-
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/issue/emerging-ehr-purgatory-moving-process-outcomes
July 22, 2020 - to enhance the ability of electronic health record systems to deliver on promises of improved safety … June 14, 2017
Assessment of automating safety surveillance from electronic health records … , and healthcare worker well-being. … August 20, 2008
Using the Communication and Teamwork Skills (CATS) assessment to measure … March 15, 2023
Assessment of the use of patient vital sign data for preventing misidentification
-
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
-
psnet.ahrq.gov/periodic-issue/periodic-issue-276
January 29, 2021 - patients and healthcare workers. … The large burden placed on hospitals and healthcare providers during the COVID-19 pandemic has raised … on home healthcare workers instead of rehabilitation professionals, and lack of fall assessment follow-up … on home healthcare workers instead of rehabilitation professionals, and lack of fall assessment follow-up … The large burden placed on hospitals and healthcare providers during the COVID-19 pandemic has raised
-
psnet.ahrq.gov/primer/nursing-and-patient-safety
September 15, 2024 - near misses, understanding care processes and weaknesses inherent in some systems, identifying and communicating … and stress, and the risk of burnout for nurses. … Safety and Quality Rating Systems The National Quality Forum endorsed voluntary consensus standards … by CMS and the Hospital Quality Alliance, and geared toward providing consumer data on the degree … WebM&M Cases
Missed Opportunities for Suicide Risk Assessment
-
psnet.ahrq.gov/periodic-issue/periodic-issue-429
February 28, 2024 - Respondents discussed the importance of communication, effective leadership, and building systems that … The clinicians were generally positive about consumer involvement, but were also concerned that it could … This review explored studies on electronic medication reconciliation tools available to healthcare providers … programs can target the various stages of recovery to support healthcare workers after a patient safety … The commentary highlights strategies to improve EHR systems to prevent diagnostic delays and care coordination
-
psnet.ahrq.gov/issue/strategies-prevent-missed-nursing-care-international-qualitative-study-based-upon-positive
May 18, 2022 - Same Author(s)
Observational evidence of the prevalence and association of polypharmacy … November 11, 2020
The work of nurses to provide good and safe services to children receiving … hospital-at-home: a qualitative interview study from the perspectives of hospital nurses and physicians … October 20, 2021
Can patients contribute to enhancing the safety and effectiveness of … April 21, 2021
Incorporating nursing complexity in reimbursement coding systems: the
-
psnet.ahrq.gov/perspective/conversation-leah-binder-ma-mga
February 26, 2025 - Purchaser and consumer organizations like ours also have a high threshold for measurement integrity, … My staff can recite a lot of measures and a lot of the details about the latest proposal by CMS. … News, Consumer Reports, Healthgrades, etc. … So we began by doing some research on what kinds of rating systems in any industry are most effective … But the consumer then calls us to say, "I don't understand, what does this mean?"
-
psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
March 15, 2023 - The patient was seen in the preoperative assessment clinic prior to admission, where the nursing staff … medication lists can originate at the level of the individual provider but also result from systems-based … Below are additional recommendations that can be employed at the health systems level:
Hire and Train … the system. 16 In case 2, the nursing staff at the preoperative assessment clinic obtained an accurate … Hospitals
Health Care Providers
Medicine
Endocrinology
View More
-
psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - It involves the prevention and
mitigation of harm caused by errors of omission or commission in healthcare … , and the establishment of
operational systems and processes that minimize the likelihood of errors … and maximize the likelihood of
intercepting them when they occur.” … Patient safety indicators
also inform healthcare providers in efforts to develop systems and processes … Despite challenges due to varying definitions and data quality across health providers and health systems
-
psnet.ahrq.gov/issue/clinical-alarms-complexity-and-common-sense
September 23, 2020 - The author discusses the components of an alarm safety system and how to assess risks in that system. … November 21, 2018
Patient safety, systems design and ergonomics. … January 13, 2024
Risk and Event Assessment. … January 23, 2019
Managing alarm systems for quality and safety in the hospital setting … May 27, 2015
View More
See More About The Topic
Health Care Providers
-
psnet.ahrq.gov/issue/ssssh-handover-protected-medical-handover-optimising-quality-and-prioritising-safety-regional
March 08, 2017 - December 2, 2020
Is the maturity of hospitals' quality improvement systems associated … of electronic medication management systems: a systematic review. … Qualitative outcomes from a health consumer workshop. … March 13, 2019
Drs Bramhall and Bawa-Garba and the rightful domain of the criminal law … September 5, 2018
Assessment of the safety of discharging select patients directly home
-
psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
June 01, 2011 - ET : One typical one that bridges health care and consumer behavior is the filter cigarette. … I know that in the current medical system that is very hard to do given the workloads and systems of … Some of them involve interaction between the technological system and organizational systems and the … the most optimistic assessment of just about everything. … Health Care Providers
Health Care Executives and Administrators
Information Professionals
-
psnet.ahrq.gov/periodic-issue/periodic-issue-343
May 16, 2022 - This study conducted a usability assessment of AHRQ’s proposed Common Formats Event Reporting for Diagnostic … Focus groups consisting of participants from consumer and health organizations involved in cancer care … Qualitative analysis of incident reports revealed three themes: assessment of patients, guidelines, and … systems that flag potential risks. … The commentary highlights the consequences of patient transport errors and strategies to enhance the
-
psnet.ahrq.gov/node/867985/psn-pdf
January 01, 2025 - months leading up to their deaths.3 In addition, healthcare providers are uniquely trained
and positioned … Given this crucial role that healthcare providers can play in suicide prevention, screening patients … https://psnet.ahrq.gov//#11
Best Practices for Conducting Screening and Assessment
The next step … Healthcare providers should be comfortable having
discussions about suicidal thoughts and behaviors … By maintaining empathy and using
trauma-informed care approaches, healthcare providers can break down
-
psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing
August 30, 2023 - assessment done daily. … . 2 Gaps in care coordination among the multiple healthcare providers a patient sees are associated … and investment in technology by health systems. … Hospital Consumer Assessment of Healthcare Providers and Systems report cards improved after the implementation … Topic
Researchers
General Public
Hospitals
Health Care Providers
Health Care Executives
-
psnet.ahrq.gov/issue/accuracy-trigger-tools-detect-preventable-adverse-events-primary-care-systematic-review
January 22, 2016 - February 7, 2024
Frontline hospital workers and the worker safety/patient safety nexus … January 21, 2019
Consumer mobile apps for potential drug–drug interaction check: systematic … review and content analysis using the Mobile App Rating Scale (MARS). … March 10, 2011
A mixed method study of the merits of e-prescribing drug alerts in primary … Physicians
Information Professionals
Primary Care
Epidemiology of Errors and Adverse Events
-
psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - Across healthcare, surveys reveal workforce concern that healthcare workers are unable to provide safe … and healthcare units, healthcare workers have shared that they are experiencing higher levels of burnout … are not well designed to support and reflect healthcare workers’ workflow, and the conditions in which … System Failures on Healthcare Workers
March 21, 2023
View More
See … More About The Topic
Labor and Delivery
Health Care Providers
Health Care Executives and
-
psnet.ahrq.gov/issue/hospital-ethical-climate-and-teamwork-acute-care-moderating-role-leaders
October 15, 2016 - Study
Hospital ethical climate and teamwork in acute care: the moderating role of … Hospital ethical climate and teamwork in acute care: the moderating role of leaders. … Hospital ethical climate and teamwork in acute care: the moderating role of leaders. … April 6, 2011
Putting the 'patient' in patient safety: a qualitative study of consumer … June 19, 2013
Assessment of teamwork during structured interdisciplinary rounds on medical
-
psnet.ahrq.gov/issue/international-society-quality-health-care-conference
September 26, 2023 - Assessment Service, and the Korea Institute for Healthcare Accreditation, COEX Convention and Exhibition … Assessment Service, and the Korea Institute for Healthcare Accreditation, COEX Convention and Exhibition … Assessment Service, and the Korea Institute for Healthcare Accreditation, COEX Convention and Exhibition … September 30, 2020
Health IT and Patient Safety: Building Safer Systems for Better Care … August 3, 2022
Healthcare Systems Ergonomics and Patient Safety Triennial Conference.