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psnet.ahrq.gov/issue/best-care-lower-cost-path-continuously-learning-health-care-america
July 08, 2016 - Committee on the Learning Health Care System in America, Institute of Medicine. … Committee on the Learning Health Care System in America, Institute of Medicine. … (to the tune of an estimated $750 billion per year) in the American health care system. … It emphasizes the importance of continuous learning—not only from high performing health care systems … Committee on the Learning Health Care System in America, Institute of Medicine.
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psnet.ahrq.gov/web-mm/code-status-vs-care-status
September 30, 2020 - sheer number of demands on our health care teams, but often falls short when considering the importance … of patient-centered care and patient safety. … the information they need to provide patient centered care. 20
A workaround to the burdensome … we ensure we provide equitable, patient-centered care, and begin to overcome the entrenched systemic … , patient centered care.
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psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
March 27, 2024 - AHRQ PSNet Editorial Team from the AHRQ Health Care Innovations Exchange. … health care professionals, reinforcing the importance of maintaining and sharing the PHR (see below) … Training includes an interactive discussion of the model designed to help health care professionals differentiate … care organizations in the community. … Maintain staff support: To make sure that staff remain dedicated to the provision of patient-centered
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psnet.ahrq.gov/issue/framework-safe-reliable-and-effective-care
January 27, 2016 - A systems approach to safety can achieve lasting improvements in health care. … This report presents a nine-component framework that emphasizes elements of the learning health care … The authors emphasize the importance of engaging patients and their families as members of the care … February 25, 2013
Improving the Reliability of Health Care. … October 25, 2017
Center for Health Care Human Factors.
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psnet.ahrq.gov/issue/patient-and-health-care-professional-perspectives-stigma-integrated-behavioral-health
January 12, 2022 - Study
Patient and health care professional perspectives on stigma in integrated behavioral … Participants identified the importance of normalizing discussions about mental health care and patient-centered … August 23, 2017
Patient safety in primary care: conceptual meanings to the health care … September 28, 2022
Enabling a learning healthcare system with automated computer protocols … August 4, 2021
The impact of health care strikes on patient mortality: a systematic review
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psnet.ahrq.gov/perspective/health-equity-and-maternal-health
October 06, 2021 - There are several overarching approaches for the identification of patient-centered care needs and accommodation … can promote patient-centered care through listening to birthing parents and validating their experiences … That is not patient-centered care. … October 2, 2024
Advancing Diagnostic Excellence in Maternal Health Care. … cracks of U.S. health care.
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psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
October 06, 2021 - That is not patient-centered care. … There are several overarching approaches for the identification of patient-centered care needs and accommodation … can promote patient-centered care through listening to birthing parents and validating their experiences … October 2, 2024
Advancing Diagnostic Excellence in Maternal Health Care. … cracks of U.S. health care.
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psnet.ahrq.gov/issue/families-experiences-central-line-infection-children-qualitative-study
July 29, 2020 - importance of maintaining a sense of normalcy for their children. … March 3, 2021
The role of the informal and formal organisation in voice about concerns … January 9, 2024
The challenge of risk prevention in home healthcare-an interview study … at home: the views of patients and healthcare professionals - a qualitative study. … March 2, 2011
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Home Care
Health Care
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psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
December 08, 2021 - with health care providers. … In health care, bridging the language barrier is necessary to avoid clinical errors, provide patient-centered … In addition, health care organizations that receive federal funds—most do in the form of public insurance … of the particular health care environment as well as the type of clinical encounter. … Impact of interpreter services on delivery of health care to limited-English-proficient patients.
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psnet.ahrq.gov/issue/development-instrument-measure-seniors-patient-safety-health-beliefs-seniors-empowerment-and
February 15, 2011 - This study discusses the development of a survey tool to assess elderly patients' ability to engage in … April 24, 2018
Enabling a learning healthcare system with automated computer protocols … reduce the use of potentially inappropriate medications in nursing homes? … , and the importance of staff training. … June 22, 2011
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Long-Term Care
Health
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psnet.ahrq.gov/web-mm/medical-devices-wild
March 27, 2024 - present case demonstrates the importance of two HFE principles. … Health care is provided in complex, sociotechnical work systems. … When will health care pass the orange-wire test? Lancet. 2004;364:1567-1568. … Are market forces strong enough to deliver efficient health care systems? Confidence is waning. … care delivery.
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psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
January 31, 2024 - care providers. 3 While this case has some obvious systems failures in terms of adequate nurse staffing … patients enter the health care setting already upset about their health condition. … , the health care provider(s) involved with the patient should have an immediate conversation to discuss … Discharging a patient AMA does not confer any protection against future legal action if the health care … In summary, this case illustrates the importance of careful attention to irate patients, including demonstrating
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psnet.ahrq.gov/issue/patient-safety-executive-hospital-management-wards-qualitative-study-identifying-factors
March 08, 2023 - at one UK hospital and discusses the importance of positive reinforcement across all levels of an organization … when transferred from hospital to home health care-a systematic review. … Healthcare. … programme in England. … August 18, 2021
Identifying and encouraging high-quality healthcare: an analysis of the
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psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
January 27, 2016 - It emphasizes the importance of full disclosure of adverse events, the role of leadership in developing … victims of adverse events—the frontline clinicians involved in the error. … November 18, 2011
Optimizing a Business Case for Safe Health Care: An Integrated Approach … June 8, 2010
Health-care industry agrees on patient safety rules. … November 15, 2006
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Health Care Executives
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psnet.ahrq.gov/issue/primary-care-teams-reported-actions-improve-medication-safety-qualitative-study-insights-high
July 06, 2022 - This qualitative study with primary care teams across four sites in the southwestern United States explored … Respondents emphasized the importance of customization and individualization (e.g., simplifying medication … discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective … medications in older adults with a history of falls: a qualitative study. … May 2, 2012
Clinical outcomes from the use of Medication Report when elderly patients
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psnet.ahrq.gov/issue/racial-disparities-maternal-mortality-and-impact-structural-racism-and-implicit-racial-bias
July 13, 2009 - The increased risk of maternal morbidity and mortality among Black women in the United States is … This literature review of 42 articles highlights the importance of cultural competence and disparities … February 26, 2025
Exploring the intersection of structural racism and ageism in healthcare … August 2, 2023
Perspective
Health Care Delivery and Pharmacists … cracks of U.S. health care.
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psnet.ahrq.gov/issue/effects-resident-level-training-rate-pediatric-prescription-errors-academic-emergency
October 19, 2022 - Study
The effects of resident level of training on the rate of pediatric prescription … The effects of resident level of training on the rate of pediatric prescription errors in an academic … The effects of resident level of training on the rate of pediatric prescription errors in an academic … January 7, 2009
Public reporting of health care–associated surveillance data: recommendations … from the Healthcare Infection Control Practices Advisory Committee.
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psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
October 13, 2018 - names to help health care systems identify medications that may require extra safeguards.( 14 ) Metoprolol … ) has promoted efforts to adopt and use health IT to improve health care. … systems electing to participate in the Medicare and Medicaid EHR Incentive Program. … The federal Office of the National Coordinator for Health Information Technology has recognized the importance … The extent and importance of unintended consequences related to computerized provider order entry.
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psnet.ahrq.gov/issue/root-cause-analysis-adverse-events-outpatient-anticoagulation-management-consortium
March 28, 2012 - August 13, 2014
Risk of COVID-19-related bullying, harassment and stigma among healthcare … January 27, 2021
Health care professionals as second victims after adverse events: a … April 10, 2019
Supporting involved health care professionals (second victims) following … cause analysis of adverse events in health care facilities: results of a randomized controlled trial … October 5, 2016
The importance of establishing regimen concordance in preventing medication
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psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
April 27, 2022 - Specifically, we highlight recent work in diagnostic safety, which continues to be a subject of importance … Health Care 4 from the National Academy of Medicine and a recent study that identified key research … long term care settings. 12 One recent funding opportunity, Making Health Care Safer in Ambulatory … National Academies of Sciences, Engineering, and Medicine. Improving diagnosis in health care . … Topic
Ambulatory Care
Health Care Providers
Health Care Executives and Administrators