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Showing results for "process".

441. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45795/psn-pdf
     May 24, 2017 - patient-hand-initiation-and-evaluation-phone-study-randomized-trial-patient- handoff-methods Prior research suggests that implementing a standardized handoff process … This randomized trial compared a formal patient handoff process to a focused one over a 10-month period … The authors suggest that a more efficient handoff process may save time without compromising patient

442. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.296_slideshow.ppt
     April 01, 2013 - Overview of the parenteral nutrition use process. … Overview of the parenteral nutrition use process. … Available at http://www.ismp.org/tools/highalertmedications.pdf * PN-Use Process PN-use process … Overview of the parenteral nutrition use process. … Frequency and severity of harm of medication errors related to the parenteral nutrition process in a

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35617/psn-pdf
     January 01, 2016 - Massachusetts hospitals that collaborated in an initiative to implement a medication reconciliation process … support, assembling a multidisciplinary team, maintaining a narrow focus to foster rapid changes to the process … , and implementing the process into everyday workflow.

444. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41043/psn-pdf
     May 24, 2012 - , which focuses on prospective error detection through the use of a robust peer-to-peer assessment process … The authors recommend developing a similar process for hospitals and discuss barriers that would need … to be overcome in order to implement such a process.

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73099/psn-pdf
     March 31, 2021 - newsletter article outlines opportunities inherent in expanding the role of nursing in the diagnostic process … future-nursing-leading-change-advancing-health https://psnet.ahrq.gov/issue/critical-need-nursing-education-address-diagnostic-process

446. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837695/psn-pdf
     July 20, 2022 - https://psnet.ahrq.gov/issue/narrowing-mindware-gap-medicine In dual process thinking, Type 1 decisions … /psnet.ahrq.gov/issue/causes-errors-clinical-reasoning-cognitive-biases-knowledge-deficits-and-dual-process

447. Transitions in Adolescent Medicine | PSNet
     psnet.ahrq.gov/web-mm/transitions-adolescent-medicine
     August 04, 2021 - The transfer from pediatric to adult care is, indeed, a point in the transition process, but it takes … her for the future as an adult with congenital heart disease, and the process of transfer to ensure … This preparation includes discussion of the changing role of the parents during the transfer process. … Ensure that the disease care and preparation during the transfer process are actively coordinated and … In pediatrics, the parents are the focus in the patient decision-making process, whereas in the adult

448. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38033/psn-pdf
     September 24, 2010 - implementing-online-medication-reconciliation-large-academic-medical-center Medication reconciliation—the process … This description of the process of implementing medication reconciliation at an urban public hospital … includes much information that will be helpful for hospitals undertaking a similar process.

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844550/psn-pdf
     September 01, 2012 - program (LQIP), including culture change, one anatomic pathology laboratory sought to reduce both process … The laboratory was able to decrease the frequency of process-dependent near-miss events, though not … adverse-events-near-misses-and-errors https://psnet.ahrq.gov/issue/henry-ford-production-system-reduction-surgical-pathology-process-misidentification-defects

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60287/psn-pdf
     April 29, 2020 - The author shares strategies for women to engage in the process to improve diagnostic accuracy.   … why-are-so-many-women-being-misdiagnosed https://psnet.ahrq.gov/issue/doing-harm https://psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846167/psn-pdf
     March 15, 2023 - discusses how diagnostic stewardship can enhance diagnostic testing behaviors across the diagnostic process … association-diagnostic-stewardship-blood-cultures-critically-ill-children-culture-rates https://psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project-redde

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853626/psn-pdf
     September 20, 2023 - detract from diagnostic safety and examines how teamwork, training, technology, and tuning can make the process … Strategies for patients to play a role in their diagnostic process are also discussed.

453. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45710/psn-pdf
     December 22, 2017 - our-current-approach-root-cause-analysis-it-contributing-our-failure-improve- patient-safety Root cause analysis (RCA) is a process … Experts have previously highlighted flaws with the RCA process and suggested ways to improve it. … A recent Annual Perspective explores ongoing problems with the RCA process and sheds light on opportunities

454. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853980/psn-pdf
     September 27, 2023 - examines the use of RFID tracking to build reliability into operating room anesthesia medication refiling process … The experience at one hospital found that the RFID process reduced errors, while increasing the task

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37992/psn-pdf
     August 20, 2008 - database has analyzed the types of errors reported by staff and clinicians and examined errors in the process … learning-different-lenses-reports-medical-errors-primary-care-clinicians-staff-and-patients https://psnet.ahrq.gov/issue/testing-process-errors-and-their-harms-and-consequences-reported-family-medicine-practices … https://psnet.ahrq.gov/issue/testing-process-errors-and-their-harms-and-consequences-reported-family-medicine-practices

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39716/psn-pdf
     August 09, 2013 - elements of racing "pit stops" and draw lessons for improving the safety of the postoperative handover process … lessons learned from the auto racing approach—proactive planning, active management of the handover process … and analysis—have subsequently been applied to standardize and improve the postoperative handover process

457. Views of practicing physicians and the public on medical errors. | PSNet
     psnet.ahrq.gov/issue/views-practicing-physicians-and-public-medical-errors
     August 03, 2009 - February 17, 2011 Patient and family contributions to improve the diagnostic process … Organization Trauma Care Checklist Program in 11 centers across multiple economic strata: effect on care process … patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process … 29, 2014 View More Related Resources Monitoring the diagnostic process … November 15, 2018 Delayed workup of rectal bleeding in adult primary care: examining process-of-care

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33738/psn-pdf
     December 01, 2012 - The third principle is to change the facility design process to focus on safety. … If you get too deep in the design process, it's much more difficult to then say, "What can we do to … We took a Lean view of this process and created a continuous flow. … The fundamental thing is to create a process where people wash their hands. … JR: I'd like to talk about the importance of the architectural process—that the design process itself

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49658/psn-pdf
     July 01, 2012 - Following Schiff and Leape's taxonomy (2), three questions must be addressed: Was there a diagnostic process … Triage and Diagnosis Triage is not designed to be part of the diagnostic process, which traditionally … However, the cognitive and social reality is that triage often plays a de facto role in the diagnostic process … errors, additional workplace tools should be considered to increase the fidelity of the diagnostic process … Diagnosis is a complicated and error-prone process.

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43262/psn-pdf
     April 06, 2015 - junior doctor who must evaluate the situation and decide whether to alert a supervising physician—a process … Delays in this process can lead to critical failure-to-rescue events, which may result in preventable … survey, and a formal health care failure mode and effect and analysis to examine the escalation of care process