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psnet.ahrq.gov/issue/crowdsourcing-diagnosis-exploring-accuracy-size-and-type-group-diagnosis-experimental-study
October 27, 2021 - collaboration improves diagnostic accuracy, assessing by collaborative group size (3 or 6 physicians) and process … Process types were equally effective. … Should electronic differential diagnosis support be used early or late in the diagnostic process … The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process … Refining a framework to enhance communication in the emergency department during the diagnostic process
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psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
November 11, 2020 - Initiate the resolution process, which includes implementing patient safety processes to improve care … Ideally, all the steps in the CANDOR process should be followed in cases like this one. … this communication process. … of communicated with families (CANDOR or another harm response process). … Centers for Medicare and Medicaid Services (CMS). [ Available at ] Medicare’s recovery process.
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psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
February 26, 2025 - The instrument consists of a series of questions that address five aspects of the diagnostic process: … Analysis of diagnostic process breakdowns that can help prevent diagnostic error in the future … Through a standard and systematic process, the instrument is intended to help circumvent the typical … Findings from the initial evaluation and process assessment can be used to inform safety improvement … They may use the instrument in their peer review process.
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psnet.ahrq.gov/issue/monitoring-diagnostic-process-inpatient-neurology-service
November 03, 2015 - Study
Monitoring the diagnostic process on an inpatient neurology service. … Monitoring the Diagnostic Process on an Inpatient Neurology Service. … Monitoring the Diagnostic Process on an Inpatient Neurology Service.
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psnet.ahrq.gov/issue/mistake-proofing-design-health-care-processes
December 18, 2008 - In this report, the author draws from multidisciplinary sources to share examples of practical process … Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process
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psnet.ahrq.gov/issue/use-fmea-analysis-reduce-risk-errors-prescribing-and-administering-drugs-paediatric-wards
March 08, 2023 - errors at a pediatric hospital and helped prioritize approaches to revising the drug administration process … and Criticality Analysis to improve safety in the cancer treatment prescription and administration process … patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process … failure mode, effects and criticality analysis: a model to evaluate the nurse medication administration process … June 29, 2011
Risk and pharmacoeconomic analyses of the injectable medication process
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psnet.ahrq.gov/issue/hospital-process-compliance-and-surgical-outcomes-medicare-beneficiaries
May 01, 2015 - Study
Hospital process compliance and surgical outcomes in Medicare beneficiaries … Hospital process compliance and surgical outcomes in medicare beneficiaries. … Hospital process compliance and surgical outcomes in medicare beneficiaries.
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psnet.ahrq.gov/issue/novel-process-audit-standardized-perioperative-handoff-protocols
June 27, 2018 - Commentary
A novel process audit for standardized perioperative handoff protocols … A Novel Process Audit for Standardized Perioperative Handoff Protocols. … A Novel Process Audit for Standardized Perioperative Handoff Protocols.
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psnet.ahrq.gov/issue/identifying-and-addressing-preventable-process-errors-trauma-care
June 17, 2015 - Study
Identifying and addressing preventable process errors in trauma care. … Identifying and addressing preventable process errors in trauma care. … Identifying and addressing preventable process errors in trauma care.
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psnet.ahrq.gov/issue/does-applying-technology-throughout-medication-use-process-improve-patient-safety
October 30, 2024 - Review
Does applying technology throughout the medication use process improve patient … Does applying technology throughout the medication use process improve patient safety with antineoplastics … Does applying technology throughout the medication use process improve patient safety with antineoplastics … A scoping review of questions for patients to ask throughout the diagnostic process. … Effects of chemotherapy prescription clinical decision-support systems on the chemotherapy process
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psnet.ahrq.gov/issue/stigmatizing-language-patient-demographics-and-errors-diagnostic-process
April 12, 2023 - Study
Stigmatizing language, patient demographics, and errors in the diagnostic process … Stigmatizing language, patient demographics, and errors in the diagnostic process. … Stigmatizing language, patient demographics, and errors in the diagnostic process. … December 7, 2022
Contributing factors for pediatric ambulatory diagnostic process errors
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psnet.ahrq.gov/issue/prescription-error-process-defects-community-retail-pharmacy
October 19, 2022 - Study
Prescription for error: process defects in a community retail pharmacy.
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psnet.ahrq.gov/issue/patient-died-what-about-involvement-investigation-process
June 24, 2020 - Commentary
The patient died: what about involvement in the investigation process? … The patient died: what about involvement in the investigation process? … The patient died: what about involvement in the investigation process?
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psnet.ahrq.gov/issue/role-failure-mode-and-effects-analysis-health-care
December 22, 2021 - This article reviews the initial purpose of FMEA, provides a breakdown of the process, describes a scoring … 27, 2021
Healthcare failure mode and effect analysis in the chemotherapy preparation process … and Criticality Analysis to improve safety in the cancer treatment prescription and administration process … April 26, 2023
Using Six Sigma to improve patient safety in the perioperative process … 27, 2018
Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process
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psnet.ahrq.gov/issue/resident-led-institutional-patient-safety-and-quality-improvement-process
November 16, 2022 - Study
A resident-led institutional patient safety and quality improvement process … A resident-led institutional patient safety and quality improvement process. … A resident-led institutional patient safety and quality improvement process. … February 17, 2009
Teaching the diagnostic process as a model to improve medical education
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psnet.ahrq.gov/innovation/catching-those-who-fall-through-cracks-integrating-follow-process-emergency-department
September 09, 2020 - EMERGING INNOVATIONS
Catching those who fall through the cracks: integrating a follow-up process … Citation Text:
Catching those who fall through the cracks: integrating a follow-up process for emergency … The ED informatics team and hospital health IT team at one large quaternary care system developed a process … The ED clinical team then follows a standardized process for communicating the incidental finding to … March 27, 2017
Risk assessment of the acute stroke diagnostic process using failure modes
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psnet.ahrq.gov/issue/medication-reconciliation-improvement-utilizing-process-redesign-and-clinical-decision
November 16, 2022 - Study
Medication reconciliation improvement utilizing process redesign and clinical … Medication Reconciliation Improvement Utilizing Process Redesign and Clinical Decision Support. … Medication Reconciliation Improvement Utilizing Process Redesign and Clinical Decision Support.
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psnet.ahrq.gov/issue/double-checking-medicines-defence-against-error-or-contributory-factor
January 31, 2024 - This article supplies recommendations for improving the process, based on interviews with frontline providers … Download Citation
Related Resources From the Same Author(s)
The process … ward staff engage with the implementation of a patient safety intervention: a UK-based qualitative process … June 28, 2011
Evaluating the medication process in the context of CPOE use: the significance
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psnet.ahrq.gov/issue/psychological-intervention-improve-communication-and-patient-safety-obstetrics-examination
April 21, 2021 - intervention to improve communication and patient safety in obstetrics: examination of the health action process … intervention to improve communication and patient safety in obstetrics: examination of the health action process … intervention to improve communication and patient safety in obstetrics: examination of the health action process … patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process … and Criticality Analysis to improve safety in the cancer treatment prescription and administration process
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psnet.ahrq.gov/issue/improving-accuracy-patient-identification-medication-use-process
May 09, 2014 - Commentary
Improving the accuracy of patient identification in the medication-use process … Improving the accuracy of patient identification in the medication-use process. … Improving the accuracy of patient identification in the medication-use process. … Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process … misidentification defects by bar code-specified work process standardization.