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psnet.ahrq.gov/issue/effects-skilled-nursing-facility-structure-and-process-factors-medication-errors-during
April 24, 2018 - Study
Effects of skilled nursing facility structure and process factors on medication … Effects of skilled nursing facility structure and process factors on medication errors during nursing … Effects of skilled nursing facility structure and process factors on medication errors during nursing … May 27, 2011
Computer-assisted process modeling to enhance intraoperative safety in cardiac
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psnet.ahrq.gov/issue/engaging-hospital-patients-medication-reconciliation-process-using-tablet-computers
January 07, 2015 - Study
Engaging hospital patients in the medication reconciliation process using tablet … Engaging hospital patients in the medication reconciliation process using tablet computers. … Engaging hospital patients in the medication reconciliation process using tablet computers. … March 10, 2011
Effect of an electronic medication reconciliation application and process
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psnet.ahrq.gov/node/39945/psn-pdf
October 20, 2010 - Cleaning up the discharge process: a number of
components—and personnel—are crucial to success. … Cleaning up the discharge process: a number of components--and personnel--are
crucial to success. … https://psnet.ahrq.gov/issue/cleaning-discharge-process-number-components-and-personnel-are-crucial- … discusses problems associated with discharge and highlights the importance of beginning the
planning process … https://psnet.ahrq.gov/issue/cleaning-discharge-process-number-components-and-personnel-are-crucial-success
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psnet.ahrq.gov/node/37477/psn-pdf
January 16, 2008 - Enhancing healthcare process design with human factors
engineering and reliability science, part 1: … Enhancing healthcare process design with human factors engineering and
reliability science, part 1: … https://psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-
reliability-science-part … -1
This article focuses on human factors and system reliability as building blocks to clinical process … https://psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part
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psnet.ahrq.gov/node/39535/psn-pdf
May 19, 2010 - Assessment of a safety enhancement to the hospital
medication reconciliation process for elderly patients … Assessment of a safety enhancement to the hospital medication
reconciliation process for elderly patients … https://psnet.ahrq.gov/issue/assessment-safety-enhancement-hospital-medication-reconciliation-process … for matching medications with
indications, improved the accuracy of the medication reconciliation process … https://psnet.ahrq.gov/issue/assessment-safety-enhancement-hospital-medication-reconciliation-process-elderly-patients
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psnet.ahrq.gov/node/36815/psn-pdf
March 28, 2011 - Implementation of a medication reconciliation process in
an ambulatory internal medicine clinic. … Implementation of a medication reconciliation process in
an ambulatory internal medicine clinic. … https://psnet.ahrq.gov/issue/implementation-medication-reconciliation-process-ambulatory-internal-
medicine-clinic … The authors
conclude that staff and patients need to actively participate in this process. … https://psnet.ahrq.gov/issue/implementation-medication-reconciliation-process-ambulatory-internal-medicine-clinic
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psnet.ahrq.gov/node/73984/psn-pdf
October 20, 2021 - Analyzing diagnostic errors in the acute setting: a
process-driven approach. … Analyzing diagnostic errors in the acute setting: a process-driven
approach. … https://psnet.ahrq.gov/issue/analyzing-diagnostic-errors-acute-setting-process-driven-approach
Diagnostic … https://psnet.ahrq.gov/issue/analyzing-diagnostic-errors-acute-setting-process-driven-approach
https:
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psnet.ahrq.gov/node/38128/psn-pdf
January 02, 2017 - Developing process-support tools for patient safety:
finding the balance between validity and feasibility … Developing process-support tools for patient safety:
finding the balance between validity and feasibility … https://psnet.ahrq.gov/issue/developing-process-support-tools-patient-safety-finding-balance-between- … describes the conceptual model guiding the Johns Hopkins Quality and Safety Group tool
development process … https://psnet.ahrq.gov/issue/developing-process-support-tools-patient-safety-finding-balance-between-validity-and
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psnet.ahrq.gov/node/38249/psn-pdf
November 26, 2008 - Operational rounds: a practical administrative process to
improve safety and clinical services in radiology … IRQN award paper: Operational rounds: a practical
administrative process to improve safety and clinical … https://psnet.ahrq.gov/issue/operational-rounds-practical-administrative-process-improve-safety-and- … clinical-services
This article describes how one hospital's safety program developed a rounds process … https://psnet.ahrq.gov/issue/operational-rounds-practical-administrative-process-improve-safety-and-clinical-services
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psnet.ahrq.gov/issue/using-six-sigma-improve-patient-safety-perioperative-process
June 27, 2018 - Magazine Article
Using Six Sigma to improve patient safety in the perioperative process … Citation Text:
Using Six Sigma to improve patient safety in the perioperative process. … Citation
Citation Text:
Using Six Sigma to improve patient safety in the perioperative process
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psnet.ahrq.gov/node/41324/psn-pdf
June 27, 2012 - Towards an understanding of the information dynamics of
the handover process in aged care settings—a … Towards an understanding of the information dynamics of the
handover process in aged care settings-- … https://psnet.ahrq.gov/issue/towards-understanding-information-dynamics-handover-process-aged-care- … settings-prerequisite
This study reports on the development of a process map for the nursing shift handoff … https://psnet.ahrq.gov/issue/towards-understanding-information-dynamics-handover-process-aged-care-settings-prerequisite
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psnet.ahrq.gov/node/37606/psn-pdf
January 10, 2017 - Enhancing healthcare process design with human factors
engineering and reliability science, part 2: … Enhancing healthcare process design with human factors engineering and
reliability science, part 2: … https://psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-
reliability-science-part … https://psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part … -2
https://psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part
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psnet.ahrq.gov/node/47440/psn-pdf
April 07, 2019 - Improving inpatient mental health medication safety
through the process of obtaining HIMSS Stage 7: … https://psnet.ahrq.gov/issue/improving-inpatient-mental-health-medication-safety-through-process-
obtaining-himss-stage … https://psnet.ahrq.gov/issue/improving-inpatient-mental-health-medication-safety-through-process-obtaining-himss-stage … -7
https://psnet.ahrq.gov/issue/improving-inpatient-mental-health-medication-safety-through-process-obtaining-himss-stage
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psnet.ahrq.gov/node/37340/psn-pdf
November 14, 2007 - Care transitions in the outpatient surgery preoperative
process: facilitators and obstacles to information … Care transitions in the outpatient surgery preoperative process:
facilitators and obstacles to information … https://psnet.ahrq.gov/issue/care-transitions-outpatient-surgery-preoperative-process-facilitators-and … obstacles
This AHRQ-funded study describes one organization’s efforts to detail its preoperative process … https://psnet.ahrq.gov/issue/care-transitions-outpatient-surgery-preoperative-process-facilitators-and-obstacles
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psnet.ahrq.gov/node/45657/psn-pdf
March 08, 2017 - 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 … psnet.ahrq.gov/issue/causes-errors-clinical-reasoning-cognitive-biases-knowledge-deficits-and-dual-
process … /psnet.ahrq.gov/issue/causes-errors-clinical-reasoning-cognitive-biases-knowledge-deficits-and-dual-process … /psnet.ahrq.gov/issue/causes-errors-clinical-reasoning-cognitive-biases-knowledge-deficits-and-dual-process
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psnet.ahrq.gov/node/43637/psn-pdf
April 25, 2016 - Addressing barriers in the application
of industrial process improvement methodologies to
health care … Addressing Barriers in the Application of Industrial
Process Improvement Methodologies to Health Care … https://psnet.ahrq.gov/issue/lost-translation-addressing-barriers-application-industrial-process-
improvement-methodologies … This commentary describes obstacles to utilizing process improvement techniques
from industry in health … https://psnet.ahrq.gov/issue/lost-translation-addressing-barriers-application-industrial-process-improvement-methodologies
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psnet.ahrq.gov/node/39102/psn-pdf
January 04, 2010 - Quality and safety on an acute surgical ward: an
exploratory cohort study of process and outcome. … Quality and safety on an acute surgical ward: an exploratory cohort
study of process and outcome. … https://psnet.ahrq.gov/issue/quality-and-safety-acute-surgical-ward-exploratory-cohort-study-process-and … The authors advocate for continued
observation of process measures and incorporation of Toyota-type … https://psnet.ahrq.gov/issue/quality-and-safety-acute-surgical-ward-exploratory-cohort-study-process-and-outcome
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psnet.ahrq.gov/web-mm/reconciling-doses
August 14, 2017 - Medication reconciliation is defined as the process of collecting the best medication history possible … 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. … An example of a patient medication card, which can facilitate this process, can be found here .
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psnet.ahrq.gov/node/46941/psn-pdf
August 01, 2018 - Incident reporting to improve patient safety: the effects of
process variance on pediatric patient safety … Incident Reporting to Improve Patient Safety: The Effects of
Process Variance on Pediatric Patient Safety … https://psnet.ahrq.gov/issue/incident-reporting-improve-patient-safety-effects-process-variance-pediatric … Pediatric Emergency Care Applied Research Network, researchers analyzed incident reports determined to
be process … https://psnet.ahrq.gov/issue/incident-reporting-improve-patient-safety-effects-process-variance-pediatric-patient-safety
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psnet.ahrq.gov/node/45797/psn-pdf
October 31, 2017 - Delayed workup of rectal bleeding in adult primary care:
examining process-of-care failures. … Delayed Workup of Rectal Bleeding in Adult Primary Care:
Examining Process-of-Care Failures. … https://psnet.ahrq.gov/issue/delayed-workup-rectal-bleeding-adult-primary-care-examining-process-care … abstracted medical records of patients with rectal bleeding to identify problems in the diagnostic process … https://psnet.ahrq.gov/issue/delayed-workup-rectal-bleeding-adult-primary-care-examining-process-care-failures