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psnet.ahrq.gov/issue/how-implicit-bias-harm-patient-care
December 04, 2019 - September 28, 2022
Action Planning Tool for the AHRQ Surveys on Patient Safety Culture
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psnet.ahrq.gov/issue/reducing-errors-health-care-translating-research-practice
October 23, 2019 - Choosing a Patient Safety Organization
March 1, 2020
Quick Tips--When Planning
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psnet.ahrq.gov/issue/talkingquality
December 24, 2008 - May 29, 2013
Quick Tips—When Planning for Surgery.
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psnet.ahrq.gov/node/44039/psn-pdf
December 23, 2016 - careful attention to safe IT implementation, and engaging
leadership to provide oversight in health IT planning
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psnet.ahrq.gov/node/36342/psn-pdf
March 02, 2011 - process breakdowns, including failure to order an appropriate diagnostic test and inadequate
follow-up planning
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psnet.ahrq.gov/node/41049/psn-pdf
December 31, 2014 - These findings have important implications for organizations planning the
implementation process for
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psnet.ahrq.gov/node/46245/psn-pdf
June 28, 2017 - of patients at increased risk for harm in the
home care setting may help inform hospital discharge planning
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psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
January 01, 2020 - participants should be able to:
• Explain the role of shared decision-making and “stopping rules”
in planning … ICU
• The anesthesiology team could have used a structured hand-off tool
to improve retention of planning … 1)
27
• Frail patients represent high-risk candidates for surgery and
require multidisciplinary planning
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psnet.ahrq.gov/issue/reducing-adverse-drug-events
August 09, 2017 - More than 40 organizations share their collective learning experience, from planning for improvement,
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psnet.ahrq.gov/node/33727/psn-pdf
March 01, 2012 - premiums.(13) The agency ultimately spent more than $23 million funding 7
demonstration projects and 13 planning … The funded demonstration projects and planning grants will not deliver randomized controlled trial–level … Medical Liability Reform and Patient Safety: Demonstration and Planning Grants.
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psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm
December 04, 2016 - Advance care planning should document the way patients want to be treated in the event that they lose … Failure to explore patient and family wishes, document advance care planning, or communicate key decisions … Defining advance care planning for adults: a consensus definition from a multidisciplinary Delphi panel … Future care planning: a first step to palliative care for all patients with advanced heart disease. … Failure to engage hospitalized elderly patients and their families in advance care planning
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psnet.ahrq.gov/issue/mri-suites-safety-outside-bore
April 28, 2021 - September 12, 2016
Planning an MR suite: what can be done to enhance safety?
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psnet.ahrq.gov/issue/patient-safety-supporting-culture-continuous-quality-improvement-hospitals-and-other-health
August 09, 2023 - December 18, 2008
Quick Tips—When Planning for Surgery.
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psnet.ahrq.gov/issue/q-what-scares-doctors-being-patient
February 06, 2019 - May 16, 2007
Planning for a pandemic: mitigating risk to radiation therapy service delivery
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psnet.ahrq.gov/issue/last-responders-seek-expand-postmortem-covid-testing-unexplained-deaths
May 27, 2020 - April 15, 2020
Planning for a pandemic: mitigating risk to radiation therapy service
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psnet.ahrq.gov/issue/lurking-danger-business-case-patient-safety
May 13, 2020 - What is an ethically informed approach to managing patient safety risk during discharge planning
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psnet.ahrq.gov/issue/quality-special-issue
April 13, 2022 - May 4, 2022
Preventing and mitigating radiology system failures: a guide to disaster planning
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psnet.ahrq.gov/issue/ahrq-quality-indicators
December 24, 2008 - May 29, 2013
Quick Tips—When Planning for Surgery.
-
psnet.ahrq.gov/web-mm/other-hand
December 12, 2012 - factors) and to system failures related to accessing information, communication, and collaborative care planning … potential critical nature of the situation and the need for more collaboration about assessment and care planning … the case study is the extent to which the patient and family were involved in the assessment and care-planning … Involve the patient and family in the care-planning and decision-making process.
-
psnet.ahrq.gov/node/49742/psn-pdf
September 01, 2015 - they are for native admissions,
such that efforts to prevent readmissions through effective discharge planning … the future, the CARE
Item Set (9) will increase in importance as it is used in acute care discharge planning … CARE also
collects administrative information including admission, discharge, expiration, care planning