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psnet.ahrq.gov/issue/research-ambulatory-patient-safety-2000-2010-10-year-review
March 11, 2015 - Although traditionally the majority of patient safety efforts have focused on inpatient care, the overwhelming … bulk of health care actually takes place in the ambulatory setting . … Updating a previous report , this publication analyzes efforts to improve patient safety in ambulatory care … March 11, 2015
Reducing the Risk by Designing a Safer, Shame-free Health Care Environment … December 22, 2010
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Ambulatory Care
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psnet.ahrq.gov/issue/mitigating-july-effect
August 05, 2020 - The July effect is a phenomenon that presumably results in poor care due to the annual en masse introduction … authors discuss how a systemic approach is required to situate these practitioners to provide the safest care … Related Resources From the Same Author(s)
Supporting the emotional well-being of health care … June 21, 2023
Roadmap to Health Care Safety for Massachusetts. … February 15, 2023
National patient safety goal to improve health care equity.
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psnet.ahrq.gov/issue/using-electronic-health-records-identify-adverse-drug-events-ambulatory-care-systematic
May 04, 2012 - Review
Using electronic health records to identify adverse drug events in ambulatory care … Using Electronic Health Records to Identify Adverse Drug Events in Ambulatory Care: A Systematic Review … Using Electronic Health Records to Identify Adverse Drug Events in Ambulatory Care: A Systematic Review … February 14, 2017
CHaMP: A model for building a center to support health care worker … 3, 2013
Electronic health record-based surveillance of diagnostic errors in primary care
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psnet.ahrq.gov/issue/automated-detection-wrong-drug-prescribing-errors
April 12, 2017 - September 1, 2016
Personal formularies of primary care physicians across 4 health care … March 23, 2012
Ten principles for more conservative, care-full diagnosis. … 2020
Using electronic health records to identify adverse drug events in ambulatory care … 3, 2013
Electronic health record-based surveillance of diagnostic errors in primary care … More
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Hospitals
Ambulatory Clinic or Office
Health Care
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psnet.ahrq.gov/issue/scaling-pharmacist-led-information-technology-intervention-pincer-reduce-hazardous
December 16, 2020 - dangerous prescribing (i.e., medication monitoring and drug-disease errors ) among a subset of primary care … Same Author(s)
Incidence, nature and causes of avoidable significant harm in primary care … factors that could influence patient acceptability of the use of the PINCER intervention in primary care … factors that could influence patient acceptability of the use of the PINCER intervention in primary care … November 9, 2022
Effect of different interventions to help primary care clinicians avoid
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psnet.ahrq.gov/issue/search-international-multidimensional-action-plan-second-victim-support-narrative-review
February 15, 2023 - that can be provided to healthcare workers after a patient safety incident – (1) prevention, (2) self-care … January 10, 2024
Enhancing safe medication use in home care: insights from informal caregivers … Related Resources
Nurse burnout and patient safety, satisfaction, and quality of care … November 30, 2022
Coping strategies in health care providers as second victims: a systematic … Ambulatory Clinic or Office
Medicine
Nurse Care
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psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned
March 18, 2019 - of autonomy in care, and the current financial incentive systems. … November 23, 2016
Is hospital patient care becoming safer? … February 17, 2011
Journey to no preventable risk: The Baylor Health Care System patient … February 1, 2011
Transformation of health care at the front line. … May 18, 2005
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Hospitals
Health Care
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psnet.ahrq.gov/issue/systems-approach-suicide-prevention-strengthening-culture-practice-and-education
July 10, 2024 - A qualitative study of emotions, triggers, regulation strategies, and effects on patient care. … April 19, 2023
Few hospitals are willing to bear the cost of providing psychiatric care … May 15, 2019
Is it rational to pursue zero suicides among patients in health care? … More
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Hospitals
Ambulatory Clinic or Office
Health Care … Providers
Health Care Executives and Administrators
Quality and Safety Professionals
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psnet.ahrq.gov/issue/understanding-factors-could-influence-patient-acceptability-use-pincer-intervention-primary
May 24, 2023 - factors that could influence patient acceptability of the use of the PINCER intervention in primary care … factors that could influence patient acceptability of the use of the PINCER intervention in primary care … qualitative study explored patients’ perceived acceptability of the PINCER intervention in primary care … be improved through enhanced patient-pharmacist relationships, consistent delivery of PINCER-related care … Providers
Primary Care
Community Pharmacy
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psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events
August 01, 2012 - Diagnostic improvement continues to gain focus as a goal in health care. … measurement strategies , and recommendations for analyzing data and translating findings into front line care … October 23, 2019
Preventable Hospitalizations: A Window Into Primary and Preventive Care … December 24, 2008
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and
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psnet.ahrq.gov/issue/impact-adverse-events-clinicians-whats-name
March 25, 2020 - Author(s)
Errors during resuscitation: the impact of perceived authority on delivery of care … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … May 1, 2019
Health care professionals as second victims after adverse events: a systematic … January 7, 2019
Suffering in silence: medical error and its impact on health care providers … June 28, 2017
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Health Care Providers
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psnet.ahrq.gov/issue/using-telehealth-improve-quality-and-safety-findings-ahrq-portfolio
May 07, 2014 - Telehealth is a rapidly expanding approach of adopting technology to deliver health care services and … information that improves the quality, safety , access, efficiency, and costs of care. … September 15, 2011
Primary care–relevant interventions to prevent falling in older adults … AHRQ Risk-informed Intervention Development and Implementation of Safe Practices in Ambulatory Care … and Administrators
Information Professionals
Critical Care
Family Medicine
Primary Care
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psnet.ahrq.gov/issue/abrupt-expansion-ambulatory-telemedicine-implications-patient-safety
July 13, 2022 - In response to concerns about COVID-19 transmission, many ambulatory care visits have transitioned to … July 13, 2022
What safety events are reported for ambulatory care? … February 23, 2022
Care coordination strategies and barriers during medication safety … June 23, 2021
"At home, with care": lessons from New York City home-based primary care … Ambulatory Clinic or Office
Policy Makers
Primary Care
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psnet.ahrq.gov/issue/reduced-postdischarge-incidents-after-implementation-hospital-home-transition-intervention
September 06, 2023 - transition from hospital to home is a vulnerable time as patients may have changes in medications or care … Related Resources
A framework for the analysis of communication errors in health care … Annual Perspective
Communication During Transitions of Care … WebM&M Cases
Be Picky about your PICCs—Fragmented Care … See More About The Topic
Hospitals
Ambulatory Clinic or Office
Medicine
Nurse Care
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psnet.ahrq.gov/issue/health-care-quality-and-safety-correctional-system-creating-goals-and-performance-measures
May 18, 2022 - J Correct Health Care. 2022;28(3):141-147. doi:10.1089/jchc.20.07.0058. … J Correct Health Care . 2022; 28 (3) :141-147 . … J Correct Health Care. 2022;28(3):141-147. doi:10.1089/jchc.20.07.0058. … on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement … care system: conceptual framework and initial set of actionable indicators.
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psnet.ahrq.gov/issue/grand-rounds-methodology-key-considerations-implementing-machine-learning-solutions-quality
July 26, 2023 - April 27, 2022
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … quality: an urgent call to integrate quality improvement and patient safety education with clinical care … See More About The Topic
Hospitals
Ambulatory Clinic or Office
Medicine
Nurse Care
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psnet.ahrq.gov/issue/addressing-veteran-health-related-social-needs-how-joint-commission-standards-accelerated
November 24, 2021 - HRSNs and disparities are being leveraged to address new Joint Commission standards to improve health care … July 2, 2019
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … August 16, 2023
Health system resilience, accreditation, high-quality care, and continuous … February 1, 2023
Health care quality and safety in a correctional system: creating goals … Patient safety threats in information management using health information technology in ambulatory cancer care
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psnet.ahrq.gov/issue/investigating-influence-selected-leadership-styles-patient-safety-and-quality-care-systematic
October 07, 2020 - Investigating the influence of selected leadership styles on patient safety and quality of care … Investigating the influence of selected leadership styles on patient safety and quality of care: a systematic … review examined the influence of different leadership styles on patient safety culture and quality of care … transformational leadership has a positive effect on safety culture but its impact on quality of care … July 26, 2023
Roadmap to Health Care Safety for Massachusetts.
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psnet.ahrq.gov/issue/primary-care-teams-reported-actions-improve-medication-safety-qualitative-study-insights-high
July 06, 2022 - Study
Primary care teams' reported actions to improve medication safety: a qualitative … Primary care teams’ reported actions to improve medication safety: a qualitative study with insights … Improving medication safety in ambulatory care settings is a patient safety priority . … Primary care teams’ reported actions to improve medication safety: a qualitative study with insights … 2022
Defining and enhancing collaboration between community pharmacists and primary care
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psnet.ahrq.gov/issue/systems-engineering-analysis-diagnostic-referral-closed-loop-processes
December 07, 2022 - Incomplete or delayed referrals from primary care providers to specialty care can cause diagnostic delays … Related Resources From the Same Author(s)
Urgent referrals from primary care … May 4, 2022
Personal formularies of primary care physicians across 4 health care systems … December 6, 2023
Detection rates of mild cognitive impairment in primary care for the … Clinical Misdiagnosis
Missed Care
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