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psnet.ahrq.gov/node/47317/psn-pdf
August 15, 2018 - Actions Needed to Address Employee Misconduct
Process and Ensure Accountability. … https://psnet.ahrq.gov/issue/actions-needed-address-employee-misconduct-process-and-ensure-
accountability … misconduct
found that the VA has procedures for investigating these allegations but determined that the process … https://psnet.ahrq.gov/issue/actions-needed-address-employee-misconduct-process-and-ensure-accountability … https://psnet.ahrq.gov/issue/actions-needed-address-employee-misconduct-process-and-ensure-accountability
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psnet.ahrq.gov/node/42909/psn-pdf
December 12, 2014 - Does applying technology throughout the medication use
process improve patient safety with antineoplastics … Does applying technology throughout the medication use process
improve patient safety with antineoplastics … https://psnet.ahrq.gov/issue/does-applying-technology-throughout-medication-use-process-improve-
patient-safety … https://psnet.ahrq.gov/issue/does-applying-technology-throughout-medication-use-process-improve-patient-safety … https://psnet.ahrq.gov/issue/does-applying-technology-throughout-medication-use-process-improve-patient-safety
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psnet.ahrq.gov/node/47537/psn-pdf
November 14, 2018 - Developing a learning health system: insights from a
qualitative process evaluation of a pharmacist-led … Developing a learning health system: Insights from a qualitative
process evaluation of a pharmacist-led … https://psnet.ahrq.gov/issue/developing-learning-health-system-insights-qualitative-process-evaluation … https://psnet.ahrq.gov/issue/developing-learning-health-system-insights-qualitative-process-evaluation-pharmacist-led … https://psnet.ahrq.gov/issue/developing-learning-health-system-insights-qualitative-process-evaluation-pharmacist-led
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psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it
May 01, 2018 - As defined by the Institute for Healthcare Improvement (IHI), medication reconciliation is a process … points to the need to re-engineer the process itself. … for each component of the process must be assigned to the parties involved. … Implementers of the medication reconciliation process need to recognize that no single universal process … they stand to gain the most from a safe medication-use process.
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psnet.ahrq.gov/node/44776/psn-pdf
April 15, 2016 - Best practices for chemotherapy administration in
pediatric oncology: quality and safety process
improvements … Best Practices for Chemotherapy Administration in Pediatric
Oncology: Quality and Safety Process Improvements … psnet.ahrq.gov/issue/best-practices-chemotherapy-administration-pediatric-oncology-quality-and-
safety-process … psnet.ahrq.gov/issue/best-practices-chemotherapy-administration-pediatric-oncology-quality-and-safety-process … psnet.ahrq.gov/issue/best-practices-chemotherapy-administration-pediatric-oncology-quality-and-safety-process
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psnet.ahrq.gov/node/45708/psn-pdf
October 31, 2017 - Development and preliminary testing of the Coordination
Process Error Reporting Tool (CPERT), a prospective … Development and Preliminary Testing of the Coordination Process Error
Reporting Tool (CPERT), a Prospective … https://psnet.ahrq.gov/issue/development-and-preliminary-testing-coordination-process-error-reporting-tool … https://psnet.ahrq.gov/issue/development-and-preliminary-testing-coordination-process-error-reporting-tool-cpert … https://psnet.ahrq.gov/issue/development-and-preliminary-testing-coordination-process-error-reporting-tool-cpert
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psnet.ahrq.gov/node/45874/psn-pdf
February 22, 2017 - Ethics in the pediatric emergency department: when
mistakes happen: an approach to the process, evaluation … Ethics in the Pediatric Emergency Department: When Mistakes Happen: An
Approach to the Process, Evaluation … https://psnet.ahrq.gov/issue/ethics-pediatric-emergency-department-when-mistakes-happen-approach-
process-evaluation-and … https://psnet.ahrq.gov/issue/ethics-pediatric-emergency-department-when-mistakes-happen-approach-process-evaluation-and … https://psnet.ahrq.gov/issue/ethics-pediatric-emergency-department-when-mistakes-happen-approach-process-evaluation-and
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psnet.ahrq.gov/node/43626/psn-pdf
November 05, 2014 - Effects of skilled nursing facility structure and process
factors on medication errors during nursing … Effects of skilled nursing facility structure and process factors on
medication errors during nursing … https://psnet.ahrq.gov/issue/effects-skilled-nursing-facility-structure-and-process-factors-medication-errors … https://psnet.ahrq.gov/issue/effects-skilled-nursing-facility-structure-and-process-factors-medication-errors-during … https://psnet.ahrq.gov/issue/effects-skilled-nursing-facility-structure-and-process-factors-medication-errors-during
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effectivehealthcare.ahrq.gov/sites/default/files/module_ii1.ppt
June 01, 2011 - , and facilitating the engagement process by systematically involving stakeholders to increase knowledge … The key, however, is to match stakeholder interests with specific points in the research process. … all points in the process be valuable to all stakeholders.
… Patients & consumers can offer important perspectives in the research process. … , and effectively facilitate the process to support knowledge exchange
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psnet.ahrq.gov/node/42845/psn-pdf
December 18, 2014 - Breakdowns in the medication reconciliation process.
December 18, 2014
Gao T, Gaunt MJ. … https://psnet.ahrq.gov/issue/breakdowns-medication-reconciliation-process
Analyzing data submitted to … Patient Safety Reporting System, this piece identifies
problems related to the medication reconciliation process … https://psnet.ahrq.gov/issue/breakdowns-medication-reconciliation-process
https://psnet.ahrq.gov/primer
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016156-obrien-final-report-2009.pdf
January 01, 2009 - A well-formulated readiness process documented progress through
project milestones. … Readiness Process Milestone Evaluation
The EHR10 implementation process involved several years of planning … Process and Outcomes Measurement. … Process measures related to implementation success
were collected. … One of the primary process measures was the extent of use of the CPOE system.
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psnet.ahrq.gov/node/44179/psn-pdf
November 20, 2015 - Routine failures in the process for blood testing and the
communication of results to patients in primary … Routine failures in the process for blood testing and the communication
of results to patients in primary … https://psnet.ahrq.gov/issue/routine-failures-process-blood-testing-and-communication-results-patients … https://psnet.ahrq.gov/issue/routine-failures-process-blood-testing-and-communication-results-patients-primary-care-uk … https://psnet.ahrq.gov/issue/routine-failures-process-blood-testing-and-communication-results-patients-primary-care-uk
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psnet.ahrq.gov/node/46565/psn-pdf
January 23, 2019 - closing-loop-guide-safer-ambulatory-referrals-ehr-era
Missed and delayed diagnoses can stem from problems in the outpatient referral process … Improvement convened an expert panel aimed at addressing safety vulnerabilities in the current
referral process … The report delineates nine steps in the referral process, starting from the primary care
provider ordering … Recommendations to improve this process include interoperability between primary care and subspecialty … The report concludes that prioritizing the safety of the referral process is important to reduce
diagnostic
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psnet.ahrq.gov/node/47226/psn-pdf
August 01, 2018 - Development of a standardized, citywide process for
managing smart-pump drug libraries. … Development of a standardized, citywide process for managing
smart-pump drug libraries. … https://psnet.ahrq.gov/issue/development-standardized-citywide-process-managing-smart-pump-drug-
libraries … https://psnet.ahrq.gov/issue/development-standardized-citywide-process-managing-smart-pump-drug-libraries … https://psnet.ahrq.gov/issue/development-standardized-citywide-process-managing-smart-pump-drug-libraries
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psnet.ahrq.gov/node/41422/psn-pdf
June 06, 2012 - Implementing a safe and reliable process for medication
administration. … Implementing a safe and reliable process for medication
administration. … https://psnet.ahrq.gov/issue/implementing-safe-and-reliable-process-medication-administration
This commentary … https://psnet.ahrq.gov/issue/implementing-safe-and-reliable-process-medication-administration
https:/
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/IFQHC_workflow_assessment.pdf
January 01, 2007 - What is your check-in process? … What is the process when a patient has to leave the room for lab, x-ray, etc. and then comes back? … Patient Visit: Labs
In house (describe the process):
Do you schedule procedures/tests for the patient … Page 4 of 5
Patient Visit: Check-out Process
Who checks out the patient? … Prescription Refills
Describe process when pt. calls in for a refill:
Describe process
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psnet.ahrq.gov/node/42385/psn-pdf
June 26, 2013 - Identifying and addressing preventable process errors in
trauma care. … Identifying and addressing preventable process errors in trauma
care. … https://psnet.ahrq.gov/issue/identifying-and-addressing-preventable-process-errors-trauma-care
Most … https://psnet.ahrq.gov/issue/identifying-and-addressing-preventable-process-errors-trauma-care
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psnet.ahrq.gov/node/45063/psn-pdf
May 04, 2016 - Value of the pharmacist in the medication reconciliation
process. … Value of the Pharmacist in the Medication Reconciliation Process. P T.
2016;41(3):176-8. … https://psnet.ahrq.gov/issue/value-pharmacist-medication-reconciliation-process
Medication reconciliation … https://psnet.ahrq.gov/issue/value-pharmacist-medication-reconciliation-process
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/40312/psn-pdf
June 10, 2018 - A patient verification process
is needed everywhere, not just at the bedside. … https://psnet.ahrq.gov/issue/oops-sorry-wrong-patient-patient-verification-process-needed-everywhere-not … https://psnet.ahrq.gov/issue/oops-sorry-wrong-patient-patient-verification-process-needed-everywhere-not-just-bedside … https://psnet.ahrq.gov/issue/oops-sorry-wrong-patient-patient-verification-process-needed-everywhere-not-just-bedside
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cds.ahrq.gov/sites/default/files/cds/artifact/111/implementation-checklist_1.docx
November 06, 2020 - Process
Are there institutional CDS review committee requirements? … Process
Are there institutional CDS organization standards (modify order sets)? … Process
Does your institution have the ability to pull data on implementation process? … Process
Plan to collect feedback from end users? … Process
Ensure CDS implementers can modify the browser white list
Skills
Someone who