023 - September 6, 2023
Many people of color worry good health care is tied to their appearance … 13, 2024
Health professionals' experiences of whistleblowing in maternal and newborn healthcare
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psnet.ahrq.gov/periodic-issue/periodic-issue-295
June 30, 2021 - Study
Peer support by interprofessional health care providers in aftermath of patient … Study
Reducing failures in daily medical practice: healthcare failure mode and effect … The authors of this study proposed combining healthcare failure mode and effect analysis (HFMEA) with … Book/Report
Making Healthcare Safe: The Story of the Patient Safety Movement. … System Endowed Chair in Architecture and Health Design.
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psnet.ahrq.gov/web-mm/shake-well
September 01, 2006 - 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 … Medication errors observed in 36 healthcare facilities. … June 1, 2003
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Hospitals
Health … Care Providers
Non-Health Care Professionals
Medicine
Nurse Care
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psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care-home-transitions
July 17, 2024 - August 3, 2017
Healthcare professional and patient codesign and validation of a mechanism … feasibility study
October 9, 2019
Patients' conceptualizations of responsibility for healthcare … January 25, 2023
Disparate perspectives: exploring healthcare professionals' misaligned
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psnet.ahrq.gov/web-mm/making-do
September 05, 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 … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … May 1, 2003
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Operating Room
Health … Care Providers
Non-Health Care Professionals
Gynecology
Surgery
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psnet.ahrq.gov/issue/avoiding-med-wreck-structured-medication-reconciliation-framework-and-standardized-auditing
May 12, 2021 - inform the development of standardized medication reconciliation framework for use across multiple healthcare … , 2020
COVID-19 has united patients and providers against institutional betrayal in health … care: a battle to be heard, believed, and protected. … August 19, 2020
Communication with patients and families regarding health care-associated
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psnet.ahrq.gov/periodic-issue/periodic-issue-427
February 28, 2024 - Why simulation matters: a systematic review on medical errors occurring during simulated health … care. … Int J Qual Health Care . 2024; 36 (1) :mzad116 . … care from emergency medical services: a multi-center cross-sectional study. … care.
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psnet.ahrq.gov/issue/how-nurses-and-physicians-judge-their-own-quality-care-deteriorating-patients-medical-wards
November 20, 2015 - Healthcare professional views on hospital to home care transitions.
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psnet.ahrq.gov/issue/avoidable-sepsis-infections-send-thousands-seniors-gruesome-deaths
March 27, 2019 - September 11, 2018
Maternal and neonatal health care worker well-being and patient safety … April 28, 2010
How American health care killed my father. … 26, 2009
National Priorities and Goals: Aligning Our Efforts to Transform America's Healthcare
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psnet.ahrq.gov/periodic-issue/periodic-issue-380
March 15, 2023 - Study
Association between opioid tapering and subsequent health care use, medication … Study
Association between opioid tapering and subsequent health care use, medication … Study
Health care professionals' perceptions of unprofessional behaviour in the … This study describes the frequency and types of unprofessional behavior among health care professionals … Study
Race differences in a malpractice event database in a large healthcare system
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psnet.ahrq.gov/web-mm/consequences-medical-overuse
May 05, 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 … Morgan, MD, MS Hospital Epidemiologist VA Maryland Healthcare System Associate Professor University … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … January 23, 2017
Diagnostic stewardship to improve patient outcomes and healthcare-associated
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psnet.ahrq.gov/web-mm/supervision-and-entrustment-clinical-training-protecting-patients-protecting-trainees
February 22, 2017 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … clinical supervision: The provision of guidance and support in learning and working effectively in health … care by observing and directing the execution of tasks or activities and making certain that everything … supervision can be defined as: The provision of guidance and support in learning and working effectively in health … care by observing and directing the execution of tasks or activities and making certain that everything
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psnet.ahrq.gov/issue/resident-and-family-engagement-medication-management-aged-care-facilities-systematic-review
August 11, 2021 - March 3, 2019
The preventable proportion of healthcare-associated infections 2005-2016
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psnet.ahrq.gov/issue/6-year-thematic-review-reported-incidents-associated-cardiopulmonary-resuscitation-calls
June 15, 2022 - September 14, 2022
Support for healthcare professionals after surgical patient safety
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psnet.ahrq.gov/issue/discrepancies-between-home-interviews-and-electronic-medical-records-regularly-used-drugs
May 25, 2022 - equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare … polypharmacy--a qualitative study using focus group interviews with older patients, their relatives, and healthcare … February 13, 2008
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Home Care
Health … Care Providers
Geriatrics
Pharmacy
Medication Safety
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psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling
February 01, 2019 - They occur in all healthcare settings and by providers at all experience levels. … Perspective
The Second Victim Phenomenon: A Harsh Reality of Health … Care Professions
May 1, 2011
WebM&M Cases … View More
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Outpatient Surgery
Operating Room
Health … Care Providers
Quality and Safety Professionals
Anesthesiology
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psnet.ahrq.gov/issue/theres-no-place-home-integrating-pharmacist-hospital-home-model
November 04, 2020 - polypharmacy--a qualitative study using focus group interviews with older patients, their relatives, and healthcare
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psnet.ahrq.gov/issue/medication-errors-emergency-departments-systematic-review-and-meta-analysis-prevalence-and
April 02, 2014 - A sociocultural perspective on learning from incidents in healthcare organizations.
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psnet.ahrq.gov/issue/40-years-behind-mask-safety-revisited
January 13, 2012 - associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare … delivery network.