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psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - care delivery systems, and diagnostic services such as laboratory, pathology, and radiology. … Little is known about optimal strategies for clinicians and health care systems to receive feedback on … care systems themselves could fully or partially fund improvement projects. … Improving Diagnosis in Health Care. Committee on Diagnostic Error in Health Care. … Improving diagnosis in health care—the next imperative for patient safety.
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psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
November 25, 2020 - Emergency department crowding: the canary in the health care system. NEJM Catalyst. 2021:1-26. … Agency for Healthcare Research and Quality. Published Mar 2020. … care from emergency medical services: a multi-center cross-sectional study. … View More
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Patient Transport
Emergency Departments
Health … Care Executives and Administrators
Allied Health Services
Emergency Medicine
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psnet.ahrq.gov/node/33564/psn-pdf
March 15, 2025 - but it
also vividly illustrates the risks and unintended consequences of digitizing a fundamental health … care
process. … Context
CPOE is recommended by the National Quality Forum as one of the 30 "Safe Practices for Better
Healthcare
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psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
February 26, 2025 - the Center for Artificial Intelligence and Bioinformatics in the Learning Healthcare System. … Sarah Mossburg: You recently published an article, " The Safety of Inpatient Health Care: A Long-Term … Health care needs to be better. It can do better. … Sarah Mossburg: Given changes in health care and our ability to measure adverse events, what data would … Patient safety in primary care: conceptual meanings to the health care team and Patients.
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psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
March 24, 2019 - 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 … Available at ]
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
April 17, 2025 - Two approaches to improving quality in health care are illustrated in this article. … Qual Saf Health Care . 2010; 19 :313-7 . … Int J Qual Health Care . 2014; 26 :321-329 . … Int J Qual Health Care . 2014; 26 (3) :321-329 . … Qual Saf Health Care . 2010; 19 (4) :313-7 .
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psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
October 24, 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 … Pharmacists in the community ensure medication safety similarly to how they would in any healthcare … 2018
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Outpatient Pharmacy
Health … Care Providers
Pharmacists
Community Pharmacy
Medication Safety
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psnet.ahrq.gov/web-mm/signout-fallout
November 16, 2022 - or provision of outdated, erroneous information occurs frequently.( 2 ) Several developments in the health … care system have exacerbated handoff problems, including the increasing complexity of hospitalized patients … Qual Saf Health Care. 2010;19:493-497. [go to PubMed]
3. … 2007
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Intensive Care Units
Health … Care Providers
Critical Care
Discontinuities, Gaps, and Hand-Off Problems
Active Errors
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psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
March 27, 2024 - providers, patients, and families is imperative to reducing preventable harm during this high-risk health … care delivery process. … Family-centered care: current applications and future directions in pediatric health care. … care system with an advanced electronic medical record. … November 16, 2022
Seroprevalence of SARS-CoV-2 among frontline health care personnel
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psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
October 01, 2016 - Health Care Data Science for Quality Improvement and Patient Safety
Alvin Rajkomar, MD | October 1, … Health Care Data Science for Quality Improvement and Patient Safety. PSNet [internet]. … care domain, which requires collaboration with multiple health care professionals. … care–associated infections, for both patients and health care workers. … But if you're trying to understand what's happening over time in our health care system or understand
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psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
March 01, 2014 - If you were in charge of the health care system in the United States would you build in such targets … But in terms of prioritization it will depend on what health care systems can offer. … care system. … system. … Public reporting of health care–associated surveillance data: recommendations from the Healthcare Infection
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psnet.ahrq.gov/web-mm/perils-cross-coverage
September 22, 2010 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Handoff strategies in settings with high consequences for failure: lessons for health care operations … Int J Qual Health Care. 2004;16:125-132. [go to PubMed] 10. … Qual Saf Health Care. 2005;14:401-407. [go to PubMed] 13. … Some unintended consequences of information technology in health care: the nature of patient care information
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psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate
June 24, 2020 - 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. … June 1, 2003
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See More About The Topic
Hospitals
Health … Care Providers
Information Professionals
Nephrology
Pharmacy
View More
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psnet.ahrq.gov/perspective/are-we-safer-today
February 26, 2025 - While AI applications in health care are still in early stages, commentators suggest that AI may help … Patient safety in primary care: conceptual meanings to the health care team and Patients. … the Center for Artificial Intelligence and Bioinformatics in the Learning Healthcare System. … Sarah Mossburg: You recently published an article, " The Safety of Inpatient Health Care: A Long-Term … Health care needs to be better. It can do better.
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psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
December 07, 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 … Another big barrier is that dentists, in general, do not have access to your healthcare data. … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research … May 6, 2020
Factors affecting patient safety culture among dental healthcare workers:
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psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
February 01, 2017 - Health care reform creates new opportunities
Health care reform has brought the importance of quality … care system and showed significant, positive results.( 5 )
Insight 9. … Let's shift to health care. It sounds like health care was not your first gig. … In health care, it's usually even more the case. … I categorize health care delivery as a complex service operation , in contrast to a simple service operation
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psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
March 01, 2014 - care system. … system. … Public reporting of health care–associated surveillance data: recommendations from the Healthcare Infection … If you were in charge of the health care system in the United States would you build in such targets … But in terms of prioritization it will depend on what health care systems can offer.
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psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
July 01, 2017 - Wachter : What got you interested in the confluence between law and health care?
Ms. … Malpractice law is intended to make health care safer. … care provider, much less on fault by an individual health care provider. … The evidence for tort deterrence in health care has always been thin. … It's the health care system dealing with the patient and the patient's attorney.
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psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
March 01, 2017 - care system has reached a crossroads. … Her research focuses on patient safety and health care improvement, health care ethics, and methodological … innovation in studying health care. … Health care systems are not immune to having bad apples. … This is one of the most profound changes we have seen in health care.
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psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - As you have mentioned, it is often espoused in healthcare systems as a value. … There are some processes in health care that we can map out in linear steps. … The hard work of health care transformation. N Engl J Med . 2016;375(8):709-711. … Zero harm in health care. NEJM Catalyst . 2020;1(2). [Available at] Davis DJ. … Care Providers
Health Care Executives and Administrators
Family Members and Caregivers