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psnet.ahrq.gov/node/846170/psn-pdf
March 15, 2023 - a shared platform between the prescribing physician and other healthcare providers, which limits
coordination … healthcare providers to implement teach-back into their daily practice. … systems. … lack of standardization across documentation systems, and lack of interoperability between the
pharmacy … The SHARE Approach—Using the teach-Back Technique: A Reference Guide for Health Care
Providers.
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psnet.ahrq.gov/node/852700/psn-pdf
August 30, 2023 - For example, we have alerting systems to
notify us of risks in the dispensing and preparation of medications … Plan, use the Self-Assessment Tool to assess their organization’s
current state, and implement a plan … and forging of reliable
learning systems within and across healthcare organizations at the local, regional … systems are not well designed to support and reflect healthcare workers’ workflow, and the conditions … Organizational Self-Assessment Tool is the patient and family engagement foundational area.
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psnet.ahrq.gov/node/850675/psn-pdf
June 14, 2023 - Family Presence and Participation During the COVID-19 Pandemic
Most hospitals and health systems responded … hospital and across the entire continuum of care.”4
The emotional toll of the loss of family presence … As PFACs have been implemented in hospitals and health systems, evidence shows
their impact on safety … Approaches to PFACs that more fully utilize patient and family partners may help
health systems achieve … A recent Cochrane Systematic review found that
power imbalances between healthcare providers and patients
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psnet.ahrq.gov/node/50928/psn-pdf
February 21, 2020 - clinical decision support
(CDS) alert systems can improve medication safety by increasing the quality … AI-based systems could support physicians in the analysis of large amounts
of data for diagnostic evaluations … workflow and contexts of the clinical users. … A final area of note concerns the progression of CDS and the integration of AI. … with HIT systems.
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psnet.ahrq.gov/primer/burnout
November 20, 2024 - The studies have highlighted the important role of systems issues as impacting the development of burnout … Burnout in healthcare workers: prevalence, impact and preventative strategies. … The evolving role of the chief wellness officer in the management of crisis by health care systems: lessons … Burnout among healthcare providers of COVID-19: a systematic review of epidemiology and recommendations … November 11, 2015
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See More About The Topic
Health Care Providers
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psnet.ahrq.gov/node/836794/psn-pdf
March 31, 2022 - Learning Objectives
Describe the four elements that healthcare providers should use to assess capacity … , the Hopkins Competency Assessment Test, Understanding
Treatment Disclosure, and the MacArthur Competence … even health care
providers who interpreted a palliative care consult as meaning that the patient was … The assessment of mental capacity. Clin Med (London). 2005;5(6):580-584. [Free full text]
2. … Assessment of mental capacity and decision-making. Medicine. 46(7):405-410.
[Available at]
5.
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psnet.ahrq.gov/issue/innovations-improve-patient-safety
May 25, 2016 - June 15, 2016
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer … July 11, 2012
Findings and Lessons From the Improving Quality Through Clinician Use of … During and Immediately After Childbirth: State of the Science. … June 29, 2016
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer … Care
Health Care Providers
Health Care Executives and Administrators
Hospital Medicine
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psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
April 28, 2025 - Read More
Key factors for effective implementation of healthcare workers support … Review
Key factors for effective implementation of healthcare workers support interventions … programs to support healthcare workers involved in patient safety incidents, including a non-punitive … leadership and healthcare workers (e.g., executives, charge nurses, staff nurses) about the implementation … The framework includes assessing whether systems are prepared for change, identifying leaders, and establishing
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psnet.ahrq.gov/web-mm/unfamiliar-catheter
November 01, 2006 - to make its assessment. … A more thorough assessment of the nurse's competency in the skill and review of the protocol were indicated … A second victim ( 19 ) is a health care provider involved in an adverse event or medical error who becomes … Managing the aftermath of critical incidents: meeting the needs of health-care providers and patients … Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices.
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psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
September 01, 2005 - understanding of systems thinking and engineering principles—was a marvelous example of translocational … Evidence Report/Technology Assessment No. 43. … 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 … March 23, 2011
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Health Care Providers
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psnet.ahrq.gov/node/841566/psn-pdf
December 14, 2022 - I have also served in roles
of chief quality officer and chief medical officer in several large systems … Nonetheless, the take-home message is that systems of safety did not endure and that we need to
recommit … patient safety including supporting
systems of safety and ensuring that organizations and providers … systems. … The last thing I want to mention is establishing the systems of safety and those key tools of high-reliability
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psnet.ahrq.gov/issue/empowering-patients-hospital-new-approach-reducing-burden-health-care-associated-infections
May 25, 2022 - Handwashing is a critical patient safety activity, and encouraging patients to ask health care providers … March 13, 2024
Laboratory test ordering and results management systems: a qualitative … emerging virus outbreaks on healthcare workers: rapid review and meta-analysis. … February 24, 2016
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Hospitals
Health … Care Providers
Health Care Executives and Administrators
Infectious Diseases
Epidemiology of
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psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
May 28, 2020 - We spoke with him about the role of the Food and Drug Administration in ensuring the safety of medical … On the cybersecurity front, the Department of Health and Human Services and the Department of Homeland … and effectiveness of the device. … However, it is important that the transfer of information between systems occur safely and securely. … devices, they have issued recommendations and guidance for securing medical devices and systems from
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psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
December 23, 2020 - Their 2002 statement eliminated the phrase “at the end of life.” 15 This insightful assessment and the … However, systems-based barriers, both structural and cultural, persist. … Proactive Psychosocial Assessment and Care Although licensed clinical social workers are integral to … Referrals for psychosocial assessment and care planning can assist patients and families in dealing with … the impact of diagnosis and treatment on their lives and ability to access care. 19 Routine assessment
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psnet.ahrq.gov/node/49785/psn-pdf
February 01, 2017 - 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 ( … to
effective implementation is the active involvement of clinicians and learning from evaluation of
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psnet.ahrq.gov/sites/default/files/2020-10/final_slides_oct_2020_spotlight_case_inpt_stroke_mngt_in_adolescent_with_type1_diabetes.pdf
January 01, 2020 - with the patient, family, and other members of the
care team … • Assessment of patient ability, disparities and cultural barriers – some
patients may be adept at … systems in the future … An Overview of Safety Issues on Use of Insulin Pumps and Continuous Glucose
Monitoring Systems in the … Endocrine practice : official journal of the American College of Endocrinology
and the American Association
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psnet.ahrq.gov/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
March 15, 2023 - At times, patients will want to please their health care provider, and with the pen and paper method … assessment. … Remote patient monitoring (RPM) is a type of telehealth in which healthcare providers monitor patients … Organizations must understand the volume of data that will be transferred to systems and decide how the … Care Providers
View More
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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-systemic-lupus-erythematosus-psychiatric-presentation
September 27, 2023 - more dramatically affects other organ systems. … , assessment of height and weight, and vital signs. 9 It is common and reasonable, although relatively … In this case, the lack of apparent systemic symptoms and predominant presentation of psychosis reduced … The diagnosis and clinical management of the neuropsychiatric manifestations of lupus. … First-Episode Psychosis and the Role of the Psychiatric Consultant.
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psnet.ahrq.gov/web-mm/electronic-err
April 01, 2014 - as the country proceeds in wide-scale implementation of EHR systems.( 2 )
The medical error, and subsequent … of data in EHR systems. … Although there is a great deal of hope and optimism that more widespread use of EHR systems will significantly … the adoption of electronic prescribing and EHR systems, practitioners should keep in mind that these … The decade of health information technology: delivering consumer-centric and information-rich health
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psnet.ahrq.gov/web-mm/medication-mix-bad-worse
March 01, 2018 - The similarities in the first two letters of each drug name and the availability of 2.5 mg tablet strengths … of medications by performing an internal risk assessment. … This process should include an assessment of the product's look-alike and sound-alike similarity compared … evaluated through an internal proactive risk assessment. … March 29, 2006
Assessment of the potential impact of a reminder system on the reduction