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psnet.ahrq.gov/node/36442/psn-pdf
July 23, 2023 - July 23, 2023
Department of Health and Human Services, Agency for Healthcare Research and Quality, Department … of
Defense. … inititally in collaboration
by the United States Department of Defense and AHRQ in order to support … The 3.0 version of the widely implemented program is organized around 5 key
strategies: patient focus … sepsis that lead to the death of a patient.
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psnet.ahrq.gov/node/73478/psn-pdf
July 07, 2021 - Medical malpractice claims by members of the uniformed
services. … July 7, 2021
Department of Defense Office of General Counsel. 32 CFR Part 45. … This United States rule outlines the standards that enable members of the armed
forces to file claims … should they be harmed while in the military health care system. … psnet.ahrq.gov/issue/medical-malpractice-claims-members-uniformed-services
https://psnet.ahrq.gov/issue/defense-health-agency-processes-responding-provider-quality-and-safety-concerns
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psnet.ahrq.gov/issue/defense-health-agency-processes-responding-provider-quality-and-safety-concerns
December 09, 2020 - Book/Report
Defense Health Agency Processes for Responding to Provider Quality and … Citation Text:
Defense Health Agency Processes for Responding to Provider Quality and Safety Concerns … This report examined the process of monitoring military clinician practice to assure it is safe , reporting … Linkedin
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Defense … March 13, 2019
Final Report of the Commission on Care.
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psnet.ahrq.gov/web-mm/right-left-neither
November 16, 2022 - emergency department (ED) of another hospital. … Every layer of defense has weaknesses. … If an error gets past one defense, another layer of defense usually prevents harm from occurring. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/49599/psn-pdf
February 23, 2010 - to the emergency department (ED) complaining of abdominal pain and
vomiting. … describes a 31-year-old man who was subjected to multiple abdominal CT scans
during emergency department … the
Department of Health and Human Services (DHHS). … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/49512/psn-pdf
May 01, 2006 - emergency department (ED) of another hospital. … Every layer
of defense has weaknesses. … If an error gets past one defense, another layer of defense usually prevents
harm from occurring. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence-documentation-errors
April 12, 2019 - Study
Intraoperative handoffs among anesthesia providers increase the incidence of … March 14, 2022
Perioperative COVID-19 defense: an evidence-based approach for optimization … dispenser on the frequency of hand hygiene among anesthesiology staff in the operating room. … October 7, 2013
Identifying trigger concepts to screen emergency department visits for … October 4, 2017
The effect of a checklist on the quality of post-anaesthesia patient
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psnet.ahrq.gov/issue/patient-safety-culture-impact-workplace-violence-and-health-worker-burnout
December 07, 2022 - Better teamwork and staffing were among the attributes associated with lower risk of WPV. … 2019 Department of Defense Patient Safety Culture Survey. … 2019 Department of Defense Patient Safety Culture Survey. … March 22, 2023
The Psychological Safety Scale of the Safety, Communication, Operational … perspectives of key stakeholders: a review of the qualitative evidence.
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psnet.ahrq.gov/node/36801/psn-pdf
August 05, 2008 - Disuse of system is cited in gaps in soldiers' care.
August 5, 2008
Urbina I; Nixon R. … https://psnet.ahrq.gov/issue/disuse-system-cited-gaps-soldiers-care
This article reports on the inconsistent … use of the Department of Defense electronic medical records system
and how this has led to medical
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psnet.ahrq.gov/web-mm/reconciling-records
September 01, 2017 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Defense 5: Patients, Our Final Defense
An engaged patient is one of our best strategies to prevent … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/49614/psn-pdf
November 01, 2010 - When questioned about it, the patient said he had told the emergency department
(ED) staff that he was … Defense 1: EHR Interoperability
In both cases, had the inpatient and outpatient EHRs been able to "talk … Defense 5: Patients, Our Final Defense
An engaged patient is one of our best strategies to prevent reconciliation … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/actions-needed-address-employee-misconduct-process-and-ensure-accountability
July 11, 2018 - This analysis of Department of Veterans Affairs (VA) responses to whistle-blower concerns and reports … of staff misconduct found that the VA has procedures for investigating these allegations but determined … July 11, 2018
Defense Health Agency Should Improve Tracking of Serious Adverse Medical … April 28, 2021
Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy … July 11, 2018
Defense Health Agency Should Improve Tracking of Serious Adverse Medical
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psnet.ahrq.gov/issue/getting-board-board-what-your-board-needs-know-about-quality-and-safety-third-edition
February 28, 2018 - the value of interventions. … May 20, 2019
Front Line of Defense: The Role of Nurses in Preventing Sentinel Events. … October 19, 2016
Culture Change in the NHS: Applying the Lessons of the Francis Inquiries … September 26, 2012
Improving the Reliability of Health Care. … October 12, 2011
Department of Defense Health Care Quality.
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psnet.ahrq.gov/node/39835/psn-pdf
December 27, 2018 - December 27, 2018
Department of Defense Patient Safety Program; DoD PSP; DoD
https://psnet.ahrq.gov … advancement-toward-high-reliability-healthcare-awards
This award recognizes outstanding high reliability improvement work in the … Military Health System related
to themes of healthcare quality, patient safety, improved access, and … The process for
submitting applications for the 2018 awards is now closed.
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psnet.ahrq.gov/node/34994/psn-pdf
September 29, 2017 - psnet.ahrq.gov/issue/advances-patient-safety-research-implementation
With 4 volumes and 140 articles (all of … which are freely available through the link below), this expansive
collection of literature illustrates … the progress made since the 1999 Institute of Medicine’s report, To Err is
Human: Building a Safer … The efforts represent a successful collaboration between the
Agency for Healthcare Research and Quality … and the Department of Defense-Health Affairs in meeting the
challenge of improving patient safety knowledge
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psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-efforts-assess-progress-and-reduce-risk
May 16, 2018 - Copy Citation
Related Resources From the Same Author(s)
Defense Health Agency … 7, 2016
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Related Resources
Deficiencies in Emergency Department … Care for a Patient Who Died by Suicide at the John Cochran Division of the VA St. … July 1, 2019
Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy … July 25, 2018
Defense Health Agency Should Improve Tracking of Serious Adverse Medical
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psnet.ahrq.gov/node/39903/psn-pdf
January 19, 2011 - Assessing teamwork attitudes in healthcare: development
of the TeamSTEPPS teamwork attitudes questionnaire … Assessing teamwork attitudes in healthcare: development of the
TeamSTEPPS teamwork attitudes questionnaire … development and validation of the TeamSTEPPS Teamwork Attitudes
Questionnaire, a survey instrument … The TeamSTEPPS teamwork training program was developed as a collaboration between the Agency for
Healthcare … Research and Quality and the Department of Defense.
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psnet.ahrq.gov/node/36984/psn-pdf
September 14, 2011 - https://psnet.ahrq.gov/issue/teamstepps-assuring-optimal-teamwork-clinical-settings
The authors discuss … the TeamSTEPPS training program—a collaboration of the US Department of
Defense and Agency for Healthcare
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psnet.ahrq.gov/issue/implementation-patient-safety-organizations-expected-end-year
January 10, 2007 - This article briefly discusses the role of patient safety organizations (PSOs) as stipulated by the … Copy Citation
Related Resources
Department of Defense Health Care Quality. … : the case of patient safety and service quality. … July 2, 2008
Culture Change in the NHS: Applying the Lessons of the Francis Inquiries. … March 11, 2015
Pathology Oversight Failures at the Veterans Health Care System of the Ozarks
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psnet.ahrq.gov/issue/physician-spending-and-subsequent-risk-malpractice-claims-observational-study
May 01, 2015 - Defensive medicine —the practice of performing potentially unnecessary procedures or diagnostic tests … to avoid the threat of malpractice liability —is thought to contribute to high health care costs in … A previous WebM&M commentary discusses the causes and consequences of defensive medicine. … March 6, 2019
Assessment of perioperative outcomes among surgeons who operated the night … September 10, 2014
Conditions that influence the impact of malpractice litigation risk