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psnet.ahrq.gov/issue/innovation-safety-and-safety-innovation
October 27, 2021 - This commentary discusses systems-focused innovations in surgery that have improved patient safety. … October 27, 2021
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … March 15, 2023
Profiles in patient safety: medication errors in the emergency department … February 18, 2017
Relationship between operating room teamwork, contextual factors, and
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psnet.ahrq.gov/issue/improving-patient-safety-radiotherapy-learning-near-misses-incidents-and-errors
July 10, 2017 - Improving patient safety in radiotherapy by learning from near misses, incidents and errors. … October 19, 2012
Hospitalized patients' understanding of their plan of care. … Effect of complementary interventions to redesign care on teamwork and quality for hospitalized medical patients … November 15, 2023
Contextual factors influencing the implementation of a multifaceted … intervention to improve teamwork and quality for hospitalized patients: a multi-site qualitative comparative
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/cognitive-impairment-in-older-adults-screening
October 19, 2017 - Contextual Questions
Contextual … Does diagnosis of cognitive impairment (either dementia or mild cognitive impairment) improve patient … KQs 4, 5: Active intervention
Outcomes
KQs 1, 4: Decisionmaking outcomes:
For patients … outcomes: Cost-related outcomes; patient satisfaction (other than health-related quality of life); … or family/caregiver dissatisfaction (other than psychological harms or patient adherence)
Timing
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/tobacco-use-intervention-prevention-cessation-children-adolescents
June 27, 2024 - Contextual Questions
Contextual … the uptake of tobacco cessation and prevention interventions in primary care settings vary based on patient … children or adolescents with health issues that would limit generalizability to general primary care patients
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psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives
July 24, 2013 - Patient Safety And The "Just Culture": A Primer For Health Care Executives. … Accountability is a concept that many wrestle with as they steer their organizations and patients toward … Patient Safety And The "Just Culture": A Primer For Health Care Executives. … December 18, 2019
Listening for What Matters: Avoiding Contextual Errors in Health Care … Prevention
March 24, 2025
Bad behavior in healthcare: an insidious threat to patients
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psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution
October 31, 2014 - The authors provide a background and contextual basis for definitions such as professional competence … February 1, 2003
Patient safety in the era of healthcare reform. … May 3, 2016
Doing right by our patients when things go wrong in the ambulatory setting … January 5, 2017
Preventable adverse drug events in hospitalized patients: a comparative … June 13, 2011
Ethical issues in patient safety.
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digital.ahrq.gov/ahrq-funded-projects/collaborative-patient-portals-computer-based-agents-and-patients-understanding
January 01, 2023 - Collaborative Patient Portals: Computer-based Agents and Patients' Understanding of Numeric Health Information … Older patients may struggle to understand results if they have limited numeracy and memory problems; … Face-to-face visits allow clinicians to help patients understand their numeric information using both … , Elderly
Collaborative Patient Portals: Computer-based Agents and Patients' Understanding of … Collaborative Patient Portals: Computer-based Agents and Patients' Understanding of Numeric Health Information
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-2.html
June 01, 2020 - are best conceptualized as events that may be distributed over time and place and shaped by multiple contextual … Providers and HCOs, often unaware of their patients’ ultimate diagnosis-related outcomes, could benefit … For instance, direct video observations of encounters between clinicians and patients would be excellent … Selection of high-risk cohorts (such as patients with cancer or epidural abscess). … Lack of detailed and contextual clinical data in administrative datasets.
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www.ahrq.gov/pqmp/publications/2-0-journal-supplement.html
September 01, 2021 - Research Articles
Contextual Factors Affecting Implementation of Pediatric Quality Improvement Programs … Measuring Performance across Multiple Health Care System Levels: The Importance of Patient Attribution
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digital.ahrq.gov/ahrq-funded-projects/bringing-communities-and-technology-together-healthy-aging
January 01, 2023 - 2017
Technology
Consumer Health Informatics
Social Media
Care Setting
Patient … Journal Publication Research Method: Systematic Review Technology: Mobile Phone , Text Messaging
Contextual … Contextual design: designing a device for motivated medication management. … ElderTree Baseline Survey Description: This is a questionnaire designed to be completed by elderly patients … or their caregivers in the patient home.
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psnet.ahrq.gov/issue/diagnostic-reasoning-cardiovascular-medicine
October 27, 2021 - Misdiagnosis of heart failure can lead to serious patient harm. … February 23, 2022
Effect of contextual factors on the prevalence of diagnostic errors … among patients managed by physicians of the same specialty: a single-centre retrospective observational … Impact of unacceptable behaviour between healthcare workers on clinical performance and patient … February 16, 2022
Medication-related interventions to improve medication safety and patient
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psnet.ahrq.gov/issue/employee-silence-health-care-charting-new-avenues-leadership-and-management
May 04, 2022 - When faced with a patient safety concern, staff need to decide whether to speak up or remain silent. … Leaders play a crucial role in addressing contextual factors behind employees’ decisions to remain … August 10, 2022
Association of patient and family reports of hospital safety climate … March 16, 2022
Psychological impact and recovery after involvement in a patient safety … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care.
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www.ahrq.gov/ncepcr/reports/grants-transform/introduction.html
October 01, 2023 - Health Outcomes Reported in Transforming Primary Care Studies
The patient-centered medical … in the United States to improve health care quality, reduce costs, and better address the needs of patients … and Quality (AHRQ) defines a PCMH as having the following five attributes: 1) comprehensive care, 2) patient-centered … Patient-centered care.
Coordinated care.
Accessible services.
Quality and safety. … transformation vary; 4) visionary leadership and a supportive culture ease the way for change; and 5) contextual
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www.uspreventiveservicestaskforce.org/uspstf/document/draft-research-plan/chronic-kidney-disease-screening
January 19, 2023 - *For screening, studies in which patients were selected on the basis of having conditions associated … However, studies are not required to exclude patients with these conditions. † For treatment, studies … patients are eligible for evaluated treatments for reasons other than CKD (e.g., presence of diabetes … Proposed Contextual Questions … Additionally, the proposed contextual questions are designed to address other important health equity
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digital.ahrq.gov/principal-investigator/morrow-daniel
January 01, 2023 - Agents and Patients' Understanding of Numeric Health Information
Using computer … Agents and Patients' Understanding of Numeric Health Information
Improving patient … Patient Portals: Computer-based Agents and Patients' Understanding of Numeric Health Information - Final … Collaborative Patient Portals: Computer-based Agents and Patients' Understanding of Numeric Health Information … Patient Portals: Computer-based Agents and Patients' Understanding of Numeric Health Information
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digital.ahrq.gov/sites/default/files/docs/page/THQITvalue020612.pdf
June 01, 2010 - Further analysis determined that nine articles focused on relevant contextual issues
related to health … four
logical categories of article focus (description, system evaluation, outcomes research, and
contextual … The nine remaining articles fall under the broad category of contextual … A systems approach takes into account the contextual relationship of components
within a given system … Summary
This group of nine articles addressing contextual issues, while not specifically looking at
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psnet.ahrq.gov/issue/how-does-work-environment-relate-diagnostic-quality-prospective-mixed-methods-study-primary
September 07, 2022 - Improving diagnostic quality is a patient safety priority . … e.g., follow-up contingencies, red flags) but other elements were often missing (e.g., psychosocial/contextual … March 3, 2021
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 30, 2024
Patient safety in actioning and communicating blood test results in … January 31, 2024
Do patients who read visit notes on the patient portal have a higher
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psnet.ahrq.gov/issue/special-issue-simulation
May 01, 2013 - Eisenberg Patient Safety and Quality Awards. … Eisenberg Patient Safety and Quality Awards. … June 18, 2013
Patient safety for global health - developing safe, effective and accessible … May 21, 2014
Contextual information influences diagnosis accuracy and decision making … June 12, 2013
Correlates of diagnostic accuracy in patients with nonspecific complaints
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www.ahrq.gov/ncepcr/reports/grants-transform/index.html
February 01, 2017 - Transform Vary Across Practices
Changes in Practice Culture and Mental Models Are Often Required
Contextual … Access
Quality
Health Outcomes
Utilization
Health Care Costs
Provider and Patient
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/index.html
July 01, 2015 - Transform Vary Across Practices
Changes in Practice Culture and Mental Models Are Often Required
Contextual … Access
Quality
Health Outcomes
Utilization
Health Care Costs
Provider and Patient