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psnet.ahrq.gov/issue/failure-rescue-process-measure-evaluate-fetal-safety-during-labor
October 19, 2022 - Study
Failure to rescue as a process measure to evaluate fetal safety during labor … Failure to rescue as a process measure to evaluate fetal safety during labor. … This study discovers that using selected failure to rescue process measures may help identify areas … Failure to rescue as a process measure to evaluate fetal safety during labor.
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psnet.ahrq.gov/issue/assessing-information-sources-elucidate-diagnostic-process-errors-radiologic-imaging-human
May 29, 2019 - Study
Assessing information sources to elucidate diagnostic process errors in radiologic … Assessing information sources to elucidate diagnostic process errors in radiologic imaging - a human … the diagnostic safety field has matured, researchers are striving to better define the diagnostic process … Assessing information sources to elucidate diagnostic process errors in radiologic imaging - a human … November 26, 2014
Ambulatory medication reconciliation: using a collaborative approach to process
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psnet.ahrq.gov/issue/what-else-could-it-be-scoping-review-questions-patients-ask-throughout-diagnostic-process
November 03, 2021 - A scoping review of questions for patients to ask throughout the diagnostic process. … A scoping review of questions for patients to ask throughout the diagnostic process. … Patients are encouraged to ask questions during the diagnostic process, and numerous organizations … A scoping review of questions for patients to ask throughout the diagnostic process. … November 6, 2013
Does applying technology throughout the medication use process improve
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psnet.ahrq.gov/issue/should-electronic-differential-diagnosis-support-be-used-early-or-late-diagnostic-process
November 16, 2022 - Should electronic differential diagnosis support be used early or late in the diagnostic process … Should electronic differential diagnosis support be used early or late in the diagnostic process? … appeared in the differential, regardless of whether the tool was used early or late in the diagnostic process … Should electronic differential diagnosis support be used early or late in the diagnostic process? … patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process
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psnet.ahrq.gov/issue/assessment-safety-enhancement-hospital-medication-reconciliation-process-elderly-patients
August 04, 2021 - Study
Assessment of a safety enhancement to the hospital medication reconciliation process … Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients … for matching medications with indications, improved the accuracy of the medication reconciliation process … Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients
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psnet.ahrq.gov/issue/patient-harm-resulting-medication-reconciliation-process-failures-study-serious-events
October 07, 2020 - Study
Patient harm resulting from medication reconciliation process failures: a study … Patient harm resulting from medication reconciliation process failures: a study of serious events reported … The most common process failures contributing to patient harm occurred during order entry/transcription … Patient harm resulting from medication reconciliation process failures: a study of serious events reported … RIS
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Related Resources From the Same Author(s)
Process
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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/implementation-world-health-organization-trauma-care-checklist-program-11-centers-across
November 16, 2022 - Organization Trauma Care Checklist Program in 11 centers across multiple economic strata: effect on care process … Organization Trauma Care Checklist Program in 11 Centers Across Multiple Economic Strata: Effect on Care Process … Researchers found that adherence to 18 out of 19 care process measures improved after the checklist … Organization Trauma Care Checklist Program in 11 Centers Across Multiple Economic Strata: Effect on Care Process … View More
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Risk assessment of the acute stroke diagnostic 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/quality-and-safety-acute-surgical-ward-exploratory-cohort-study-process-and-outcome
March 03, 2011 - Study
Quality and safety on an acute surgical ward: an exploratory cohort study of process … Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. … The authors advocate for continued observation of process measures and incorporation of Toyota-type … Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. … the operating room: an analysis of occurrence, underlying causes and consequences for the clinical process
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psnet.ahrq.gov/issue/using-nam-diagnostic-process-framework-teach-clinical-reasoning-computerized-case
December 07, 2022 - Study
Using the NAM diagnostic process framework to teach clinical reasoning in computerized … Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations … case presentations and facilitated discussions (based on the National Academy of Medicine diagnostic process … Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations
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psnet.ahrq.gov/issue/comparing-process-and-outcome-oriented-approaches-voluntary-incident-reporting-two-hospitals
June 15, 2011 - Study
Comparing process- and outcome-oriented approaches to voluntary incident reporting … Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. … Investigators found that 50% were only process-oriented and that these were more useful than solely outcome-oriented … The authors advocate for hospitals to focus their IR systems on process-driven reports that encourage … Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals.
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psnet.ahrq.gov/issue/changes-efficiency-and-safety-culture-after-integration-i-pass-supported-handoff-process
June 25, 2018 - 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. … 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 … Changes in Efficiency and Safety Culture After Integration of an I-PASS-Supported Handoff Process.
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psnet.ahrq.gov/issue/novel-process-introducing-new-intraoperative-program-multidisciplinary-paradigm-mitigating
January 02, 2017 - Study
A novel process for introducing a new intraoperative program: a multidisciplinary … A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating … This study describes the use of a systematic process, similar to a failure mode effects analysis , that … The authors suggest their process can be applied to the introduction of any new technologies , treatments … A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating
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psnet.ahrq.gov/issue/information-management-goals-and-process-failures-during-home-visits-middle-aged-and-older
November 15, 2023 - Study
Information management goals and process failures during home visits for middle-aged … Information management goals and process failures during home visits for middle-aged and older adults … The authors recommend redesigning the care transition process from hospital to home health care providers … Information management goals and process failures during home visits for middle-aged and older adults
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psnet.ahrq.gov/issue/quality-improvement-approach-standardization-and-sustainability-hand-process
May 15, 2019 - A quality improvement approach to standardization and sustainability of the hand-off process … A Quality Improvement Approach to Standardization and Sustainability of the Hand-off Process. … an initiative that used plan-do-study-act cycles to assess the integration of the I-PASS handoff process … A Quality Improvement Approach to Standardization and Sustainability of the Hand-off Process.
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psnet.ahrq.gov/issue/lost-translation-addressing-barriers-application-industrial-process-improvement-methodologies
May 11, 2019 - 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 … This commentary describes obstacles to utilizing process improvement techniques from industry in health … Addressing Barriers in the Application of Industrial Process Improvement Methodologies to Health Care
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psnet.ahrq.gov/issue/clinical-perspective-creating-effective-practice-peer-review-process-primer
November 16, 2022 - Commentary
Clinical perspective: creating an effective practice peer review process—a … Clinical perspective: creating an effective practice peer review process-a primer. … This commentary discusses how to implement and assess the peer review process. … Clinical perspective: creating an effective practice peer review process-a primer.