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psnet.ahrq.gov/node/33574/psn-pdf
March 15, 2025 - Ambulatory Care Safety
March 15, 2025
Ambulatory Care Safety. PSNet [internet]. 2019. … Poorly handled care transitions (e.g., when a patient is discharged from the hospital or
when care is … 4.5 million
ambulatory care visits occur every year due to adverse drug events. … quality of care. … https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/working-conditions-primary-care-physician-reactions-and-care-quality
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psnet.ahrq.gov/issue/achieving-dialysis-safety-critical-role-higher-functioning-teams
August 04, 2021 - This commentary outlines a team-based approach to improving safety in dialysis care . … December 14, 2016
The impact of implementation of family-initiated escalation of care … Barriers and facilitators to implementing a process to enable parent escalation of care … December 21, 2018
Decreasing handoff-related care failures in children's hospitals. … May 28, 2014
Organizational culture, team climate and diabetes care in small office-based
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psnet.ahrq.gov/issue/get-me-out-alive
September 12, 2016 - February 22, 2023
VA Health Care: Selected Credentialing Requirements at Seven Medical … September 28, 2010
VA Health Care: Steps Taken to Improve Practitioner Screening, but … Annual Perspective
Communication During Transitions of Care … 2024
Perspective
Patient Safety in Office-Based Care … Providers
Health Care Executives and Administrators
Non-Health Care Professionals
Patients
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psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-care-coordination-veterans
July 27, 2022 - Book/Report
Comprehensive Healthcare Inspection Summary Report: Evaluation of Care … Citation Text:
Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination … at the Phoenix VA Health Care System in Arizona. … Emergency at the VA Southern Nevada Health Care System in Las Vegas. … September 16, 2015
Quality of Care in Cranial Implant Surgeries at James A.
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psnet.ahrq.gov/issue/stopping-error-cascade-report-ameliorators-asips-collaborative
February 03, 2011 - Qual Saf Health Care. 2007;16(1):12-6. … Qual Saf Health Care . 2007; 16 (1) :12-6 .
View more articles from the same authors. … Qual Saf Health Care. 2007;16(1):12-6. … November 14, 2011
Patient safety climate in primary care: age matters. … Providers
Health Care Executives and Administrators
Family Medicine
Primary Care
View
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psnet.ahrq.gov/node/47064/psn-pdf
August 22, 2018 - Enhanced transparency
regarding those failures can enable informed patient decision-making when choosing care … surgery-clinic-rush-save-joan-riverss-life
https://psnet.ahrq.gov/issue/administrative-issues-ensure-safe-anesthesia-care-office-based-setting
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psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-fiscal-2021
October 12, 2022 - extensive inspection report shares findings from examinations at 45 Veterans Health Administration care … at the Phoenix VA Health Care System in Arizona. … November 29, 2023
Deficiencies in Emergency Department Care for a Patient Who Died by … Louis Health Care System in Missouri. … Emergency at the VA Southern Nevada Health Care System in Las Vegas.
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psnet.ahrq.gov/issue/current-state-diagnostic-safety-implications-research-practice-and-policy
August 07, 2024 - October 26, 2016
Respectful Maternity Care: Dissemination and Implementation of Perinatal … December 10, 2024
Overview of the Environmental Scan of Primary Care-Based Effort To … Resources
Patient safety in actioning and communicating blood test results in primary care … : a UK wide audit using the Primary Care Academic CollaboraTive (PACT).
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psnet.ahrq.gov/issue/patient-safety-geriatrics-call-action
June 29, 2009 - 2024
Perspective
Patient Safety in Office-Based Care … April 27, 2011
Care homes' use of medicines study: prevalence, causes and potential harm … of medication errors in care homes for older people. … October 1, 2010
View More
See More About The Topic
Health Care
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psnet.ahrq.gov/issue/practical-patient-safety
January 29, 2014 - 2024
Perspective
Patient Safety in Office-Based Care … 17, 2006
View More
See More About The Topic
Hospitals
Ambulatory Care … Health Care Providers
Diagnostic Errors
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/issue/risk-safety-and-reliability-special-issue
January 15, 2014 - May 11, 2011
Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn … 2025
Perspective
Patient Safety in Office-Based Care … View More
See More About The Topic
Nurses
Nurse Managers
Nurse Care
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psnet.ahrq.gov/issue/emotional-impact-patient-safety-incidents-family-physicians-and-their-office-staff
December 11, 2013 - June 23, 2010
Operational failures detected by frontline acute care nurses. … June 15, 2011
Incidence, nature and causes of avoidable significant harm in primary care … May 11, 2022
Working conditions in primary care: physician reactions and care quality … October 14, 2009
Patients' perceptions of safety if interpersonal continuity of care … Providers
Organizational Behaviorists
Family Medicine
Primary Care
View More
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psnet.ahrq.gov/issue/indian-health-service-actions-needed-improve-use-data-adverse-events
September 07, 2016 - report highlights weaknesses in the web-based incident reporting system employed to track quality of care … August 15, 2018
VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses … to Augment Patient Care. … March 20, 2024
Quality of Care Concerns and the Facility Response Following a Medical … Emergency at the VA Southern Nevada Health Care System in Las Vegas.
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psnet.ahrq.gov/issue/actions-renew-focus-safety-culture
July 24, 2024 - A strong safety work environment is core to reliable care delivery and staff wellbeing. … Copy Citation
Related Resources From the Same Author(s)
To improve health care … Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care … March 8, 2023
What COVID-19 teaches us about implicit bias in pediatric health care. … Executives and Administrators
Medicine
Nurse Care
View More
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psnet.ahrq.gov/issue/association-provider-specialty-abortion-related-morbidity-and-adverse-events-among-patients
December 16, 2020 - Obstetrics is a considered a high-risk care environment. … March 22, 2023
View More
Related Resources
Care Post-Roe: Documenting … Cases of Poor-quality Care Since the Dobbs Decision.
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psnet.ahrq.gov/issue/are-dental-patients-concerned-about-safety-exploratory-study
December 22, 2021 - July 22, 2020
Communication with patients and families regarding health care-associated … Safety Primers
COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care … December 22, 2021
Developing a patient safety culture in primary dental care.
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psnet.ahrq.gov/issue/receptionist-input-quality-and-safety-repeat-prescribing-uk-general-practice-ethnographic
March 23, 2022 - Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care … October 9, 2024
Drivers of unprofessional behaviour between staff in acute care hospitals … improving practice relationships among clinicians and nonclinicians can improve quality in primary care … Safety climate and its association with office type and team involvement in primary care … May 12, 2015
Coordination Between Emergency and Primary Care Physicians.
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psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan
December 18, 2013 - July 29, 2015
Goals and Priorities for Health Care Organizations to Improve Safety Using … November 30, 2016
Health IT and Patient Safety: Building Safer Systems for Better Care … November 30, 2016
Goals and Priorities for Health Care Organizations to Improve Safety … April 3, 2012
View More
See More About The Topic
Health Care Providers … Health Care Executives and Administrators
Information Professionals
Medicine
Latent Errors
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psnet.ahrq.gov/issue/dod-and-va-health-care-medication-needs-during-transitions-may-not-be-managed-all
December 09, 2020 - Book/Report
DOD and VA Health Care: Medication Needs During Transitions May Not Be … Citation Text:
DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All … Related Resources From the Same Author(s)
Artificial Intelligence in Health Care … : Benefits and Challenges of Technologies to Augment Patient Care. … Health Care Executives and Administrators
Policy Makers
Medicine
Discontinuities, Gaps,
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psnet.ahrq.gov/node/866579/psn-pdf
August 28, 2024 - Instruct the patient on proper wound care, including keeping the bandage
and wound clean and dry. … Clinic carpal tunnel release surgery outcomes and high-value
care. Cureus. 2023;15(7). … Glycemic targets: standards of medical care in diabetes—2021. … Diabetes Care. 2021;44(Supplement_1):S73–S84. [Free full text]
26. Schweitzer TP, Peterson SL. … Expanding the roles of medical assistants: who does
what in primary care?.