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psnet.ahrq.gov/innovation/critical-radiology-alert-process
November 16, 2022 - Critical Radiology Alert Process
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Print … The innovation consists of a four-step process: 1) informing the patient of the finding and documenting … In the first three months of the new process, 932 ED patient visits had critical radiology alerts, with … The process allows for consistent and efficient follow-up with patients about these incidental findings … The innovation process is completed in a maximum of two minutes.
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psnet.ahrq.gov/submit-case
The Submit a Case Process
PSNet’s Submit a Case feature allows health care professionals to submit … Watch the video below to learn more about the Submit a Case process.
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psnet.ahrq.gov/issue/breakdowns-medication-reconciliation-process
September 18, 2013 - Newspaper/Magazine Article
Breakdowns in the medication reconciliation process. … Citation Text:
Breakdowns in the medication reconciliation process. Gao T, Gaunt MJ. … Safety Reporting System, this piece identifies problems related to the medication reconciliation process … Cite
Citation
Citation Text:
Breakdowns in the medication reconciliation process
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psnet.ahrq.gov/issue/incorporating-medication-indications-prescribing-process
May 01, 2019 - Emerging Classic
Incorporating medication indications into the prescribing process … Incorporating medication indications into the prescribing process. … This study describes an expert panel process to delineate how to include the indication—the reason for … The authors emphasize the importance of a streamlined electronic prescribing process. … Incorporating medication indications into the prescribing process.
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psnet.ahrq.gov/issue/philosophy-science-and-diagnostic-process
April 24, 2018 - Commentary
Philosophy of science and the diagnostic process. … Philosophy of science and the diagnostic process. … This commentary discusses how core scientific methods influence the reasoning process and contribute … Philosophy of science and the diagnostic process.
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psnet.ahrq.gov/issue/rework-and-workarounds-nurse-medication-administration-process-implications-work-processes
July 31, 2008 - Study
Rework and workarounds in nurse medication administration process: implications … Rework and workarounds in nurse medication administration process: implications for work processes and … This study used process mapping to identify barriers to efficient medication administration and investigate … Rework and workarounds in nurse medication administration process: implications for work processes and
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psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis
January 06, 2017 - Study
Process of care failures in breast cancer diagnosis. … Process of care failures in breast cancer diagnosis. … review analyzed cases of recently diagnosed breast cancer to identify patient- and provider-related process … where a delay of at least 90 days occurred between symptom onset and diagnosis and found a high rate of process … Process of care failures in breast cancer diagnosis.
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psnet.ahrq.gov/innovations-video
Learn About the Submit an Innovation Process
PSNet’s Submit an Innovation feature allows organizations … Watch the video below to learn more about the Submit an Innovation process.
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psnet.ahrq.gov/issue/critical-need-nursing-education-address-diagnostic-process
June 08, 2022 - Commentary
The critical need for nursing education to address the diagnostic process … The critical need for nursing education to address the diagnostic process. … the National Academy of Medicine (NAM) recommends increasing nursing engagement in the diagnostic process … The critical need for nursing education to address the diagnostic process.
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psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sepsis-treatment-process
February 03, 2021 - Study
A system safety approach to assessing risks in the sepsis treatment process … A system safety approach to assessing risks in the sepsis treatment process. … This study uses the Systems Theoretic Process Analysis (STPA) to analyze risks related to pediatric sepsis … treatment process. … A system safety approach to assessing risks in the sepsis treatment process.
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psnet.ahrq.gov/issue/changes-diagnostic-process-during-40-years-clinicopathologic-conferences
March 20, 2024 - Study
Changes in the diagnostic process during 40 years of clinicopathologic conferences … Changes in the diagnostic process during 40 years of clinicopathologic conferences. … employed by CPC and the potential for computers to play an integral role in the diagnostic reasoning process … Changes in the diagnostic process during 40 years of clinicopathologic conferences. … Development of an emergency department trigger tool using a systematic search and modified Delphi process
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psnet.ahrq.gov/issue/filling-gap-safety-metrics-development-patient-centred-framework-identify-and-categorise
February 15, 2023 - patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process … patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process … Breakdowns were identified in each step of the diagnostic process. … January 18, 2023
Patient and family contributions to improve the diagnostic process through … March 9, 2022
Strengths and weaknesses in the diagnostic process of endometriosis from
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psnet.ahrq.gov/issue/value-pharmacist-medication-reconciliation-process
March 27, 2024 - Commentary
Value of the pharmacist in the medication reconciliation process. … Value of the Pharmacist in the Medication Reconciliation Process. P T. 2016;41(3):176-8. … Value of the Pharmacist in the Medication Reconciliation Process. P T. 2016;41(3):176-8.
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psnet.ahrq.gov/issue/examining-nurses-decision-process-medication-management-home-care
December 21, 2018 - Commentary
Examining nurses' decision process for medication management in home care … Examining nurses' decision process for medication management in home care. … In this AHRQ-funded study, the investigators reviewed the medication management process for home care … Examining nurses' decision process for medication management in home care.
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psnet.ahrq.gov/issue/process-failures-increase-risk-infection-through-respiratory-droplets-study-patient-safety
March 24, 2021 - Study
Process failures that increase the risk of infection through respiratory droplets … Process failures that increase the risk of infection through respiratory droplets: a study of patient … In an effort to identify process failures related to infectious disease spread in hospital settings … The analysis identified several process failures, most commonly involving the testing or processing of … The authors also discuss risk-reduction strategies to reduce the process failures contributing to the
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psnet.ahrq.gov/issue/use-prospective-risk-analysis-method-improve-safety-cancer-chemotherapy-process
May 29, 2019 - Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process … Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. … Investigators performed their analyses after reengineering of the medication administration process and … Findings suggested major improvements and risk reduction resulting from the reengineering process, with … Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process.
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psnet.ahrq.gov/issue/risk-assessment-acute-stroke-diagnostic-process-using-failure-modes-effects-and-criticality
July 21, 2021 - Study
Risk assessment of the acute stroke diagnostic process using failure modes, … Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality … used a failure modes, effects, and criticality analysis (FMECA) to create an acute stroke diagnostic process … The FMECA process identified several steps in the diagnostic process as the most critical failures to … Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality
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psnet.ahrq.gov/issue/whats-going-well-qualitative-analysis-positive-patient-and-family-feedback-context-diagnostic
October 27, 2021 - well: a qualitative analysis of positive patient and family feedback in the context of the diagnostic process … well: a qualitative analysis of positive patient and family feedback in the context of the diagnostic process … larger OurDx study , this analysis examined patient feedback on what went well with the diagnostic process … errors, stating feeling heard, appreciated, and timely communication contributed to a good diagnostic process … October 27, 2021
Patient and family contributions to improve the diagnostic process through
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psnet.ahrq.gov/issue/reducing-inappropriate-polypharmacy-process-deprescribing
September 23, 2020 - Commentary
Reducing inappropriate polypharmacy: the process of deprescribing. … Reducing inappropriate polypharmacy: the process of deprescribing. … Reducing inappropriate polypharmacy: the process of deprescribing.
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psnet.ahrq.gov/issue/sharing-process-diagnostic-decision-making
January 19, 2022 - Commentary
Sharing the process of diagnostic decision making. … Sharing the Process of Diagnostic Decision Making. … Sharing the Process of Diagnostic Decision Making. … The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process