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Showing results for "process".

81. Incident reporting to improve patient safety: the effects of process variance on pediatric patient safety in the emergency department. | PSNet
    psnet.ahrq.gov/issue/incident-reporting-improve-patient-safety-effects-process-variance-pediatric-patient-safety
    June 07, 2017 - Study Incident reporting to improve patient safety: the effects of process variance … Incident Reporting to Improve Patient Safety: The Effects of Process Variance on Pediatric Patient Safety … Pediatric Emergency Care Applied Research Network, researchers analyzed incident reports determined to be process … Incident Reporting to Improve Patient Safety: The Effects of Process Variance on Pediatric Patient Safety

82. Towards an understanding of the information dynamics of the handover process in aged care settings—a prerequisite for the safe and effective use of ICT. | PSNet
    psnet.ahrq.gov/issue/towards-understanding-information-dynamics-handover-process-aged-care-settings-prerequisite
    August 19, 2016 - Study Towards an understanding of the information dynamics of the handover process … Towards an understanding of the information dynamics of the handover process in aged care settings--a … This study reports on the development of a process map for the nursing shift handoff at a geriatric … Towards an understanding of the information dynamics of the handover process in aged care settings--a

83. Any new process poses a risk for errors: learning from 4 months of Coronavirus disease 2019 (COVID-19) vaccinations. | PSNet
    psnet.ahrq.gov/issue/any-new-process-poses-risk-errors-learning-4-months-coronavirus-disease-2019-covid-19
    June 10, 2018 - Newspaper/Magazine Article Any new process poses a risk for errors: learning from … Citation Text: Any new process poses a risk for errors: learning from 4 months of Coronavirus disease … Process change can introduce opportunities for error into established practice. … Copy URL Cite Citation Citation Text: Any new process

84. Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. | PSNet
    psnet.ahrq.gov/issue/implementation-medication-reconciliation-process-ambulatory-internal-medicine-clinic
    October 28, 2009 - Study Implementation of a medication reconciliation process in an ambulatory internal … Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. … The authors conclude that staff and patients need to actively participate in this process. … Implementation of a medication reconciliation process in an ambulatory internal medicine clinic.

85. The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization. | PSNet
    psnet.ahrq.gov/issue/henry-ford-production-system-reduction-surgical-pathology-process-misidentification-defects
    July 16, 2013 - Study The Henry Ford Production System: reduction of surgical pathology in-process … misidentification defects by bar code-specified work process standardization. … The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects … by bar code-specified work process standardization. … by bar code-specified work process standardization.

86. DOD Should Improve Its Process for Clinical Adverse Actions against Providers. | PSNet
    psnet.ahrq.gov/issue/dod-should-improve-its-process-clinical-adverse-actions-against-providers
    May 16, 2018 - Book/Report DOD Should Improve Its Process for Clinical Adverse Actions against Providers … Citation Text: DOD Should Improve Its Process for Clinical Adverse Actions against Providers. … report summarizes findings from 55 case reports at military care facilities to identify investigation process … Cite Citation Citation Text: DOD Should Improve Its Process

87. Rethinking Root Cause Analysis | PSNet
    psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
    August 21, 2016 - Indeed, one early study that described the RCA process within the Veterans Affairs health system did … Improving the RCA Process In response to these problems with the RCA process, the National Patient … To begin, NPSF advised renaming the process "Root Cause Analysis and Action," hence RCA2. … Reevaluate the process regularly Leadership should review the RCA2 process at least annually for effectiveness … However, a recent study suggested that a simplified approach to FMEA may improve the process.

88. Understanding the root cause analysis process to increase safety event reporting. | PSNet
    psnet.ahrq.gov/issue/understanding-root-cause-analysis-process-increase-safety-event-reporting
    August 08, 2018 - Commentary Understanding the root cause analysis process to increase safety event … Understanding the root cause analysis process to increase safety event reporting. … Root cause analysis (RCA) may not be an ideal process, but it still creates opportunities for learning … Understanding the root cause analysis process to increase safety event reporting.

89. Resilient actions in the diagnostic process and system performance. | PSNet
    psnet.ahrq.gov/issue/resilient-actions-diagnostic-process-and-system-performance
    November 13, 2024 - Study Resilient actions in the diagnostic process and system performance. … Resilient actions in the diagnostic process and system performance. … Resilient actions in the diagnostic process and system performance. … logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process

90. Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes. | PSNet
    psnet.ahrq.gov/issue/association-postoperative-readmissions-surgical-quality-using-delphi-consensus-process
    September 25, 2018 - Association of postoperative readmissions with surgical quality using a Delphi consensus process … Association of Postoperative Readmissions With Surgical Quality Using a Delphi Consensus Process to Identify … Using a modified Delphi process, an expert panel reviewed 30-day postoperative readmissions over a … Association of Postoperative Readmissions With Surgical Quality Using a Delphi Consensus Process to Identify

91. "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care. | PSNet
    psnet.ahrq.gov/issue/chance-favors-only-prepared-mind-preparing-minds-systematically-reduce-hazards-testing
    April 23, 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 … Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process

92. Missed CANDOR Implementation Opportunities. | PSNet
    psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
    November 11, 2020 - Initiate the resolution process, which includes implementing patient safety processes to improve care … Ideally, all the steps in the CANDOR process should be followed in cases like this one. … this communication process. … of communicated with families (CANDOR or another harm response process). … Centers for Medicare and Medicaid Services (CMS). [ Available at ] Medicare’s recovery process.

93. Developing and implementing a standardized process for Global Trigger Tool application across a large health system. | PSNet
    psnet.ahrq.gov/issue/developing-and-implementing-standardized-process-global-trigger-tool-application-across-large
    July 18, 2017 - Study Developing and implementing a standardized process for Global Trigger Tool … Developing and implementing a standardized process for global trigger tool application across a large … Through a standardized assessment and dissemination process, this health system achieved reductions in … Developing and implementing a standardized process for global trigger tool application across a large

94. Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process. | PSNet
    psnet.ahrq.gov/issue/code-debriefing-department-veterans-affairs-va-medical-team-training-program-improves
    August 18, 2010 - Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process … Veterans Affairs (VA) Medical Team Training program improves the cardiopulmonary resuscitation code process … the tool and postcode discussions have guided identification and resolution of issues in the CPR code process … Veterans Affairs (VA) Medical Team Training program improves the cardiopulmonary resuscitation code process

95. Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity testing. | PSNet
    psnet.ahrq.gov/issue/developing-primary-care-patient-measure-safety-pc-pmos-modified-delphi-process-and-face
    August 21, 2015 - Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process … Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity … The survey was developed by an expert panel through a modified Delphi process and was well received by … Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity

96. SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process. | PSNet
    psnet.ahrq.gov/issue/squire-20-standards-quality-improvement-reporting-excellence-revised-publication-guidelines
    December 02, 2015 - QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process … QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process … In 2015, the SQUIRE guidelines were revised through a process that included semistructured interviews … QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process

97. Let us to the TWISST; Plan, Simulate, Study and Act. | PSNet
    psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
    October 12, 2018 - This article describes the Translational Work Integrating Simulation and Systems Testing (TWISST) process … After the simulated medical emergency, participants engaged in a facilitator-led debriefing process and … The SbCST process identified 41 LSTs. … Solutions to these conditions (as well as medium and low priority conditions) were incorporated into process … Refining a framework to enhance communication in the emergency department during the diagnostic process

98. Patient Hand-Off iNitiation and Evaluation (PHONE) study: a randomized trial of patient handoff methods. | PSNet
    psnet.ahrq.gov/issue/patient-hand-initiation-and-evaluation-phone-study-randomized-trial-patient-handoff-methods
    December 20, 2023 - Prior research suggests that implementing a standardized handoff process helps reduce medical errors … 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 … April 1, 2010 Monitoring the diagnostic process on an inpatient neurology service. … Improving patient safety in public hospitals: developing standard measures to track medical errors and process

99. Implementing a safe and reliable process for medication administration. | PSNet
    psnet.ahrq.gov/issue/implementing-safe-and-reliable-process-medication-administration
    June 22, 2022 - Commentary Implementing a safe and reliable process for medication administration … Implementing a safe and reliable process for medication administration. … Implementing a safe and reliable process for medication administration.

100. Augmenting health care failure modes and effects analysis with simulation. | PSNet
     psnet.ahrq.gov/issue/augmenting-health-care-failure-modes-and-effects-analysis-simulation
     December 18, 2024 - FMEA relies on brainstorming among team members to detect failure modes (the ways in which a clinical process … This study found that direct observation of a simulated clinical process improved the FMEA by facilitating … Five topics health care simulation can address to improve patient safety: results from a consensus process … May 27, 2011 Effects of teamwork training on adverse outcomes and process of care in