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psnet.ahrq.gov/issue/new-electronic-health-records-unknown-queue-caused-multiple-events-patient-harm
October 12, 2022 - Problems with clinician order delivery can result in harmful care delays . … report discusses how an electronic health record (EHR) system sent thousands of requests for medical care … in a large health system to no location rather than to the intended site for care. … at the Phoenix VA Health Care System in Arizona. … Emergency at the VA Southern Nevada Health Care System in Las Vegas.
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psnet.ahrq.gov/node/837639/psn-pdf
July 06, 2022 - Evaluation of the culture of safety and quality in pediatric
primary care practices. … Evaluation of the culture of safety and quality in pediatric primary care practices. … https://psnet.ahrq.gov/issue/evaluation-culture-safety-and-quality-pediatric-primary-care-practices … Medical Office Survey on Patient Safety Culture, this study found that staff in pediatric primary care … https://psnet.ahrq.gov/issue/evaluation-culture-safety-and-quality-pediatric-primary-care-practices
https
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/ipe-large-org-webcast-skootsky.pdf
March 01, 2021 - Officer
UCLA Faculty Practice Group and Medical Group
UCLA Health
March 2021
UCLA Health Ambulatory Care … etc. into one learning environment.
34
Investments in Office Staff
• Dedicated Training for Care … Coordinators ( PSR) – these staff are
responsible for the coordination of care for high risk and complex … Improve the overall patient experience by assigning staff to coordinate patient
care throughout one’ … mailto:SSkootsky@mednet.ucla.edu
Ambulatory Patient Experience Improvement
UCLA Health Ambulatory Care
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meps.ahrq.gov/data_files/publications/rf16/rf16.shtml
July 01, 2001 - Overall ambulatory care use changed
little from 1987 to 1996. … care is provided. … to health
care providers. … services, charges and payments, access to care,
satisfaction with care, health insurance … services, charges and payments, access to care,
satisfaction with care, health insurance
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digital.ahrq.gov/ahrq-funded-projects/impact-health-information-technology-clinical-care
January 01, 2023 - Impact of Health Information Technology on Clinical Care
Project Final Report ( PDF … Needs
Type of Care
Ambulatory Care
Primary Care
Health Care Theme … about health IT effects on clinical care, especially with respect to commercially available technology … The presence of health IT in the primary care team was the main predictor. … Impact of Health Information Technology on Clinical Care - Final Report.
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psnet.ahrq.gov/issue/approaches-and-challenges-electronically-matching-patients-records-across-providers
September 25, 2019 - Greater Focus on Credentialing Needed to Prevent Disqualified Providers From Delivering Patient Care … February 10, 2010
Artificial Intelligence in Health Care: Benefits and Challenges of … Technologies to Augment Patient Care. … Delayed Diagnoses of Cancer
July 31, 2023
Artificial Intelligence in Health Care … Physicians
Health Care Executives and Administrators
Information Professionals
View
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psnet.ahrq.gov/issue/teamwork-toolkit
July 21, 2021 - June 1, 2016
Roadmap to Health Care Safety for Massachusetts. … July 9, 2019
Report on the Safe Use of Pick Lists in Ambulatory Care Settings. … March 23, 2022
Health care quality and safety in a correctional system: creating goals … March 1, 2006
View More
See More About The Topic
Health Care Providers … Health Care Executives and Administrators
Educators
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/issue/rural-community-members-perceptions-harm-medical-mistakes-high-plains-research-network-hprn
February 03, 2011 - Related Resources From the Same Author(s)
Missing clinical information during primary care … April 24, 2018
Educating seniors to be patient safety self-advocates in primary care. … March 4, 2020
Learning from different lenses: reports of medical errors in primary care … April 12, 2011
Patient safety incidents in home hospice care: the experiences of hospice … October 2, 2019
Patients' perception of types of errors in palliative care—results from
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/mowebinar_2014/stroud-0914slides.pdf
January 01, 2014 - and
wellness programs throughout North and South
Carolina
• 41 hospitals and approximately 900 care … • Survey is coordinated with National Patient
Safety Awareness Week
• Each hospital, long term care
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psnet.ahrq.gov/node/46898/psn-pdf
April 16, 2019 - teamstepps-evidence-based-approach-reduce-clinical-errors-threatening-safety-outpatient
https://psnet.ahrq.gov/issue/improving-care-teams-functioning-recommendations-team-science … https://psnet.ahrq.gov/issue/teamstepps-office-based-care-version
https://psnet.ahrq.gov/primer/ambulatory-care-safety
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psnet.ahrq.gov/issue/adverse-events-0
September 20, 2011 - at the Phoenix VA Health Care System in Arizona. … November 29, 2023
Inadequate Outpatient Mental Health Triage and Care of a Patient at … Emergency at the VA Southern Nevada Health Care System in Las Vegas. … Louis Health Care System in Missouri. … October 25, 2023
Care Compare.
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psnet.ahrq.gov/issue/greater-focus-credentialing-needed-prevent-disqualified-providers-delivering-patient-care
September 25, 2019 - Greater Focus on Credentialing Needed to Prevent Disqualified Providers From Delivering Patient Care … :
Greater Focus on Credentialing Needed to Prevent Disqualified Providers From Delivering Patient Care … Gaps in responding to concerns about clinician competence can result in care failures . … to Augment Patient Care. … September 7, 2016
Final Report of the Commission on Care.
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psnet.ahrq.gov/issue/peripheral-vision-expertise-real-world-contexts
April 24, 2018 - November 12, 2014
The safety of outpatient health care: review of electronic health records … May 15, 2024
The safety of inpatient health care. … A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care … 2019
The American College of Surgeons' closed claims study: new insights for improving care … August 26, 2011
The impact of professionalism on safe surgical care.
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psnet.ahrq.gov/issue/mixed-methods-analysis-patient-safety-incidents-involving-opioid-substitution-treatment
August 25, 2021 - incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care … incidents involving opioid substitution treatment with methadone or buprenorphine in community‐based care … Staff- and organization-related factors – such as not following protocols, poor continuity of care – … February 1, 2017
Classification of patient-safety incidents in primary care. … February 8, 2018
Safety incidents in the primary care office setting.
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digital.ahrq.gov/ahrq-funded-projects/telemonitoring-rural-elder-nutrition-centers-demonstration-project-hypertension/annual-summary/2011
January 01, 2011 - Improved approaches to patient self-management are increasingly viewed as an integral part of the health care … Transformation in Organizations and Networks (ACTION) projects designed to promote innovation in health care … focus on operational and logistical issues associated with building bridges between physicians who care … , the coordination of care across transitions in care settings, and the use of electronic exchange of … health information to improve quality of care.
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/IFQHC_operational_redesign_patient_flow_worksheet.pdf
January 01, 2007 - All patient care will
be handled in the EHR. … in a practice is done on paper at the point of care (POC). … to the way that
providers care for patients. … and boosting patient care compliance. … All messaging related to patient care will be handled in the EHR.
-
integrationacademy.ahrq.gov/sites/default/files/2020-07/jurgen_unutzer.docx
January 01, 2020 - If you have primary care providers, primary care physicians, and mental health professionals collaborate … First of all you get a much better patient care experience, second of all you have better outcomes, and … costs and today that is called the triple aim, better patient care experience, better health outcomes … Well if there is one thing that we have learned from research on integrated care that’s also tremendously … for every practitioner, every practice is trying to implement an effective evidence based integrated care
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digital.ahrq.gov/sites/default/files/docs/citation/modeling-pcmh-principles-attributes-patient-experiences-technical-report.pdf
November 01, 2014 - care
• Provider type
• Quality
• Scope of care
• Active care management
• Other
Each of … , continuity of care, care coordination, patient-centered care, quality, use of information
technology … • Improved access to care
• Coordinated care
• Continuity of care
• Linkage to community resources … care
• Appropriate scope of care
• Active care management
An extensive list of attributes describing … Comprehensive Care.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/survey-codebook-post-intervention.pdf
June 02, 2025 - corporate entity with
multiple independent sites that are the physical location where patients receive care … (Check all that apply)
Geographic health care professional shortage area prac_incentives_geographic … 1 = Yes 2 = No
Medicare primary care incentive payment ……… prac_incentives_primarycare 1 = Yes 2 = … No
Medicare care coordination payment………… prac_incentives_carecoord 1 = Yes 2 = No
Other…………………………… … clinician: Off
CPCQ design care process: Off
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psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-report-quality-and-safety-2008
November 23, 2016 - The quality of care delivered at US hospitals continues to improve, according to data gathered by the … Hospitals improved their provision of evidence-based care for patients with heart attacks, congestive … heart failure, and pneumonia, and also improved at prevention of health care–associated infections … November 26, 2014
Strategies for Addressing Health Care Worker Fatigue. … November 14, 2011
Adverse Events in Hospitals: Care Study of Incidence Among Medicare