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Showing results for "processes".

201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73371/psn-pdf
     June 09, 2021 - with computer simulation (HFMEA-CS) for prospective risk analysis of complex and potentially harmful processes … Use of HFMEA-CS to analyze medication processes during admission and discharge for patients with a rare

202. The effect of computerized provider order entry systems on clinical care and work processes in emergency departments: a systematic review of the quantitative literature. | PSNet
     psnet.ahrq.gov/issue/effect-computerized-provider-order-entry-systems-clinical-care-and-work-processes-emergency
     May 25, 2011 - The effect of computerized provider order entry systems on clinical care and work processes … The effect of computerized provider order entry systems on clinical care and work processes in emergency … The effect of computerized provider order entry systems on clinical care and work processes in emergency

203. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837297/psn-pdf
     June 01, 2022 - factors-framework Checklists are used to improve patient outcomes in a wide variety of clinical settings and processes … Checklists were characterized within the three primary components (work systems, processes, and outcomes

204. Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. | PSNet
     psnet.ahrq.gov/issue/delays-diagnosis-treatment-and-surgery-root-causes-actions-taken-and-recommendations
     March 25, 2020 - Policies and processes (e.g., lack of standardized processes, procedures not followed correctly) was

205. Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis. | PSNet
     psnet.ahrq.gov/issue/why-safety-intrapartum-electronic-fetal-monitoring-so-hard-qualitative-study-combining-human
     October 21, 2020 - 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

206. Evaluating incident learning systems and safety culture in two radiation oncology departments. | PSNet
     psnet.ahrq.gov/issue/evaluating-incident-learning-systems-and-safety-culture-two-radiation-oncology-departments
     June 30, 2021 - System processes (e.g., takes too long) were identified as barriers to reporting more frequently than … June 30, 2021 Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional

207. Attitudes of clinicians and patient safety culture before and after the ARRIVE trial. | PSNet
     psnet.ahrq.gov/issue/attitudes-clinicians-and-patient-safety-culture-and-after-arrive-trial
     November 20, 2024 - inductions, the need for clear protocols and more staff, and improvements to the induction of labor processes … July 26, 2023 Three missed critical nursing care processes on labor and delivery units

208. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73121/psn-pdf
     April 07, 2021 - barcode medication administration, and closed- loop electronic medication management systems on work processes … barcode medication administration, and closed-loop electronic medication management systems on work processes

209. Work environment and operational failures associated with nurse outcomes, patient safety, and patient satisfaction. | PSNet
     psnet.ahrq.gov/issue/work-environment-and-operational-failures-associated-nurse-outcomes-patient-safety-and
     March 17, 2021 - Operational failures – breakdowns in care processes, such as distractions or situational constraints … barcode medication administration, and closed-loop electronic medication management systems on work processes

210. Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. | PSNet
     psnet.ahrq.gov/issue/deficiencies-veterans-crisis-line-response-veteran-caller-who-died
     September 30, 2020 - for weekend and holiday staff, standardized safety plan development, and systemized internal review processes … June 8, 2022 Deficiencies in Inpatient Mental Health Care Coordination and Processes

211. Intraoperative deaths: who, why, and can we prevent them? | PSNet
     psnet.ahrq.gov/issue/intraoperative-deaths-who-why-and-can-we-prevent-them
     November 04, 2020 - This classification framework can serve as a foundation for future research or quality improvement processes … 2021 The effect of providing staff training and enhanced support to care homes on care processes

212. Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. | PSNet
     psnet.ahrq.gov/issue/impact-diagnostic-checklists-interpretation-normal-and-abnormal-electrocardiograms
     September 14, 2022 - Checklists are increasingly used to support clinical and diagnostic reasoning processes. … September 14, 2022 Role of knowledge and reasoning processes as predictors of resident

213. Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. | PSNet
     psnet.ahrq.gov/issue/defining-avoidable-healthcare-associated-harm-prisons-mixed-method-development-study
     August 04, 2021 - This article describes structures and processes within prison systems that may contribute to avoidable … November 13, 2019 Identifying safe care processes when GPs work in or alongside emergency

214. Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. | PSNet
     psnet.ahrq.gov/issue/enhancing-patient-safety-integrating-ethical-dimensions-critical-incident-reporting-systems
     January 12, 2022 - The authors suggest that integrating these dimensions into existing incident reporting system processes … April 13, 2022 Psychological safety during the test of new work processes in an emergency

215. In Conversation with... Ellen Deutsch, MD, MS, FACS, FAAP, FSSH, CPPS | PSNet
     psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
     December 14, 2022 - The simulation community is at the forefront of being able to apply resilient principles and processes … These data are helpful in demonstrating relevance, applicability, and processes. … Resilient healthcare will help us understand, appreciate, and implement conditions and processes that … As opposed to Safety-I, Safety-II focuses on understanding why most healthcare delivery processes are … In complex work environments, healthcare professionals adapt standard processes and create informal processes

216. Resilient Healthcare and the Safety-I and Safety-II Frameworks | PSNet
     psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
     December 14, 2022 - As opposed to Safety-I, Safety-II focuses on understanding why most healthcare delivery processes are … In complex work environments, healthcare professionals adapt standard processes and create informal processes … Work processes are typically studied and created based on what people imagine work to be like at the … These data are helpful in demonstrating relevance, applicability, and processes. … Resilient healthcare will help us understand, appreciate, and implement conditions and processes that

217. Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns. | PSNet
     psnet.ahrq.gov/issue/learning-influenza-vaccine-errors-prepare-covid-19-vaccination-campaigns
     June 10, 2018 - Safety professionals encourage learning from errors to enhance the safe use of new processes and products … the implementation of the COVID vaccine to help practitioners plan  and activate safe vaccination processes

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46971/psn-pdf
     July 18, 2018 - https://psnet.ahrq.gov/issue/future-nhs-patient-safety-investigation Organizational processes to investigate … Serious Incident Framework, used by the National Health Service, to enhance reporting and investigation processes

219. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867845/psn-pdf
     February 26, 2025 - data to be captured, sorted, and sifted to see what patient safety improvements have happened, which processes … have deteriorated, and what new processes have taken hold over time.2 All results are shared with additional … There were 7 process steps, 35 subprocess steps with some variation between sub-steps, and some unique processes … recommended to form a small, dedicated team of 3 members with expertise in either data analysis, clinical processes … updating the workflows as needed to better integrate the innovation into the standard activities and processes

220. Risks in the analogue and digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods study. | PSNet
     psnet.ahrq.gov/issue/risks-analogue-and-digitally-supported-medication-process-and-potential-solutions-increase
     April 24, 2019 - 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