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psnet.ahrq.gov/issue/providing-safe-high-quality-maternity-care-rural-us-hospitals-ihi-innovation-report
November 02, 2016 - The report outlines specific areas of concern for rural hospitals and suggests avenues for improvement
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psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-thinking-outside-checklist
January 05, 2012 - Checklists for specific interventions have proved successful at markedly reducing catheter-related bloodstream
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psnet.ahrq.gov/node/33565/psn-pdf
September 01, 2024 - Fortunately, considerable progress has been made in
preventing specific HAIs through federally sponsored … The CDC's 2011 data indicate that infections
associated with specific indwelling devices (CLABSI, CAUTI … The CDC has evidence-based guidelines that detail methods to prevent specific HAIs in the inpatient and … Publicly reported hospital-specific HAI rates are also being more widely utilized to monitor hospital
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psnet.ahrq.gov/primer/health-care-associated-infections
December 15, 2024 - Fortunately, considerable progress has been made in preventing specific HAIs through federally sponsored … The CDC's 2011 data indicate that infections associated with specific indwelling devices (CLABSI, CAUTI … The CDC has evidence-based guidelines that detail methods to prevent specific HAIs in the inpatient … Publicly reported hospital-specific HAI rates are also being more widely utilized to monitor hospital
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psnet.ahrq.gov/issue/hacking-teamwork-health-care-addressing-adverse-effects-ad-hoc-team-composition-critical-care
October 11, 2023 - the three solutions proposed, and the impacts of leveraging this approach for solving other problems specific
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psnet.ahrq.gov/issue/communication-patients-and-families-regarding-health-care-associated-exposure-coronavirus
June 24, 2020 - persons who have limited English proficiency, undocumented and immigrant patients, and patients with specific
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psnet.ahrq.gov/issue/what-every-graduating-resident-needs-know-about-quality-improvement-and-patient-safety
March 29, 2023 - This analysis of specialty-specific milestones for graduate medical education found that about 40% mentioned
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psnet.ahrq.gov/issue/characteristics-and-trends-medical-diagnostic-errors-united-states
December 14, 2022 - Failure to diagnose and delay in diagnosis were the most common specific allegation types.
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psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
January 31, 2020 - systematic review concluded that the use of CPOE reduces the overall medication error rate as well as specific … Specific examples highlight the use of AI in pediatric diseases . … This may include, but is not limited to, notifications, alerts and reminders, condition-specific order … This supports the idea of context dependent design where HIT solutions are designed to meet specific … Users call for additional clinical evidence of the utility of AI as well as specific frameworks within
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psnet.ahrq.gov/web-mm/new-oral-anticoagulants
July 01, 2011 - More recently, target-specific oral anticoagulants (TSOACs) have become available for the treatment and … TSOACs work further down the clotting cascade and have more specific targets of inhibition than warfarin … Or, they may also fail to order TSOAC-specific tests when such tests are indicated, as in situations … Take-Home Points Target-specific oral anticoagulants (TSOACs) have become viable alternatives to … Pharmacology of the new target-specific oral anticoagulants.
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psnet.ahrq.gov/primer/teamwork-training
September 15, 2024 - The aviation industry has long recognized that safety requires crew members to receive specific training … Teamwork training may be purely classroom-based or accompanied by simulations of specific scenarios … Many organizations are now coupling teamwork training programs with more specific efforts to structure
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psnet.ahrq.gov/perspective/conversation-withstephen-hines-phd-and-monika-haugstetter-mha-msn-rn-cphq-about
February 28, 2024 - TeamSTEPPS is not just a series of techniques that can be used in response to specific issues. … It is less important to think about the impact of TeamSTEPPS by linking specific impacts to specific … It includes a welcome guide specific to the patients and family caregiver audience. … patient stories about their interactions with healthcare teams and how these interactions relate to specific … However, the website does retain the TeamSTEPPS module specific to diagnostic improvement , given its
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psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork-training
February 28, 2024 - It includes a welcome guide specific to the patients and family caregiver audience. … patient stories about their interactions with healthcare teams and how these interactions relate to specific … However, the website does retain the TeamSTEPPS module specific to diagnostic improvement , given its … TeamSTEPPS is not just a series of techniques that can be used in response to specific issues. … It is less important to think about the impact of TeamSTEPPS by linking specific impacts to specific
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psnet.ahrq.gov/issue/patients-experiences-and-perspectives-patient-reported-outcome-measures-clinical-care
October 27, 2021 - outcome measures (PROM), or standardized questionnaires, to assess general quality of life, screen for specific
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psnet.ahrq.gov/issue/using-co-design-develop-collective-leadership-intervention-healthcare-teams-improve-safety
October 02, 2019 - The authors describe specific tools and tactics used to implement the work and summarize the value of
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psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
June 28, 2023 - At transfer, the LTCH did not receive tracheostomy-specific instructions (i.e., when tracheostomy tube … changed as a first-line intervention. 1 Single cannula tubes are sometimes used for patients with specific … tube change is often based on the judgment of the physician who performed the procedure and patient-specific … Tracheostomy-Specific Considerations in Respiratory Distress While mechanical ventilation can be lifesaving … . 20 Post-tracheostomy care is not codified into universally accepted pathways; therefore, provider-specific
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psnet.ahrq.gov/issue/patient-concerns-about-medical-errors-emergency-departments
March 21, 2017 - the majority of patients in the emergency department felt safe from medical errors, though some had specific
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psnet.ahrq.gov/issue/peer-support-clinicians-programmatic-approach
July 25, 2018 - The authors provide specific steps toward initiating appropriate and effective support for clinicians
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psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
January 01, 2016 - and organization-specific risk so that adverse events can be minimized. … For example, to identify and manage resident-specific risk, nursing homes can convene weekly multidisciplinary … Technology can also play an important role in monitoring resident-specific and organization-specific … greatest role in assuring resident safety through ongoing communication and feedback about resident-specific … and organization-specific risks.
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psnet.ahrq.gov/issue/analysis-structure-and-content-dashboards-used-monitor-patient-safety-inpatient-setting
March 09, 2022 - The authors suggest that future research explore how specific design elements contribute to usability