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psnet.ahrq.gov/node/72836/psn-pdf
January 26, 2021 - essential
members of the healthcare team with perspectives critical to the clinical decision-making process … These
initiatives focused on process measures
assessing whether entities have in place
processes, … .[8]
Future of PFE Measurement
As with other areas of healthcare measurement, process measures in … Why process measures are often more important than outcome measures in healthcare.
HealthCatalyst. … https://www.healthcatalyst.com/insights/process-vs-outcome-measures-healthcare
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/38659/psn-pdf
May 27, 2009 - The Henry Ford Production System: reduction of surgical
pathology in-process misidentification defects … by bar
code-specified work process standardization. … The Henry Ford Production System: reduction of surgical pathology
in-process misidentification defects … by bar code-specified work process standardization. … https://psnet.ahrq.gov/issue/henry-ford-production-system-reduction-surgical-pathology-process-
misidentification-defects
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psnet.ahrq.gov/node/38350/psn-pdf
March 01, 2011 - A novel process for introducing a new intraoperative
program: a multidisciplinary paradigm for mitigating … A novel process for introducing a new intraoperative program:
a multidisciplinary paradigm for mitigating … https://psnet.ahrq.gov/issue/novel-process-introducing-new-intraoperative-program-multidisciplinary- … paradigm-mitigating
This study describes the use of a systematic process, similar to a failure mode … The authors
suggest their process can be applied to the introduction of any new technologies, treatments
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psnet.ahrq.gov/issue/partially-structured-postoperative-handoff-protocol-improves-communication-2-mixed-surgical
November 19, 2018 - Research has shown that the use of standardized handoff tools not only improves the process but also … Standardization of the handoff process led to a decrease in omitted information and increased the length … Related Resources From the Same Author(s)
Developing a standard handoff process … February 16, 2022
Developing a standard handoff process for operating room–to-ICU transitions
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psnet.ahrq.gov/node/73300/psn-pdf
July 01, 2022 - Planning and Development Process
Project BOOST offers a detailed implementation guide that outlines … process and opportunities for improvement. … scheduled
assessments of the process are necessary to ensure that improvements are sustained. … Reengineering hospital discharge process could improve care, say AHRQ researchers. … Patient satisfaction and the discharge process: evidence-based best practices.
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psnet.ahrq.gov/node/60624/psn-pdf
June 24, 2020 - The patient died: what about involvement in the
investigation process? … The patient died: what about involvement in the investigation process? … https://psnet.ahrq.gov/issue/patient-died-what-about-involvement-investigation-process
The authors discuss … https://psnet.ahrq.gov/issue/patient-died-what-about-involvement-investigation-process
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/861292/psn-pdf
January 24, 2024 - Deficiencies in the Community Care Network
Credentialing Process of a Former VA Surgeon and
Veterans … https://psnet.ahrq.gov/issue/deficiencies-community-care-network-credentialing-process-former-va-
surgeon-and-veterans … https://psnet.ahrq.gov/issue/deficiencies-community-care-network-credentialing-process-former-va-surgeon-and-veterans … https://psnet.ahrq.gov/issue/deficiencies-community-care-network-credentialing-process-former-va-surgeon-and-veterans
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psnet.ahrq.gov/issue/mitigation-patient-harm-testing-errors-family-medicine-offices-report-american-academy-family
June 11, 2008 - Patient harm resulting from errors in the diagnostic testing process is common in outpatient care, … However, as noted in prior research , problems were noted at each stage of the testing process, implying … Download Citation
Related Resources From the Same Author(s)
Testing process … June 24, 2009
Testing process errors and their harms and consequences reported from family
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psnet.ahrq.gov/node/35497/psn-pdf
June 30, 2011 - 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. … https://psnet.ahrq.gov/issue/use-prospective-risk-analysis-method-improve-safety-cancer-chemotherapy-
process … Investigators performed their analyses after reengineering of the medication
administration process … Findings suggested major improvements
and risk reduction resulting from the reengineering process, with
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psnet.ahrq.gov/node/45355/psn-pdf
September 28, 2016 - 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 … https://psnet.ahrq.gov/issue/getting-it-right-patient-safety-specimen-collection-process-improvement- … https://psnet.ahrq.gov/issue/getting-it-right-patient-safety-specimen-collection-process-improvement-operating-room … https://psnet.ahrq.gov/issue/getting-it-right-patient-safety-specimen-collection-process-improvement-operating-room
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psnet.ahrq.gov/node/44865/psn-pdf
July 11, 2017 - Changes in efficiency and safety culture after integration
of an I-PASS-supported handoff process. … Changes in Efficiency and Safety Culture After Integration of an I-
PASS-Supported Handoff Process. … psnet.ahrq.gov/issue/changes-efficiency-and-safety-culture-after-integration-i-pass-supported-
handoff-process … This study used the I-PASS framework to develop and
implement a standardized signout process for transferring … The new process significantly improved clinician workflow and perceived safety
culture relating to handoffs
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psnet.ahrq.gov/node/37599/psn-pdf
January 01, 2009 - Improving process while changing practice: FMEA and
medication administration. … Improving process while changing practice. Nurs Manage. 2009;39(2). … https://psnet.ahrq.gov/issue/improving-process-while-changing-practice-fmea-and-medication-
administration … https://psnet.ahrq.gov/issue/improving-process-while-changing-practice-fmea-and-medication-administration … https://psnet.ahrq.gov/issue/improving-process-while-changing-practice-fmea-and-medication-administration
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psnet.ahrq.gov/node/72697/psn-pdf
February 03, 2021 - Culture of safety: impact on improvement in infection
prevention process and outcomes. … Culture of Safety: Impact on Improvement in Infection Prevention
Process and Outcomes. … https://psnet.ahrq.gov/issue/culture-safety-impact-improvement-infection-prevention-process-and-outcomes … https://psnet.ahrq.gov/issue/culture-safety-impact-improvement-infection-prevention-process-and-outcomes
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psnet.ahrq.gov/node/33825/psn-pdf
January 01, 2017 - Indeed, one early study that
described the RCA process within the Veterans Affairs health system did … Improving the RCA Process
In response to these problems with the RCA process, the National Patient Safety … To
begin, NPSF advised renaming the process "Root Cause Analysis and Action," hence RCA2. … Reevaluate the process
regularly
Leadership should review the RCA2 process at least annually for
effectiveness … However, a recent study suggested that a
simplified approach to FMEA may improve the process.
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psnet.ahrq.gov/node/36653/psn-pdf
January 18, 2011 - Enhancing patient safety: improving the patient handoff
process through appreciative inquiry. … Enhancing patient safety: improving the patient handoff process
through appreciative inquiry. … https://psnet.ahrq.gov/issue/enhancing-patient-safety-improving-patient-handoff-process-through-
appreciative-inquiry … The authors describe a strategy that engages staff to build an effective patient handoff process. … https://psnet.ahrq.gov/issue/enhancing-patient-safety-improving-patient-handoff-process-through-appreciative-inquiry
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psnet.ahrq.gov/node/39461/psn-pdf
April 21, 2010 - Rework and workarounds in nurse medication
administration process: implications for work processes … Rework and workarounds in nurse medication
administration process: implications for work processes and … https://psnet.ahrq.gov/issue/rework-and-workarounds-nurse-medication-administration-process-
implications-work-processes … This study used process mapping to identify barriers to efficient medication administration and investigate … https://psnet.ahrq.gov/issue/rework-and-workarounds-nurse-medication-administration-process-implications-work-processes
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psnet.ahrq.gov/node/38478/psn-pdf
March 11, 2009 - Medication administration process assessment: applying
lessons learned from commercial aviation. … Medication administration process assessment: applying lessons
learned from commercial aviation. … https://psnet.ahrq.gov/issue/medication-administration-process-assessment-applying-lessons-learned- … how one hospital used an aviation safety assessment method to examine the
medication administration process … https://psnet.ahrq.gov/issue/medication-administration-process-assessment-applying-lessons-learned-commercial-aviation
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psnet.ahrq.gov/node/49492/psn-pdf
November 01, 2005 - Medication reconciliation is defined as the process of collecting the best medication history possible … .(3)
Implementation of a successful medication reconciliation process ensures that each of the members … Accordingly, organizations cannot expect to roll out a reconciliation process overnight. … Medication reconciliation is a multidisciplinary process. … Forms have also
been used in the transfer and discharge process.
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psnet.ahrq.gov/node/38454/psn-pdf
January 02, 2017 - Comparing process- and outcome-oriented approaches to
voluntary incident reporting in two hospitals. … Comparing process- and outcome-oriented approaches to
voluntary incident reporting in two hospitals. … https://psnet.ahrq.gov/issue/comparing-process-and-outcome-oriented-approaches-voluntary-incident-
reporting-two-hospitals … Investigators found that 50% were only process-oriented and that these were more useful than solely … The authors advocate for hospitals to focus their IR systems on process-driven reports that
encourage
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psnet.ahrq.gov/node/37837/psn-pdf
June 11, 2008 - Testing process errors and their harms and
consequences reported from family medicine practices: a … Testing process errors and their harms and consequences
reported from family medicine practices: a study … https://psnet.ahrq.gov/issue/testing-process-errors-and-their-harms-and-consequences-reported-family- … eight
outpatient family medicine clinics to examine the types and severity of errors in the testing process … Errors
were documented at each step of the process.