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psnet.ahrq.gov/issue/patient-and-clinician-experiences-uncertainty-diagnostic-process-current-understanding-and
March 11, 2020 - Commentary
Patient and clinician experiences of uncertainty in the diagnostic process … Patient and clinician experiences of uncertainty in the diagnostic process: current understanding and … Patient and clinician experiences of uncertainty in the diagnostic process: current understanding and … October 28, 2020
The patient died: what about involvement in the investigation process … : Transforming Diagnostic Research by Leveraging a Diagnostic Process Map to Engage Patients in Learning
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psnet.ahrq.gov/issue/barriers-and-facilitators-implementing-process-enable-parent-escalation-care-deteriorating
September 16, 2020 - Study
Barriers and facilitators to implementing a process to enable parent escalation … Barriers and facilitators to implementing a process to enable parent escalation of care for the deteriorating … Investigators studied the implementation of a parent escalation of care process, Calling for Help (C4H … Although there was support for the process among staff , barriers included a low level of parent awareness … of the process and concerns about parents' abilities to accurately identify clinical concerns.
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psnet.ahrq.gov/issue/implementing-robust-process-improvement-program-neonatal-intensive-care-unit-reduce-harm
March 23, 2022 - Study
Implementing a robust process improvement program in the neonatal intensive … Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. … This children’s hospital implemented a robust process improvement program (RPI, which refers to widespread … dissemination of process improvement tools to support staff skill development and identify sustainable … Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm.
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psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part-1
October 17, 2018 - Commentary
Enhancing healthcare process design with human factors engineering and … Enhancing healthcare process design with human factors engineering and reliability science, part 1: setting … This article focuses on human factors and system reliability as building blocks to clinical process design … Enhancing healthcare process design with human factors engineering and reliability science, part 1: setting … February 16, 2022
Cleaning up the discharge process: a number of components—and personnel—are
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psnet.ahrq.gov/issue/engaging-patient-and-family-surgical-safety-process-utilizing-safestart
October 19, 2022 - Study
Engaging the patient and family in the surgical safety process utilizing SafeStart … Engaging the patient and family in the surgical safety process utilizing. … via tablet and required parents to verify safety information for their child throughout the surgical process … Engaging the patient and family in the surgical safety process utilizing. … Development of an emergency department trigger tool using a systematic search and modified Delphi process
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psnet.ahrq.gov/issue/enhancing-patient-safety-improving-patient-handoff-process-through-appreciative-inquiry
April 10, 2024 - Commentary
Enhancing patient safety: improving the patient handoff process through … Enhancing patient safety: improving the patient handoff process through appreciative inquiry. … The authors describe a strategy that engages staff to build an effective patient handoff process. … Enhancing patient safety: improving the patient handoff process through appreciative inquiry.
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psnet.ahrq.gov/issue/next-kin-involvement-regulatory-investigations-adverse-events-caused-patient-death-process
March 02, 2022 - Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process … Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process … Despite being an emotionally challenging process, next of kin viewed participation in the regulatory … investigation as a positive experience and believed that their contributions improved the investigation process … Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process
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psnet.ahrq.gov/issue/increasing-patient-safety-and-efficiency-transfusion-therapy-using-formal-process-definitions
September 23, 2020 - Study
Increasing patient safety and efficiency in transfusion therapy using formal process … Increasing patient safety and efficiency in transfusion therapy using formal process definitions. … The authors describe the concept of formally defining process and apply it to point-of-care blood transfusion … as a method of detecting possible process failures. … Increasing patient safety and efficiency in transfusion therapy using formal process definitions.
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psnet.ahrq.gov/issue/cleaning-discharge-process-number-components-and-personnel-are-crucial-success
October 20, 2021 - Commentary
Cleaning up the discharge process: a number of components—and personnel—are … Cleaning up the discharge process: a number of components--and personnel--are crucial to success. … discusses problems associated with discharge and highlights the importance of beginning the planning process … Cleaning up the discharge process: a number of components--and personnel--are crucial to success. … Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process
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psnet.ahrq.gov/issue/patient-and-family-contributions-improve-diagnostic-process-through-ourdx-electronic-health
October 27, 2021 - Study
Patient and family contributions to improve the diagnostic process through … Patient and family contributions to improve the diagnostic process through the OurDX electronic health … of 450 OurDX reports found that participants contributed important information about the diagnostic process … Participants with diagnostic concerns were more likely to raise concerns about the diagnostic process … Patient and family contributions to improve the diagnostic process through the OurDX electronic health
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psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned
April 20, 2022 - Commentary
Rooting an error review process in just culture: lessons learned. … Rooting an error review process in just culture: lessons learned. … hospital’s incident reporting system and outlines how those findings informed changes to the error review process … Five years after these program changes were implemented, 96% of nurses surveyed felt that the new process … Rooting an error review process in just culture: lessons learned.
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psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project-redde
November 30, 2022 - Study
Contributing factors for pediatric ambulatory diagnostic process errors: Project … Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. … Omitted process steps included failure to screen for adolescent depression, failure to recognize and … Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. … health information technology usability issues contributing to medication errors across medication process
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psnet.ahrq.gov/issue/characterising-icu-ward-handoffs-three-academic-medical-centres-process-and-perceptions
September 27, 2023 - Study
Characterising ICU–ward handoffs at three academic medical centres: process … Characterising ICU-ward handoffs at three academic medical centres: process and perceptions. … This mixed-methods study combined survey data from resident physicians with a comparison of process maps … adverse event related to suboptimal handoff communication between these settings, and review of the process … Characterising ICU-ward handoffs at three academic medical centres: process and perceptions.
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psnet.ahrq.gov/issue/implementation-and-evaluation-laboratory-safety-process-improvement-toolkit
July 12, 2010 - Study
Implementation and evaluation of a laboratory safety process improvement toolkit … Implementation and Evaluation of a Laboratory Safety Process Improvement Toolkit. … This qualitative evaluation found that the AHRQ Improving Your Office Testing Process toolkit was perceived … Implementation and Evaluation of a Laboratory Safety Process Improvement Toolkit.
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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/improved-incident-reporting-following-implementation-standardized-emergency-department-peer
September 10, 2014 - incident reporting following the implementation of a standardized emergency department peer review process … incident reporting following the implementation of a standardized emergency department peer review process … The institution of a non-punitive peer review process with standardized feedback for incident reports … Physicians described the process to be valuable, educational, and effective. … incident reporting following the implementation of a standardized emergency department peer review process
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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/internal-reporting-system-improve-pharmacys-medication-distribution-process
October 31, 2017 - Study
Internal reporting system to improve a pharmacy's medication distribution process … Internal reporting system to improve a pharmacy's medication distribution process. … hospital increased reporting of pharmacy errors and improved analysis of the medication distribution process … Internal reporting system to improve a pharmacy's medication distribution process. … Resources From the Same Author(s)
Development and preliminary testing of the Coordination Process
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psnet.ahrq.gov/issue/medication-administration-process-assessment-applying-lessons-learned-commercial-aviation
May 25, 2011 - Commentary
Medication administration process assessment: applying lessons learned … Medication administration process assessment: applying lessons learned from commercial aviation. … how one hospital used an aviation safety assessment method to examine the medication administration process … Medication administration process assessment: applying lessons learned from commercial aviation.
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psnet.ahrq.gov/issue/what-if-transforming-diagnostic-research-leveraging-diagnostic-process-map-engage-patients
October 27, 2021 - : Transforming Diagnostic Research by Leveraging a Diagnostic Process Map to Engage Patients in Learning … : Transforming Diagnostic Research By Leveraging A Diagnostic Process Map To Engage Patients In Learning … Safety initiatives can be enhanced by engaging patients in the development process. … : Transforming Diagnostic Research By Leveraging A Diagnostic Process Map To Engage Patients In Learning … patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process