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psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-high-risk
November 13, 2024 - Care Innovations Exchange. … Telepsychiatry: In 2012, began p roviding mental health care and support for substance use disorders … Better quality of health care should be the primary goal and should take precedence over other stakeholder … Centered on the improved quality of health care and patient outcomes, sustainability efforts must merge … Ultrasound in telemedicine: its impact in high-risk obstetric health care delivery.
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psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
June 01, 2016 - Meyer is Chief Clinical Officer of Partners Healthcare System, the large Boston-based system that includes … At the end of the day, yes, I want everyone who works in the health care system to have some baseline … RW : When you and the other leaders began thinking about patient safety, the American health care system … Frankly, we're no better, and not a whole lot worse, than anybody else in health care, where health care … care delivery, and then this other world of the undergraduate science campus and the engineering faculty
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psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
March 25, 2020 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … care provider independently verify all drug administrations to every patient. … in anesthesia. 9
Minimizing distractions when drawing up medications
It is very important that health … care providers minimize distractions when drawing up medications when there is no one else present who … Health care practitioners have a duty to report these systemic problems so that they can be remedied.
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psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
October 28, 2020 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Two health care providers noted her tanned skin and inquired about use of tanning salons. … She presented to several health care providers with typical symptoms, physical signs, and early laboratory … See More About The Topic
Hospitals
Emergency Departments
Ambulatory Clinic or Office
Health … Care Providers
Endocrinology
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psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
April 26, 2023 - systems, teams, and workflows. … can be intimidating for healthcare systems to approach and implement. … racial-disparities-health…
https://www.statnews.com/2022/05/24/market-failure-preventing-efficient-diffusion-health-care-ai-software … See More About The Topic
Hospitals
General Hospitals
Emergency Departments
Health … Care Providers
Clinical Technologists
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psnet.ahrq.gov/node/74713/psn-pdf
January 26, 2022 - ensure balance,
independence and objectivity in all its CME activities to promote improvements in health … care and not
proprietary interests of a commercial interest.? … ACCME) defines a commercial interest as “any entity producing, marketing, re-selling, or
distributing health … care goods or services consumed by, or used on patients” and relevant financial
relationships as “financial … [Free full text]
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
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psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
January 01, 2015 - This is true in health care; people will speak up if the system and the culture allow it. … We're well past the point where people can say Lean does not work in health care. … Introduction
Virginia Mason Medical Center is a nonprofit regional health care system in the Seattle … Standard work is a particularly troublesome concept to many health care professionals. … Care Providers
Health Care Executives and Administrators
Policy Makers
Gynecology
View
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psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
February 01, 2010 - care systems. … care system. … Qual Saf Health Care. 2007;16:2-3. [Available at]
9. … The issue of handoffs is present in the health care delivery system independent of the teaching environment … Care Providers
Health Care Executives and Administrators
Educators
Gynecology
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psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
May 31, 2023 - 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 … techniques, huddles, or having a formal debrief to go through things were all relatively poorly applied in health … care. … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research
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psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
November 26, 2019 - system, including hospital stays. 2 The presence of multiple chronic conditions increases this exposure … Int J Qual Health Care . 2013;25(5):542-54. 2. Tsilimingras D, Rosen AK, Berlowitz DR. … Frailty syndrome: Implications and challenges for health care policy. … HW: Numbers 1, 2, and 3 are medications in the healthcare setting! … July 12, 2023
Patient safety in home health care: a grounded theory study.
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psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
March 01, 2007 - Health care organizations are implementing numerous safety improvement techniques, many borrowed from … In health care, errors are seen as character flaws. … To achieve a highly reliable and safer health care system, we need a hospitable soil where the seeds … Qual Saf Health Care. 2006;15:393-399. [go to PubMed] 5. … Care System Learn from the VA's Quality and Safety Transformation?
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psnet.ahrq.gov/perspective/remote-patient-monitoring
March 15, 2023 - of healthcare through electronic communication, or telehealth , has changed greatly since its introduction … Health care: Telehealth and remote patient monitoring use in the Medicare and selected federal programs … At times, patients will want to please their health care provider, and with the pen and paper method … Eventually some of that data could become connected into the healthcare system more tightly. … Care Providers
Health Care Executives and Administrators
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psnet.ahrq.gov/primer/computerized-provider-order-entry
March 15, 2025 - 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 … , but it also vividly illustrates the risks and unintended consequences of digitizing a fundamental health … care process. … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research
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psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia
March 31, 2021 - In 2015, the National Academy of Medicine released “Improving Diagnosis in Health Care”, the report describing … diagnostic error as a “blind spot in health care”, suggesting that most Americans will have suffered … For providers, the healthcare system should better support the diagnostic process, with improved feedback … Langenbecks Arch Surg . 2008;393(2):163-71. [ Free full text ]
Improving Diagnosis in Health Care. … Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine
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psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
September 01, 2006 - care systems. … care systems might learn from. … Many health care systems have already made great strides forward in the complex task of improving patient … Institutional resilience in healthcare systems. Qual Health Care. 2001;10:29-32. … Now some HMOs are like us in that way, and other countries' health care systems run much like the VA.
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psnet.ahrq.gov/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
March 15, 2023 - At times, patients will want to please their health care provider, and with the pen and paper method … Neal Sikka : In 2012, our team was awarded a Health Care Innovation Award by the Centers for Medicare … Eventually some of that data could become connected into the healthcare system more tightly. … of healthcare through electronic communication, or telehealth , has changed greatly since its introduction … Health care: Telehealth and remote patient monitoring use in the Medicare and selected federal programs
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psnet.ahrq.gov/node/860050/psn-pdf
January 04, 2024 - Health care organizations that are unable to maintain expertise in recognizing NAT and other
manifestations … [Available at]
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
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psnet.ahrq.gov/perspective/conversation-heidi-wald-md
November 26, 2019 - system, including hospital stays. 2 The presence of multiple chronic conditions increases this exposure … Int J Qual Health Care . 2013;25(5):542-54. 2. Tsilimingras D, Rosen AK, Berlowitz DR. … Frailty syndrome: Implications and challenges for health care policy. … care transitions. … July 12, 2023
Patient safety in home health care: a grounded theory study.
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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - 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 … patient from one care setting (e.g. hospital, nursing facility, primary care, long-term care, home health … care, or specialist care) to another is termed a “transition of care” by the Centers for Medicare & … The Joint Commission Center for Transforming Healthcare reports that communication breakdowns occur
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psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
September 27, 2023 - 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