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psnet.ahrq.gov/issue/rapid-response-teams-patient-safety-practice-failure-rescue
January 26, 2022 - This article summarizes the evidence included in the AHRQ Making Healthcare Safer III report about … , 2023
Journal Article
Commentary
Critical … Topic
Researchers
Hospitals
Intensive Care Units
Quality and Safety Professionals
Critical
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psnet.ahrq.gov/issue/science-teamwork
May 01, 2013 - An update, an extension, and some critical needs. … Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer … III Report.
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psnet.ahrq.gov/issue/rx-reality-clinicians-confront-medical-gaslighting
May 29, 2024 - February 26, 2025
Getting Results: Reliably Communicating and Acting on Critical Test … July 12, 2006
Saving Mothers' Lives: Reviewing Maternal Deaths to Make Motherhood Safer … of Pregnancy: Enhancing Perinatal Health Through Quality, Safety and Performance Initiatives (TIOP III
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psnet.ahrq.gov/issue/rapid-response-teams-improve-outcomes-part-1-part-2-and-part-3
November 30, 2016 - and continuing care units during bed-bath procedures: the prospective observational NURSIng during critical … December 23, 2020
The Critical Care Safety Study: the incidence and nature of adverse … Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer … III Report.
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psnet.ahrq.gov/issue/patient-safety-2nd-edition
October 01, 2024 - Citation
Related Resources From the Same Author(s)
Systems Analysis of Critical … September 10, 2014
Safer Clinical Systems: Evaluation Findings. … of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III
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psnet.ahrq.gov/issue/qualitative-analysis-impact-electronic-health-records-ehr-healthcare-quality-and-safety
October 05, 2022 - Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER … impact of patient safety huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer … March 30, 2022
Assuring safe patient care in a level III NICU in anticipation of hospital … March 18, 2020
Preventing critical failure.
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psnet.ahrq.gov/issue/organizational-characteristics-and-perceptions-clinical-event-notification-services
December 02, 2020 - December 16, 2020
Toward safer health care: a review strategy of FDA medical device adverse … and continuing care units during bed-bath procedures: the prospective observational NURSIng during critical … Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer … III Report.
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psnet.ahrq.gov/issue/failure-rescue-deteriorating-patients-systematic-review-root-causes-and-improvement
January 18, 2013 - This systematic review identified three critical points that can contribute to “ failure to rescue … July 17, 2024
Society of Critical Care Medicine Guidelines on Recognizing and Responding … August 31, 2022
Making Healthcare Safer III.
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psnet.ahrq.gov/issue/human-factors-healthcare
May 01, 2013 - October 21, 2020
Critical care clinicians' experiences of patient safety during the COVID … Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer … III Report.
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psnet.ahrq.gov/issue/incorporating-health-information-technology-workflow-redesign-request-information-summary
September 29, 2017 - Resources From the Same Author(s)
Industrial and Systems Engineering and Health Care: Critical … September 29, 2017
Making Healthcare Safer III.
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psnet.ahrq.gov/issue/listen-me-i-really-am-sick-patient-and-family-narratives-clinical-deterioration-and-during
June 25, 2018 - November 3, 2010
Society of Critical Care Medicine Guidelines on Recognizing and Responding … February 28, 2024
Society of Critical Care Medicine Guidelines on Recognizing and Responding … July 15, 2020
Making Healthcare Safer III.
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psnet.ahrq.gov/issue/medical-office-survey-2020-user-database-report
April 06, 2022 - A vibrant culture of safety is critical to achieving high reliability in health care. … April 23, 2014
Making Healthcare Safer III.
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psnet.ahrq.gov/issue/targeting-zero-harm-stretch-goal-risks-breaking-spring
December 01, 2021 - August 31, 2022
Making communication and resolution programmes mission critical in healthcare … Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer … III Report.
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psnet.ahrq.gov/issue/safety-issues-combined-gynecologic-and-plastic-surgical-procedures
January 06, 2018 - Download Citation
Related Resources From the Same Author(s)
Making Health Care Safer … II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. … Results of the Harvard Medical Practice Study III.
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psnet.ahrq.gov/issue/effect-rapid-response-team-incidence-hospital-mortality
March 15, 2023 - January 11, 2023
Critical incidents involving the medical emergency team: a 5-year retrospective … July 15, 2020
Making Healthcare Safer III.
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psnet.ahrq.gov/issue/actions-needed-help-ensure-appropriate-medication-continuation-and-prescribing-practices
September 07, 2016 - April 19, 2023
The Economics of Patient Safety Part III: Long-term Care: Valuing Safety … August 12, 2020
Critical Deficiencies at the Washington DC VA Medical Center. … March 21, 2018
Making Care Safer.
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psnet.ahrq.gov/issue/effectiveness-artificial-intelligence-ai-clinical-decision-support-systems-and-care-delivery
March 20, 2024 - Related Resources
The role of AI in detecting and mitigating human errors in safety-critical … August 26, 2020
Making Healthcare Safer III.
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psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2014-user-comparative-database-report
May 11, 2016 - demonstrated a link between positive safety climate and patient outcomes in nursing homes, it will be critical … July 6, 2022
Making Healthcare Safer III.
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psnet.ahrq.gov/issue/understanding-enablers-and-barriers-implementing-patient-led-escalation-system-qualitative
January 18, 2023 - February 28, 2024
Society of Critical Care Medicine Guidelines on Recognizing and Responding … July 15, 2020
Making Healthcare Safer III.
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psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
January 01, 2025 - evidence reviews of existing and
emerging PSPs (interventions)
► MHS I: 2001
► MHS II: 2013
► MHS III … Response
Systems: Rapid Review
19
Bradford Winters, MD, PhD (Author & Presenter)
Professor of Critical … Rapid Response Systems that Aim to Mitigate
Failure to Rescue in General Hospital Wards
• MHS III … Primary Removed
hospitalist
physician, added
critical care nurse
Hospital
Standardized
Mortality … Research 2023;16:383-394
Opioid Stewardship Interventions in
Healthcare Facilities or Systems
• MHS III