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psnet.ahrq.gov/issue/advancing-maternal-health-equity-and-reducing-maternal-mortality-workshop
May 19, 2021 - , evidence-based practice, and social determinants knowledge integration to enhance the safety of care … May 19, 2021
Implementing High-Quality Primary Care: Rebuilding the Foundation of Health … Care. … September 2, 2015
Crossing the Global Quality Chasm: Improving Health Care Worldwide. … April 20, 2022
A National Trauma Care System: Integrating Military and Civilian Trauma
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psnet.ahrq.gov/issue/primary-care-providers-opening-time-sensitive-alerts-sent-commercial-electronic-health-record
March 17, 2021 - Study
Primary care providers' opening of time-sensitive alerts sent to commercial … Primary Care Providers' Opening of Time-Sensitive Alerts Sent to Commercial Electronic Health Record … This study found that time-sensitive alerts were less likely to be opened by primary care providers … Primary Care Providers' Opening of Time-Sensitive Alerts Sent to Commercial Electronic Health Record … Care Providers
Information Professionals
Primary Care
Alert fatigue
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psnet.ahrq.gov/issue/disciplinary-action-medical-boards-and-prior-behavior-medical-schools
October 19, 2022 - focuses on the role systems play in poor patient outcomes, an ongoing dialogue exists about how health care … Resources From the Same Author(s)
Optimizing Pediatric Patient Safety in the Emergency Care … May 23, 2018
The impact of nursing skill-mix on adverse events in intensive care: a single
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psnet.ahrq.gov/issue/global-patient-safety-action-plan-2021-2030-towards-eliminating-avoidable-harm-health-care
July 14, 2021 - Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable Harm in Health Care … Citation Text:
Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable Harm in Health Care … January 29, 2019
Caring for Those Who Care: Guide for the Development and Implementation … August 24, 2022
Global Burden of Preventable Medication-related Harm in Health Care: … May 25, 2022
Caring for Those Who Care: Guide for the Development and Implementation
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psnet.ahrq.gov/issue/multistep-approach-improving-biopsy-site-identification-dermatology-physician-staff-and
October 12, 2022 - October 12, 2022
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … August 4, 2021
Optimizing Pediatric Patient Safety in the Emergency Care Setting.
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psnet.ahrq.gov/issue/observational-study-evaluate-usability-and-intent-adopt-artificial-intelligence-powered
September 27, 2017 - Related Resources From the Same Author(s)
Surgeon commitment to trauma care … August 24, 2011
Improving medication safety in primary care using electronic health records … 2010
Systematically improving physician assignment during in-hospital transitions of care … May 27, 2009
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Hospitals
Health Care
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psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
August 05, 2022 - However, when the patient returned to his primary care clinic for medication review and renewal, the … Transitions of care (TOC) are a high-risk period for medication-related harm. 3 Systematic reviews … Outpatient clinical pharmacists who are embedded in the primary care clinic often perform medication … Pharmacist-led transitions of care between hospitals, primary care clinics, and community pharmacies. … Pharmacy-supported interventions at transitions of care: an umbrella review.
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psnet.ahrq.gov/issue/improving-medication-safety-primary-care-using-electronic-health-records
April 23, 2008 - Study
Improving medication safety in primary care using electronic health records … Improving medication safety in primary care using electronic health records. … This study used a theoretical model for primary care practice improvement to identify strategies to … Improving medication safety in primary care using electronic health records. … November 17, 2010
Negative behaviours in health care: prevalence and strategies.
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psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools
May 26, 2021 - Int J Qual Health Care. 2021;33(1):mzab046. doi:10.1093/intqhc/mzab046. … Int J Qual Health Care . 2021; 33 (1) :mzab046 . … identified several effective learning tools that can be adapted and used by multidisciplinary health care … Int J Qual Health Care. 2021;33(1):mzab046. doi:10.1093/intqhc/mzab046. … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care.
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psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-intervention-innovation
July 23, 2024 - both in quality scores and measures. 3 The program was implemented across UNC Health’s 92 primary care … UNC Health introduced the screening program in 92 primary care practices in July 2021. 3 UNC Health … consists of leaders from the 92 primary care practices, which provide care to more than 400,000 patients … Teamwork in healthcare: key discoveries enabling safer, high-quality care. … Providers
Health Care Executives and Administrators
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psnet.ahrq.gov/issue/suicide-risk-changing-jobs-or-leaving-nursing-profession-aftermath-patient-safety-incident
July 22, 2020 - September 22, 2021
Peer support by interprofessional health care providers in aftermath … incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care … Differences between professionals' views on patient safety culture in long-term and acute care … March 31, 2022
Building a program of expanded peer support for the entire health care … October 13, 2021
Coping strategies in health care providers as second victims: a systematic
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psnet.ahrq.gov/perspective/equity-patient-safety
September 24, 2024 - Introduction
Safety and equity are among the central components that determine quality of care … Inequitable care is unfair or unjust care received by specific individuals or groups. … Clinician Biases
Clinician biases may impact the safety of care received by historically minoritized … This finding is likely due to care delays in securing an interpreter. … In obstetric and gynecological care, equity and patient safety has been a particular concern.
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psnet.ahrq.gov/issue/transformation-through-collaboration-2018-2019-mha-keystone-center-annual-report
September 26, 2016 - May 24, 2015
High-Performance Work Systems in Health Care Management: Parts 1-5. … July 22, 2013
MHA Person- and Family-Centered Care. … Settings
January 31, 2024
Improving Diagnosis in Health Care. … July 1, 2009
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Hospitals
Health Care … Providers
Health Care Executives and Administrators
Policy Makers
Critical Care
View
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psnet.ahrq.gov/issue/assessment-patient-medication-adherence-medical-record-accuracy-and-medication-blood
April 15, 2019 - of a mass spectrometry assay to identify medication adherence among 1346 patients across 3 different care … consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care … November 1, 2010
Assessing the value of electronic prescribing in ambulatory care … September 2, 2009
WebM&M Cases
Recurrent Hypoglycemia: A Care … See More About The Topic
Emergency Departments
Ambulatory Clinic or Office
Health Care
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psnet.ahrq.gov/issue/influences-physical-layout-and-space-patient-safety-and-communication-ambulatory-oncology
August 25, 2021 - identify and categorise patient-reported breakdowns related to the diagnostic process in ambulatory care … incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care … July 22, 2020
Use and impact of virtual primary care on quality and safety: the public's … Annual Perspective
Communication During Transitions of Care … View More
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Ambulatory Clinic or Office
Non-Health Care
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psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create-customized-prevention
July 23, 2024 - produce a tailored plan of care with each patient. … planning for every patient
Consistent implementation of the tailored care plan across the care team … The poster serves as a communication tool with other members of the patient’s care team. … planning for every patient
Consistent implementation of the tailored care plan across the care team … Fall prevention in acute care hospitals: a randomized trial. JAMA. 2010;304(17):1912-1918.
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psnet.ahrq.gov/issue/stay-connected-faqs-about-small-bore-connectors-and-tubing-misconnections
March 12, 2016 - Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Follow-Up Care … at the Phoenix VA Health Care System in Arizona. … February 12, 2020
An asset-based quality improvement tool for health care organizations … : cultivating organization wide quality improvement and health care professional engagement. … More About The Topic
Outpatient Surgery
Hospitals
Ambulatory Clinic or Office
Health Care
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psnet.ahrq.gov/issue/intensive-care-unit-safety-incidents-medical-versus-surgical-patients-prospective-multicenter
June 29, 2009 - J Crit Care. 2007;22(3):177-83. … J Crit Care. 2007;22(3):177-83. … August 15, 2018
The effect of multidisciplinary care teams on intensive care unit mortality … April 30, 2014
How safe is my intensive care unit? … Health Care Providers
Health Care Executives and Administrators
Critical Care
Medical Complications
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psnet.ahrq.gov/issue/respectful-maternity-care-dissemination-and-implementation-perinatal-safety-culture-improve
June 08, 2011 - Book/Report
Respectful Maternity Care: Dissemination and Implementation of Perinatal … Citation Text:
Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture … The evidence report highlights the importance of respectful maternity care (RMC) as a contributor to … high-quality, safe care in general, and also for marginalized patient populations . … August 16, 2023
Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs
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psnet.ahrq.gov/issue/evaluation-electronic-dosing-calculator-reduce-pediatric-medication-errors
April 24, 2018 - April 24, 2018
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … acceptability of a web-based platform for collective intelligence to improve diagnostic accuracy in primary care