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psnet.ahrq.gov/node/46442/psn-pdf
October 04, 2017 - https://psnet.ahrq.gov/issue/handoff-communication
Handoff processes are known to carry risks of communication
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psnet.ahrq.gov/node/40108/psn-pdf
July 28, 2013 - efforts to enhance safety in obstetrics care and provides recommendations to
improve clinical and system processes
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psnet.ahrq.gov/node/40756/psn-pdf
September 07, 2011 - theory in patient safety and describes an assessment framework to
help measure the reliability of processes
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psnet.ahrq.gov/node/43003/psn-pdf
March 05, 2014 - https://psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance
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psnet.ahrq.gov/node/41185/psn-pdf
March 24, 2012 - https://psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance
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psnet.ahrq.gov/node/49487/psn-pdf
August 21, 2005 - acute care settings.(1) Yet,
despite its frequency in practice, CVC placement, management, and removal processes … Specifically, this case highlights the need for explicit processes of care, especially for routine procedures … Vascular access processes of care are complex and, although routine, demand a high degree of
competency … Take-Home Points
While routine, VAD clinical processes, especially those involving CVCs, are complex
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psnet.ahrq.gov/node/49821/psn-pdf
February 01, 2018 - However, despite technology and procedural safeguards, human
checks and safety processes can fail.(10 … Providing standardized or ready-to-administer drug doses (15,16) can also facilitate dispensing processes … understand the role of the personnel and their
workflow and to apply continuous quality monitoring of processes … This allows staff to
learn, offer solutions, and become more aware of safety in their work processes
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psnet.ahrq.gov/node/33659/psn-pdf
October 01, 2007 - implementing policies that support just culture, and building just culture principles into the practices and
processes … Building Just Culture into Organizational Practices and Processes
Once the leadership group of the organization … Leaders must establish processes to know when someone is
engaging in reckless behavior and be willing … The department established safe processes and expectations for staff training and
behavior.
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psnet.ahrq.gov/node/37359/psn-pdf
January 02, 2017 - Prevention (SIP) collaborative project, the
hospital now places greater emphasis on improved reliability of processes
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psnet.ahrq.gov/node/37350/psn-pdf
January 05, 2012 - they
deliver, the authors use both valid rate-based and nonrate-based measures to evaluate outcomes,
processes
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psnet.ahrq.gov/node/44880/psn-pdf
September 06, 2016 - impact of medication
shortages on care delivery and decision making, this newspaper article discusses processes
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psnet.ahrq.gov/node/45646/psn-pdf
November 23, 2016 - This commentary explores challenges associated with medication administration, handoffs,
discharge processes
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psnet.ahrq.gov/node/37652/psn-pdf
September 24, 2010 - board engagement through
the use of rapid improvement teams, scorecards, and transparent measurement processes
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psnet.ahrq.gov/node/45093/psn-pdf
September 04, 2016 - highlights strategies to engage
senior leadership as champions to foster successful redesign of work processes
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psnet.ahrq.gov/node/45512/psn-pdf
October 05, 2016 - including the use of patient photos in
electronic health records and standardizing patient identification processes
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psnet.ahrq.gov/node/41525/psn-pdf
July 18, 2012 - systematic review found that clinical decision support systems were generally effective at improving
processes
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psnet.ahrq.gov/node/42344/psn-pdf
September 24, 2016 - strategies-preventing-distractions-and-interruptions-or
Distractions can be dangerous for patient safety, particularly during critical processes
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psnet.ahrq.gov/node/42902/psn-pdf
January 29, 2014 - improving-patient-safety-through-teamwork-and-team-training
https://psnet.ahrq.gov/primer/teamwork-training
https://psnet.ahrq.gov/issue/do-team-processes-really-have-effect-clinical-performance-systematic-literature-review
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psnet.ahrq.gov/node/42978/psn-pdf
February 26, 2014 - https://psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance
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psnet.ahrq.gov/node/44700/psn-pdf
March 23, 2016 - identified various interlinked
factors, including team attributes, communication strategies, and checking processes