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Delayed workup of rectal bleeding in adult primary care: examining process-of-care failures. | PSNet

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April 24, 2018 - Study Delayed workup of rectal bleeding in adult primary care: examining process-of-care … Delayed Workup of Rectal Bleeding in Adult Primary Care: Examining Process-of-Care Failures. … abstracted medical records of patients with rectal bleeding to identify problems in the diagnostic process … Delayed Workup of Rectal Bleeding in Adult Primary Care: Examining Process-of-Care Failures. … logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process

Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network. | PSNet

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June 11, 2008 - Study Testing process errors and their harms and consequences reported from family … Testing process errors and their harms and consequences reported from family medicine practices: a study … eight outpatient family medicine clinics to examine the types and severity of errors in the testing process … Errors were documented at each step of the process. … Testing process errors and their harms and consequences reported from family medicine practices: a study

Incident reporting to improve patient safety: the effects of process variance on pediatric patient safety in the emergency department. | PSNet

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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

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

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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

Any new process poses a risk for errors: learning from 4 months of Coronavirus disease 2019 (COVID-19) vaccinations. | PSNet

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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

DOD Should Improve Its Process for Clinical Adverse Actions against Providers. | PSNet

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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

Rethinking Root Cause Analysis | PSNet

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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.

Understanding the root cause analysis process to increase safety event reporting. | PSNet

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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.

Implementing a safe and reliable process for medication administration. | PSNet

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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.

Standardizing hand-off processes. | PSNet

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June 03, 2020 - Commentary Standardizing hand-off processes. Citation Text: Gregory BSC. Standardizing hand-off processes. AORN J. 2006;84(6):1059-61. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes. | PSNet

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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

"Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care. | PSNet

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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

Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study. | PSNet

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March 06, 2019 - Study Strengths and weaknesses in the diagnostic process of endometriosis from the … Strengths and weaknesses in the diagnostic process of endometriosis from the patients’ perspective: a … This qualitative study explored patients’ perspectives on the diagnostic process of endometriosis. … Strengths and weaknesses in the diagnostic process of endometriosis from the patients’ perspective: a

SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process. | PSNet

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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

Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity testing. | PSNet

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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

Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process. | PSNet

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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

Developing and implementing a standardized process for Global Trigger Tool application across a large health system. | PSNet

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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

Let us to the TWISST; Plan, Simulate, Study and Act. | PSNet

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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

Patient Hand-Off iNitiation and Evaluation (PHONE) study: a randomized trial of patient handoff methods. | PSNet

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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

Augmenting health care failure modes and effects analysis with simulation. | PSNet

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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

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