AHRQ Search | Home Page

In Conversation With… Neel Shah, MD, MPP | PSNet

psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp

October 30, 2019 - importance of dignity, and the overuse of cesarean deliveries. … It's one of the only windows in health care delivery where you can influence the long-term well-being … care system in bringing a pathology lens to the care and service of people. … NS: One is to recognize that all of us work in a health care delivery systems with enormous complexity … in health care without a good understanding of the underlying systems.

First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit | PSNet

psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit

October 30, 2019 - importance of dignity, and the overuse of cesarean deliveries. … It's one of the only windows in health care delivery where you can influence the long-term well-being … care system in bringing a pathology lens to the care and service of people. … NS: One is to recognize that all of us work in a health care delivery systems with enormous complexity … in health care without a good understanding of the underlying systems.

Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists | PSNet

psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists

February 26, 2025 - 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 elevated risk increased the importance of adherence to his follow up care. … health care costs by preventing unnecessary readmissions. … October 16, 2024 Testing an intervention to improve health care worker well-being during

A Missed Bowel Perforation - the Importance of Diagnostic Reasoning | PSNet

psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning

January 29, 2021 - SPOTLIGHT CASE A Missed Bowel Perforation - the Importance of Diagnostic Reasoning … A Missed Bowel Perforation - the Importance of Diagnostic Reasoning. PSNet [internet]. … A Missed Bowel Perforation - the Importance of Diagnostic Reasoning. PSNet [internet]. … , independence and objectivity in all its CME activities to promote improvements in health care and not … Define the most current definition of sepsis. Explain the importance of early sepsis recognition.

AHRQ PSNet Annual Perspective: Impact of the COVID-19 Pandemic on Patient Safety | PSNet

psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety

August 31, 2020 - available and have trust in the healthcare system. … Over the past year, the response of healthcare systems to the devastating impact of the COVID-19 pandemic … healthcare systems. … Supporting the emotional well-being of health care workers during the COVID-19 pandemic. … Care Delivery and Pharmacists During the COVID-19 Pandemic June 29, 2020

Preventable Transfer to the Hospital | PSNet

psnet.ahrq.gov/web-mm/preventable-transfer-hospital

March 31, 2022 - The patient in the described case was an unfortunate victim of discontinuity of care. … care access have the lowest rates of ACP engagement. … in the setting of healthcare crises. … the experiences and perspectives of health care providers. … Topic Hospitals Long-Term Care Health Care Providers Nurses Nurse Managers

Building Capacity for Patient Safety | PSNet

psnet.ahrq.gov/perspective/building-capacity-patient-safety

July 31, 2023 - Leveraging existing training and emphasizing the importance of ongoing training across the different … Sarah Mossburg: How are healthcare systems using the PA-PSRS data? … the entire healthcare system in Pennsylvania—not just one hospital or one health system. … More About The Topic Researchers General Public Health Care Providers Health Care Executives … and Administrators Non-Health Care Professionals View More

Artificial Intelligence: System-Level Considerations | PSNet

psnet.ahrq.gov/curated-library/artificial-intelligence-system-level-considerations

March 27, 2024 - Artificial Intelligence in Health Care: The Hope, the Hype, the Promise, the Peril. … Read More Artificial Intelligence in Health Care: Benefits and Challenges of … use of AI in healthcare. … Book/Report Artificial Intelligence in Health Care: The Hope, the Hype, the Promise … Book/Report Artificial Intelligence in Health Care: Benefits and Challenges of

New Insights About Team Training From a Decade of TeamSTEPPS | PSNet

psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps

February 01, 2017 - Health care reform creates new opportunities Health care reform has brought the importance of quality … In health care, it's usually even more the case. … I categorize health care delivery as a complex service operation , in contrast to a simple service operation … In those days in health care, the medical chart was a file, a set of pieces of paper, and it lived in … Everything from medical homes to Accountable Care Organizations to even experimenting with different

In Conversation With… Tejal K. Gandhi, MD, MPH | PSNet

psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph

February 26, 2025 - As the former chief safety officer of Partners Healthcare System, you've been in the position to see … RW : Let's talk about two of the big trends in health care today. … wiring of the health care system. … primary care and into the health care system at an earlier stage of their diseases to prevent future … TG : Developing new models of care, like the primary care medical home or ACOs, and making sure it's

Engaging the patient as observer to promote hand hygiene compliance in ambulatory care. | PSNet

psnet.ahrq.gov/issue/engaging-patient-observer-promote-hand-hygiene-compliance-ambulatory-care

September 02, 2020 - to health care–associated infections . … Along parallel lines, the importance of patient engagement was elevated by its introduction into the … culture in medical homes: a coincidence analysis. … healthcare staff in the United Kingdom and Australia. … July 31, 2013 The interrelationship of isolation precautions and adverse events in an

Patient Safety in Home Dialysis | PSNet

psnet.ahrq.gov/perspective/patient-safety-home-dialysis

April 28, 2021 - Morfín serves as the Medical Director for Satellite Health Care and as a member of the Medical Advisory … In his professional role, he serves as the Medical Director for Satellite Health Care and as a member … The major benefit is that we know that home dialysis delivers more patient-controlled, patient-centered … care. … May 8, 2024 The challenge of risk prevention in home healthcare-an interview study with

Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. | PSNet

psnet.ahrq.gov/issue/avoiding-second-wave-medical-errors-importance-human-factors-context-pandemic

March 09, 2022 - Commentary Avoiding a second wave of medical errors: the importance of human factors … Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic … -19 pandemic on the delivery of healthcare services and the role of human factors in identifying and … Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic … March 9, 2022 Guidance for health care leaders during the recovery stage of the COVID

A framework for assessing reasoning about controversial end-of-life clinical decisions. | PSNet

psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions

November 30, 2023 - The complexity of health care can be a source of risk or harm to patients in other ways as well. … To optimize patient safety and patient-centered care, health care organizations must have mechanisms … Jonas & Kovner's Health Care Delivery in the United States . 12th ed. … March 13, 2024 The safe day call: reducing silos in health care through frontline risk … Care Units Health Care Providers Health Care Executives and Administrators Facility and Group

The NSTEMI Curbside Consultation | PSNet

psnet.ahrq.gov/web-mm/nstemi-curbside-consultation

August 04, 2021 - , independence and objectivity in all its CME activities to promote improvements in health care and not … any entity producing, marketing, re-selling, or distributing health care goods or services consumed by … Diagnostic Errors In this era of patient-centered care and outcomes, it is important to recognize … Author(s) Enabling a learning healthcare system with automated computer protocols that … Topic Health Professional Students Residents Emergency Departments Health Care Providers

Annual Perspective: Topics in Medication Safety | PSNet

psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety

April 27, 2022 - These topics are among the areas of focus in the Agency for Healthcare Research and Quality (AHRQ) report … These findings highlight the importance of understanding patient preferences and perceptions when framing … who experienced ADEs in the form of falls. … country in the form of state regulations which focused on limiting the prescribing of opioids for treating … Pharmacists Hospitals Ambulatory Care Health Care Providers View More

In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety | PSNet

psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety

August 30, 2023 - the emergence of disruptive entries into the health care arena such as retail and technology giants, … Initiatives such as the RISE to Health: National Coalition for Equity in Health Care bring together … As the healthcare system recovers from the pandemic, preventing harm in a coordinated and intentional … More About The Topic Labor and Delivery Health Care Providers Health Care Executives and … Administrators Non-Health Care Professionals Patient Falls View More

Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue | PSNet

psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue

May 01, 2016 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … The purpose of an alarm or alert is to direct our attention to something of greater importance and away … Joint Commission on Accreditation of Healthcare Organizations. … January 23, 2014 View More See More About The Topic Hospitals Health … Care Providers Engineers Medicine Device-Related Complications View More

Measuring Patient Safety | PSNet

psnet.ahrq.gov/perspective/measuring-patient-safety

December 14, 2022 - Institute of Medicine (US) Committee on Quality of Health Care in America, Kohn LT, Corrigan JM, Donaldson … Health Care Safety During the Pandemic and Beyond—Building a System That Ensures Resilience. … We, along with the guidance of multiple stakeholders (e.g., patients, clinicians, health care facilities … framework for quality: safe, timely, effective, equitable, efficient, and patient-centered care. … We also have a goal to advance resiliency in the health care system, which has been a big lesson of the

Statewide Telehealth Program Enhances Access to Care, Improves Outcomes for High-Risk Pregnancies in Rural Area | PSNet

psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-high-risk

November 13, 2024 - AHRQ PSNet Editorial Team from the AHRQ Health Care Innovations Exchange. … services to improve training for health care professionals in rural areas. … Better quality of health care should be the primary goal and should take precedence over other stakeholder … Centered on the improved quality of health care and patient outcomes, sustainability efforts must merge … Ultrasound in telemedicine: its impact in high-risk obstetric health care delivery.

Search AHRQ

Results