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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/perspective/patient-safety-and-opioid-medications
January 01, 2015 - idea of pain as a "fifth vital sign," and the inclusion of pain-related questions on the HCAHPS [Hospital … Consumer Assessment of Healthcare Providers and Systems] survey, whose results can affect hospital reimbursement … system as a whole encouraged increasing use of opioids and overlooked the risk of misuse. … September 22, 2010
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Hospitals
Health … Care Providers
Health Care Executives and Administrators
Pharmacy
Opiates/Narcotics
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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/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/issue/impact-electronic-prescribing-hospital-setting-process-focused-evaluation
April 29, 2020 - August 4, 2021
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/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/issue/piece-my-mind-changing-narrative
December 13, 2023 - dismissive to concerns of patients and other health care workers. … This commentary advocates for the use of mindful storytelling to develop collegial relationships and … June 14, 2019
Evaluating the effect of data standardization and validation on patient … April 10, 2019
Assessment of the FDA Risk Evaluation and Mitigation Strategy for transmucosal … April 22, 2015
Should health care providers be forced to apologise after things go wrong
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psnet.ahrq.gov/issue/ahrq-health-literacy-universal-precautions-toolkit-0
May 26, 2010 - May 2, 2018
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer … Evidence Report/Technology Assessment. … December 9, 2009
Industrial and Systems Engineering and Health Care: Critical Areas of … During and Immediately After Childbirth: State of the Science. … October 26, 2022
Evaluation of the culture of safety and quality in pediatric primary
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psnet.ahrq.gov/issue/psychology-error-relation-medical-practice
January 11, 2006 - February 10, 2016
Simulation-based assessment of the management of critical events by … A review of evidence, practice and consumer perspectives. … July 17, 2019
Clinical reasoning assessment methods: a scoping review and practical guidance … systems level. … : literature review and the development of the surgical stress effects (SSE) framework.
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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/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/closest-observers-patient-care-thematic-analysis-online-narrative-reviews-hospitals
December 12, 2014 - not have surfaced using the Hospital Consumer Assessment of Healthcare Providers and Services patient … August 8, 2018
Effect of the transformation of the Veterans Affairs Health Care System … on the quality of care. … January 25, 2016
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Hospitals
Health … Care Providers
Medicine
Epidemiology of Errors and Adverse Events
Narrative/Storytelling
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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/node/33641/psn-pdf
November 01, 2006 - I further propose that the
liberated neurons be used to store the tools and concepts of human factors … care providers, I have found that the concepts of human factors engineering often
inspire two types … He removes the catheter while the patient is seated, instead of in the much safer
supine position, and … Moreover, they appreciate that the average
consumer has seen two-nostril administration demonstrated … Cognitive and usability engineering methods for the evaluation of clinical
information systems.
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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/web-mm/diagnostic-overshadowing-dangers
February 12, 2020 - In the ED, the patient complained of pain in her epigastric region and back. … Technology-based systems interventions, such as the use of text or pager alerts to communicate critical … Take-Home Points Health care providers, especially acute care providers in the emergency and inpatient … Clinician impression versus prescription drug monitoring program criteria in the assessment of drug-seeking … A review of evidence, practice and consumer perspectives.
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psnet.ahrq.gov/node/60330/psn-pdf
May 05, 2020 - event as a result of delayed assessment and treatment. … Its expanded use has served as a means of
ensuring the safety of both patients and frontline providers … This allows patients to receive care from the safety of their homes and
avoid exposure to the virus … Finally, in the effort to maximize use of telehealth
services and minimize the risk of patient exposure … ’ understanding
of both the benefits and limitations of telehealth increases, telehealth will become
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psnet.ahrq.gov/issue/what-practices-will-most-improve-safety-evidence-based-medicine-meets-patient-safety
March 18, 2019 - interventions that affect systems rather than individuals. … the choices in potentially implementing one practice at the expense of another. … February 18, 2011
Outpatient prescribing errors and the impact of computerized prescribing … February 14, 2018
A longitudinal study of clinical peer review's impact on quality and … July 12, 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
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psnet.ahrq.gov/issue/new-ahrq-sopsr-workplace-safety-supplemental-items-hospitals
May 01, 2017 - The release of the Workplace Safety supplemental items for use in conjunction with the AHRQ Hospital … This webinar provided background on the importance of workplace safety and introduce the Workplace Safety … Patient Safety and Quality Improvement Act of 2005. … Consumer Reporting System for Patient Safety Events. … Executives and Administrators
Quality and Safety Professionals
Latent Errors
Culture of Safety