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psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
December 23, 2020 - Many health care systems recognize this and provide proxy access for authorized family members, such … Both companies are regularly interacting with multiple stakeholders in the health care arena (patients … Both are keeping abreast of the latest connectivity standards in health care while regularly using standards … while the patient is in distress or alone, is unsettling to many who provide health care, and potentially … Hispanics and Health Care in the United States: Access, Information and Knowledge.
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psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
February 26, 2025 - the Center for Artificial Intelligence and Bioinformatics in the Learning Healthcare System. … Sarah Mossburg: You recently published an article, " The Safety of Inpatient Health Care: A Long-Term … Health care needs to be better. It can do better. … While AI applications in health care are still in early stages, commentators suggest that AI may help … Patient safety in primary care: conceptual meanings to the health care team and Patients.
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psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
January 01, 2015 - Lean Healthcare, which has become one of the most popular paradigms for health care organizations seeking … The porting of "Lean manufacturing" into health care was happening in some limited experiments in a few … Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care
January … Introduction
Virginia Mason Medical Center is a nonprofit regional health care system in the Seattle … daily work of health care service delivery.
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psnet.ahrq.gov/web-mm/magnetic-deflection
November 18, 2016 - This powerful attractive force can result in injury to a patient or health care worker from any of various … or health care worker, etc. … of the MRI scanner—as will family members and health care personnel who may accompany the patient into … For the safety of patients and any attendant health care workers, it is critically important to cooperate … April 19, 2013
What is accountability in health care?
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psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
December 22, 2018 - In some health care systems, these wishes or plans may be further codified in the form of written instructional … doctor and only 55% with any member of the health care team in the context of their current admission … our health care system.( 12,13 )
However, despite our best efforts to adequately prepare patients … Finally, at a health care system level, quality indicators for end-of-life communication and decision … Health care costs in the last week of life: associations with end-of-life conversations.
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psnet.ahrq.gov/issue/explaining-michigan-developing-ex-post-theory-quality-improvement-program
April 04, 2011 - The remarkable success of the Keystone ICU project was initially publicized as an example of the power … checklists in the absence of a robust safety culture . … April 4, 2011
The role of the informal and formal organisation in voice about concerns … in healthcare: a qualitative interview study. … Health Care Executives and Administrators
Safety Scientists
Critical Care
Infectious Diseases
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psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
March 27, 2024 - also result from changes to diagnostics, treatments, and other aspects of healthcare delivery, including … One of my big hopes for augmented intelligence in healthcare is that it helps alleviate some of the burnout … of all possible scenarios, which is not feasible in the complex world of healthcare. … Conclusion The integration of AI into healthcare holds great potential for improvements in patient safety … Impact of Healthcare Algorithms on Racial and Ethnic Disparities in Health and Healthcare.
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psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
April 24, 2018 - 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 … as part of the check in process. … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Operating Room
Health Care Providers
Quality and Safety Professionals
Surgery
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psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
September 01, 2012 - In health care, they are frequently used to help remind teams of important safety, team, or procedural … anticoagulation.( 11 ) However, the implementation in health care has led to some confusion regarding … Surgical safety checklists, like many health care improvement tools, could benefit from regular review … of health care can never be made completely safe, risks can be appropriately managed through individual … Operating Room
Health Care Providers
Surgery
Surgical Complications
Epidemiology of Errors
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psnet.ahrq.gov/issue/occupational-health-and-organizational-culture-within-healthcare-setting-challenges
December 08, 2021 - Topics covered include the importance of safety investigation and safety culture assessment . … June 23, 2021
Race differences in reported "near miss" patient safety events in health … care system high reliability organizations. … March 20, 2024
Systemic failures in health care oversight. … October 18, 2023
Fragmented: A Doctor's Quest to Piece Together American Health Care.
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psnet.ahrq.gov/primer/nursing-and-patient-safety
September 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 … , and all other members of the health care team and are crucial to timely coordination and communication … 45 minutes, of RN time for each resident in the NH. … and other health care personnel, and such exposure has been demonstrated to be a key factor in nursing
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psnet.ahrq.gov/web-mm/after-visit-confusion
August 21, 2007 - ; this allows handling of non-urgent health care concerns such as requesting prescription refills, scheduling … care team in models of care moving forward (e.g., patient-centered medical homes). … systemic flow of information between health care team members, and enhancing provider–patient communication … The impact of eHealth on the quality and safety of health care: a systematic overview. … EHRs in the exam room: tips on patient-centered care. Fam Pract Manag. 2006;13:45-47.
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psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
February 23, 2022 - 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 … (the lower limit of the normal range in adults is 135 mEq/l). … involved in the care of medically complex patients. … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research
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psnet.ahrq.gov/issue/telemedicine-medical-examination-tool-during-covid-19-emergency-experience-onco-haematology
September 15, 2021 - experience of the onco-haematology center of Tor Vergata Hospital in Rome. … center of Tor Vergata Hospital in Rome. … center of Tor Vergata Hospital in Rome. … A case study from a large metropolitan healthcare trust. … Hospitals
Ambulatory Clinic or Office
Health Care Executives and Administrators
Hematology
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psnet.ahrq.gov/curated-library/value-and-patient-safety
October 30, 2019 - This article discusses the primary definition of value in health care and how established quality measures … to safety and quality can drive accountability in a large health care system. … Health care-associated infections continue to be one of the most common health care-related complications … Health care-associated infections continue to be one of the most common health care-related complications … and quality can drive accountability in a large health care system.
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psnet.ahrq.gov/issue/understanding-enablers-and-barriers-implementing-patient-led-escalation-system-qualitative
January 18, 2023 - care in the United Kingdom. … January 18, 2023
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … to 20 hospitals in England during implementation of the 7-day services national health policy. … January 21, 2015
The role of patients and their relatives in 'speaking up' about their … July 15, 2020
Making Healthcare Safer III.
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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - effects of an opioid overdose. 2 In 2018, the U.S. … One strategy to aid healthcare professionals in achieving important clinical interventions is to use … use of opioids for the treatment of chronic pain, resulting in some unintended consequences. … Healthcare systems and providers should use multi-layered education to inform patients about appropriate … naloxone use. 14,15
Individual providers and healthcare systems need to do a better job of identifying
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psnet.ahrq.gov/issue/impact-covid-19-inpatient-clinical-emergencies-single-center-experience
February 17, 2021 - February 17, 2021
Guidance for health care leaders during the recovery stage of the COVID … November 16, 2022
Avoiding a second wave of medical errors: the importance of human factors … Older Adults Residing in Nursing Homes
February 24, 2022
Health care safety … December 23, 2020
In the eye of the storm: the role of the pharmacist in medication safety … June 10, 2020
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See More About The Topic
Hospitals
Health Care
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psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
May 01, 2014 - Other systems monitor the gestures of the health care workers, or the amount of time and where and when … at the individual level for large numbers of health care workers. … of alcohol gel.( 12 ) Since patients are taught about the importance of using alcohol gel to prevent … Guideline for hand hygiene in health-care settings. … WHO Guidelines on Hand Hygiene in Health Care.
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psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
May 28, 2020 - healthcare system as a whole. … information to be shared more effectively in the healthcare setting, which can improve patient care, … providers understand the importance of reporting device issues. … , payers, industry, government, and data owners, such as healthcare systems that collect real-world data … Care Delivery and Pharmacists During the COVID-19 Pandemic
June 29, 2020