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Showing results for "process".

141. Near-miss event analysis enhances the barcode medication administration process. | PSNet
     psnet.ahrq.gov/issue/near-miss-event-analysis-enhances-barcode-medication-administration-process
     February 13, 2013 - Article Near-miss event analysis enhances the barcode medication administration process … Citation Text: Near-miss event analysis enhances the barcode medication administration process. … Citation Citation Text: Near-miss event analysis enhances the barcode medication administration process

142. Systemic failures in health care oversight. | PSNet
     psnet.ahrq.gov/issue/systemic-failures-health-care-oversight
     July 05, 2006 - This article suggests a shift in the process of collecting data on clinician performance from a voluntary … process focusing on blame to a required generic record. … Accordingly, the process would become more reliable, accountability would be focused on the organization … July 24, 2024 DOD Should Improve Its Process for Clinical Adverse Actions against Providers

143. Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery. | PSNet
     psnet.ahrq.gov/issue/computer-assisted-process-modeling-enhance-intraoperative-safety-cardiac-surgery
     July 19, 2023 - Study Computer-assisted process modeling to enhance intraoperative safety in cardiac … Computer-Assisted Process Modeling to Enhance Intraoperative Safety in Cardiac Surgery. … Computer-Assisted Process Modeling to Enhance Intraoperative Safety in Cardiac Surgery.

144. Getting it right for patient safety: specimen collection process improvement from operating room to pathology. | PSNet
     psnet.ahrq.gov/issue/getting-it-right-patient-safety-specimen-collection-process-improvement-operating-room
     July 16, 2013 - Commentary Getting it right for patient safety: specimen collection process improvement … Getting It Right for Patient Safety:  Specimen Collection Process Improvement From Operating Room to … Getting It Right for Patient Safety:  Specimen Collection Process Improvement From Operating Room to … July 16, 2013 The Henry Ford Production System: reduction of surgical pathology in-process … misidentification defects by bar code-specified work process standardization.

145. Paediatric nurses' understanding of the process and procedure of double-checking medications. | PSNet
     psnet.ahrq.gov/issue/paediatric-nurses-understanding-process-and-procedure-double-checking-medications
     May 03, 2023 - Study Paediatric nurses' understanding of the process and procedure of double-checking … Paediatric nurses' understanding of the process and procedure of double-checking medications. … Paediatric nurses' understanding of the process and procedure of double-checking medications. … July 23, 2014 Paediatric nurses' adherence to the double-checking process during medication

146. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866905/psn-pdf
     October 09, 2024 - Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise. … Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise. … https://psnet.ahrq.gov/issue/dual-process-models-clinical-reasoning-central-role-knowledge-diagnostic … https://psnet.ahrq.gov/issue/dual-process-models-clinical-reasoning-central-role-knowledge-diagnostic-expertise … https://psnet.ahrq.gov/issue/dual-process-models-clinical-reasoning-central-role-knowledge-diagnostic-expertise

147. Peers without fears? Barriers to effective communication among primary care physicians and oncologists about diagnostic delays in cancer. | PSNet
     psnet.ahrq.gov/issue/peers-without-fears-barriers-effective-communication-among-primary-care-physicians-and
     October 27, 2021 - Problems with the primary care–subspecialty referral process can lead to diagnostic delays . … The analysis revealed fears about giving and receiving feedback during the cancer diagnostic process … patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process … logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process

148. The process and perspective of serious incident investigations in adult community mental health services: integrative review and synthesis. | PSNet
     psnet.ahrq.gov/issue/process-and-perspective-serious-incident-investigations-adult-community-mental-health
     February 07, 2024 - Review The process and perspective of serious incident investigations in adult community … The process and perspective of serious incident investigations in adult community mental health services … The process and perspective of serious incident investigations in adult community mental health services … ward staff engage with the implementation of a patient safety intervention: a UK-based qualitative process

149. Introducing a new junior doctor electronic weekend handover on an orthopaedic ward. | PSNet
     psnet.ahrq.gov/issue/introducing-new-junior-doctor-electronic-weekend-handover-orthopaedic-ward
     May 31, 2017 - commentary describes a project that focused on shifting from a paper-based to an electronic handoff process … authors explain how using plan-do-study-act cycles helped augment implementation of the new handoff process … A quality improvement approach to standardization and sustainability of the hand-off process … A quality improvement approach to standardization and sustainability of the hand-off process

150. Applying HFMEA to prevent chemotherapy errors. | PSNet
     psnet.ahrq.gov/issue/applying-hfmea-prevent-chemotherapy-errors
     September 27, 2017 - example of using health care failure mode and effect analysis (FMEA) to identify potential chemotherapy process … Reduction in hospital-wide clinical laboratory specimen identification errors following process … 22, 2021 Healthcare failure mode and effect analysis in the chemotherapy preparation process … 15, 2017 Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process

151. Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. | PSNet
     psnet.ahrq.gov/issue/developing-and-pilot-testing-practical-measures-preanalytic-surgical-specimen-identification
     June 16, 2011 - This study reports on an effort to develop process measures for monitoring the quality of specimen identification … Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process … September 29, 2010 The Henry Ford Production System: reduction of surgical pathology in-process … misidentification defects by bar code-specified work process standardization.

152. The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking. | PSNet
     psnet.ahrq.gov/issue/causes-errors-clinical-reasoning-cognitive-biases-knowledge-deficits-and-dual-process
     April 12, 2019 - The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process … The Causes of Errors in Clinical Reasoning: Cognitive Biases, Knowledge Deficits, and Dual Process Thinking … The Causes of Errors in Clinical Reasoning: Cognitive Biases, Knowledge Deficits, and Dual Process Thinking … Should electronic differential diagnosis support be used early or late in the diagnostic process

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867041/psn-pdf
     October 30, 2024 - A scoping review of questions for patients to ask throughout the diagnostic process. … A scoping review of questions for patients to ask throughout the diagnostic process. … psnet.ahrq.gov/issue/what-else-could-it-be-scoping-review-questions-patients-ask-throughout- diagnostic-process … Patients are encouraged to ask questions during the diagnostic process, and numerous organizations … psnet.ahrq.gov/issue/what-else-could-it-be-scoping-review-questions-patients-ask-throughout-diagnostic-process

154. Understanding the challenges and successes of implementing 'hybrid' interventions in healthcare settings: findings from a process evaluation of a patient involvement trial. | PSNet
     psnet.ahrq.gov/issue/understanding-challenges-and-successes-implementing-hybrid-interventions-healthcare-settings
     October 23, 2024 - challenges and successes of implementing 'hybrid' interventions in healthcare settings: findings from a process … challenges and successes of implementing ‘hybrid’ interventions in healthcare settings: findings from a process … challenges and successes of implementing ‘hybrid’ interventions in healthcare settings: findings from a process … ward staff engage with the implementation of a patient safety intervention: a UK-based qualitative process

155. Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. | PSNet
     psnet.ahrq.gov/issue/designing-safer-process-prevent-retained-surgical-sponges-healthcare-failure-mode-and-effect
     April 27, 2019 - Study Designing a safer process to prevent retained surgical sponges: a healthcare … Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect … Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect … failure mode, effects and criticality analysis: a model to evaluate the nurse medication administration process

156. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60987/psn-pdf
     October 07, 2020 - Process failures that increase the risk of infection through respiratory droplets: a study of patient … Process failures that increase the risk of infection through respiratory droplets: a study of patient … https://psnet.ahrq.gov/issue/process-failures-increase-risk-infection-through-respiratory-droplets-study … - patient-safety In an effort to identify process failures related to infectious disease spread in … The analysis identified several process failures, most commonly involving the testing or processing

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845277/psn-pdf
     March 01, 2023 - Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality … Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality … https://psnet.ahrq.gov/issue/risk-assessment-acute-stroke-diagnostic-process-using-failure-modes-effects … 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

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867004/psn-pdf
     October 30, 2024 - Critical Radiology Alert Process October 30, 2024 https://psnet.ahrq.gov/innovation/critical-radiology-alert-process … trigger tool that alerts the care team of unrelated abnormal findings and provides a companion follow-up process … 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 innovation process is completed in a maximum of two minutes.

159. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865877/psn-pdf
     May 15, 2024 - Refining a framework to enhance communication in the emergency department during the diagnostic process … Refining a framework to enhance communication in the emergency department during the diagnostic process … psnet.ahrq.gov/issue/refining-framework-enhance-communication-emergency-department-during- diagnostic-process … psnet.ahrq.gov/issue/refining-framework-enhance-communication-emergency-department-during-diagnostic-process … psnet.ahrq.gov/issue/refining-framework-enhance-communication-emergency-department-during-diagnostic-process

160. Patient handovers within the hospital: translating knowledge from motor racing to healthcare. | PSNet
     psnet.ahrq.gov/issue/patient-handovers-within-hospital-translating-knowledge-motor-racing-healthcare
     April 01, 2015 - elements of racing "pit stops" and draw lessons for improving the safety of the postoperative handover process … lessons learned from the auto racing approach—proactive planning, active management of the handover process … monitoring and analysis—have subsequently been applied to standardize and improve the postoperative handover process … , 2011 Quality and safety on an acute surgical ward: an exploratory cohort study of process