-
psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
December 18, 2024 - This piece explores the importance of preventing falls, risk factors, and the current research around … As we expand the way that we think about health care, moving to a holistic patient journey, we naturally … The leadership in healthcare organizations needs to adopt existing evidence and do research, develop … Sarah Mossburg : You mentioned the importance of champions within units. … Topic
General Public
Hospitals
Ambulatory Care
Health Care Providers
Health Care
-
psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
April 17, 2025 - Teamwork in health care has been embraced as a key element of patient safety. … This commentary describes how the team approach to diagnosis is anchored in patient-centered care and … health care delivery, and evaluating how socioeconomic factors influence both healthcare systems and … their optimization in health care. … This commentary describes how the team approach to diagnosis is anchored in patient-centered care and
-
psnet.ahrq.gov/innovation/enhancing-support-patients-social-needs-reduce-hospital-readmissions-and-improve-health
February 26, 2025 - In a recent innovation, Prime Healthcare Services, Inc., which includes a network of 45 hospitals, provided … Context of the Innovation
Prime Healthcare sought to address social determinants of health using a … To achieve sustained improvements, the team emphasized the importance of identifying social needs early … Caring beyond health care: lessons learned from a community-based partnership to reduce hospital readmission … Department of Health and Human Services, the Agency for Healthcare Research and Quality, or of the submitter
-
psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
June 19, 2024 - Innovation Patient Safety Focus
The focus of the innovation is the prevention of healthcare-associated … the U.S. healthcare system around $7–10 billion each year for 375,000 to 425,000 newly diagnosed, medically … practices, including best practices for communicating the importance of VTE prophylaxis to patients … Department of Health and Human Services, the Agency for Healthcare Research and Quality, or of the submitter … Health Care Providers
Quality and Safety Professionals
Hospital Medicine
Venous Thrombosis
-
psnet.ahrq.gov/periodic-issue/weekly-resource
March 25, 2025 - Commentary
A framework for the analysis of communication errors in health care. … Commentary
A framework for the analysis of communication errors in health care. … Int J Qual Health Care . 2025; 37 (1) :mzae114 . … Commentary
Errors in the EMR: under-recognized hazard for AI in healthcare. … The commentary describes the appropriate evaluation for acute abdominal pain, the importance of imaging
-
psnet.ahrq.gov/Information/Panel
January 01, 2012 - Care Medicine , and the International Journal for Quality in Health Care . … healthcare delivery. … in Health Care Awards in 2024. … factors in health care. … and patient safety, healthcare transparency, patient-centered care, shared decision-making, and patient
-
psnet.ahrq.gov/curated-library/diagnostic-safety-improvement
April 17, 2025 - Classic
The importance of cognitive errors in diagnosis and strategies to minimize them … This commentary describes how the team approach to diagnosis is anchored in patient-centered care and … impacts of diagnosis-related events on patient care trajectories through the healthcare system. … This commentary describes how the team approach to diagnosis is anchored in patient-centered care and … The authors suggest improvements in health care culture is required to implement the recommended changes
-
psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
March 27, 2024 - Although most organizations and healthcare workers (HCWs) agree on the importance of safety culture, … Methodologically, the year's research predominantly centers on surveys capturing health care workers' … In addition, the research underscores the importance of providing support structures, including peer … More About The Topic
General Hospitals
Long-Term Care
Health Care Providers
Health Care … Executives and Administrators
Non-Health Care Professionals
View More
-
psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
December 18, 2024 - The leadership in healthcare organizations needs to adopt existing evidence and do research, develop … Sarah Mossburg : You mentioned the importance of champions within units. … This piece explores the importance of preventing falls, risk factors, and the current research around … As we expand the way that we think about health care, moving to a holistic patient journey, we naturally … Topic
General Public
Hospitals
Ambulatory Care
Health Care Providers
Health Care
-
psnet.ahrq.gov/node/867850/psn-pdf
February 26, 2025 - I also research some of the pressing problems around patient experience,
patient-centered care, burnout … It gives an overview of high reliability in health care. … Sarah Mossburg: You have noted that while healthcare systems have improved patient safety outcomes, … training of people (emphasizing the importance of the interpersonal as well as the technical)
and designing … Sarah Mossburg: High reliability was first described in industries outside health care, as you mentioned
-
psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - adverse events in health care over time, rates of patient harm remain high. … In response to the slow reduction in rates of patient harm and siloed nature of the healthcare system … the role of AI in health care. … Working in a healthcare delivery system, we collect a ton of data. … We thought we had these high-performing health care systems, but the data did not look like they were
-
psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
February 26, 2025 - Challenges Associated with HRO in the Complex Environment of Health Care Interventions based on HRO principles … that health care delivery is inherently high-risk. … HRO principles and safer healthcare delivery. … I also research some of the pressing problems around patient experience, patient-centered care, burnout … It gives an overview of high reliability in health care.
-
psnet.ahrq.gov/innovation/team-developed-care-plan-and-ongoing-care-management-social-workers-and-nurse
July 23, 2024 - To date, the GRACE program has been successfully implemented within 26 health care systems other than … patient satisfaction, improved quality of life, and helped provide comprehensive patient-centered care … opportunity for a health plan or health care system to realize cost savings through the implementation … Medical Center: Impact on Health Care Utilization and Quality of Life. … Medical Center: Impact on Health Care Utilization and Quality of Life.
-
psnet.ahrq.gov/primer/responding-patient-safety-events
October 18, 2023 - Background Patient safety events that occur in health care facilities require prompt action to ensure … Qual Saf Health Care . 2010;19(6):e11. [ Free full text ] Communication and Remediation Ongoing and timely … The importance of error disclosure is also discussed in the Disclosure of Errors primer. … it is important that clinicians and the health care organization apologize to the patient and their … If indicated, early compensation could occur in the form of waiving hospital bills while the healthcare
-
psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
September 23, 2024 - care and patient safety. … Most importantly, the participants noted the critical importance of having a diversity of voices available … the Innovation
The Institute for Healthcare Policy and Innovation at the University of Michigan reports … Department of Health and Human Services, the Agency for Healthcare Research and Quality, or of the submitter … Topic
Researchers
Hospitals
General Hospitals
Health Care Providers
Health Care Executives
-
psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - Working in a healthcare delivery system, we collect a ton of data. … We thought we had these high-performing health care systems, but the data did not look like they were … adverse events in health care over time, rates of patient harm remain high. … In response to the slow reduction in rates of patient harm and siloed nature of the healthcare system … the role of AI in health care.
-
psnet.ahrq.gov/clinical-areas
March 24, 2025 - healthcare profession, such as the nurse care or medical specialty, featured in the resources. … Commentary
A framework for the analysis of communication errors in health care. … Survey respondents also endorsed the importance of formal support programs, including peer support, education … Commentary
Errors in the EMR: under-recognized hazard for AI in healthcare. … Int J Qual Health Care . 2025; 37 (1) :mzae114 .
-
psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
May 16, 2022 - as a discharge from the hospital and, consequently, they may not buy in to the importance of following … Commission on Safety and Quality in Health Care. … International journal for quality in health care: journal of the International Society for Quality in … Health Care. doi:10.1093/intqhc/mzz014
‘Meds-to-beds’ programs aim to prevent re-hospitalization. … of Team-Based and Patient-Centered Health Care: Insights from an IOM Working Group | Clinical Pharmacy
-
psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
February 26, 2025 - I also research some of the pressing problems around patient experience, patient-centered care, burnout … It gives an overview of high reliability in health care. … Challenges Associated with HRO in the Complex Environment of Health Care Interventions based on HRO principles … that health care delivery is inherently high-risk. … HRO principles and safer healthcare delivery.
-
psnet.ahrq.gov/node/867676/psn-pdf
February 26, 2025 - health care facilities require prompt action to ensure that further harm is
mitigated, and future errors … Responding to patient safety incidents: the "seven
pillars". Qual Saf Health Care. 2010;19(6):e11. … The importance of
error disclosure is also discussed in the Disclosure of Errors primer. … it is
important that clinicians and the health care organization apologize to the patient and their … In the aftermath of a patient safety event,
healthcare staff involved could face feelings of guilt,