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Showing results for "processes".

161. Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes. | PSNet
     psnet.ahrq.gov/issue/delivering-promise-cler-patient-safety-rotation-aligns-resident-education-hospital-processes
     March 25, 2017 - Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes … Delivering on the Promise of CLER: A Patient Safety Rotation That Aligns Resident Education With Hospital Processes … Delivering on the Promise of CLER: A Patient Safety Rotation That Aligns Resident Education With Hospital Processes

162. What can apologies in the electronic health record tell us about health care quality, processes, and safety? | PSNet
     psnet.ahrq.gov/issue/what-can-apologies-electronic-health-record-tell-us-about-health-care-quality-processes-and
     November 18, 2016 - What can apologies in the electronic health record tell us about health care quality, processes … What Can Apologies in the Electronic Health Record Tell Us About Health Care Quality, Processes, and … What Can Apologies in the Electronic Health Record Tell Us About Health Care Quality, Processes, and

163. The "Seven Pillars" response to patient safety incidents: effects on medical liability processes and outcomes. | PSNet
     psnet.ahrq.gov/issue/seven-pillars-response-patient-safety-incidents-effects-medical-liability-processes-and
     September 01, 2018 - The "Seven Pillars" response to patient safety incidents: effects on medical liability processes … The "Seven Pillars" Response to Patient Safety Incidents: Effects on Medical Liability Processes and … The "Seven Pillars" Response to Patient Safety Incidents: Effects on Medical Liability Processes and

164. Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. | PSNet
     psnet.ahrq.gov/issue/three-missed-critical-nursing-care-processes-labor-and-delivery-units-during-covid-19
     October 29, 2017 - Study Three missed critical nursing care processes on labor and delivery units during … Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic … Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic

165. Confusion—specimen mix-up in dermatopathology and measures to prevent and detect it. | PSNet
     psnet.ahrq.gov/issue/confusion-specimen-mix-dermatopathology-and-measures-prevent-and-detect-it
     February 12, 2020 - describes methods to reduce errors , including standardizing practices, implementing computer-based processes … April 6, 2016 Medication errors and processes to reduce them in care homes in the United

166. Effect of point-of-care computer reminders on physician behaviour: a systematic review. | PSNet
     psnet.ahrq.gov/issue/effect-point-care-computer-reminders-physician-behaviour-systematic-review
     September 02, 2009 - trials of point-of-care computer reminders found only small overall improvements in adherence to target processes … From the Same Author(s) The effects of on-screen, point of care computer reminders on processes … March 4, 2011 The effects of on-screen, point of care computer reminders on processes

167. In Conversation With... Pascale Carayon, PhD and Nicole Werner, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
     November 16, 2022 - We’re also interested in designing processes and the physical environment. … those processes. … HFE interventions commonly focus on people, tools, technology, procedures, and processes. … As healthcare systems, technology, and processes increase in complexity, HFE approaches were designed … A shared mental model means that cross-functional teams are in alignment with the steps and processes

168. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867652/psn-pdf
     February 26, 2025 - However, the healthcare system is highly complex, with many interdependent parts and processes that … This piece focuses on how RCAs have been used over time and how these processes have changed, including … At many organizations, researchers found that RCA processes were primarily used to meet accreditation … For example, RCA2 formalizes the emphasis on understanding how organizational systems and processes … A system-level factor would be “the processes in the protocol are not clear enough and could be improved

169. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74758/psn-pdf
     February 09, 2022 - several improvement strategies, including communication training and improvement of communication processes … , individual feedback, and improvements to existing processes and systems.

170. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837512/psn-pdf
     January 01, 2024 - cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes … cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes

171. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862126/psn-pdf
     February 07, 2024 - Using a human factors and ergonomics approach based on the SEIPS model, this study explored the work processes … authors discuss the role of staffing and workload, equipment/space design and function, escalation processes

172. Using an inpatient portal to engage families in pediatric hospital care. | PSNet
     psnet.ahrq.gov/issue/using-inpatient-portal-engage-families-pediatric-hospital-care
     September 13, 2023 - March 11, 2020 Care transition of trauma patients: processes with articulation work before … cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes … Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes

173. Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. | PSNet
     psnet.ahrq.gov/issue/work-system-barriers-and-facilitators-inpatient-care-transitions-pediatric-trauma-patients
     September 11, 2019 - September 11, 2019 Care transition of trauma patients: processes with articulation work … cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes … Nicole Werner, PhD November 16, 2022 Care transition of trauma patients: processes

174. Challenges and opportunities for improving patient safety through human factors and systems engineering. | PSNet
     psnet.ahrq.gov/issue/challenges-and-opportunities-improving-patient-safety-through-human-factors-and-systems
     September 11, 2019 - cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes … June 22, 2022 Care transition of trauma patients: processes with articulation work before … January 30, 2019 From tasks to processes: the case for changing health information technology

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865483/psn-pdf
     April 03, 2024 - solutions in analog (pathway including at least one non-digital step) and fully digital medication processes … In both processes, experts identified that the most critical risk of errors and harm occurs at admission

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836990/psn-pdf
     April 27, 2022 - cyberattack led to a 25-day shutdown of a hospital’s EHR that necessitated a rapid shift to manual processes … This article outlines the laboratory service’s processes during the shutdown, including patient safety

177. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73637/psn-pdf
     August 25, 2021 - care-coordination-strategies-and-barriers-during-medication-safety-incidents-qualitative https://psnet.ahrq.gov/issue/effects-physical-environments-medical-wards-medication-communication-processes-affecting … https://psnet.ahrq.gov/issue/effects-physical-environments-medical-wards-medication-communication-processes-affecting

178. Reducing Adverse Drug Events Related to Opioids Implementation Guide. | PSNet
     psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide
     January 26, 2022 - Highlighted recommendations include strategies to assess processes , identify best practices, and … May 25, 2022 Implementing a human factors approach to RCA(2) : tools, processes and strategies

179. Mindful workarounds in bar code medication administration. | PSNet
     psnet.ahrq.gov/issue/mindful-workarounds-bar-code-medication-administration
     July 20, 2022 - Barcode medication administration (BCMA) processes are designed to prevent some types of medication … barcode medication administration, and closed-loop electronic medication management systems on work processes

180. Governing board, C-suite, and clinical management perceptions of quality and safety structures, processes, and priorities in US hospitals. | PSNet
     psnet.ahrq.gov/issue/governing-board-c-suite-and-clinical-management-perceptions-quality-and-safety-structures
     July 14, 2010 - Governing board, C-suite, and clinical management perceptions of quality and safety structures, processes … Governing board, C-suite, and clinical management perceptions of quality and safety structures, processes … Governing board, C-suite, and clinical management perceptions of quality and safety structures, processes