-
psnet.ahrq.gov/issue/parents-perceptions-pediatric-day-surgery-risks-unforeseeable-complications-or-avoidable
September 11, 2019 - September 13, 2023
Psychosocial processes in healthcare workers: how individuals' perceptions … January 31, 2018
What hinders the uptake of computerized decision support systems in … March 6, 2005
Systems analysis of adverse drug events. … to patient deterioration—developing a model for consumer reporting. … Health Care Providers
Risk Managers
Patients
Pediatric Surgery
View More
-
psnet.ahrq.gov/perspective/safety-across-board
August 31, 2020 - of areas for improvement and provide a venue to demonstrate and recognize the importance of the patient … and health systems across the country and results associated with implementation. … about, called HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems). … KH : Does the culture of safety change the roles and responsibilities of the nurses? … It doesn't change the fact that the nurse needs to do a clear, concise assessment and have it documented
-
psnet.ahrq.gov/issue/framing-diagnostic-error-epidemiological-perspective
January 12, 2022 - Instead of developing a standardized definition, the authors recommend considering how the timing and … August 26, 2015
The value of library and information services in patient care: results … October 5, 2022
Implementation and evaluation of a prototype consumer reporting system … February 22, 2023
The diagnostic and triage accuracy of digital and online symptom checker … decision support systems: a systematic review.
-
psnet.ahrq.gov/perspective/emergence-application-based-healthcare
August 05, 2022 - Sustainable reimbursement and payment mechanisms to healthcare facilities and healthcare providers for … Google: the evidence on consumer-facing digital tools for diagnosis. … Google: the evidence on consumer-facing digital tools for diagnosis. … providers, I’m wondering what your overall perspective is on the current state of app-based healthcare … General Public
Health Care Providers
Quality and Safety Professionals
Patients
Family
-
psnet.ahrq.gov/issue/analysis-suicides-reported-adverse-events-psychiatry-resulted-nine-quality-improvement
October 21, 2020 - Based on a multi-year chart review at one institution, the authors concluded that suicide risk assessment … and documentation in the heath record to be insufficient. … The authors outline quality improvement recommendations focused on improving documentation, suicide assessment … and intervention training, and improving communications with families, caregivers, and other health … care providers.
-
psnet.ahrq.gov/perspective/conversation-edwin-loftin-dnp-mba-rn-nea-bc-fache
August 31, 2020 - about, called HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems). … KH : Does the culture of safety change the roles and responsibilities of the nurses? … It doesn't change the fact that the nurse needs to do a clear, concise assessment and have it documented … and health systems across the country and results associated with implementation. … Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety
August 30, 2023
-
psnet.ahrq.gov/issue/nurses-perspective-serious-adverse-drug-event
August 29, 2007 - Golz and Fitchett, two of the nurses involved in the actual case, present the sequence of events, the … series of systems errors, including communication lapses and poor double-checks, contribute to an unfortunate … May 15, 2013
Effect of a systems intervention on the quality and safety of patient handoffs … September 27, 2023
Value assessment of deprescribing interventions: suggestions for improvement … Errors
September 7, 2019
Usability and feasibility of consumer-facing technology
-
psnet.ahrq.gov/issue/link-between-clinically-validated-patient-safety-indicators-and-clinical-outcomes
November 16, 2016 - August 30, 2023
The impact of meaningful use and electronic health records on … composite (PSI-90): does it affect assessment of hospital performance and financial penalties in Veterans … February 17, 2017
Consumer rankings and health care: toward validation and transparency … May 28, 2015
View More
See More About The Topic
Hospitals
Health Care … Providers
Medicine
Epidemiology of Errors and Adverse Events
Patient Safety Indicators
-
psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
July 01, 2012 - 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. … 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.
-
psnet.ahrq.gov/issue/sorry-never-enough-how-state-apology-laws-fail-reduce-medical-malpractice-liability-risk
May 05, 2021 - As a result, 38 states and the District of Columbia passed apology laws , designed to make such apologetic … Same Author(s)
To err is system: a comparison of methodologies for the investigation of … need to address unconscious bias within health systems. … March 27, 2019
Effects of a communication-and-resolution program on hospitals' malpractice … December 19, 2018
Transparent and open discussion of errors does not increase malpractice
-
psnet.ahrq.gov/node/49489/psn-pdf
September 01, 2005 - ISMP advises
patients to insist that their physicians inform them of the generic and brand names of … dose and
complexity of medication regimens in the elderly. … Patients must insist that their physicians inform
them of the generic and brand names of each of their … medications, as well as the spelling of and
indications for each. … A randomized, controlled trial of comprehensive geriatric
assessment and multidisciplinary intervention
-
psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
September 01, 2005 - However, the role of physicians in creating better systems and how they work with others in effective … The question is, as we get smarter about the processes and systems in organizations, will we be able … understanding of systems thinking and engineering principles—was a marvelous example of translocational … Evidence Report/Technology Assessment No. 43. … March 16, 2022
Two decades since To Err Is Human: an assessment of progress and emerging
-
psnet.ahrq.gov/issue/personal-nursing-care-experiences-provide-lessons-patient-safety
March 01, 2023 - practices: a qualitative assessment. … June 4, 2014
Observer-based tools for non-technical skills assessment in simulated and … January 12, 2011
Understanding how rapid response systems may improve safety for the … from using computerized provider order entry systems in primary and secondary care. … March 18, 2020
Health care provider factors associated with patient-reported adverse
-
psnet.ahrq.gov/node/60865/psn-pdf
August 31, 2020 - within
an institution and the idea of Safety Across the Board? … about, called HCAHPS
(Hospital Consumer Assessment of Healthcare Providers and Systems). … Those are the two journeys – (1) developing a culture of healing and (2) the use of
Lean Six Sigma to … KH: Does the culture of safety change the roles and responsibilities of the nurses? … It doesn't change the fact that the nurse needs to do a clear, concise assessment
and have it documented
-
psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
February 01, 2013 - Research and Quality (AHRQ) released an assessment of the role of health information technology in enabling … Patient engagement embodies consumer empowerment, health advocacy, and patient activism—activities that … the medical record.( 6 ) Using a similar approach, patient safety reporting systems designed specifically … consumer organizations are increasingly interested in soliciting and sharing consumer-reported patient … Designing Consumer Reporting Systems for Patient Safety Events.
-
psnet.ahrq.gov/issue/are-more-experienced-clinicians-better-able-tolerate-uncertainty-and-manage-risks-vignette
March 08, 2023 - Risk aversion in clinical practice may lead to the ordering of unnecessary tests and procedures, a … healthcare staff in the United Kingdom and Australia. … March 31, 2021
The role of emotion in patient safety: are we brave enough to scratch … August 10, 2022
Emotion and coping in the aftermath of medical error: a cross-country … A review of evidence, practice and consumer perspectives.
-
psnet.ahrq.gov/issue/patient-education-prevent-falls-among-older-hospital-inpatients-randomized-controlled-trial
February 14, 2017 - February 14, 2017
Insights into the climate of safety towards the prevention of falls … ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative … to patient deterioration—developing a model for consumer reporting. … July 24, 2019
Use of standard risk screening and assessment forms to prevent harm to … Topic
General Hospitals
Health Care Providers
Risk Managers
Quality and Safety Professionals
-
psnet.ahrq.gov/issue/research-designs-studies-evaluating-effectiveness-change-and-improvement-strategies
September 20, 2011 - Research designs for studies evaluating the effectiveness of change and improvement strategies. … They discuss the nuances of selecting randomized versus non-randomized approaches and the tradeoffs of … of medication safety letters issued in Canada, the USA and the UK. … May 18, 2022
An analysis of the structure and content of dashboards used to monitor patient … systems.
-
psnet.ahrq.gov/print/pdf/node/845971
January 01, 2024 - This article proposes a new concept of safety as the preservation of values/valuables,
experiences, and … The relationship between nurse staffing and the quality and safety of care has been reported. … This article proposes a new concept of safety as the preservation of values/valuables,
experiences, and … Value assessment of deprescribing interventions: suggestions for improvement. … The relationship between nurse staffing and the quality and safety of care has been reported.
-
psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
January 01, 2025 - AHRQ PSNet Webinar
AHRQ PSNet Webinar
Making Healthcare Safer (MHS) IV:
Rapid Response Systems and … • Polling questions will be conducted at the start and conclusion of the
presentation – we would … – The Armstrong Institute for Patient Safety and Quality, and the
Johns Hopkins University Evidence-based … opioid use disorder
► Interventions or policies established by entities other than healthcare
providers … should have headers
Regularity Passed Tables must contain the same number of columns in each row and