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psnet.ahrq.gov/issue/do-no-harm-promoting-patient-safety
September 27, 2006 - of the U.S. … July 24, 2019
Health Care Opinion Leaders' Views on the Quality and Safety of Health … September 2, 2015
2014 Guide to State Adverse Event Reporting Systems. … : the results of a formative assessment of a video empowering patients to ask their health care providers … March 15, 2023
Controlled substance drug diversion by healthcare workers as a threat
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psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safety
March 11, 2020 - Same Author(s)
Cracking the code for quality: the interrelationships of culture, nurse … the development and adoption of a computer-assisted tool with automated electronic integration of population-based … September 26, 2018
Barriers to the reporting of medication administration errors and … October 6, 2016
Identifying the 'right patient': nurse and consumer perspectives on verifying … Health Care Providers
Nurse Managers
Quality and Safety Professionals
Mental Health Care
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psnet.ahrq.gov/node/49701/psn-pdf
February 01, 2014 - of
Gastroenterology (7), the Welsh Wound Network (8), and the UK's National Institute for Health and … assessment of
cognitive function. … of damage to the bowel and other tissues. … In patients with FMSs, daily assessment is essential for early detection and treatment of any adverse … Effective management of acute faecal incontinence in hospital: review of
continence management systems
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psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety
November 10, 2015 - associated with the event.( 6 ) However, the usefulness of incident reporting systems for measurement … and comparison of data across systems untenable. … Data elements across health care systems are not consistent, and the accuracy and reliability of ICD- … composite (PSI-90): does it affect assessment of hospital performance and financial penalties in Veterans … Health Care Providers
Health Care Executives and Administrators
Policy Makers
Gynecology
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psnet.ahrq.gov/node/49599/psn-pdf
February 23, 2010 - The ED physician ordered laboratory tests and a CT scan of the abdomen and pelvis,
all of which were … complaints and had received 12 CT scans of the abdomen and pelvis. … 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.
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psnet.ahrq.gov/node/72835/psn-pdf
March 10, 2021 - We spoke to them about the current state of
measurement of patient and family engagement and potential … , and the families in terms
of outcomes and the system, in terms of efficiency. … Maybe they've been dinged for their Hospital Consumer Assessment of Healthcare
Providers and Systems … The
patient advisory programs that we build are the hospital systems’ best insight into the needs, … New telehealth systems are a perfect example of where those open-
ended conversations are so helpful
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psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - are not well designed to support and reflect healthcare workers’ workflow, and the conditions in which … 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 … 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
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psnet.ahrq.gov/perspective/remote-patient-monitoring
March 15, 2023 - Remote patient monitoring (RPM) is a type of telehealth in which healthcare providers monitor patients … At times, patients will want to please their health care provider, and with the pen and paper method … assessment. … System Failures on Healthcare Workers
March 21, 2023
Perspective … General Public
Emergency Departments
Specialty Hospitals
Health Care Providers
Health
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psnet.ahrq.gov/issue/please-reconcile-not-wait-while
April 19, 2023 - The authors emphasize the importance of engaging the entire care team as well as patients and families … July 16, 2014
Consumer rankings and health care: toward validation and transparency. … January 3, 2017
Assessment of automating safety surveillance from electronic health records … June 16, 2019
The limits of checklists: handoff and narrative thinking. … Topic
Hospitals
Health Care Providers
Quality and Safety Professionals
Pediatrics
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psnet.ahrq.gov/issue/engaging-patients-vigilant-partners-safety-systematic-review
February 06, 2019 - in safety efforts and the effectiveness of such efforts. … note a lack of rigorous studies evaluating the effect of such efforts on safety outcomes. … rapid review of evidence, practice and patient perspectives. … December 10, 2014
Putting the 'patient' in patient safety: a qualitative study of consumer … A review of the literature.
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psnet.ahrq.gov/issue/effort-human-factors-performance-and-decision-making
August 31, 2022 - June 8, 2022
Assessment of programs aimed to decrease or prevent mistreatment of medical … August 1, 2007
National trends in safety performance of electronic health record systems … August 10, 2005
Reliability of verbal handoff assessment and handoff quality before and … March 31, 2021
Pediatric aspects of inpatient health information technology systems. … the emergency department: results of a multidisciplinary needs assessment.
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psnet.ahrq.gov/node/859646/psn-pdf
January 04, 2024 - and is
the director of the Yale Program on Healthcare Environmental Sustainability. … At a systems level, we are seeing more weather-related damage and impact to health systems, such as … Jodi Sherman: Hospitals and healthcare systems are like miniature cities: they procure supplies, water … extended input-output assessment. … Most health systems went to disposables years ago,
although there isn’t any evidence of improved patient
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psnet.ahrq.gov/issue/effect-health-information-exchange-recognition-medication-discrepancies-interrupted-when-data
November 16, 2022 - intervention arm and without such information access for patients in the control arm. … In the first 10 months of the study, the health information exchange provided access to prescribing information … of resident physicians and pharmacists. … May 8, 2017
Using consumer-based kiosk technology to improve and standardize medication … of resident physicians and pharmacists.
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psnet.ahrq.gov/node/841493/psn-pdf
December 14, 2022 - systems throughout the country.1 Its exponential expansion, spurred by
the COVID-19 pandemic, has … and health systems were obliged to
rapidly implement telehealth into existing operations with the onset … When telehealth has been used for on-demand clinical calls using systems and providers that are not a … patient factors, social determinants of health, and the fidelity of the
telehealth care model. … Access and quality of care in direct-to-consumer
telemedicine.
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psnet.ahrq.gov/web-mm/refused-medication-error
November 01, 2005 - The nurse alerted the primary care team of the patient's declining mental status and their concern about … The following morning, his next-of-kin and health care surrogate provided documentation of the patient's … Throughout the admission and transfer process, the patient's refusal of the prescribed lactulose and … Nursing and medical documentation should have included an assessment of the patient's understanding ( … Topic
Hospitals
Health Care Providers
Medicine
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/web-mm/easily-forgotten-tube
June 01, 2016 - assessment of cognitive function. … of damage to the bowel and other tissues. … In patients with FMSs, daily assessment is essential for early detection and treatment of any adverse … Effective management of acute faecal incontinence in hospital: review of continence management systems … Intensive Care Units
Health Care Providers
Quality and Safety Professionals
Gastroenterology
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psnet.ahrq.gov/issue/identifying-understanding-and-minimizing-unconscious-cognitive-biases-perioperative-crisis
June 19, 2019 - Unconscious bias among clinicians can hinder the delivery of high-quality care and degrade diagnostic … and clinical decision support systems (CDSS) . … July 22, 2011
Usability and feasibility of consumer-facing technology to reduce unsafe … June 12, 2024
Remote assessment of real-world surgical safety checklist performance using … March 20, 2024
The ritualisation of the surgical safety checklist and its decoupling
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psnet.ahrq.gov/perspective/suicide-prevention
March 24, 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 … Healthcare providers should be comfortable having discussions about suicidal thoughts and behaviors using … By maintaining empathy and using trauma-informed care approaches, healthcare providers can break down … If you look at the month before death, up to 40% of them have seen a healthcare provider. 1 What is
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psnet.ahrq.gov/periodic-issue/periodic-issue-318
November 30, 2021 - In this comparison study of web-based and interactive voice response systems (IVRS), the mean number … Structured handoffs, such as situation-background-assessment-recommendation (SBAR) and checklists, have … The document highlights patient assessment, process standardization, and cross-disciplinary team building … AHRQ’s Hospital Survey on Patient Safety Culture™ (SOPS®) ask health care providers and staff about the … The commentary discusses the importance and use of early maternal warning systems, checklists and protocols
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psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur
May 26, 2021 - assessment of response and consideration of efficacy
Complete documentation and handoff communication … on shift workers. 8 Also relevant to this case is the reduced presence of other health care providers … Health systems have made attempts to decrease the likelihood of adverse drug events by implementing health … Assessment of patient response is crucial for ascertaining whether an ordered medication is having the … Systematic Assessment of Preventable Adverse Events.