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The Role of Graduate Medical Education (GME) in Improving Patient Safety | PSNet

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February 01, 2010 - care systems. … Qual Saf Health Care. 2007;16:2-3. [Available at] 9. … that doesn't provide such care. … There will be discussion about the primary care disciplines. … October 28, 2009 I-CaRe: a case review tool focused on improving inpatient care.

A Transformational Effort on Patient Safety. | PSNet

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October 05, 2022 - October 5, 2022 Health IT and Patient Safety: Building Safer Systems for Better Care. … July 5, 2016 Quality and Safety in Women's Health Care. Second Edition. … June 16, 2011 Improving Diagnosis in Health Care. … July 12, 2016 After Roe: Challenges in the Provision of Lifesaving Care. … Ambulatory Clinic or Office Medicine Nurse Care View More

Watch the Warfarin! | PSNet

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December 01, 2013 - A week later, in routine laboratory testing with his primary care doctor, he was found to have an INR … Unfortunately, this required multiple visits to the primary care doctor's office for blood tests. … She asked the primary care doctor, "Is this the only way to manage his blood thinners? … outpatient settings to improve the safe use of warfarin within a health care system. … Providers Quality and Safety Professionals Primary Care View More

Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. | PSNet

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June 22, 2022 - Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care … scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care … 2, 2022 Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care … Perspectives on Safety Virtual Nursing: Improving Patient Care … An initiative to improve the management of clinically significant test results in a large health care

Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care | PSNet

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June 01, 2003 - There was only one patient care assistant scheduled on this weekend shift. … The practicing nurse needs to focus on the care of patients. … Over time, if overcrowding in any venue of care persists, all care providers become overtaxed and anxious … In: Measuring the Quality of Care. Willis LD, Linwood ME, eds. … in the neonatal intensive care unit.

Unlocking the potential of free text in electronic health records with large language models (LLM): enhancing patient safety and consultation interactions. | PSNet

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October 01, 2014 - Detailed free-text information is collected and recorded in the EHR during primary care consultations … LLMs can process free-text information to improve patient care, identify potential issues, and enhance … Clinician perspectives on implementation of crisis standards of care. … November 20, 2024 Electronic health record nudges and health care quality and outcomes … in primary care: a systematic review.

Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety. | PSNet

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November 18, 2011 - From IHI , this guide provides eight steps for senior health care leaders to help their organizations … Related Resources From the Same Author(s) Improving the Reliability of Health Care … 2011 Seven Leadership Leverage Points for Organization-Level Improvement in Health Care … November 5, 2015 A Framework for Safe, Reliable, and Effective Care. … October 20, 2023 Improving Diagnosis in Health Care.

Classification of patient-safety incidents in primary care. | PSNet

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October 12, 2016 - Classification of patient-safety incidents in primary care. … In this study, researchers describe how they adapted the system to primary care. … Classification of patient-safety incidents in primary care. … care: mixed methods analysis of national safety reports. … Health Care Providers Health Care Executives and Administrators Primary Care Medication Safety

Information exchange among physicians caring for the same patient in the community. | PSNet

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March 28, 2011 - Significant attention to gaps in the continuity of care has led to past research focused on hospital … A past AHRQ WebM&M perspective discussed care transitions associated with hospital discharge. … physicians: implications for patient safety and continuity of care. … March 3, 2010 Patient safety climate in primary care: age matters. … Providers Health Care Executives and Administrators Family Medicine View More

HSIB Maternity Investigation Programme Year in Review 2021/22. Summary of Highlights, Themes and Future Work. | PSNet

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September 14, 2022 - This report summarizes the work of an independent office that examines maternity care safety lapses … review of 706 investigations in the period covered which include clinical assessment and oversight, care … February 3, 2021 View More Related Resources Care Post-Roe: Documenting … Cases of Poor-quality Care Since the Dobbs Decision.

ISMP List of High-Alert Medications in Community/Ambulatory Healthcare. | PSNet

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December 15, 2021 - This fact sheet provides a list of high-alert medications commonly used in ambulatory care and recommends … May 11, 2017 ISMP's List of High-Alert Medications in Acute Care Settings. … July 20, 2011 Using nurses and office staff to report prescribing errors in primary care … August 27, 2008 View More See More About The Topic Ambulatory Care … Health Care Providers Family Medicine Primary Care General Internal Medicine View More

What went right: lessons for the intensivist from the crew of US Airways Flight 1549. | PSNet

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February 23, 2009 - This commentary highlights how a culture of safety and teamwork can avert failure in health care … Download Citation Related Resources From the Same Author(s) Critical care … Towards understanding and improving medication safety for patients with mental illness in primary care … September 1, 2003 View More See More About The Topic Intensive Care … Units Health Care Providers Risk Managers Quality and Safety Professionals Critical Care

Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. | PSNet

psnet.ahrq.gov/issue/cost-inpatient-falls-and-cost-benefit-analysis-implementation-evidence-based-fall-prevention

December 02, 2020 - in the use of real-time electronic clinical data to improve the safety and reliability of their own care … pharmacist email alerts on concurrent prescribing of opioids and benzodiazepines by prescribers and primary care … Daily Huddles January 29, 2020 Understanding facilitators and barriers to care … An initiative to improve the management of clinically significant test results in a large health care … More See More About The Topic Hospitals Ambulatory Clinic or Office Health Care

Technology-based closed-loop tracking for improving communication and follow-up of pathology results. | PSNet

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May 25, 2022 - scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care … Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care … guidelines for timeliness of test results communication to patients in the Veterans Affairs health care … May 4, 2022 Measuring the rate of manual transcription error in outpatient point-of-care … 2016 Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care

Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians. | PSNet

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March 11, 2020 - Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care … Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians … While prevention strategies have focused on the acute care setting, equal concern about diagnostic … errors is warranted in primary care practices . … This multicenter study surveyed more than 1000 primary care physicians who reported that more than 5%

Information transfer at hospital discharge: a systematic review. | PSNet

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February 21, 2015 - Prior research has found poor communication between hospital-based and primary care physicians and has … studies assessing the transfer of information at hospital discharge between hospital-based and primary care … From the Same Author(s) Outcome of adverse events and medical errors in the intensive care … Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care … 1, 2020 Annual Perspective Patient Safety in Primary Care

Continuing Education | PSNet

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February 26, 2025 - Additional Filters Back to all filters Approach to Improving Safety Care … Patient Self-Management (2) Practice Guidelines (30) Specialization of Care … (35) Anesthesia Nursing (6) Critical Care Nursing (7) Emergency … (1) Setting of Care Ambulatory Care (32) Ambulatory … Clinic or Office (24) Home Care (4) Outpatient Pharmacy (3)

Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women. | PSNet

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May 18, 2022 - Study Breast cancer treatment delays by socioeconomic and health care access latent … Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White … Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White … June 1, 2022 Seroprevalence of SARS-CoV-2 among frontline health care personnel in a … December 9, 2020 Survey of cancer care providers' attitude toward care for older adults

Resilient actions in the diagnostic process and system performance. | PSNet

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November 13, 2024 - November 13, 2024 Exploring situational awareness in diagnostic errors in primary care … May 12, 2021 Types and origins of diagnostic errors in primary care settings. … August 7, 2019 Exploring situational awareness in diagnostic errors in primary care. … December 9, 2014 Types and origins of diagnostic errors in primary care settings. … October 19, 2012 Diagnostic errors in primary care: lessons learned.

Balancing patient-centered and safe pain care for nonsurgical inpatients: clinical and managerial perspectives. | PSNet

psnet.ahrq.gov/issue/balancing-patient-centered-and-safe-pain-care-nonsurgical-inpatients-clinical-and-managerial

March 12, 2025 - Study Balancing patient-centered and safe pain care for nonsurgical inpatients: clinical … Balancing Patient-Centered and Safe Pain Care for Nonsurgical Inpatients: Clinical and Managerial Perspectives … differences between manager and clinician perceptions of safety culture impact hospital processes of care … evaluation of a comprehensive program designed to detect and address patient-reported breakdowns in care … August 4, 2010 Nurses Transforming Care.

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