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psnet.ahrq.gov/node/74001/psn-pdf
January 01, 2022 - centred framework to identify and categorise patient-
reported breakdowns related to the diagnostic process … centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process … brought patients, families, clinicians and experts together to identify patient-reported diagnostic process … Breakdowns were identified in each step of the diagnostic process. … https://psnet.ahrq.gov/issue/what-if-transforming-diagnostic-research-leveraging-diagnostic-process-map-engage-patients
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psnet.ahrq.gov/node/865483/psn-pdf
April 03, 2024 - Risks in the analogue and digitally-supported medication
process and potential solutions to increase … Risks in the analogue and digitally-supported medication
process and potential solutions to increase … https://psnet.ahrq.gov/issue/risks-analogue-and-digitally-supported-medication-process-and-potential- … https://psnet.ahrq.gov/issue/risks-analogue-and-digitally-supported-medication-process-and-potential-solutions-increase … https://psnet.ahrq.gov/issue/risks-analogue-and-digitally-supported-medication-process-and-potential-solutions-increase
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
January 01, 2024 - participants should be able to:
Discuss challenges associated with the dynamic nature of the diagnostic process … , and the importance of evolving problem representation in that process. … Describe how effective teamwork improves the diagnostic process and identify key barriers and enabling … in the diagnostic process? … Problem representation is a key part of the diagnostic process that frames the clinical situation and
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psnet.ahrq.gov/node/840174/psn-pdf
August 28, 2024 - Based on the hospital’s policy of following the
CANDOR process, the surgeon took responsibility for … 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). … Medicare’s recovery process. Centers for Medicare and Medicaid Services (CMS). [Available at]
7.
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psnet.ahrq.gov/node/861763/psn-pdf
January 31, 2024 - 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 … https://psnet.ahrq.gov/issue/process-and-perspective-serious-incident-investigations-adult-community- … https://psnet.ahrq.gov/issue/process-and-perspective-serious-incident-investigations-adult-community-mental-health … https://psnet.ahrq.gov/issue/process-and-perspective-serious-incident-investigations-adult-community-mental-health
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psnet.ahrq.gov/node/72751/psn-pdf
February 17, 2021 - The critical need for nursing education to address the
diagnostic process. … The critical need for nursing education to address the diagnostic
process. … https://psnet.ahrq.gov/issue/critical-need-nursing-education-address-diagnostic-process
To reduce diagnostic … the National Academy of Medicine (NAM) recommends increasing nursing
engagement in the diagnostic process … https://psnet.ahrq.gov/issue/critical-need-nursing-education-address-diagnostic-process
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/50402/psn-pdf
October 02, 2019 - Improving Diagnostic Fidelity: An Approach to
Standardizing the Process in Patients With Emerging
Critical … Improving Diagnostic Fidelity: An Approach to Standardizing the
Process in Patients With Emerging Critical … https://psnet.ahrq.gov/issue/improving-diagnostic-fidelity-approach-standardizing-process-patients- … https://psnet.ahrq.gov/issue/improving-diagnostic-fidelity-approach-standardizing-process-patients-emerging-critical … https://psnet.ahrq.gov/issue/improving-diagnostic-fidelity-approach-standardizing-process-patients-emerging-critical
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psnet.ahrq.gov/node/851199/psn-pdf
July 05, 2023 - Understanding the root cause analysis process to
increase safety event reporting. … Understanding the root cause analysis process to increase safety event reporting. … https://psnet.ahrq.gov/issue/understanding-root-cause-analysis-process-increase-safety-event-reporting … Root cause analysis (RCA) may not be an ideal process, but it still creates opportunities for learning … https://psnet.ahrq.gov/issue/understanding-root-cause-analysis-process-increase-safety-event-reporting
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psnet.ahrq.gov/node/73253/psn-pdf
May 12, 2021 - Any new process poses a risk for errors: learning from 4
months of Coronavirus disease 2019 (COVID-19 … https://psnet.ahrq.gov/issue/any-new-process-poses-risk-errors-learning-4-months-coronavirus-disease- … 2019-covid-19
Process change can introduce opportunities for error into established practice. … https://psnet.ahrq.gov/issue/any-new-process-poses-risk-errors-learning-4-months-coronavirus-disease- … 2019-covid-19
https://psnet.ahrq.gov/issue/any-new-process-poses-risk-errors-learning-4-months-coronavirus-disease
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psnet.ahrq.gov/node/47796/psn-pdf
March 13, 2019 - Start using a checklist, PRONTO: recommendation for a
standard review process for chemotherapy orders … Start using a checklist, PRONTO: Recommendation for a standard review
process for chemotherapy orders … https://psnet.ahrq.gov/issue/start-using-checklist-pronto-recommendation-standard-review-process-
chemotherapy-orders … https://psnet.ahrq.gov/issue/start-using-checklist-pronto-recommendation-standard-review-process-chemotherapy-orders … https://psnet.ahrq.gov/issue/start-using-checklist-pronto-recommendation-standard-review-process-chemotherapy-orders
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psnet.ahrq.gov/node/50834/psn-pdf
January 29, 2020 - Medication reconciliation improvement utilizing process
redesign and clinical decision support. … Medication Reconciliation Improvement Utilizing Process
Redesign and Clinical Decision Support. … https://psnet.ahrq.gov/issue/medication-reconciliation-improvement-utilizing-process-redesign-and-clinical … https://psnet.ahrq.gov/issue/medication-reconciliation-improvement-utilizing-process-redesign-and-clinical-decision … https://psnet.ahrq.gov/issue/medication-reconciliation-improvement-utilizing-process-redesign-and-clinical-decision
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psnet.ahrq.gov/node/854818/psn-pdf
October 25, 2023 - The nature, causes, and clinical impact of errors in the
clinical laboratory testing process leading … The nature, causes, and clinical impact of errors in the clinical
laboratory testing process leading … https://psnet.ahrq.gov/issue/nature-causes-and-clinical-impact-errors-clinical-laboratory-testing-process … https://psnet.ahrq.gov/issue/nature-causes-and-clinical-impact-errors-clinical-laboratory-testing-process-leading … https://psnet.ahrq.gov/issue/nature-causes-and-clinical-impact-errors-clinical-laboratory-testing-process-leading
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psnet.ahrq.gov/node/48160/psn-pdf
January 01, 2020 - Engaging the patient and family in the surgical safety
process utilizing SafeStart. … Engaging the patient and family in the surgical safety process
utilizing. … https://psnet.ahrq.gov/issue/engaging-patient-and-family-surgical-safety-process-utilizing-safestart … via tablet and required parents to verify safety information for their child throughout the surgical process … https://psnet.ahrq.gov/issue/engaging-patient-and-family-surgical-safety-process-utilizing-safestart
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psnet.ahrq.gov/node/74084/psn-pdf
November 17, 2021 - Healthcare failure mode and effect analysis in the
chemotherapy preparation process. … Healthcare failure mode and effect
analysis in the chemotherapy preparation process. … https://psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-chemotherapy-preparation-
process … https://psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-chemotherapy-preparation-process … https://psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-chemotherapy-preparation-process
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psnet.ahrq.gov/node/73630/psn-pdf
August 25, 2021 - Towards safer healthcare: qualitative insights from a
process view of organisational learning from failure … Towards safer healthcare: qualitative insights from a process view of
organisational learning from failure … https://psnet.ahrq.gov/issue/towards-safer-healthcare-qualitative-insights-process-view-organisational … https://psnet.ahrq.gov/issue/towards-safer-healthcare-qualitative-insights-process-view-organisational-learning-failure … https://psnet.ahrq.gov/issue/towards-safer-healthcare-qualitative-insights-process-view-organisational-learning-failure
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psnet.ahrq.gov/print/pdf/node/840940
March 22, 2024 - Audio-Described
Version (1 minute 24 seconds)
Learn About the Submit an Innovation Process
March 22, … 2024
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. … March 22, 2024
The Submit a Case Process PSNet’s Submit a Case feature allows health care professionals … Watch the video below to learn more about the Submit a Case process.
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psnet.ahrq.gov/node/867653/psn-pdf
February 26, 2025 - In health care, RCA is a regulatory process. … Sarah Mossburg: How has the RCA process changed over time? … Where traditional RCAs tend to be a very closed process, RCA2 democratizes the process so that more … We want it to be a simple process that people understand. … They may
leave the rest of the process the same.
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psnet.ahrq.gov/node/72647/psn-pdf
January 20, 2021 - Association of unexpected newborn deaths with changes
in obstetric and neonatal process of care. … Association of Unexpected Newborn Deaths With Changes in
Obstetric and Neonatal Process of Care. … https://psnet.ahrq.gov/issue/association-unexpected-newborn-deaths-changes-obstetric-and-neonatal-
process-care … https://psnet.ahrq.gov/issue/association-unexpected-newborn-deaths-changes-obstetric-and-neonatal-process-care … https://psnet.ahrq.gov/issue/association-unexpected-newborn-deaths-changes-obstetric-and-neonatal-process-care
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psnet.ahrq.gov/node/850910/psn-pdf
June 21, 2023 - Developing electronic clinical quality measures to assess
the cancer diagnostic process. … Developing electronic clinical quality measures to assess
the cancer diagnostic process. … https://psnet.ahrq.gov/issue/developing-electronic-clinical-quality-measures-assess-cancer-diagnostic-
process … https://psnet.ahrq.gov/issue/developing-electronic-clinical-quality-measures-assess-cancer-diagnostic-process … https://psnet.ahrq.gov/issue/developing-electronic-clinical-quality-measures-assess-cancer-diagnostic-process
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psnet.ahrq.gov/node/73916/psn-pdf
January 01, 2022 - Use of heuristics during the clinical decision process
from family care physicians in real conditions … Use of heuristics during the clinical
decision process from family care physicians in real conditions … https://psnet.ahrq.gov/issue/use-heuristics-during-clinical-decision-process-family-care-physicians-real … https://psnet.ahrq.gov/issue/use-heuristics-during-clinical-decision-process-family-care-physicians-real-conditions … https://psnet.ahrq.gov/issue/use-heuristics-during-clinical-decision-process-family-care-physicians-real-conditions