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psnet.ahrq.gov/node/47590/psn-pdf
February 20, 2019 - organisational responses to a board-level
quality improvement intervention: findings from an
evaluation in six providers … organisational responses to a board-level quality
improvement intervention: findings from an evaluation in six providers
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psnet.ahrq.gov/node/45365/psn-pdf
August 03, 2016 - workarounds-and-test-results-follow-electronic-health-record-based-primary-
care
Implementation of the electronic health record has led to providers … This survey found that nearly half of providers at Veterans Affairs medical centers use
workarounds
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psnet.ahrq.gov/node/35908/psn-pdf
March 03, 2011 - Investigators surveyed more than 2700 providers in 60 hospitals to develop benchmarks
and validate the … tool
presented can drive improvements and allow leadership to understand the issues from frontline providers
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psnet.ahrq.gov/issue/defense-health-agency-should-improve-tracking-serious-adverse-medical-events-and-monitoring
July 11, 2018 - November 22, 2017
Improved Policies and Oversight Needed for Reviewing and Reporting Providers … December 6, 2017
DOD Should Improve Its Process for Clinical Adverse Actions against Providers … July 11, 2018
Improved Policies and Oversight Needed for Reviewing and Reporting Providers
-
psnet.ahrq.gov/issue/paediatric-international-patient-safety-and-quality-community
September 30, 2015 - WebM&M Cases
The “Great Pretender” (Syphilis) is Still Stumping Healthcare Providers … September 30, 2020
COVID-19 has united patients and providers against institutional betrayal … See More About The Topic
Hospitals
Ambulatory Clinic or Office
Health Care Providers
-
psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2015
November 23, 2016 - Related Resources
DOD Should Improve Its Process for Clinical Adverse Actions against Providers … July 2, 2019
Greater Focus on Credentialing Needed to Prevent Disqualified Providers … July 19, 2016
VA Health Care: Improvements Needed in Processes Used to Address Providers
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psnet.ahrq.gov/issue/bar-code-label-requirement-human-drug-products-and-biological-products
October 21, 2015 - July 5, 2013
FDA alerts health care providers, compounders and patients of dosing errors … Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers … July 3, 2013
View More
See More About The Topic
Health Care Providers
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psnet.ahrq.gov/issue/speak-addressing-paradox-plaguing-patient-centered-care
October 17, 2018 - Primary care physicians' willingness to disclose oncology errors involving multiple providers … September 20, 2016
Providers' perceptions of communication breakdowns in cancer care. … 22, 2010
View More
See More About The Topic
Hospitals
Health Care Providers
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psnet.ahrq.gov/issue/va-health-care-selected-credentialing-requirements-seven-medical-facilities-met-aspect
July 05, 2006 - May 25, 2022
Greater Focus on Credentialing Needed to Prevent Disqualified Providers … October 21, 2015
VA Health Care: Improvements Needed in Processes Used to Address Providers … October 15, 2008
View More
See More About The Topic
Health Care Providers
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psnet.ahrq.gov/issue/development-and-validation-tool-assess-emergency-physicians-nontechnical-skills
December 12, 2012 - Attitudes of emergency department care providers to INFO clinical event debriefings. … View More
See More About The Topic
Emergency Departments
Health Care Providers … Emergency Medicine
Communication between Providers
Teamwork
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psnet.ahrq.gov/issue/va-health-care-steps-taken-improve-practitioner-screening-facility-compliance-screening
September 28, 2010 - December 23, 2020
Greater Focus on Credentialing Needed to Prevent Disqualified Providers … 2019
Approaches and Challenges to Electronically Matching Patients' Records Across Providers … July 11, 2018
VA Health Care: Improvements Needed in Processes Used to Address Providers
-
psnet.ahrq.gov/issue/epidemiology-adverse-events-air-medical-transport
July 03, 2014 - December 8, 2010
Emergency medical and health providers' perceptions of key issues in … View More
See More About The Topic
Patient Transport
Health Care Providers … Emergency Medicine
Epidemiology of Errors and Adverse Events
Communication between Providers
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psnet.ahrq.gov/issue/multicenter-collaborative-approach-reducing-pediatric-codes-outside-icu
August 13, 2014 - The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers … April 20, 2022
Addressing mistreatment of providers by patients and family members as … 6, 2016
View More
See More About The Topic
Hospitals
Health Care Providers
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.344_slideshow.ppt
April 01, 2015 - Providers should consider the possibility of acute aortic dissection in patients presenting with acute … neurologic deficits
Emergency medicine providers should recognize that patients with chest pain and … should emphasize pitfalls in the evaluation of chest pain and acute dissection
Emergency medicine providers … could be trained to do bedside echocardiography to evaluate the aortic root
Emergency providers should … but with painless manifestations involving other body systems such as neurological, GI, and renal
Providers
-
psnet.ahrq.gov/node/49727/psn-pdf
March 01, 2015 - The case was reviewed by the hospital's quality committee, whose members
noted that the providers in … Providers felt that a lack of such a system had contributed to the
error in this patient's care. … to significant adverse
outcomes, particularly when the system fails to quickly identify and notify providers … Such policies help
to decrease both the call burden on the laboratory and call fatigue by providers. … Such a system could help
track responsible providers in the context of care transitions.
-
psnet.ahrq.gov/web-mm/reconciling-records
September 01, 2017 - that with medication information available from the EHR or other sources such as pharmacy data, other providers … solution is a user-friendly kiosk that patients can use to reconcile medications before seeing their providers … At transitions, providers must double-check medication information from patients, family members, caregivers … Providers must also not hesitate to contact the dispensing pharmacies and use other tools such as online … Providers must resist the automatic assumption that previously obtained information is (still) accurate
-
psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation
February 01, 2003 - Finally, the legislation mandated patient safety education for all health care providers. … The health care facilities or providers subject to these requirements include hospitals, ambulatory surgery … political debate, the law was modified to limit civil or administrative actions against health care providers … Strikes and You Are Out" Act, calls on the Florida Board of Medicine to revoke medical licenses from providers … Amendments 7 and 8 have led to an alarming wave of paranoia among health care providers and administration
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psnet.ahrq.gov/node/49576/psn-pdf
January 01, 2009 - rules and regulations behind triage and hospital choice decisions by emergency
medical services (EMS) providers … Any first encounter is a learning
process as providers become familiar with current and past medical … But when there is a request or indication to transfer outside the zone, EMS providers
must contact a … In some cases, this system may seem counterintuitive to hospital-based providers, who may ask: "Why … Providers can see transfer as more work than an admission and often encounter
labyrinthine processes
-
psnet.ahrq.gov/node/36549/psn-pdf
March 21, 2017 - However, patients' perceptions of what constitutes an error may differ from health
care providers' perceptions … definitions,
including such issues as falls, communication problems, and perceived lack of attentiveness by providers
-
psnet.ahrq.gov/node/40254/psn-pdf
September 19, 2016 - Subsequent research has
shown that involvement in an error adversely affects providers' emotional health … caring-our-own-deploying-systemwide-second-victim-rapid-response-team
https://psnet.ahrq.gov/web-mm/how-do-providers-recover-errors