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psnet.ahrq.gov/node/865466/psn-pdf
March 27, 2024 - of care, according to nonprofit
advisory agencies like the Joint Commission and the Institute of Medicine … Although the IOM’s
definition of quality describes safety and equity as two of their six domains of … healthcare quality, safety and
equity are intrinsically connected. … The Joint Commission noted findings that show disparities in healthcare quality and safety among
historically … national-patient-safety-goal-improve-health-care-equity
https://psnet.ahrq.gov/issue/implicit-racial-bias-health-care-provider-attitudes-and-perceptions-health-care-quality-among
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psnet.ahrq.gov/periodic-issue/periodic-issue-329
February 23, 2022 - Six categories of preventable events were identified (peripartum therapy delay; diagnostic error; inadequate … Six categories of preventable events were identified (peripartum therapy delay; diagnostic error; inadequate … and document analysis were conducted at four UK hospitals to evaluate how they were addressing the domains … , quality of care, workplace productivity, or patient outcomes. … Patient Safety Organizations (PSOs) are organizations dedicated to improving patient safety and healthcare
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psnet.ahrq.gov/Information/Editor
April 05, 2025 - Romano's research and teaching interests focus on developing, testing, and validating health care quality … She has extensive experience managing and implementing large scale federal health care quality and patient … She has served as a contributing author for several health care quality and patient safety annual reports … Some of her areas of interest include healthcare quality and payment reform, patient safety, provider … Shaikh is Medical Director of Healthcare Quality at UC Davis Health and a Professor of Pediatrics at
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psnet.ahrq.gov/periodic-issue/periodic-issue-458
August 28, 2024 - Harm was reported in 69% of cases and death was reported in 4% of cases. … culture was associated with better overall hospital performance scores and better scores on specific HVBP domains … BCMA use increased during the first six weeks of the intervention then plateaued during the final 12 … culture was associated with better overall hospital performance scores and better scores on specific HVBP domains … Harm was reported in 69% of cases and death was reported in 4% of cases.
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psnet.ahrq.gov/periodic-issue/periodic-issue-310
September 29, 2021 - Acute care patient safety scores were significantly positive in 8 out of twelve domains, compared to … Disruptions were classified into one of six human factors categories: communication, coordination, equipment … Acute care patient safety scores were significantly positive in 8 out of twelve domains, compared to … prescribing behaviors that coincide with the misuse of antipsychotic medications and overdiagnosis of … mitigate the risks of upper endoscopy in children, and the importance of education and training for care
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psnet.ahrq.gov/node/866846/psn-pdf
September 24, 2024 - Describing six domains across which safety
culture should be directed, the South Carolina Hospital … have achieved up to 88
month stretches of zero harm as validated by the state’s
Department of Health … Indeed, these kinds of ambitious goals could be
thought of as a type of “Big Hairy Audacious Goal,” … , IN
Eric Thomas, MD, MPH
Director of the University of Texas Houston Memorial Hermann Center for Healthcare … Quality and Safety
Associate Dean for Healthcare Quality
McGovern Medical School at University of
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psnet.ahrq.gov/periodic-issue/periodic-issue-308
September 29, 2021 - This article describes the implementation of a system-wide daily review of patients with concerns of … This article describes the implementation of a system-wide daily review of patients with concerns of … incorrect use of their inhaler. … At completion of the course, participants reported increased confidence on all six measured domains ( … Commentary
Why and how to approach user experience in safety-critical domains: the example
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psnet.ahrq.gov/perspective/conversation-withchristine-sinsky-md
February 26, 2025 - If you have a six-page note and three lines of that clinical communication are critical, it's really … It drives quality of care. It drives patient satisfaction. … What do you see the impact of that on physician joy and ultimately the safety and quality of care? … For most physicians what drives satisfaction is being able to provide quality of care, and that's what … their own chronic conditions, that should be a win across all domains: for the patient, the payer, and
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psnet.ahrq.gov/node/33801/psn-pdf
February 01, 2016 - If you have a six-page note and three lines of that clinical communication are critical, it's really … It drives quality of care. It drives patient satisfaction. … What do you see the impact of that on physician joy and ultimately the safety and quality of care? … For most physicians what drives satisfaction is being able to provide
quality of care, and that's what … their own chronic
conditions, that should be a win across all domains: for the patient, the payer,
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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - Primary Care, Quality of Care, and Patient Safety Primary care plays an important role in avoiding and … services, can address each of the healthcare quality aims. … Examining the functions and goals of primary care illustrates how they relate to these healthcare quality … Six Domains of Health Care Quality. Page last reviewed November 2018. Accessed August 10, 2022. … Agency for Healthcare Research and Quality. 2019 National Healthcare Quality & Disparities Report .
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psnet.ahrq.gov/node/50768/psn-pdf
December 27, 2019 - of patients that has all three of these factors. … They are actually cross cutting issues that
affect all six of the quality domains identified in the … report, “Priority Areas for National Action: Transforming Health Care Quality.” … That means that regardless of my knowledge of a particular person’s
culture, I have skills that enable … , and a lot of the cultural and linguistic competence errors are errors of omission.
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psnet.ahrq.gov/node/50698/psn-pdf
November 27, 2019 - In
fact, the patient had six ED visits in the previous three months and in half of those visits he had … of consciousness. … of expertise is employed depending on severity of suicide risks. … The patient in this case had six previous ED visits, had expressed suicidal ideation in half of them … Readers should not interpret any statement in this report as an official position of AHRQ or
of the
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - that goal well within the five domains of governing board and leadership commitment, strategic planning … best practices of some the common practices of all. … Describing six domains across which safety culture should be directed, the South Carolina Hospital Association … Eric Thomas, MD, MPH Director of the University of Texas Houston Memorial Hermann Center for Healthcare … Quality and Safety Associate Dean for Healthcare Quality McGovern Medical School at University of Texas
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psnet.ahrq.gov/web-mm/lost-start-date-unknown-risk-e-prescribing
December 02, 2020 - the 15 mg tablets (which the system rightly warned was not recommended), or as many as six 5 mg tablets … Finally, it must be mentioned that this error occurred in the context of two high-risk clinical domains … things that can go wrong and potential for new errors in these domains. … testing of current systems. … December 2, 2020
Effect of restriction of the number of concurrently open records in
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psnet.ahrq.gov/periodic-issue/periodic-issue-417
November 29, 2023 - This study examines the association of several quality-of-care measures and hospital profitability as … Program (HVBP) domains were associated with improved financial outcomes. … This qualitative study involving six teams across three hospitals in the Netherlands found that healthcare … another 200 mg of intravenous sugammadex with return of normal motor function. … Colleges of Nursing (AACN).
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psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
March 27, 2024 - AI encompasses a lot of different domains, but at the root of each of those domains is trying to teach … an AI algorithm significantly reduced false positives and false negatives compared to evaluations by six … A scoping review in 2021 explored the impact of AI on eight main patient safety domains, suggesting … that AI's influence would be most pronounced in domains where existing strategies have proven insufficient … Such domains include adverse drug events, clinical decompensation, and diagnostic errors.
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psnet.ahrq.gov/periodic-issue/periodic-issue-420
November 29, 2023 - This study used six years of data from the Veterans Affairs Surgical Quality Improvement Program to identify … This study used six years of data from the Veterans Affairs Surgical Quality Improvement Program to identify … The majority of incidents involved four types of errors – prescriber ordering (22%), nursing care (15% … another 200 mg of intravenous sugammadex with return of normal motor function. … Colleges of Nursing (AACN).
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psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
September 27, 2023 - In fact, the patient had six ED visits in the previous three months and in half of those visits he had … of consciousness. … Hospitals should institute policies for training a diverse group of disciplines so that a continuum of … The patient in this case had six previous ED visits, had expressed suicidal ideation in half of them … psychotic or mood episode, social stressors, level of engagement in treatment, influence of intoxication
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psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
March 27, 2024 - an AI algorithm significantly reduced false positives and false negatives compared to evaluations by six … A scoping review in 2021 explored the impact of AI on eight main patient safety domains, suggesting … that AI's influence would be most pronounced in domains where existing strategies have proven insufficient … Such domains include adverse drug events, clinical decompensation, and diagnostic errors. … AI encompasses a lot of different domains, but at the root of each of those domains is trying to teach
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psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
August 01, 2012 - It was sort of tentative evidence that patient safety culture seems to be related to quality of care … the 11 domains. … RW : With what you know about the safety and quality of care in nursing homes, if you had a loved one … , clinical pharmacists, and other health professionals, has the potential to improve quality of care … July 24, 2019
Opportunities for improvement in nursing homes: variance of six patient