Psnet.ahrq.gov

An Assessment of Sepsis in the United States and its Burden on

WEBSepsis is a known safety concern that can result in substantial patient harm, in-hospital mortality, and costs if diagnosis and treatment are delayed. This report shares …

Actived: 9 days ago

URL: https://psnet.ahrq.gov/issue/assessment-sepsis-united-states-and-its-burden-hospital-care

Approach to Improving Patient Safety: Communication

WEBCitation Text: Schnipper JL, Fitall E, Hall KK, et al. Approach to Improving Patient Safety: Communication . PSNet [internet]. Rockville (MD): Agency for Healthcare …

Category: Health Go Health

The Evidence-Based Physical Examination as a Patient Safety

WEBEditor's note: Abraham Verghese, MD, is Professor for the Theory and Practice of Medicine at the Stanford University School of Medicine and Senior Associate …

Category: Medicine Go Health

Identifying a list of healthcare 'never events' to effect

WEBNever events are catastrophic adverse events resulting in patient death or significant disability that are largely preventable. This narrative synthesis describes …

Category: Health Go Health

National Patient Safety Goals

WEBBackground. Despite the development and publication of effective and evidence-based strategies to enhance patient safety and reduce preventable harm in …

Category: Health Go Health

Health Equity and Maternal Health

WEBEditor’s Note: Alison Stuebe, MD, MSc, is a professor and Division Director for Maternal-Fetal Medicine in the Department of Obstetrics and Gynecology at the …

Category: Medicine Go Health

The Physical Environment: An Often Unconsidered Patient Safety …

WEBPerspective. Now that health care reimbursement is firmly linked to a reduction in hospital-acquired conditions through the enactment of the Affordable Care Act, the entire health …

Category: Health Go Health

The Role of Health Literacy in Patient Safety

WEBPerspective. Clear health communication is increasingly recognized as essential for promoting patient safety. Yet according to a recent Joint Commission …

Category: Health Go Health

Culture of Safety

WEBBackground. The concept of safety culture originated outside health care, in studies of high reliability organizations, organizations that consistently minimize adverse events despite …

Category: Health Go Health

Challenging hierarchy in healthcare teams--ways to flatten

WEBNavigating hierarchy in health care is challenging at both team and organizational levels. This review discusses the necessity of managing hierarchy in high-risk environments …

Category: Health Go Health

Medication errors' causes analysis in home care setting: a

WEBCauses of medication errors occurring in home care may differ from those in the hospital setting. This systematic review identified three main risk factors for …

Category: Health Go Health

The social cost of adverse medical events, and what we can do

WEBThe annual cost of preventable adverse events to the United States health care system has been estimated as $17 billion, but this study estimates the total social cost of adverse …

Category: Health Go Health

National patient safety goal to improve health care equity.

WEBHealth care inequities persist despite increasing awareness they negatively affect quality, safety, and patient centeredness. This article shares the Joint Commission …

Category: Health Go Health

Resilient Healthcare and the Safety-I and Safety-II Frameworks

WEBResilient healthcare applies resilient engineering methods and concepts to the healthcare setting. Adopted across various industries, including aviation and …

Category: Health Go Health

Veterans Health Administration Stratification Tool for Opioid Risk

WEBThe Veterans Health Administration (VHA) Stratification Tool for Opioid Risk Mitigation (STORM) decision support system and targeted prevention program were …

Category: Health Go Health

Enhancing Support for Patients’ Social Needs to Reduce

WEBWith increasing recognition that health is linked to the conditions in which a patient lives, health systems are looking for innovative ways to support recently …

Category: Health Go Health

The problem with the '5 whys.'

WEBInvestigation of incidents in complex systems can be hindered by time limitations, lack of follow-up, and incomplete resolution. This commentary discusses a …

Category: Health Go Health