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psnet.ahrq.gov/issue/nurses-perceptions-multitasking-emergency-department-effective-fun-and-unproblematic-least-me
June 07, 2023 - Nurses' perceptions of multitasking in the emergency department: effective, fun and unproblematic (at … Nurses' perceptions of multitasking in the emergency department: effective, fun and unproblematic (at … June 7, 2023
Acute clinical deterioration and consumer escalation: the understanding … August 31, 2022
A systematic literature review and narrative synthesis on the risks of … in primary care—a qualitative study of the participants' perceptions of self-assessment, peer review
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psnet.ahrq.gov/issue/2006-patient-safety-and-health-information-technology-conference
July 28, 2013 - This Web site offers materials and slidesets from presentations in the nine tracks of this annual Agency … October 23, 2019
Assessment of changes in visits and antibiotic prescribing during the … Agency for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID … June 29, 2005
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Health Care Providers … Information Systems
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psnet.ahrq.gov/node/865296/psn-pdf
March 27, 2024 - Implementation
The implementation of NPSGs is enhanced through proactive, coordinated, and systems-level … The NPSGs are safety standards
that hold hospital and healthcare workers accountable to best practices … system, surveys of organizational safety culture, and evaluating the competence and credentialing of … patients
and caregivers in co-designing and co-producing care, ensuring the safety of the healthcare … Healthcare organizations can use the National Action Plan along with its
companion Self-Assessment Tool
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psnet.ahrq.gov/issue/digitizing-diagnosis-review-mobile-applications-diagnostic-process
October 10, 2018 - Although the authors described some of the potential benefits of these apps, they note that their research … October 10, 2018
The Psychological Safety Scale of the Safety, Communication, Operational … overlooked by health care providers. … August 26, 2015
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Hospitals
Health … Care Providers
Health Care Executives and Administrators
Information Professionals
Diagnostic
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psnet.ahrq.gov/primer/national-patient-safety-goals
January 16, 2025 - healthcare systems. … Implementation The implementation of NPSGs is enhanced through proactive, coordinated, and systems-level … The NPSGs are safety standards that hold hospital and healthcare workers accountable to best practices … Healthcare organizations can use the National Action Plan along with its companion Self-Assessment Tool … April 24, 2024
2024 National Impact Assessment of the Centers for Medicare & Medicaid
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psnet.ahrq.gov/node/836878/psn-pdf
April 27, 2022 - to, enactment of the Patient Safety and Quality Improvement Act of 2005 (Patient
Safety Act) and the … form of social media used to collect consumer feedback regarding quality improvement and service design … providers and not the public. … social media sources that were used effectively to further engagement and communication amongst
healthcare … providers to disseminate awareness of the World Health Organization’s Surgical Safety
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/evidence-nurses-need-participate-diagnosis-lessons-malpractice-claims
September 12, 2018 - as a contributing factor were associated with a higher risk of death (odds ratio [OR]=3.01 and 2.21, … them in the diagnostic process, such as competency training and assessment. … September 28, 2017
Call me Ishmael: addressing the white whale of team communication … March 1, 2023
To err is human, unless you are a healthcare provider. … June 22, 2009
We're not your enemy: an appeal from a consumer to re-imagine tort reform
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psnet.ahrq.gov/periodic-issue/periodic-issue-469
December 31, 2024 - industries, the limitations and challenges of AI/ML, and insights from the recent literature. … Situation, Background, Assessment, Recommendation (SBAR) and SBAR variations were the most common, followed … , the methodology and investigation approach, and the skill and competencies of investigators. … Review
Consumer involvement in the design and development of medication safety … Situation, Background, Assessment, Recommendation (SBAR) and SBAR variations were the most common, followed
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psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
November 01, 2012 - The ED physician ordered laboratory tests and a CT scan of the abdomen and pelvis, all of which were … Consumer Price Index.( 1 ) Health care spending in the United States is expected to continue to increase … example, a 1994 comprehensive study performed by the US Congressional Office of Technology Assessment … US Congress, Office of Technology Assessment. Defensive Medicine and Medical Malpractice. … Emergency Departments
Health Care Providers
Risk Managers
Emergency Medicine
Internal Medicine
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psnet.ahrq.gov/issue/sentinel-event-program
October 15, 2008 - Division of Licensing and Regulatory Services; Maine Department of Health and Human Services. … Licensing and Regulatory Services; Maine Department of Health and Human Services. … Division of Licensing and Regulatory Services; Maine Department of Health and Human Services. … Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria … October 3, 2017
Consumer Guide to Adverse Health Events.
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psnet.ahrq.gov/periodic-issue/periodic-issue-346
May 16, 2022 - (theory, patient assessment, diagnosis, and shared decision-making). … This classification system can be used to support improvements at the individual, team, and systems levels … Empowering healthcare workers to speak up about safety concerns is a core tenant of safety culture. … Commentary
Unacceptable behaviours between healthcare workers: just the tip of the … Newspaper/Magazine Article
Stop using these adult bed rails, warns the Consumer Product
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psnet.ahrq.gov/perspective/health-care-delivery-and-pharmacists-during-covid-19-pandemic
June 29, 2020 - However, like the majority of healthcare providers, the usual pharmacy workflow and operations have been … Reporting Adverse Drug Events Finally, while there are many pressing demands for healthcare providers … There is a link between a healthcare worker who is burned out and an increased risk of causing medical … We have also developed different assessment tools and checklists to keep pharmacy departments whole and … We have a consumer website called “ safemedication.com ” that offers medication tips and resources and
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psnet.ahrq.gov/issue/ahrq-research-summit-improving-diagnosis-health-care
October 23, 2019 - This conference explored the science behind diagnosis and discuss the research , tactics, and tools … October 9, 2022
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer … May 3, 2016
The Patient Education Materials Assessment Tool (PEMAT) and User's Guide: … An Instrument to Assess the Understandability and Actionability of Print and Audiovisual Patient Education … September 10, 2008
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Health Care Providers
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psnet.ahrq.gov/issue/differential-perceptions-what-constitutes-medical-error-associated-electronic-medical-records
August 09, 2023 - June 15, 2022
Using consumer-based kiosk technology to improve and standardize medication … July 9, 2018
Effect of restriction of the number of concurrently open records in an electronic … May 29, 2019
Role of computerized physician order entry systems in facilitating medication … September 11, 2024
Perceptions of U.S. and U.K. incident reporting systems: a scoping … June 24, 2020
Computer visualisation of patient safety in primary care: a systems approach
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psnet.ahrq.gov/issue/impact-electronic-prescribing-hospital-setting-process-focused-evaluation
August 04, 2021 - April 29, 2020
National estimates of insulin-related hypoglycemia and errors leading … technology on the safety of medication administration. … February 23, 2009
The use of a CPOE log for the analysis of physicians' behavior when … September 17, 2008
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Hospitals
Health … Care Providers
Health Care Executives and Administrators
Information Professionals
General
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psnet.ahrq.gov/issue/relationships-multitasking-physicians-strain-and-performance-observational-study-ward
September 24, 2016 - September 24, 2016
The association of workflow interruptions and hospital doctors' workload … status: a structural equation model on the complexity of the discharge process. … September 25, 2013
Toward the modelling of safety violations in healthcare systems. … August 13, 2013
The Measurement and Monitoring of Safety. … May 8, 2013
Putting the 'patient' in patient safety: a qualitative study of consumer
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psnet.ahrq.gov/issue/mistakes-were-made-me
January 23, 2019 - Same Author(s)
Assessment of a simulated case-based measurement of physician diagnostic … patient safety and care transitions at the University of California. … July 1, 2017
Patient and consumer safety risks when using conversational assistants for … May 27, 2011
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Hospitals
Health Care … Providers
Medicine
Diagnostic Errors
Psychological and Social Complications
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psnet.ahrq.gov/issue/free-lessons-aviation-safety
October 19, 2022 - warning systems and rapid response systems for the prevention of patient deterioration on acute adult … November 11, 2009
The impact of computerized provider order entry systems on medical-imaging … Qualitative outcomes from a health consumer workshop. … May 1, 2019
Pursuing patient safety at the intersection of design, systems engineering … , and health care delivery research: an ongoing assessment.
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psnet.ahrq.gov/issue/speaking-about-safety-concerns-multi-setting-qualitative-study-patients-views-and-experiences
May 18, 2016 - Patients' ability to speak up was influenced by the threat of harm, the relative importance of their … concern given other patients' needs and staff workloads, and the consequences of speaking up. … of the literature. … : the results of a formative assessment of a video empowering patients to ask their health care providers … January 28, 2010
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Health Care Providers
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psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety
August 01, 2012 - Citation Text:
The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and … of the program. … The toolkit is structured around enhancing multidisciplinary teamwork by completing a series of steps … determining the return on investment of the programs. … October 23, 2019
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer