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psnet.ahrq.gov/issue/supporting-structures-team-situation-awareness-and-decision-making-insights-four-delivery
October 13, 2010 - May 21, 2019
Impact of the Agency for Healthcare Research and Quality's Safety Program … April 27, 2019
A qualitative evaluation of healthcare professionals' perceptions of adverse
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psnet.ahrq.gov/issue/factors-influencing-reporting-medication-errors-and-near-misses-among-nurses-systematic-mixed
April 23, 2014 - August 16, 2023
An integrative systematic review of employee silence and voice in healthcare … Individual characteristics that promote or prevent psychological safety and error reporting in healthcare
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www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
January 01, 2024 - Number: 7P20HS017111-02
This project was supported by grant number P20HS017111 from the Agency for Healthcare … Aim 3 – Use Healthcare Failure Mode and Effect Analysis (HFMEA) for a medication
management process … Principal Investigator: Hall, Kendall K. 7P20HS017111-02
Aim 3 – Healthcare Failure Mode and Effect … Analysis (HFMEATM)
Medication errors are among the most frequent medical errors identified in healthcare … Aim 3 – Healthcare Failure Mode and Effect Analysis (HFMEATM)
Step 1: Define the Process and Scope of
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psnet.ahrq.gov/issue/optimizing-patient-safety-clinical-trials-improving-transitions-care
October 16, 2024 - This lack of care coordination between clinical trial and healthcare settings should be targeted to improve … November 4, 2020
The impact of pharmacists-led medicines reconciliation on healthcare … July 14, 2021
Better understanding the downsides of low value healthcare could reduce
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psnet.ahrq.gov/issue/role-organizational-and-professional-cultures-medication-safety-scoping-review-literature
February 12, 2020 - Int J Health Care Qual. 2019;31(10):g146-g157. doi:10.1093/intqhc/mzz111. … Int J Health Care Qual . 2019; 31 (10) :g146-g157 . … Int J Health Care Qual. 2019;31(10):g146-g157. doi:10.1093/intqhc/mzz111. … reliability organizations: a systematic review of learning tools that could be adapted and used in healthcare … August 18, 2021
Coping strategies in health care providers as second victims: a systematic
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/role-play.html
May 01, 2017 - Review the National Healthcare Safety Network CAUTI criteria pocket cards.
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psnet.ahrq.gov/issue/learning-mistakes-and-near-mistakes-using-root-cause-analysis-risk-management-tool
June 19, 2024 - February 1, 2023
Requirements for implementing a 'just culture' within healthcare organisations
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www.ahrq.gov/research/findings/studies/index.html?page=69
January 01, 2024 - The University of Florida Child Health Quality (CHeQ) initiative, funded by the Agency for Health Care … The purpose of the study was to compare Children and Youth with Special Health Care Needs (CYSHCN) with … Having one or greater ACEs increased the likelihood of having unmet mental health care needs. … Systems of care among children and youth with special health care needs with and without adverse childhood … Keywords: Children/Adolescents, Disabilities, Healthcare Delivery, Vulnerable Populations
Sharara
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psnet.ahrq.gov/web-mm/empty-handoff
August 01, 2017 - Qual Saf Health Care. 2010;19:493-497. [go to PubMed]
7. Manser T. … Qual Saf Health Care. 2010;19:e44. [go to PubMed]
9. Catchpole KR, de Leval MR, McEwan A, et al. … 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]
12. Patterson ES. … Qual Saf Health Care. 2008;17:4-5. [go to PubMed]
13.
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pcmh.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy2/index.html
December 01, 2017 - care, it can lead to measurable improvements in safety and quality. … To promote stronger engagement, Agency for Healthcare Research and Quality developed the Guide to Patient … care staff know which friends and family members should be involved in their care. … Care Team -- Handout that gives information on the different members of the health care team: The patient … Agency for Healthcare Research and Quality, Rockville, MD.
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pbrn.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy2/index.html
December 01, 2017 - care, it can lead to measurable improvements in safety and quality. … To promote stronger engagement, Agency for Healthcare Research and Quality developed the Guide to Patient … care staff know which friends and family members should be involved in their care. … Care Team -- Handout that gives information on the different members of the health care team: The patient … Agency for Healthcare Research and Quality, Rockville, MD.
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www.ahrq.gov/news/newsroom/case-studies/ockt1001.html
October 01, 2014 - Kauffman, PhD, PT, says, "I find this publication invaluable as a diverse collection of pertinent health … care and societal issues.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdf
March 01, 2020 - Making Healthcare Safer Practices: 12. Infusion Pumps
Infusion Pumps 12-1
12. … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … New/Different Since the Last Report
The infusion pump was included as a new topic in the 2013 Making Health … Care Safer II report. … The mixed blessings of smart infusion devices and health
care it.
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psnet.ahrq.gov/issue/sbar-improves-communication-and-safety-climate-and-decreases-incident-reports-due
June 01, 2016 - November 16, 2022
Feeling safe in the context of digitalization in healthcare: a scoping … October 23, 2013
Beyond communication: the role of standardized protocols in a changing health … care environment. … August 9, 2007
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See More About The Topic
Hospitals
Health … Care Providers
Quality and Safety Professionals
Organizational Behaviorists
Anesthesiology
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17111-Hall-report.pdf
September 01, 2007 - Number: 7P20HS017111-02
This project was supported by grant number P20HS017111 from the Agency for Healthcare … Aim 3 – Use Healthcare Failure Mode and Effect Analysis (HFMEA) for a medication
management process … Principal Investigator: Hall, Kendall K. 7P20HS017111-02
Aim 3 – Healthcare Failure Mode and Effect … Analysis (HFMEATM)
Medication errors are among the most frequent medical errors identified in healthcare … Aim 3 – Healthcare Failure Mode and Effect Analysis (HFMEATM)
Step 1: Define the Process and Scope of
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psnet.ahrq.gov/issue/sustaining-innovations-complex-health-care-environments-multiple-case-study-rapid-response
November 03, 2015 - Study
Sustaining innovations in complex health care environments: a multiple-case … Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams … Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams … Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare
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psnet.ahrq.gov/issue/drug-shortages-roundtable-minimizing-impact-patient-care
April 26, 2023 - 2023
An evidence and consensus-based definition of second victim: a strategic topic in healthcare … July 14, 2018
Governing the quality and safety of healthcare: a conceptual framework. … September 29, 2017
The Charter on Professionalism for Health Care Organizations.
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psnet.ahrq.gov/issue/effective-communication-primary-care-providers
October 02, 2019 - February 26, 2014
Patient safety in healthcare preregistration educational curricula: … 2009
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See More About The Topic
Hospitals
Ambulatory Care
Health … Care Providers
Quality and Safety Professionals
Primary Care
View More
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psnet.ahrq.gov/issue/exploring-attitudes-and-opinions-pharmacists-toward-delivering-prescribing-error-feedback
January 16, 2019 - July 14, 2010
Enabling a learning healthcare system with automated computer protocols … June 11, 2010
Making Health Care Safer II: An Updated Critical Analysis of the Evidence … August 31, 2016
'Even now it makes me angry': health care students' professionalism dilemma … October 21, 2010
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See More About The Topic
Health Care Executives
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psnet.ahrq.gov/issue/health-services-under-pressure-scoping-review-and-development-taxonomy-adaptive-strategies
January 22, 2020 - Production pressures in health care can impact the delivery of patient care and threaten patient safety … care settings. … November 1, 2016
Health-care professionals' views about safety in maternity services: … November 6, 2024
The impact of sensory stimuli on healthcare workers and outcomes in … August 23, 2023
Healthcare-associated adverse events in alternate level of care patients