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psnet.ahrq.gov/issue/disclosing-errors-patients-perspectives-registered-nurses
February 17, 2011 - May 11, 2016
Risk managers' descriptions of programs to support second victims after … July 5, 2023
Getting Started with a Communication and Resolution Program (CRP) Policy … June 24, 2020
How policy makers can smooth the way for communication-and-resolution programs … September 29, 2017
Communication-and-resolution programs: the challenges and lessons
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psnet.ahrq.gov/node/45784/psn-pdf
April 03, 2017 - Some clinical programs had no
designated forum to discuss adverse events and near misses. … authors recommend developing and
implementing a consistent event analysis process across clinical programs
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psnet.ahrq.gov/node/34707/psn-pdf
September 29, 2017 - The authors conclude that the ultimate test will be to determine whether NPSF
programs have an impact … The agency will conduct studies to determine the efficacy
of its programs.
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psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement
March 10, 2021 - Admissions
Shift Change Huddles/Bedside Reporting with Patients and Families
Accountable Leader of Program … J Fam Pract. 2000;49(9):796-804. [ PubMed ]
[4] Gateways to PFA Program. … We help organizations to build patient and family advisory programs. … Whereas, if you implement PFE in a safety program, for instance, it becomes really authentic when you … bring patients in for the development and design stage of the program, when the person’s lived experience
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psnet.ahrq.gov/node/60858/psn-pdf
August 26, 2020 - These types of “intervention bundles” that combine M2B programs with
existing initiatives to improve … As was done in this case, institutions can take advantage of programs that help mitigate prescription … Readmissions, Observation, and the
Hospital Readmissions Reduction Program. … Bedside Medication Delivery
Programs: Suggestions for Systematic Evaluation and Reporting. … ‘Meds-to-beds’ programs aim to prevent re-hospitalization. Washington Post.
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psnet.ahrq.gov/node/42038/psn-pdf
June 03, 2013 - previous systematic reviews have raised
concerns about variation in type and intensity of simulation programs … While participants in these training programs generally felt that they were realistic
and useful, significant … simulation-graduate-medical-education-2008-review-emergency-medicine
https://psnet.ahrq.gov/issue/team-training-neonatal-resuscitation-program-interns-teamwork-and-quality-resuscitations
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.359_slideshow.ppt
October 01, 2015 - Office of the National Coordinator for Health Information Technology (ONC) Health IT Certification Program … redirect=/ehrincentiveprograms/
About the ONC Health IT Certification Program. … Available at http://www.healthit.gov/policy-researchers-implementers/about-onc-health-it-certification-program … redirect=/ehrincentiveprograms/
About the ONC Health IT Certification Program. … Available at http://www.healthit.gov/policy-researchers-implementers/about-onc-health-it-certification-program
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psnet.ahrq.gov/node/49646/psn-pdf
February 01, 2012 - POLST programs exist in 14 states and are under development in 27 more. … Anderson, MD, MS Assistant Professor
Division of Hospital Medicine and Palliative Care Program
University … The Physician Orders for Life-Sustaining Treatment
program: Oregon emergency medical technicians' practical … nursing facilities: traditional practices versus the physician orders
for life-sustaining treatment program … Use of the Physician Orders for Life-Sustaining Treatment
(POLST) paradigm program in the hospice setting
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psnet.ahrq.gov/node/44042/psn-pdf
November 03, 2015 - This study describes RRT programs in hospitals participating in a statewide
collaborative that was established … Some best practices for safety,
process improvement, and oversight were lacking in many of the programs
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psnet.ahrq.gov/node/39210/psn-pdf
January 12, 2010 - can-aviation-based-team-training-elicit-sustainable-behavioral-change
As a means of improving safety, many institutions are implementing teamwork training programs … However, the effectiveness of these programs remains in question,
partly because little research has … The training program resulted in sustained improvement in safety culture and near-universal use
of the
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psnet.ahrq.gov/node/45118/psn-pdf
January 23, 2017 - psnet.ahrq.gov/issue/cluster-randomized-trial-evaluate-impact-team-training-surgical-outcomes
Teamwork training programs … However, the effect of teamwork training programs in the context of
surgical safety checklists is less … In this randomized study, researchers examined whether adding a
team training program to surgical safety … cluster-randomized-trial-evaluate-impact-team-training-surgical-outcomes
https://psnet.ahrq.gov/issue/association-between-implementation-medical-team-training-program-and-surgical-mortality … https://psnet.ahrq.gov/issue/association-between-implementation-medical-team-training-program-and-surgical-mortality
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psnet.ahrq.gov/information/Panel
January 01, 2018 - directed projects with multiple stakeholders focusing on Medicare Part D Medication Therapy Management programs … Helwig is recognized nationally for developing innovative programs in quality, safety and Health IT to … of common formats for national patient safety event reporting and AHRQ’s Patient Safety Organization program … Keohane also served for ten years as Program Director for the Center for Patient Safety Research and … He directed human factors and patient safety science programs at a non-profit healthcare system, and
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psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
January 06, 2018 - March 13, 2013
In-facility delirium programs as a patient safety strategy: a systematic … July 19, 2023
Changes in medical errors after implementation of a handoff program. … December 8, 2021
Pressure Injury Prevention in Hospitals Training Program. … December 21, 2014
Inpatient fall prevention programs as a patient safety strategy: a … March 13, 2013
In-facility delirium programs as a patient safety strategy: a systematic
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psnet.ahrq.gov/node/42606/psn-pdf
September 25, 2013 - Health economic evaluation of an infection prevention
and control program: are quality and patient safety … programs worth the investment? … Health economic evaluation of an infection prevention and control
program: are quality and patient safety … programs worth the investment? … https://psnet.ahrq.gov/issue/health-economic-evaluation-infection-prevention-and-control-program-are-
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psnet.ahrq.gov/node/33876/psn-pdf
August 01, 2018 - Building a Safety Program in a Vast Health Care Network
March 1, 2019
Phrampus P. … Building a Safety Program in a Vast Health Care Network. PSNet [internet]. 2019. … single coordinated entity present
unique opportunities and challenges for building patient safety programs … However, large health care systems also present challenges to the building and maintenance of safety
programs … Differing rules,
regulations, and state legislation complicate the development of all kinds of programs
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psnet.ahrq.gov/node/836941/psn-pdf
April 27, 2022 - Post-Acute Transitional Services: Safety in Home-Based
Care Programs
April 27, 2022
McElroy V, Ordona … Post-Acute Transitional Services: Safety in Home-Based Care
Programs. PSNet [internet]. 2022. … The HBPC program has now expanded beyond veterans into
modern-day house call programs. … , health care systems, home care providers, and managed care programs. … The acute hospital care at home program.
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psnet.ahrq.gov/node/45329/psn-pdf
April 24, 2018 - opioid-related adverse
events were effectively reduced in states with stringent prescription drug monitoring programs … issue/addressing-opioid-misuse
https://psnet.ahrq.gov/issue/implementation-prescription-drug-monitoring-programs-associated-reductions-opioid-related
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psnet.ahrq.gov/node/40763/psn-pdf
July 03, 2014 - This systematic
review analyzed results from more than 600 studies that evaluated simulation training programs … WebM&M point–counterpoint discussion debated the benefits of simulation over classroom-based training
programs
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psnet.ahrq.gov/node/46454/psn-pdf
August 20, 2018 - for clinicians to
prescribe opioids more safely, including the use of prescription drug monitoring programs … cdc-guideline-prescribing-opioids-chronic-pain-united-states-2016
https://psnet.ahrq.gov/issue/implementation-prescription-drug-monitoring-programs-associated-reductions-opioid-related
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psnet.ahrq.gov/node/43729/psn-pdf
November 21, 2017 - Only 11.4% of patients
reported receiving an apology, suggesting that disclosure and apology programs … patients-do-not-always-complain-when-they-are-dissatisfied-implications-service-quality-and
https://psnet.ahrq.gov/issue/disclosure-apology-and-offer-programs-stakeholders-views-barriers-and-strategies-broad