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Showing results for "process".

401. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38659/psn-pdf
     May 27, 2009 - 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. … https://psnet.ahrq.gov/issue/henry-ford-production-system-reduction-surgical-pathology-process- misidentification-defects

402. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38350/psn-pdf
     March 01, 2011 - A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating … A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating … https://psnet.ahrq.gov/issue/novel-process-introducing-new-intraoperative-program-multidisciplinary- … paradigm-mitigating This study describes the use of a systematic process, similar to a failure mode … The authors suggest their process can be applied to the introduction of any new technologies, treatments

403. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35497/psn-pdf
     June 30, 2011 - Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. … Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. … https://psnet.ahrq.gov/issue/use-prospective-risk-analysis-method-improve-safety-cancer-chemotherapy- process … Investigators performed their analyses after reengineering of the medication administration process … Findings suggested major improvements and risk reduction resulting from the reengineering process, with

404. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45355/psn-pdf
     September 28, 2016 - Getting it right for patient safety: specimen collection process improvement from operating room to … Getting It Right for Patient Safety: Specimen Collection Process Improvement From Operating Room to … https://psnet.ahrq.gov/issue/getting-it-right-patient-safety-specimen-collection-process-improvement- … https://psnet.ahrq.gov/issue/getting-it-right-patient-safety-specimen-collection-process-improvement-operating-room … https://psnet.ahrq.gov/issue/getting-it-right-patient-safety-specimen-collection-process-improvement-operating-room

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44865/psn-pdf
     July 11, 2017 - 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. … psnet.ahrq.gov/issue/changes-efficiency-and-safety-culture-after-integration-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 handoffs

406. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37599/psn-pdf
     January 01, 2009 - Improving process while changing practice: FMEA and medication administration. … Improving process while changing practice. Nurs Manage. 2009;39(2). … https://psnet.ahrq.gov/issue/improving-process-while-changing-practice-fmea-and-medication- administration … https://psnet.ahrq.gov/issue/improving-process-while-changing-practice-fmea-and-medication-administration … https://psnet.ahrq.gov/issue/improving-process-while-changing-practice-fmea-and-medication-administration

407. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33825/psn-pdf
     January 01, 2017 - 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 Safety … 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.

408. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36653/psn-pdf
     January 18, 2011 - Enhancing patient safety: improving the patient handoff process through appreciative inquiry. … Enhancing patient safety: improving the patient handoff process through appreciative inquiry. … https://psnet.ahrq.gov/issue/enhancing-patient-safety-improving-patient-handoff-process-through- appreciative-inquiry … The authors describe a strategy that engages staff to build an effective patient handoff process.  … https://psnet.ahrq.gov/issue/enhancing-patient-safety-improving-patient-handoff-process-through-appreciative-inquiry

409. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39461/psn-pdf
     April 21, 2010 - Rework and workarounds in nurse medication administration process: implications for work processes … Rework and workarounds in nurse medication administration process: implications for work processes and … https://psnet.ahrq.gov/issue/rework-and-workarounds-nurse-medication-administration-process- implications-work-processes … This study used process mapping to identify barriers to efficient medication administration and investigate … https://psnet.ahrq.gov/issue/rework-and-workarounds-nurse-medication-administration-process-implications-work-processes

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38478/psn-pdf
     March 11, 2009 - Medication administration process assessment: applying lessons learned from commercial aviation. … Medication administration process assessment: applying lessons learned from commercial aviation. … https://psnet.ahrq.gov/issue/medication-administration-process-assessment-applying-lessons-learned- … how one hospital used an aviation safety assessment method to examine the medication administration process … https://psnet.ahrq.gov/issue/medication-administration-process-assessment-applying-lessons-learned-commercial-aviation

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49492/psn-pdf
     November 01, 2005 - Medication reconciliation is defined as the process of collecting the best medication history possible … .(3) Implementation of a successful medication reconciliation process ensures that each of the members … Accordingly, organizations cannot expect to roll out a reconciliation process overnight. … Medication reconciliation is a multidisciplinary process. … Forms have also been used in the transfer and discharge process.

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38454/psn-pdf
     January 02, 2017 - Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. … Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. … https://psnet.ahrq.gov/issue/comparing-process-and-outcome-oriented-approaches-voluntary-incident- reporting-two-hospitals … Investigators found that 50% were only process-oriented and that these were more useful than solely … The authors advocate for hospitals to focus their IR systems on process-driven reports that encourage

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37837/psn-pdf
     June 11, 2008 - Testing process errors and their harms and consequences reported from family medicine practices: a … Testing process errors and their harms and consequences reported from family medicine practices: a study … https://psnet.ahrq.gov/issue/testing-process-errors-and-their-harms-and-consequences-reported-family- … 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.

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39945/psn-pdf
     October 20, 2010 - Cleaning up the discharge process: a number of components—and personnel—are crucial to success. … Cleaning up the discharge process: a number of components--and personnel--are crucial to success. … https://psnet.ahrq.gov/issue/cleaning-discharge-process-number-components-and-personnel-are-crucial- … discusses problems associated with discharge and highlights the importance of beginning the planning process … https://psnet.ahrq.gov/issue/cleaning-discharge-process-number-components-and-personnel-are-crucial-success

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37477/psn-pdf
     January 16, 2008 - Enhancing healthcare process design with human factors engineering and reliability science, part 1: … Enhancing healthcare process design with human factors engineering and reliability science, part 1: … https://psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and- reliability-science-part … -1 This article focuses on human factors and system reliability as building blocks to clinical process … https://psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39535/psn-pdf
     May 19, 2010 - Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients … Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients … https://psnet.ahrq.gov/issue/assessment-safety-enhancement-hospital-medication-reconciliation-process … for matching medications with indications, improved the accuracy of the medication reconciliation process … https://psnet.ahrq.gov/issue/assessment-safety-enhancement-hospital-medication-reconciliation-process-elderly-patients

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36815/psn-pdf
     March 28, 2011 - Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. … Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. … https://psnet.ahrq.gov/issue/implementation-medication-reconciliation-process-ambulatory-internal- medicine-clinic … The authors conclude that staff and patients need to actively participate in this process. … https://psnet.ahrq.gov/issue/implementation-medication-reconciliation-process-ambulatory-internal-medicine-clinic

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38128/psn-pdf
     January 02, 2017 - Developing process-support tools for patient safety: finding the balance between validity and feasibility … Developing process-support tools for patient safety: finding the balance between validity and feasibility … https://psnet.ahrq.gov/issue/developing-process-support-tools-patient-safety-finding-balance-between- … describes the conceptual model guiding the Johns Hopkins Quality and Safety Group tool development process … https://psnet.ahrq.gov/issue/developing-process-support-tools-patient-safety-finding-balance-between-validity-and

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38249/psn-pdf
     November 26, 2008 - Operational rounds: a practical administrative process to improve safety and clinical services in radiology … IRQN award paper: Operational rounds: a practical administrative process to improve safety and clinical … https://psnet.ahrq.gov/issue/operational-rounds-practical-administrative-process-improve-safety-and- … clinical-services This article describes how one hospital's safety program developed a rounds process … https://psnet.ahrq.gov/issue/operational-rounds-practical-administrative-process-improve-safety-and-clinical-services

420. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41324/psn-pdf
     June 27, 2012 - Towards an understanding of the information dynamics of the handover process in aged care settings—a … Towards an understanding of the information dynamics of the handover process in aged care settings-- … https://psnet.ahrq.gov/issue/towards-understanding-information-dynamics-handover-process-aged-care- … settings-prerequisite This study reports on the development of a process map for the nursing shift handoff … https://psnet.ahrq.gov/issue/towards-understanding-information-dynamics-handover-process-aged-care-settings-prerequisite