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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.
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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
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See More About The Topic
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
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See More About The Topic
Health Care Providers
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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/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
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Hospitals
Health Care Providers
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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
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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/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
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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
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Hospitals
Health Care 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
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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/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
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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/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
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psnet.ahrq.gov/web-mm/customer-always-right
January 22, 2014 - Providers often react to a nonlinear history by moving quickly to focus on the "main problem" rather … , many providers frequently bypass such questions by noting the top line of the triage form and rapidly … Many providers worry that they simply lack the time to "open the box" and fear the effects of soliciting … It is well known that providers tend to interrupt patients' opening statements after only 18–23 seconds … Many of our current systems appear to be designed to meet the needs of providers rather than patients
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psnet.ahrq.gov/node/33818/psn-pdf
November 01, 2016 - It first focused
on hepatitis C and trying to support rural primary care providers who did not have … It used the hub of the University of New Mexico to support primary care
providers out in the community … Primary care providers have learned a lot from interacting with
the specialists around how to provide … However, the primary care providers had to
donate their time to be able to provide the cases and talk … We're coming to an era
in which primary care providers must have the knowledge when they're delivering
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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