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psnet.ahrq.gov/issue/health-implications-apologizing-after-adverse-event
October 05, 2015 - the recovery and health of patients who have experienced harm. … value of a standardized cognitive assessment tool through the use of interprofessional rapid safety … February 16, 2011
In the wake of hospital inquiries: impact on staff and safety. … October 21, 2009
Practising open disclosure: clinical incident communication and systems … March 4, 2009
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Health Care Providers
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psnet.ahrq.gov/issue/patients-experiences-communication-and-resolution-programs-after-medical-injury
May 05, 2021 - analysis of claimants and non-claimants. … December 1, 2019
Outcomes in two Massachusetts hospital systems give reason for optimism … November 28, 2016
In support of the medical apology: the nonlegal arguments. … May 7, 2007
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Hospitals
Health Care … Providers
Facility and Group Administrators
Medicine
Psychological and Social Complications
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psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation
February 01, 2003 - Finally, the legislation mandated patient safety education for all health care providers. … health care providers or facilities, but the information obtained under the law can still be used in … Amendments 7 and 8 have led to an alarming wave of paranoia among health care providers and administration … societal-political issues of redesigning health care systems to make them safer while making them more … status and assessment recommendations.
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psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
July 01, 2012 - and hospitals that do not buy the equipment) further weaken the market position of health care providers … When government incentives and punishments (reduced reimbursements) compel health care providers to purchase … Costs and Benefits of Health Information Technology. Evidence Report/Technology Assessment No. 132. … case for health care providers and organizations to have information technology (IT) systems in 2012 … of the provider community and, hopefully, ultimately the consumer community as well.
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psnet.ahrq.gov/issue/can-standard-configuration-cardiac-monitor-lead-medical-errors-under-stress-induction
May 19, 2021 - Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. … A conceptual model of the relationships and a discussion of implications. … July 14, 2021
Can patients contribute to enhancing the safety and effectiveness of test-result … Qualitative outcomes from a health consumer workshop. … March 30, 2022
The secondary use of data to support medication safety in the hospital
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psnet.ahrq.gov/issue/designing-and-delivering-whole-person-transitional-care-hospital-guide-reducing-medicaid
March 27, 2019 - Copy Citation
Related Resources From the Same Author(s)
Overview of the Environmental … July 27, 2018
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer … March 18, 2020
Assessing the Evidence for Context-Sensitive Effectiveness and Safety … April 23, 2014
Pediatric Diagnostic Safety: State of the Science and Future Directions … September 13, 2023
Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic
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psnet.ahrq.gov/issue/do-crowdsourced-hospital-ratings-coincide-hospital-compare-measures-clinical-and-nonclinical
June 23, 2021 - This study examined the correlation between crowdsourced ratings of hospitals (i.e., through consumer-oriented … sites) and publicly reported quality metrics (the Center for Medicare and Medicaid Services Hospital … November 3, 2021
Assessment of nursing home reporting of major injury falls for quality … May 11, 2022
The role of bias in clinical decision-making of people with serious mental … of time, safety attitudes and staff wellbeing.
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psnet.ahrq.gov/node/33763/psn-pdf
March 01, 2014 - of 14 experts that provides advice and guideline
development for the Department of Health and Human … , the vision and infrastructure for national surveillance and reporting systems for HAIs was born. … The systematic collection
of these data and provision of reports allows for local, state, and national … and national validation systems to ensure fair and objective reporting was identified; such systems are … Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care
Hospital
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psnet.ahrq.gov/issue/adverse-outcomes-polypharmacy-older-people-systematic-review-reviews
May 29, 2019 - Same Author(s)
Effect of restriction of the number of concurrently open records in an … May 29, 2019
Toward the translation of systems thinking methods in patient safety practice … : assessing the validity of Net-HARMS and AcciMap. … June 1, 2016
Choice, transparency, coordination, and quality among direct-to-consumer … November 13, 2024
Association of display of patient photographs in the electronic health
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psnet.ahrq.gov/node/33824/psn-pdf
January 01, 2016 - 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 … system as a whole encouraged increasing use of opioids and overlooked the risk of misuse. … In this sense,
the opioid epidemic is iatrogenic, and thus falls within the scope of patient safety. … The guidelines also suggest minimizing concurrent use of opioids and other sedating
medications and
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psnet.ahrq.gov/issue/promoting-patient-safety-ethical-basis-policy-deliberation
June 02, 2010 - The results of a two-year Hastings Center project to elucidate ethical concerns that affect the dialogue … March 27, 2005
Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple … March 5, 2014
The Ethics of Using QI Methods to Improve Health Care Quality and Safety … June 17, 2014
A Call for Change: The 2011 Commonwealth Fund Survey of Public Views of … June 29, 2005
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Health Care Providers
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psnet.ahrq.gov/primer/patient-safety-indicators
June 15, 2024 - , and the establishment of operational systems and processes that minimize the likelihood of errors and … Patient safety indicators also inform healthcare providers in efforts to develop systems and processes … CMS’ 2021 National Impact Assessment Report (which examined data between 2013 and 2018) demonstrated … Despite challenges due to varying definitions and data quality across health providers and health systems … January 26, 2022
National hospital ratings systems share few common scores and may generate
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psnet.ahrq.gov/primer/digital-health-literacy
August 30, 2023 - , access telehealth services , and communicate with healthcare providers electronically. … Critical : The ability to evaluate the credibility, relevance, and risks of sharing and receiving health … The state of telehealth before and after the COVID-19 pandemic. … Google: the evidence on consumer-facing digital tools for diagnosis. … Providers and Leaders.
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psnet.ahrq.gov/issue/making-health-care-safer-critical-analysis-patient-safety-practices
July 27, 2018 - Nearly 100,000 copies of the report have been obtained from the Agency for Healthcare Research and Quality … , and its now-famous list of the top 11 practices became the focus of many a new patient safety program … Summary, Evidence Report/Technology Assessment. … June 8, 2011
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer … Care
Health Care Providers
Health Care Executives and Administrators
Nosocomial Infections
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psnet.ahrq.gov/issue/patient-safety-ambulatory-settings
June 08, 2011 - Most patient safety research and initiatives have focused on the hospital environment, despite the fact … This technical brief explores gaps in the evidence base that hinder understanding of safety concerns … November 1, 2016
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer … March 5, 2013
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Ambulatory Care
Health … Care Providers
Facility and Group Administrators
Primary Care
Epidemiology of Errors and Adverse
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psnet.ahrq.gov/issue/ismp-survey-2022-2023-targeted-medication-safety-best-practices-hospitals
January 26, 2023 - The integration of best practices into daily work is an indication of their usefulness and sustainability … March 6, 2005
Consumer Safe Medicine. … the Aftermath of a Fatal Medication Error. … March 31, 2010
ISMP Guidelines for Sterile Compounding and the Safe Use of Sterile Compounding … Health Systems.
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psnet.ahrq.gov/issue/comparison-focused-family-cancer-history-questionnaire-family-history-documentation
June 23, 2021 - This study compared patient-reported family history of cancer in the electronic health record (EHR) and … December 16, 2020
Assessment of patients' ability to review electronic health record … to improve the safety and reliability of their own care. … A rapid review of the evidence. … Office
Health Care Providers
Primary Care
Medical Oncology
Clinical Misdiagnosis
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psnet.ahrq.gov/node/33652/psn-pdf
June 01, 2007 - and controversy about the purpose and
usefulness of these systems. … However,
since 2000, the number of states with authorized systems has almost doubled, and many of the … As state experience with reporting systems grows, the systems
continue to evolve and mature. … the more recent systems requires the availability of facility-specific data. … other licensed health care provider
Abduction of a patient of any age
Sexual assault on a patient
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psnet.ahrq.gov/issue/patients-perceptions-importance-self-administered-correct-site-surgery-checklist-multisite
May 25, 2022 - safe surgery and highlight the importance of patient engagement in mitigating surgical site errors … Same Author(s)
Defining diagnostic error: a scoping review to assess the impact of the … of error recovery in the operating room. … May 5, 2021
Effect of the surgical safety checklist on provider and patient outcomes: … : a systematic review and meta-analysis of 488,594 patients.
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psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
March 19, 2019 - error reporting systems allow for the identification of common themes and trends among the medication … Implementing an error reporting process allows tracking and assessment of error trends that can be used … An overview of clinical decision support systems: benefits, risks, and strategies for success. … review of assessment tools and their measurement properties. … rates of system-related errors associated with two commercial systems in hospitals.