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Showing results for "process".

421. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.158_slideshow.ppt
     September 01, 2007 - Medication Reconciliation in Hospitalized Patients For patients admitted to hospital, this process involves … Practices in Medication Reconciliation Given the number of disciplines involved in the medication-use process … for each component of the process assigned to the parties involved See Notes for references. 14. … No single universal process will meet needs of all patients entering a hospital Limited number of different … of care accounts for many preventable adverse events To design a robust medication reconciliation process

422. Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital Clinical Deterioration | PSNet
     psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
     October 30, 2024 - Review the data regularly to identify opportunities to improve the process and the outcomes and refine … Planning and Development Process KPNC initially piloted the AAM program in two hospitals. … Deployment across hospitals in the system used the following planning and development process. … Review the data regularly to identify opportunities to improve the process and the outcomes and refine … until the best process for the facility is identified.

423. People, processes, health IT and accurate patient identification. | PSNet
     psnet.ahrq.gov/issue/people-processes-health-it-and-accurate-patient-identification
     April 11, 2018 - Newspaper/Magazine Article People, processes, health IT and accurate patient identification. Citation Text: People, processes, health IT and accurate patient identification. Quick Safety. October 1, 2018;(45):1-2. Copy Citation Save Save to your library Prin…

424. Requirements for the design and implementation of checklists for surgical processes. | PSNet
     psnet.ahrq.gov/issue/requirements-design-and-implementation-checklists-surgical-processes
     September 25, 2008 - Review Requirements for the design and implementation of checklists for surgical processes. Citation Text: Verdaasdonk EGG, Stassen LPS, Widhiasmara PP, et al. Requirements for the design and implementation of checklists for surgical processes. Surg Endosc. 2009;23(4):715-26. doi:10.10…

425. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42550/psn-pdf
     June 27, 2018 - Using Six Sigma to improve patient safety in the perioperative process. … https://psnet.ahrq.gov/issue/using-six-sigma-improve-patient-safety-perioperative-process This magazine … https://psnet.ahrq.gov/issue/using-six-sigma-improve-patient-safety-perioperative-process https://psnet.ahrq.gov

426. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50389/psn-pdf
     September 25, 2019 - even though diagnosis is often portrayed in educational programs and case presentations as a linear process … Two key theoretical constructs are helpful in beginning to answer this question: dual process theory … Dual process theory suggests that humans make decisions through one of two basic processes: nonanalytic … This social nature of the diagnostic process makes the theoretical construct of situated cognition readily … National Academy of Medicine report, Improving Diagnosis in Health Care.1 These two theories—dual process

427. Submit Innovations Landing | PSNet
     psnet.ahrq.gov/submit-innovations-landing
     February 26, 2025 - criteria: Applicable to US healthcare setting Grounded in patient safety May improve the process … Read More INNOVATION Critical Radiology Alert Process October 30 … trigger tool that alerts the care team of unrelated abnormal findings and provides a companion follow-up process

428. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.299_slideshow.ppt
     May 01, 2013 - in the inpatient setting Describe the importance of understanding the chemotherapy administration process … standards Updated in 2012 to focus on the inpatient setting Divide the chemotherapy administration process … * * Standardizing Inpatient Chemotherapy Ways to standardize the process involved with inpatient … chemotherapy: A structured handoff tool and process between the outpatient and inpatient providers … Electronic solutions alone cannot overcome process failures.

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43009/psn-pdf
     January 07, 2015 - Improving the Emergency Department Discharge Process. … https://psnet.ahrq.gov/issue/improving-emergency-department-discharge-process This report analyzes the … https://psnet.ahrq.gov/issue/improving-emergency-department-discharge-process https://psnet.ahrq.gov/

430. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74022/psn-pdf
     March 01, 2021 - should also be considered; steps that are dependent on the context in which the medication-related process … Each part of the medication use process may contain different numbers and types of “rights”. … all prescriptions and can help ensure that any errors occurring as a result of the care transition process … are caught and corrected before the medication is dispensed.8 For example, in the discharge process … In addition to the dispensing process, the community pharmacist plays a critical patient safety role

431. Emergency medicine physicians' perspectives on diagnostic accuracy in neurology: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/emergency-medicine-physicians-perspectives-diagnostic-accuracy-neurology-qualitative-study
     July 21, 2021 - July 21, 2021 Risk assessment of the acute stroke diagnostic process using failure modes … July 6, 2022 Analyzing diagnostic errors in the acute setting: a process-driven approach … October 20, 2021 Strengths and weaknesses in the diagnostic process of endometriosis … May 17, 2023 Risk assessment of the acute stroke diagnostic process using failure modes

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46177/psn-pdf
     March 09, 2018 - psnet.ahrq.gov/issue/diagnosis-interpreting-shadows Efforts to enhance the reliability of the diagnostic process … This publication discusses diagnosis, the role of reasoning in the process, challenges to diagnostic … diagnosis-interpreting-shadows https://psnet.ahrq.gov/issue/2014-annual-benchmarking-report-malpractice-risks-diagnostic-process

433. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33582/psn-pdf
     September 15, 2024 - effect analysis (FMEA) is a common approach to prospectively determine error risk within a particular process … FMEA is a team-based process that begins by identifying all the steps required for a given process to … occur ("process mapping") and then identifying how each step can go wrong (i.e., failure modes), the … The estimated likelihood of a particular process failure, the chance of detecting such failure, and … index, which provides a rough estimate of the magnitude of hazard posed by each step in a high-risk process

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43501/psn-pdf
     September 10, 2014 - incident characterization: an observational analysis of the findings of a standardized peer review process … incident characterization: an observational analysis of the findings of a standardized peer review process … care emergency department, researchers investigated incident reports using a standardized peer review process

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49852/psn-pdf
     February 01, 2019 - Realize that the interhospital transfer process is vulnerable to deficiencies in communication that can … potential tool for improving the exchange of clinical information during the interhospital transfer process … research is needed to establish best practice guidelines with regard to the interhospital transfer process … As a result, the selection process remains largely arbitrary and up to the discretion of individual … Such streamlining often involves simplifying and standardizing both the transfer request process for

436. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74691/psn-pdf
     January 01, 2021 - The instrument consists of a series of questions that address five aspects of the diagnostic process: … error (defined as a missed opportunity in diagnosis), users have the option to complete an additional process … Through a standard and systematic process, the instrument is intended to help circumvent the typical … Findings from the initial evaluation and process assessment can be used to inform safety improvement … They may use the instrument in their peer review process.

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45309/psn-pdf
     July 13, 2016 - Development of an emergency department trigger tool using a systematic search and modified Delphi process … Development of an Emergency Department Trigger Tool Using a Systematic Search and Modified Delphi Process … Their Delphi process resulted in a 46-item proposed tool that will require validation and testing in

438. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43005/psn-pdf
     March 05, 2014 - Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process … Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process … methodology, this study sought to prospectively identify safety hazards in the laboratory testing process

439. Misleading Complaint | PSNet
     psnet.ahrq.gov/web-mm/misleading-complaint
     December 01, 2009 - Triage and Diagnosis Triage is not designed to be part of the diagnostic process, which traditionally … errors, additional workplace tools should be considered to increase the fidelity of the diagnostic process … Diagnosis is a complicated and error-prone process. … Take-Home Points Diagnostic process errors, diagnostic errors, and adverse outcomes have overlapping … January 11, 2023 Monitoring the diagnostic process on an inpatient neurology service.

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34781/psn-pdf
     June 23, 2015 - The authors discuss the detailed process that led to the highlighted standards, including the need to … One of the objectives from their efforts was to demonstrate the applicability of the process and to … They suggest the need for both a strong commitment to leadership and the development of a process to