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psnet.ahrq.gov/perspective/innovations-promoting-hand-hygiene-compliance
May 01, 2014 - 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. … 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.
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psnet.ahrq.gov/perspective/are-we-safer-today
February 26, 2025 - 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. … 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.
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psnet.ahrq.gov/issue/effect-nonpayment-preventable-infections-us-hospitals
July 03, 2016 - Same Author(s)
Health care-associated infections among critically ill children in the … August 3, 2022
Health care-associated invasive MRSA infections, 2005-2008. … May 13, 2021
Health care-associated infections: a meta-analysis of costs and financial … impact on the US health care system. … November 26, 2014
Variation in Patient Safety Outcomes and the Importance of Being Informed
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psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
March 25, 2020 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … with current staffing levels to have a second health care provider independently verify all drug administrations … Adequate supervision of trainees
This case also demonstrates the importance of adequate supervision … that health care providers minimize distractions when drawing up medications when there is no one else … Health care practitioners have a duty to report these systemic problems so that they can be remedied.
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psnet.ahrq.gov/issue/factors-predictive-intravenous-fluid-administration-errors-australian-surgical-care-wards
September 23, 2020 - Qual Saf Health Care. 2005;14(3):179-84. … Qual Saf Health Care . 2005; 14 (3) :179-84 . … The investigators observed patients in three surgical wards to detect the frequency of administration … Qual Saf Health Care. 2005;14(3):179-84. … Same Author(s)
Seroprevalence of SARS-CoV-2 among frontline health care personnel in a
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psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
May 01, 2012 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … However, we practice in a health care delivery system that prioritizes efficiency and applauds residents … lack of attention, to the hazards of hospitalization in in plain sight.( 3 )
The case presented above … critical is ensuring the physical presence of the physician in the situation of interest—in this case … The hazards of hospitalization. Qual Saf Health Care. 2003;12:58-63. [go to PubMed]
11. Wiest K.
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psnet.ahrq.gov/about-psnet
September 01, 2015 - A Technical Expert Panel , comprised of experts in patient safety, health care quality, and clinical … , "systems" approach to minimizing errors in health care. … They come from a wide range of disciplines and sources, including clinical medicine, health care administration … 24 months on a topic of importance to the field of safety and holds promise for becoming a “Classic” … searched, and the importance of the resource as determined by our team of editors.
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psnet.ahrq.gov/issue/leadership-style-and-patient-safety-implications-nurse-managers
September 21, 2022 - September 21, 2022
Cracking the code for quality: the interrelationships of culture, … a brief, diagnostic, and actionable metric for the ability to speak up in healthcare settings. … October 10, 2018
The nexus of nursing leadership and a culture of safer patient care. … June 13, 2018
On the relationship between safety climate and occupational burnout in … healthcare organizations.
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psnet.ahrq.gov/issue/association-inpatient-hospital-experience-patient-safety-indicators-cross-sectional-canadian
February 17, 2017 - The authors concluded that patient experience ratings are an important indicator of health care quality … June 28, 2011
Seroprevalence of SARS-CoV-2 among frontline health care personnel in a … January 10, 2018
Consumer rankings and health care: toward validation and transparency … January 3, 2017
Differences in the rates of patient safety events by payer: implications … October 16, 2013
Examining markers of safety in homecare using the international classification
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psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
March 27, 2024 - 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. … 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
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psnet.ahrq.gov/web-mm/watch-warfarin
December 01, 2013 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … outpatient settings to improve the safe use of warfarin within a health care system. … at high risk of stroke in the US. … care. … Topic
Hospitals
Ambulatory Clinic or Office
Health Care Providers
Quality and Safety
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psnet.ahrq.gov/perspective/update-patient-engagement-safety
January 01, 2017 - experienced a medical error in some kind of health care setting. … While patients are skilled at detecting diagnostic errors and identifying health care system blind spots … A children's health care system shared its strategies for reducing safety events through pediatric … into health care systems that were not designed with patients at the center. … This will allow engaged patients to help health care systems identify safety hazards, regain trust after
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psnet.ahrq.gov/issue/effects-second-victim-phenomenon-work-related-outcomes-connecting-self-reported-caregiver
September 19, 2016 - Health care organizations are increasingly recognizing the importance of providing support to second … of health-care professionals in hospitals. … October 19, 2022
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … topic in healthcare quality, patient safety, person-centeredness and human resource management. … January 19, 2022
Physical and verbal violence against health care workers.
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psnet.ahrq.gov/perspective/what-makes-good-checklist
October 01, 2010 - literature has helped establish many best practices in checklist design, and health care now stands … It is likely that the health care field differs from the aviation field in this area, as there can be … But health care is our most inefficient knowledge market. … government is doing to prevent health care–associated infections, and as part of that he planned to … Health Care Providers
Health Care Executives and Administrators
Read Back Protocols
Checklists
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psnet.ahrq.gov/web-mm/undiagnosed-vaginal-bleeding
July 06, 2022 - health care system.( 2,3 ) Even when symptoms are present, many poor (and non-poor) individuals state … access through cultural beliefs and distrust of the health care profession.( 9,10 )
Strategies to … woman in this case finally did access health care, the technical quality of that care was sub-optimal … inequities in access to health care in the United States. … Ambulatory Clinic or Office
Health Care Providers
Non-Health Care Professionals
Policy Makers
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psnet.ahrq.gov/issue/unmasking-bias-artificial-intelligence-systematic-review-bias-detection-and-mitigation
March 24, 2019 - Review
Unmasking bias in artificial intelligence: a systematic review of bias detection … Along with recommendations to reduce introducing bias into the data model, the authors stress the importance … July 6, 2022
Allergy safety events in healthcare: development and application of a classification … June 15, 2022
Factors associated with mental health outcomes among health care workers … July 10, 2024
Feeling safe in the context of digitalization in healthcare: a scoping
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psnet.ahrq.gov/issue/limits-checklists-handoff-and-narrative-thinking
July 01, 2017 - Communication failures at the time of patient handoffs have been frequently implicated in adverse events … can be utilized to augment information transfers in health care, this commentary advocates for more … February 8, 2017
Handoffs in the era of duty hours reform: a focused review and strategy … September 26, 2012
The importance of preparation for doctors' handovers in an acute medical … Topic
Hospitals
Health Care Providers
Quality and Safety Professionals
Hospital Medicine
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psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
December 07, 2020 - majority of antimicrobial expenditures were in the outpatient sector/healthcare setting. … in implementing antibiotic stewardship in outpatient healthcare settings. … Another big barrier is that dentists, in general, do not have access to your healthcare data. … Ensuring Device Safety
May 28, 2020
Perspective
Health … Care Delivery and Pharmacists During the COVID-19 Pandemic
June 29, 2020
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psnet.ahrq.gov/print/pdf/node/73848
July 01, 2022 - Researchers interviewed health care
professionals, including frontline nurses and physicians, chief medical … of betrayal in health care
institutions. … Highlighting the importance of coordinated
teamwork during obstetric emergencies, this review discusses … of betrayal in health care
institutions. … Highlighting the importance of coordinated
teamwork during obstetric emergencies, this review discusses
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psnet.ahrq.gov/web-mm/intubation-mishap
April 26, 2023 - Interpersonal Communication in Health Care . … The Importance of Preparation . … One of the limitations of using simulation more broadly in health care has been the expense of setting … Healthcare System San Diego, CA
George T. … The Five "C´s" of Effective Teamwork in Health Care*
C ommon goal
Every team member shares