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psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-intervention-innovation
July 23, 2024 - goal of this innovation was to improve healthcare quality, both in quality scores and measures. 3 The … Innovation
UNC Health is a nonprofit healthcare system of more than 500 clinics and 16 hospitals in … Disseminating wins from the innovation with stakeholders outside the healthcare system may help garner … Summary
UNC Health is a nonprofit healthcare system of more than 500 clinics and 16 hospitals in North … General Public
Hospitals
Health Care Providers
Health Care Executives and Administrators
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psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
November 01, 2005 - or concern expressed by the health care professional, patient, or, in some cases, family members.( 1 … and skills in critical care medicine, to the bedside of patients throughout a hospital or health care … health care delivery. … he is generally acknowledged as one of the foremost experts and leaders in health care quality and patient … One is that so much of trying to work in health care today is working under outside pressure.
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psnet.ahrq.gov/issue/benefits-health-information-technology-review-recent-literature-shows-predominantly-positive
December 21, 2018 - The Benefits Of Health Information Technology: A Review Of The Recent Literature Shows Predominantly … and the effectiveness of care. … March 19, 2019
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … September 23, 2020
Enabling a learning healthcare system with automated computer protocols … Clinic or Office
Health Care Providers
Health Care Executives and Administrators
Information
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psnet.ahrq.gov/perspective/handoffs-and-transitions
February 01, 2007 - United States health care system remains highly fragmented. … Interestingly, while there have always been enormous numbers of handoffs in health care delivery organizations … delivery organizations and among researchers—on the importance of improving handoffs of all kinds. … effort to identify high-risk patients, an appreciation of the importance of context in applying interventions … Topic
Hospitals
Health Care Executives and Administrators
Gynecology
Discontinuities
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psnet.ahrq.gov/web-mm/spinal-epidural-abscess
November 13, 2019 - errors in their landmark report, Improving Diagnosis in Health Care. ( 11 ) The report encourages organizations … Spinal epidural abscess: the importance of early diagnosis and treatment. … Improving Diagnosis in Health Care. … Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine … therapy in a Veteran Affairs health care system: use of medication administration record and bar code
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psnet.ahrq.gov/web-mm/routine-goes-awry
September 23, 2020 - 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 … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital … Topic
Outpatient Surgery
Operating Room
Health Care Providers
Risk Managers
Quality
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psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test
December 23, 2020 - anxiety and alterations in home care (personal and parental) and health care during the critical transitional … to the pandemic and the care and communication from health care staff. … Clinical Laboratory Staff and Health Care Providers. 2020. … An initiative to improve the management of clinically significant test results in a large health care … December 23, 2020
The psychological experience of obstetric patients and health care
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psnet.ahrq.gov/issue/evaluation-medication-errors-transition-care-icu-non-icu-location
September 23, 2020 - Of the 985 patients included in the study, almost half (46%) experienced a medication error during transition … Same Author(s)
Seroprevalence of SARS-CoV-2 among frontline health care personnel in a … July 5, 2013
Unreported errors in the intensive care unit: a case study of the way we … May 27, 2011
Discharge rounds in the 80-hour workweek: importance of the trauma nurse … Health Care Providers
Critical Care
Discontinuities, Gaps, and Hand-Off Problems
Medication
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psnet.ahrq.gov/node/33600/psn-pdf
June 16, 2024 - The prevalence of preventable adverse events has not been as extensively studied in other health care … Most health care is delivered in the outpatient setting, and studies of outpatients have shown comparable … The concept
of just culture, now widely used in health care, emphasizes that most errors result from … Progress has also
been made in efforts to build a climate of safety in health care, in which errors … The AHRQ Making Health Care Safer IV report, published in 2024, added to the evidence base
behind patient
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psnet.ahrq.gov/issue/intimidation-concept-analysis
May 20, 2020 - August 28, 2024
Effect of delays in the 2-week-wait cancer referral pathway during the … July 29, 2020
An integrative systematic review of employee silence and voice in healthcare … of the beholder. … October 1, 2007
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See More About The Topic
Health Care Providers … Health Care Executives and Administrators
Organizational Behaviorists
Safety Scientists
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psnet.ahrq.gov/issue/compliance-central-line-maintenance-bundle-and-infection-rates
August 16, 2023 - August 16, 2023
Implementation of the I-PASS handoff program in diverse clinical environments … April 24, 2018
Crowding in the Emergency Department: Challenges for the Care of Children … July 30, 2015
Reducing the rate of catheter-associated bloodstream infections in a surgical … intensive care unit using the Institute for Healthcare Improvement Central Line Bundle. … August 20, 2014
The influence of organizational context on quality improvement and patient
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
December 01, 2006 - This is particularly the case in health care. Why? … In short, we need to discard our goal of achieving some idealized vision of a health care safety culture … Normalizing Safety Cultures in Health Care Settings The field of organizational learning tells us the … The faith-based sites have long been committed to patient-centered care. … More About The Topic
Health Care Providers
Health Care Executives and Administrators
Organizational
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psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications
January 22, 2014 - complications of care, with plans already in place to expand this list in 2009. … evaluate the benefits and risks of the initiative. … May 13, 2021
Criminalisation of unintentional error in healthcare in the UK: a perspective … control of healthcare associated infections. … January 16, 2008
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See More About The Topic
Health Care Providers
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psnet.ahrq.gov/issue/nurses-influence-consumers-experience-safety-acute-mental-health-units-qualitative-study
January 27, 2021 - An important element of providing patient-centered care is enhancing patient perceptions of safety. … acute mental health care . … Same Author(s)
How does the environment influence consumers' perceptions of safety in … January 27, 2021
Allergy safety events in healthcare: development and application of … Quality and Safety Professionals
Mental Health Care (Psychiatry and Clinical Psychology)
Psychiatric
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psnet.ahrq.gov/issue/how-when-and-why-bad-apples-spoil-barrel-negative-group-members-and-dysfunctional-groups
August 08, 2018 - Team-based care is a widely used model in healthcare. … September 19, 2018
The effect of collaboration on obstetric patient safety in three academic … topic in healthcare quality, patient safety, person-centeredness and human resource management. … February 15, 2023
National patient safety goal to improve health care equity. … February 8, 2023
Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic
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psnet.ahrq.gov/primer/opioid-safety
December 15, 2024 - It now appears clear that during the 1990s and 2000s, the health care system promoted the overuse of … adverse events and deaths occur outside health care settings. … The Agency for Healthcare Research and Quality's Effective Health Care Program completed three reports … February 15, 2023
How Discrimination in Health Care Affects Older Americans, and What … January 23, 2019
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Health Care Providers
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psnet.ahrq.gov/web-mm/recurrent-appendicitis
January 15, 2020 - 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 … three organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health … care service in Italy. … Topic
Operating Room
Health Care Providers
Risk Managers
Quality and Safety Professionals
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psnet.ahrq.gov/issue/study-error-reporting-nurses-significant-impact-nursing-team-dynamics
April 12, 2014 - This survey of over 650 nurses and nurse managers underscored the importance of leader inclusiveness … September 3, 2011
Seroprevalence of SARS-CoV-2 among frontline health care personnel … January 3, 2017
The value of library and information services in patient care: results … September 28, 2022
Defining speaking up in the healthcare system: a systematic review … July 12, 2023
An integrative systematic review of employee silence and voice in healthcare
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psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
May 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 … In its guidelines, the American College of Radiology notes that “the use of a probably benign assessment … National Academies of Sciences, Engineering, and Medicine. Improving Diagnosis in Health Care. … Topic
Ambulatory Clinic or Office
Health Care Providers
Quality and Safety Professionals
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psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
August 25, 2021 - 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 … , independence and objectivity in all its CME activities to promote improvements in health care and not … , should be aware of the importance of identifying patients who should be screened for Strongyloides … Topic
Public Health Professionals
Hospitals
Ambulatory Clinic or Office
Health Care