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psnet.ahrq.gov/issue/standardizing-hand-processes
June 03, 2020 - Commentary
Standardizing hand-off processes. … Standardizing hand-off processes. AORN J. 2006;84(6):1059-61. … communications and provides an assessment form to assist staff in detecting weaknesses in their current processes … Standardizing hand-off processes. AORN J. 2006;84(6):1059-61.
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psnet.ahrq.gov/issue/systems-engineering-analysis-diagnostic-referral-closed-loop-processes
December 07, 2022 - Study
Systems engineering analysis of diagnostic referral closed-loop processes. … Systems engineering analysis of diagnostic referral closed-loop processes. … Low reliability processes, such as workarounds, were identified and human factors approaches were recommended … Systems engineering analysis of diagnostic referral closed-loop processes.
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psnet.ahrq.gov/issue/processes-effective-communication-primary-care
December 21, 2018 - Commentary
Processes for effective communication in primary care. … Processes for effective communication in primary care. Ann Intern Med. 2005;142(8):709-714. … Processes for effective communication in primary care. Ann Intern Med. 2005;142(8):709-714.
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psnet.ahrq.gov/issue/simulation-ward-processes-surgical-care
June 17, 2015 - Commentary
Simulation for ward processes of surgical care. … Simulation for ward processes of surgical care. … Simulation for ward processes of surgical care.
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psnet.ahrq.gov/issue/people-processes-health-it-and-accurate-patient-identification
April 11, 2018 - Newspaper/Magazine Article
People, processes, health IT and accurate patient identification … Citation Text:
People, processes, health IT and accurate patient identification. Quick Safety. … potential for incorrect patient data to be entered and proliferate, such as use of frontline confirmation processes … Copy URL
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People, processes
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psnet.ahrq.gov/issue/mistake-proofing-design-health-care-processes
December 18, 2008 - Book/Report
Mistake-Proofing the Design of Health Care Processes. … Citation Text:
Mistake-Proofing the Design of Health Care Processes. Grout JR. … Cite
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Mistake-Proofing the Design of Health Care Processes
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psnet.ahrq.gov/issue/impact-team-processes-psychiatric-case-management
November 13, 2019 - Study
The impact of team processes on psychiatric case management. … The impact of team processes on psychiatric case management. J Adv Nurs. 2007;60(4):409-18. … The impact of team processes on psychiatric case management. J Adv Nurs. 2007;60(4):409-18.
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psnet.ahrq.gov/issue/va-health-care-improvements-needed-processes-used-address-providers-actions-contribute
October 12, 2022 - Book/Report
VA Health Care: Improvements Needed in Processes Used to Address Providers … Citation Text:
VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions … expert interviews from four Veterans Affairs medical centers to identify weaknesses in peer review processes … Cite
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VA Health Care: Improvements Needed in Processes … May 25, 2022
Defense Health Agency Processes for Responding to Provider Quality and Safety
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psnet.ahrq.gov/issue/identifying-safe-care-processes-when-gps-work-or-alongside-emergency-departments-realist
January 12, 2022 - Study
Identifying safe care processes when GPs work in or alongside emergency departments … Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation … Thirteen hospitals using this service model were included in this study to explore care processes and … Findings are grouped into three care processes: facilitating appropriate streaming decisions, supporting … Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation
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psnet.ahrq.gov/issue/processes-identifying-and-reviewing-adverse-events-and-near-misses-academic-medical-center
September 25, 2024 - Study
Processes for identifying and reviewing adverse events and near misses at an … Processes for Identifying and Reviewing Adverse Events and Near Misses at an Academic Medical Center. … operational leaders at a single academic medical center identified multiple conferences, meetings, and processes … Processes for Identifying and Reviewing Adverse Events and Near Misses at an Academic Medical Center.
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psnet.ahrq.gov/issue/effect-lean-intervention-improve-safety-processes-and-outcomes-surgical-emergency-unit
January 04, 2010 - Study
Effect of a "Lean" intervention to improve safety processes and outcomes on … Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit … An intervention using Lean methodology improved adherence to recommended care processes in a surgical … Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit … Effectiveness of facilitated introduction of a standard operating procedure into routine processes
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psnet.ahrq.gov/issue/soft-factors-smooth-transport-role-safety-climate-and-team-processes-reducing-adverse-events
September 27, 2016 - The role of safety climate and team processes in reducing adverse events during intrahospital transport … The role of safety climate and team processes in reducing adverse events during intrahospital transport … This study examined the impact of safety climate and team processes on patient safety events occurring … authors analyzed 858 transfers occurring over a 4-week period and assessed safety climate and team processes … The role of safety climate and team processes in reducing adverse events during intrahospital transport
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psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-improve-emergency-department-handoff-processes
October 19, 2022 - Use of failure mode and effects analysis to improve emergency department handoff processes … Use of Failure Mode and Effects Analysis to Improve Emergency Department Handoff Processes. … that used failure mode and effects analysis to identify weaknesses in emergency department handoff processes … Use of Failure Mode and Effects Analysis to Improve Emergency Department Handoff Processes.
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psnet.ahrq.gov/issue/systematic-review-types-safety-incidents-and-processes-and-systems-used-safety-incident
September 11, 2024 - Review
Systematic review of types of safety incidents and the processes and systems … Systematic review of types of safety incidents and the processes and systems used for safety incident … This systematic review of 106 studies examined the characteristics of incident reporting processes in … Systematic review of types of safety incidents and the processes and systems used for safety incident
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psnet.ahrq.gov/issue/nurses-clinical-reasoning-processes-and-practices-medication-safety
June 15, 2012 - Study
Nurses' clinical reasoning: processes and practices of medication safety. … Nurses' clinical reasoning: processes and practices of medication safety. … Nurses' clinical reasoning: processes and practices of medication safety.
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psnet.ahrq.gov/issue/defense-health-agency-processes-responding-provider-quality-and-safety-concerns
December 09, 2020 - Book/Report
Defense Health Agency Processes for Responding to Provider Quality and … Citation Text:
Defense Health Agency Processes for Responding to Provider Quality and Safety Concerns … URL
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Defense Health Agency Processes … December 9, 2020
VA Health Care: Improvements Needed in Processes Used to Address Providers … August 3, 2016
VA Health Care: Improvements Needed in Processes Used to Address Providers
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psnet.ahrq.gov/node/60030/psn-pdf
March 11, 2020 - The role of safety climate
and team processes in reducing adverse events during
intrahospital transport … The role of safety climate and
team processes in reducing adverse events during intrahospital transport … This study examined the impact of safety climate and team processes on patient safety events occurring … authors analyzed 858 transfers occurring over a 4-week period and
assessed safety climate and team processes … controlling for transport-,
staff-, and ICU-related variables, the authors found that safety climate, team processes
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psnet.ahrq.gov/issue/cognitive-processes-involved-blame-and-blame-judgments-and-forgiveness-and-forgiveness
August 23, 2017 - Study
Cognitive processes involved in blame and blame-like judgments and in forgiveness … Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like … researchers presented 32 scenarios involving medical error to participants and compared the cognitive processes … Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like
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psnet.ahrq.gov/node/866311/psn-pdf
January 01, 2025 - Systematic review of types of safety incidents and the
processes and systems used for safety incident … Systematic review of types of safety incidents and the processes and
systems used for safety incident … https://psnet.ahrq.gov/issue/systematic-review-types-safety-incidents-and-processes-and-systems-used- … This systematic review of
106 studies examined the characteristics of incident reporting processes in … https://psnet.ahrq.gov/issue/systematic-review-types-safety-incidents-and-processes-and-systems-used-safety-incident
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psnet.ahrq.gov/node/74183/psn-pdf
December 15, 2021 - Identifying safe care processes when GPs work in or
alongside emergency departments: a realist evaluation … Identifying safe care processes when GPs work in or
alongside emergency departments: a realist evaluation … https://psnet.ahrq.gov/issue/identifying-safe-care-processes-when-gps-work-or-alongside-emergency-
departments-realist … Thirteen
hospitals using this service model were included in this study to explore care processes and … Findings are grouped into three care processes: facilitating appropriate streaming decisions,
supporting