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Showing results for "process".

381. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49681/psn-pdf
     April 01, 2013 - Describe the PN-use process. Identify potential PN-related medication errors. … Even though the ingredients in PN may carry some risk, errors in the PN-use process may lead to even … , and the hospital should have a standardized process to reduce the risk for errors. … .(20) The final steps in the PN-use process are administration of PN and ongoing monitoring. … actions taken to improve the process.

382. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845637/psn-pdf
     March 08, 2023 - and Criticality Analysis to improve safety in the cancer treatment prescription and administration process … and Criticality Analysis to improve safety in the cancer treatment prescription and administration process … Each phase of the cancer treatment process had at least one critical step identified, and actions were … 73785 https://psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-chemotherapy-preparation-process

383. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46728/psn-pdf
     March 27, 2018 - Near-miss event analysis enhances the barcode medication administration process. … https://psnet.ahrq.gov/issue/near-miss-event-analysis-enhances-barcode-medication-administration- process … https://psnet.ahrq.gov/issue/near-miss-event-analysis-enhances-barcode-medication-administration-process … https://psnet.ahrq.gov/issue/near-miss-event-analysis-enhances-barcode-medication-administration-process

384. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/864864/psn-pdf
     March 20, 2024 - 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

385. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49563/psn-pdf
     May 01, 2008 - /psnet.ahrq.gov/web-mm/it-safe-be-direct https://psnet.ahrq.gov//#references The direct admission process … Potential for errors and delays abound in this multi-tiered process. … While some PCPs may overuse the direct admission process to help their patients avoid the chaos of the … Revamping the process would not only address the safety issues but also improve patient throughput by … Take-Home Points Steps to improve the direct admission process include: Simplify the process by eliminating

386. Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery. | PSNet
     psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
     September 25, 2019 - , and the importance of evolving problem representation in that process. … Describe how effective teamwork improves the diagnostic process and identify key barriers and enabling … navigate complexity in the diagnostic process? … Ensure that all team members have a role and voice in the diagnostic process There has been increasing … Problem representation is a key part of the diagnostic process that frames the clinical situation and

387. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866117/psn-pdf
     January 01, 2025 - This commentary maps the components of the National Academy of Medicine (NAM) diagnostic process framework … discuss the role of individual hospitalists and specialty leadership to address systemic diagnostic process … gender-biases-and-diagnostic-delay-inflammatory-bowel-disease-multicenter-observational-study https://psnet.ahrq.gov/issue/using-nam-diagnostic-process-framework-teach-clinical-reasoning-computerized-case

388. Winning the battle for standardization. | PSNet
     psnet.ahrq.gov/issue/winning-battle-standardization
     March 02, 2022 - Army Medical Department examines the EMR to develop a standardized process for medication reconciliation … Army Medical Department examines the EMR to develop a standardized process for medication reconciliation … Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process … October 14, 2020 Barriers and facilitators to implementing a process to enable parent … March 26, 2008 Transforming the medication regimen review process using telemedicine

389. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836812/psn-pdf
     March 30, 2022 - and sort them into categories.2 RCAs are more effective when conducted by a team of people from the process … in an FMEA is to assemble a team of individuals with a range of knowledge and experience about the process … The team then conducts detailed process mapping to identify all the steps in the process that is being … One this is done, “failure modes”, i.e., ways in which a process or product could potentially fail or … Using this approach, components of the process or product most in need of change are identified, and

390. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852698/psn-pdf
     August 30, 2023 - Instead of addressing individual cases, KP sought to improve the disease diagnosis process and systems … used among patients who died. e-Biopsy denotes the non-mortality eB methodology review process. … Multiple systemic problems were found from the three-part process for each diagnosis. … Planning and Development Process The development process includes selecting a diagnosis, creating a … This process facilitates continuous buy-in from organizational staff.

391. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854264/psn-pdf
     October 04, 2023 - Patient death tied to lack of proper escalation process for barcode scanning failures. … https://psnet.ahrq.gov/issue/patient-death-tied-lack-proper-escalation-process-barcode-scanning-failures … https://psnet.ahrq.gov/issue/patient-death-tied-lack-proper-escalation-process-barcode-scanning-failures

392. The impact of team processes on psychiatric case management. | PSNet
     psnet.ahrq.gov/issue/impact-team-processes-psychiatric-case-management
     November 13, 2019 - Study The impact of team processes on psychiatric case management. Citation Text: Simpson A. The impact of team processes on psychiatric case management. J Adv Nurs. 2007;60(4):409-18. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

393. Effect of noise on auditory processing in the operating room. | PSNet
     psnet.ahrq.gov/issue/effect-noise-auditory-processing-operating-room
     November 16, 2022 - Study Effect of noise on auditory processing in the operating room. Citation Text: Way J, Long A, Weihing J, et al. Effect of noise on auditory processing in the operating room. J Am Coll Surg. 2013;216(5):933-8. doi:10.1016/j.jamcollsurg.2012.12.048. Copy Citation Format: …

394. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45053/psn-pdf
     May 19, 2019 - Five topics health care simulation can address to improve patient safety: results from a consensus process … Five Topics Health Care Simulation Can Address to Improve Patient Safety: Results From a Consensus Process … This article describes the consensus process and provides recommendations for patient safety curricula

395. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48028/psn-pdf
     August 28, 2019 - issue/error-reduction-and-prevention-surgical-pathology-2nd-edition Surgical specimen and laboratory process … This publication examines factors that contribute to errors across the surgical pathology process and … Chapters discuss areas of focus to encourage process improvement and error response, such as information

396. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840256/psn-pdf
     November 16, 2022 - The SEIPS 3.0 model really focuses on the patient and understanding the care process from the patient … The design process is a continuous improvement process. Sarah Mossburg: Dr. … We were able to create this new process within the admission process and the electronic health record … What other key challenges did you experience as part of this process? … Pascale Carayon: I can speak about the one we did on the extended discharge process.

397. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/864382/psn-pdf
     June 01, 2021 - article describes the 2020 ACCP Transitions of Care Task Force update to a 2012 white paper highlighting process … The Task Force recommended process measures to evaluate medication discrepancies and medication therapy … issue/preventing-medication-errors-transitions-care-patient-case-approach https://psnet.ahrq.gov/issue/process-indicators-quality-clinical-pharmacy-services-during-transitions-care

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838921/psn-pdf
     October 26, 2022 - psnet.ahrq.gov/issue/improving-discharge-safety-pediatric-emergency-department Errors during the discharge process … This article describes the implementation of a new standardized discharge process (including a new checklist … Over a 19-month period, implementation of the revised discharge process led to the elimination of preventable

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33579/psn-pdf
     September 15, 2024 - FMEA begins with identifying all the steps that must occur for a given process to occur. … Once this process mapping is complete, the FMEA then continues by identifying the ways in which each … The estimates of the likelihood of a particular process failure, the chance of detecting such failure … For instance, an FMEA analysis of the medication-dispensing process on a general hospital ward might … Different teams charged with analyzing the same process may identify different steps in the process,

400. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60167/psn-pdf
     April 12, 2024 - of care increase the risk of readmissions and adverse drug events after discharge.1 The discharge process … health literacy or current health status.3 Prior studies have shown that an early discharge preparation process … important information on the day of discharge6 and patients and caregivers feeling that the discharge process … and reduce readmissions.9 Nurses play an integral role in the discharge process by coordinating care … Additionally, AHRQ houses a library of evidence-based resources and tools to improve the discharge process