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psnet.ahrq.gov/node/36495/psn-pdf
May 11, 2014 - Improving safety throughout the medication use process
in a neonatal intensive care unit. … Improving Safety Throughout the Medication Use Process in a Neonatal Intensive Care Unit. … https://psnet.ahrq.gov/issue/improving-safety-throughout-medication-use-process-neonatal-intensive-care … https://psnet.ahrq.gov/issue/improving-safety-throughout-medication-use-process-neonatal-intensive-care-unit … https://psnet.ahrq.gov/issue/improving-safety-throughout-medication-use-process-neonatal-intensive-care-unit
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psnet.ahrq.gov/node/40925/psn-pdf
December 07, 2011 - Improving the discharge process by embedding a
discharge facilitator in a resident team. … Improving the discharge process by embedding a discharge facilitator
in a resident team. … https://psnet.ahrq.gov/issue/improving-discharge-process-embedding-discharge-facilitator-resident-team … Although NP discharge facilitation achieved improved patient satisfaction with the discharge process, … https://psnet.ahrq.gov/issue/improving-discharge-process-embedding-discharge-facilitator-resident-team
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psnet.ahrq.gov/node/39296/psn-pdf
January 22, 2017 - Applying Lean Sigma solutions to mistake-proof the
chemotherapy preparation process. … Applying Lean Sigma solutions to mistake-proof the
chemotherapy preparation process. … https://psnet.ahrq.gov/issue/applying-lean-sigma-solutions-mistake-proof-chemotherapy-preparation-
process … https://psnet.ahrq.gov/issue/applying-lean-sigma-solutions-mistake-proof-chemotherapy-preparation-process … https://psnet.ahrq.gov/issue/applying-lean-sigma-solutions-mistake-proof-chemotherapy-preparation-process
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psnet.ahrq.gov/node/36968/psn-pdf
February 15, 2011 - hospital discharge: a review of a high risk care
transition with highlights of a reengineered discharge
process … psnet.ahrq.gov/issue/hospital-discharge-review-high-risk-care-transition-highlights-reengineered-
discharge-process … In this AHRQ-funded study, the authors reviewed elements of the hospital discharge process and defined … psnet.ahrq.gov/issue/hospital-discharge-review-high-risk-care-transition-highlights-reengineered-discharge-process … psnet.ahrq.gov/issue/hospital-discharge-review-high-risk-care-transition-highlights-reengineered-discharge-process
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psnet.ahrq.gov/node/40486/psn-pdf
June 01, 2011 - Process changes to increase compliance with the
Universal Protocol for bedside procedures. … Process changes to increase compliance with the universal protocol
for bedside procedures. … https://psnet.ahrq.gov/issue/process-changes-increase-compliance-universal-protocol-bedside-procedures … A quality improvement process that included forcing functions resulted in significantly improved adherence … https://psnet.ahrq.gov/issue/process-changes-increase-compliance-universal-protocol-bedside-procedures
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psnet.ahrq.gov/node/41976/psn-pdf
March 11, 2013 - Moving beyond readmission penalties: creating an ideal
process to improve transitional care. … Moving beyond readmission penalties: creating an ideal
process to improve transitional care. … https://psnet.ahrq.gov/issue/moving-beyond-readmission-penalties-creating-ideal-process-improve-
transitional-care … https://psnet.ahrq.gov/issue/moving-beyond-readmission-penalties-creating-ideal-process-improve-transitional-care … https://psnet.ahrq.gov/issue/moving-beyond-readmission-penalties-creating-ideal-process-improve-transitional-care
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psnet.ahrq.gov/node/36362/psn-pdf
October 27, 2010 - Effectiveness of Toyota process redesign in reducing
thyroid gland fine-needle aspiration error. … Effectiveness of Toyota process redesign in reducing thyroid
gland fine-needle aspiration error. … https://psnet.ahrq.gov/issue/effectiveness-toyota-process-redesign-reducing-thyroid-gland-fine-needle … https://psnet.ahrq.gov/issue/effectiveness-toyota-process-redesign-reducing-thyroid-gland-fine-needle-aspiration-error … https://psnet.ahrq.gov/issue/effectiveness-toyota-process-redesign-reducing-thyroid-gland-fine-needle-aspiration-error
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psnet.ahrq.gov/node/39369/psn-pdf
March 17, 2010 - Paediatric nurses' understanding of the process and
procedure of double-checking medications. … Paediatric nurses' understanding of the process and procedure of
double-checking medications. … https://psnet.ahrq.gov/issue/paediatric-nurses-understanding-process-and-procedure-double-checking- … https://psnet.ahrq.gov/issue/paediatric-nurses-understanding-process-and-procedure-double-checking-medications … https://psnet.ahrq.gov/issue/paediatric-nurses-understanding-process-and-procedure-double-checking-medications
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psnet.ahrq.gov/node/36577/psn-pdf
January 12, 2011 - Effects of teamwork training on adverse outcomes and
process of care in labor and delivery: a randomized … Effects of teamwork training on adverse outcomes and process of
care in labor and delivery: a randomized … https://psnet.ahrq.gov/issue/effects-teamwork-training-adverse-outcomes-and-process-care-labor-and- … in improvement in patient (maternal or fetal) clinical outcomes or in the delivery of appropriate
process … https://psnet.ahrq.gov/issue/effects-teamwork-training-adverse-outcomes-and-process-care-labor-and-delivery-randomized
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digital.ahrq.gov/sites/default/files/docs/citation/workflowredesignrfi.pdf
July 01, 2010 - As-is process mapping
Process standardization
To-be process definition
Process execution――――
Document … Process execution―In this stage, based on to-be process definitions, process
scenarios are created. … As-is process mapping
As-is process mapping: Create a process inventory and swim-lane diagrams for … Process execution
Process execution: In this stage, based on to-be process definitions, process scenarios … the process.
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psnet.ahrq.gov/node/38621/psn-pdf
February 18, 2011 - Process of care failures in breast cancer diagnosis. … Process of care failures in breast cancer diagnosis. … https://psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis
Diagnostic errors have been … review
analyzed cases of recently diagnosed breast cancer to identify patient- and provider-related process … https://psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/47045/psn-pdf
January 21, 2019 - Information management goals and process failures
during home visits for middle-aged and older adults … Information management goals and process failures during home
visits for middle-aged and older adults … https://psnet.ahrq.gov/issue/information-management-goals-and-process-failures-during-home-visits-
middle-aged-and-older … The authors recommend redesigning the care
transition process from hospital to home health care providers … https://psnet.ahrq.gov/issue/information-management-goals-and-process-failures-during-home-visits-middle-aged-and-older
-
psnet.ahrq.gov/node/42405/psn-pdf
July 10, 2013 - The role of patient involvement in the diagnostic process
in internal medicine: a cognitive approach … The role of patient involvement in the diagnostic process in internal medicine: a
cognitive approach … https://psnet.ahrq.gov/issue/role-patient-involvement-diagnostic-process-internal-medicine-cognitive- … https://psnet.ahrq.gov/issue/role-patient-involvement-diagnostic-process-internal-medicine-cognitive-approach … https://psnet.ahrq.gov/issue/role-patient-involvement-diagnostic-process-internal-medicine-cognitive-approach
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psnet.ahrq.gov/node/40535/psn-pdf
July 22, 2011 - A framework for classifying patient safety practices:
results from an expert consensus process. … A framework for classifying patient safety practices: results from an
expert consensus process. … https://psnet.ahrq.gov/issue/framework-classifying-patient-safety-practices-results-expert-consensus-
process … https://psnet.ahrq.gov/issue/framework-classifying-patient-safety-practices-results-expert-consensus-process … https://psnet.ahrq.gov/issue/framework-classifying-patient-safety-practices-results-expert-consensus-process
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psnet.ahrq.gov/node/38869/psn-pdf
August 19, 2009 - Frequency and severity of harm of medication errors
related to the parenteral nutrition process in a … Frequency and severity of harm of medication errors related to the
parenteral nutrition process in a … //psnet.ahrq.gov/issue/frequency-and-severity-harm-medication-errors-related-parenteral-nutrition-
process-large … https://psnet.ahrq.gov/issue/frequency-and-severity-harm-medication-errors-related-parenteral-nutrition-process-large … https://psnet.ahrq.gov/issue/frequency-and-severity-harm-medication-errors-related-parenteral-nutrition-process-large
-
psnet.ahrq.gov/node/41781/psn-pdf
October 24, 2012 - Designing for Patient Safety: Developing Methods to
Integrate Patient Safety Concerns in the Design Process … psnet.ahrq.gov/issue/designing-patient-safety-developing-methods-integrate-patient-safety-
concerns-design-process … designing health care facilities and includes
methods to incorporate these concerns into the design process … psnet.ahrq.gov/issue/designing-patient-safety-developing-methods-integrate-patient-safety-concerns-design-process … psnet.ahrq.gov/issue/designing-patient-safety-developing-methods-integrate-patient-safety-concerns-design-process
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psnet.ahrq.gov/node/39516/psn-pdf
June 27, 2011 - Risk and pharmacoeconomic analyses of the injectable
medication process in the paediatric and neonatal … Risk and pharmacoeconomic analyses of the injectable
medication process in the paediatric and neonatal … https://psnet.ahrq.gov/issue/risk-and-pharmacoeconomic-analyses-injectable-medication-process-
paediatric-and-neonatal … https://psnet.ahrq.gov/issue/risk-and-pharmacoeconomic-analyses-injectable-medication-process-paediatric-and-neonatal … https://psnet.ahrq.gov/issue/risk-and-pharmacoeconomic-analyses-injectable-medication-process-paediatric-and-neonatal
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effectivehealthcare.ahrq.gov/sites/default/files/krishnan_ahrq-mcda-presentation.pdf
August 27, 2012 - PowerPoint Presentation
Use of Analytic Hierarchy Process to
elicit stakeholder preferences for … Analytic hierarchy process to establish
priorities.
2
Chronic Obstructive
Pulmonary Disease … topics
• Rationale (criteria) for
ranking unclear
11
MCDA methods: the Analytic
Hierarchy Process … (topics) for 1
criterion.
1/9 to 9x as
important
20
MCDA methods: the Analytic
Hierarchy Process … Results would inform care in diverse settings
22
MCDA methods: the Analytic
Hierarchy Process
-
psnet.ahrq.gov/node/44848/psn-pdf
April 22, 2016 - Ambulatory medication reconciliation: using a
collaborative approach to process improvement at an
academic … Ambulatory Medication Reconciliation: Using a Collaborative
Approach to Process Improvement at an Academic … https://psnet.ahrq.gov/issue/ambulatory-medication-reconciliation-using-collaborative-approach-process … https://psnet.ahrq.gov/issue/ambulatory-medication-reconciliation-using-collaborative-approach-process-improvement … https://psnet.ahrq.gov/issue/ambulatory-medication-reconciliation-using-collaborative-approach-process-improvement
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psnet.ahrq.gov/node/34960/psn-pdf
June 22, 2009 - Making hospital care safer and better: the structure-
process connection leading to adverse events. … Making hospital care safer and better: the structure-process connection leading to
adverse events. … https://psnet.ahrq.gov/issue/making-hospital-care-safer-and-better-structure-process-connection-leading … https://psnet.ahrq.gov/issue/making-hospital-care-safer-and-better-structure-process-connection-leading-adverse-events … https://psnet.ahrq.gov/issue/making-hospital-care-safer-and-better-structure-process-connection-leading-adverse-events