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psnet.ahrq.gov/issue/using-telehealth-improve-quality-and-safety-findings-ahrq-portfolio
May 07, 2014 - Dixon BE, Hook JM, McGowan JJ, for AHRQ National Resource Center for Health IT. … Telehealth is a rapidly expanding approach of adopting technology to deliver health care services and … It discusses the scope of the projects funded, the technical challenges faced, the organizational and … Dixon BE, Hook JM, McGowan JJ, for AHRQ National Resource Center for Health IT. … June 8, 2011
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AHRQ Health Literacy Universal
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psnet.ahrq.gov/issue/high-reliability-highly-unreliable-world-preparing-code-blue-through-daily-operations
October 09, 2013 - High reliability principles guide health care organizations in their improvement work to augment safety … range of industries to provide insights regarding the application of high reliability concepts to health … February 17, 2021
The influence of organizational context on quality improvement and … July 11, 2017
Health Literacy Interventions and Outcomes: An Updated Systematic Review … July 10, 2024
Roadmap to Health Care Safety for Massachusetts.
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psnet.ahrq.gov/issue/managing-teamwork-face-pandemic-evidence-based-tips
February 12, 2020 - The authors discuss how individual-, team-, and organizational-level stressors, as well as work-life … literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey. … September 23, 2020
Attending to the emotional well-being of the health care workforce … in a New York City health system during the COVID-19 pandemic. … Care Providers
Health Care Executives and Administrators
Nurse Managers
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psnet.ahrq.gov/issue/seniors-managing-multiple-medications-using-mixed-methods-view-home-care-safety-lens
June 23, 2021 - BMC Health Serv Res. 2015;15:548. doi:10.1186/s12913-015-1193-5. … settings utilized interviews, observation, and participant-generated photographs and text to document the literacy … BMC Health Serv Res. 2015;15:548. doi:10.1186/s12913-015-1193-5. … June 23, 2021
Organizational readiness to change as a leverage point for improving safety … of behavioral health and primary care to improve patient care.
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psnet.ahrq.gov/issue/comparison-medication-administration-errors-original-medication-packaging-and-multi
July 24, 2024 - This study adds to the evidence about how literacy-friendly health systems can enhance medication … December 6, 2023
The role of organizational and professional cultures in medication safety … May 24, 2009
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Home Care
Health Care
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psnet.ahrq.gov/primer/disruptive-and-unprofessional-behavior
September 15, 2024 - This approach would require a strong organizational emphasis; Vanderbilt University has achieved notable … Department of Health and Human Services. … Department of Health and Human Services. … Literacy
October 31, 2023
Patient Safety Primers … Personal Health Literacy
August 30, 2023
Patient Safety Primers
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psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2007-comparative-database-report
February 12, 2019 - A Pharmacy Health Literacy Assessment Tool User's Guide. … May 19, 2010
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Hospitals
Health Care … Executives and Administrators
Organizational Behaviorists
Benchmarking
Culture of Safety
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psnet.ahrq.gov/issue/what-contributes-diagnostic-error-or-delay-qualitative-exploration-across-diverse-acute-care
March 16, 2022 - Clinicians indicated that organizational, interactional, clinician , and patient factors all interact … error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health … Diagnostic error experiences of patients and families with limited English-language health … literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey. … February 16, 2022
Identifying health information technology usability issues contributing
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
February 22, 2023 - literacy or disadvantaged socioeconomic position were more likely to report unique contributing factors … literacy, likely diminished diagnostic safety for these patients. … The study authors note that the lack of use of CDS tools appears to result from systemic, organizational … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/primer/triggers-and-trigger-tools
September 15, 2024 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Department of Health and Human Services. … Department of Health and Human Services. … Literacy
August 30, 2023
Patient Safety Primers … Strategies to Improve Organizational Health Literacy.
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psnet.ahrq.gov/issue/aiming-higher-enhance-professionalism-beyond-accreditation-and-certification
February 03, 2011 - February 3, 2011
Low literacy impairs comprehension of prescription drug warning labels … April 16, 2010
Identifying organizational cultures that promote patient safety. … June 21, 2015
Improving the quality of health care: what's taking so long? … April 16, 2019
High-reliability health care: getting there from here. … Care Providers
Health Care Executives and Administrators
Medicine
Epidemiology of Errors and
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psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
December 23, 2020 - Specific to this case, health literacy also impacts the decision-making process. … One study found that health literacy, rather than race, predicted end of life decisions. … Health Literacy and Access to Care. … Health literacy not race predicts end-of-life care preferences. … The impact of health literacy on palliative care outcomes.
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psnet.ahrq.gov/issue/lifetime-prevalence-and-correlates-patient-perceived-medical-errors-experienced-us-ambulatory
June 09, 2021 - Health Equity. 2020;4(1):430-437. doi:10.1089/heq.2020.0009. … Health Equity. 2020;4(1):430-437. doi:10.1089/heq.2020.0009. … literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey. … January 13, 2021
Organizational characteristics and perceptions of clinical event notification … services in healthcare settings: a study of health information exchange.
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psnet.ahrq.gov/issue/associations-person-related-environment-related-and-communication-related-factors-medication
January 19, 2022 - BMC Health Serv Res. 2021;21(1):1025. doi:10.1186/s12913-021-07033-8. … BMC Health Serv Res . 2021; 21 (1) :1025 .
View more articles from the same authors. … BMC Health Serv Res. 2021;21(1):1025. doi:10.1186/s12913-021-07033-8. … Medication safety event reporting: factors that contribute to safety events during times of organizational … March 27, 2013
Health literacy and medication understanding among hospitalized adults
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psnet.ahrq.gov/curated-article-libraries
March 18, 2025 - Latest PSNet Curated Libraries
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Organizational Learning (21 articles) … Organizational learning is an environmental state that ensures lessons … Literacy Improvement
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Organizational learning is an environmental
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psnet.ahrq.gov/issue/when-doctors-share-visit-notes-patients-study-patient-and-doctor-perceptions-documentation
October 27, 2021 - Diagnostic error experiences of patients and families with limited English-language health … literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey. … August 20, 2018
Frequency and types of patient-reported errors in electronic health record … May 20, 2020
Health care provider factors associated with patient-reported adverse events … Topic
Physicians
Facility and Group Administrators
Quality and Safety Professionals
Organizational
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psnet.ahrq.gov/issue/prevalence-second-victim-syndrome-and-emotional-distress-pediatric-intensive-care-providers
April 24, 2018 - December 14, 2016
Liquid medication dosing errors by Hispanic parents: role of health … literacy and English proficiency. … 2024
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Structural racism in behavioral health … See More About The Topic
Intensive Care Units
Quality and Safety Professionals
Organizational
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - When hospitals adapt this model, they can tailor components to align with their organizational needs, … literacy, (6) poor social support, (7) prior hospitalizations, and (8) palliative care. … Tool]) to succinctly compile and convey essential information at hospital discharge at an appropriate literacy … The program grew out of his general interest in health literacy and a desire to improve transitions in … planning and development process described by the guide include the following:
Establishing an organizational
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psnet.ahrq.gov/issue/defining-identifying-and-addressing-problematic-polypharmacy-within-multimorbidity-primary
July 22, 2015 - January 11, 2023
Diagnosis of physical and mental health conditions in primary care during … Exploring safety systems for dispensing in community pharmacies: focusing on how staff relate to organizational … 2024
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General practitioners' risk literacy … October 9, 2024
Preventable or potentially inappropriate psychotropics and adverse health … May 29, 2024
How safe are outpatient electronic health records?
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psnet.ahrq.gov/node/846170/psn-pdf
March 15, 2023 - systems-level approaches that address
fragmented care, but may take significantly more investment and organizational … literacy, an overwhelming volume of
information, or other distracting factors such as social stressors … Health Literacy Toolbox. Network of Quality Improvement and Innovation Contractors (NQIIC). … www.ncbi.nlm.nih.gov/pmc/articles/PMC539473/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC539473/
https://www.ahrq.gov/health-literacy … /professional-training/shared-decision/tool/resource-6.html
https://qi.ipro.org/2021/01/19/health-literacy-toolbox