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psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
June 01, 2005 - 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 … Department of Health and Human Services. … Department of Health and Human Services. … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/node/73434/psn-pdf
June 30, 2021 - which acts as a defense against errors that
may penetrate the system.9 To both support productivity … The final report should be sent to the
referring clinician,4 but to provide an added layer of defense … Kriti Gwal, MD
Assistant Professor of Pediatric Radiology, Pediatric Neuroradiology
Department of Radiology … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/perspective/conversation-withstephen-hines-phd-and-monika-haugstetter-mha-msn-rn-cphq-about
February 28, 2024 - In 2006, AHRQ, in collaboration with the Department of Defense, developed Team Strategies and Tools to … Defense Health Agency, which played a major role in the development of TeamSTEPPS. … Agency for Healthcare Research and Quality (AHRQ), in collaboration with the Department of Defense ( … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/how-house-officers-cope-their-mistakes
June 26, 2015 - View more articles from the same authors. … Analysis of the results revealed that house officers who accept responsibility for their actions are … July 7, 2021
COVID-19: the dark side and the sunny side for patient safety. … October 14, 2020
Supporting the emotional well-being of health care workers during the … September 19, 2016
How accurately do older adult emergency department patients recall
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psnet.ahrq.gov/issue/nurses-use-computerized-clinical-guidelines-improve-patient-safety-hospitals
June 06, 2018 - View more articles from the same authors. … October 19, 2022
Crowding in the Emergency Department: Challenges for the Care of Children … March 6, 2019
The nexus of nursing leadership and a culture of safer patient care. … January 18, 2018
The effectiveness of nurse education and training for clinical alarm … November 3, 2010
Improving the safety of medication administration using an interactive
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psnet.ahrq.gov/issue/there-role-patients-and-their-relatives-escalating-clinical-deterioration-hospital-systematic
March 08, 2023 - resilience: the case of COVID-19. … December 21, 2016
Exploring how ward staff engage with the implementation of a patient … August 2, 2017
What can patients tell us about the quality and safety of hospital care … July 8, 2020
Partnering with families and patient advocates: another line of defense … June 25, 2018
The impact of implementation of family-initiated escalation of care for
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psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
April 01, 2009 - 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 … Health Commissioner and chair of the department of health policy at Mt. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/49652/psn-pdf
May 01, 2012 - This disconnect may be exacerbated by the hospital's
selection of an Emergency Department Information … Emergency Department Information Systems: Is Best of Breed Still the Best Approach? … Barcoded medication administration: a last line of defense. JAMA.
2008;299:2200-2202. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/classics
August 01, 2023 - ischemia in the emergency department. … surveys and a bibliography of articles discussing the use of SOPS in the field. … 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 authors emphasize the importance of further evaluation of human-computer interaction.
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psnet.ahrq.gov/issue/communication-between-primary-and-secondary-care-deficits-and-danger
September 23, 2020 - : the DISCERN realist evaluation study. … the association with mortality, patient ratings, and quality of care. … November 11, 2020
Diagnostic error in the emergency department: learning from national … January 15, 2020
Characterising the nature of primary care patient safety incident reports … emergency department: results of a multidisciplinary needs assessment.
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psnet.ahrq.gov/issue/understanding-missed-opportunities-more-timely-diagnosis-cancer-symptomatic-patients-after
February 17, 2021 - of cancer in primary care. … The authors highlight the need for further study across the entire diagnostic process , consistent with … February 17, 2021
We asked the experts: the WHO Surgical Safety Checklist and the COVID … emergency department: a qualitative study. … Cohort study of individuals with lung cancer presenting in ambulatory care in the United States.
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psnet.ahrq.gov/node/49665/psn-pdf
September 01, 2012 - At
present, the best defense against RSIs is following standardized counting policies, attention to … Cima, MD, MA Vice-chair, Quality and Safety, Department of Surgery Associate Professor of
Surgery, … Baltimore, MD: Department of Health & Human Services, Centers for Medicare & Medicaid Services;
July … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/improving-patient-safety-operating-theatre-and-perioperative-care-obstacles-interventions-and
April 21, 2015 - safety incident reporting: a theoretical review of the literature. … May 30, 2012
A framework for patient safety: a defense nuclear industry-based high-reliability … Difficult Airway Society and the Association of Anaesthetists. … February 13, 2014
The relationship of the emotional climate of work and threat to patient … room personnel using high-fidelity simulation at the point of care.
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psnet.ahrq.gov/web-mm/undetected-foreign-object
April 24, 2018 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … At present, the best defense against RSIs is following standardized counting policies, attention to detail … Cima, MD, MA Vice-chair, Quality and Safety, Department of Surgery Associate Professor of Surgery … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
December 23, 2020 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … The Massachusetts Department of Public Health; the Boards of Registration responsible for licensing physicians … After all, denial is a powerful defense mechanism. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
March 01, 2012 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Washington, DC: US Department of Health and Human Services, Office of the Inspector General; November … the manager, division chief, or department chair who was well aware of that problem but did nothing. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/perspective/conversation-witheric-g-poon-md-mph
September 01, 2008 - last line of defense in the medication use process, administration errors at the point of care often … of patient defense in detecting patient deterioration and protecting patients by recovering errors caused … Barcoded medication administration: a last line of defense. JAMA. 2008;299:2200-2202. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/double-dose-transfer
November 01, 2012 - This disconnect may be exacerbated by the hospital's selection of an Emergency Department Information … Emergency Department Information Systems: Is Best of Breed Still the Best Approach? … Barcoded medication administration: a last line of defense. JAMA. 2008;299:2200-2202. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
December 15, 2024 - 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 … Agency for Healthcare Research and Quality and the Department of Defense developed TeamSTEPPS 2.0 … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
February 01, 2017 - Agency for Healthcare Research and Quality (AHRQ), in collaboration with the Department of Defense ( … King, MS Chief of Patient Safety and High Reliability Initiatives Defense Health Agency Department of … Defense
References
1. … Department of Health and Human Services. … Department of Health and Human Services.