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Showing results for "processes".

  1. Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework. | PSNet

    psnet.ahrq.gov/issue/checklists-reduce-diagnostic-error-systematic-review-literature-using-human-factors-framework
    February 22, 2023 - 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

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41692/psn-pdf
    September 19, 2012 - Quality-related event learning in community pharmacies: manual versus computerized reporting processes … Quality-related event learning in community pharmacies: Manual versus computerized reporting processes

  3. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.317_slideshow.ppt
    March 01, 2014 - systems thinking with individual accountability in health care Describe two examples of well-defined processes … ISBN: 9781599406176. 14 Application to This Case Related to this case, organizational processes might … Acad Med. 2007;82:1040-1048. http://www.ncbi.nlm.nih.gov/pubmed/17971689. 20 System-Level Processes … These processes, focused on individual performance and accountability, must proceed in parallel with … systems-levels processes to reduce the risk of future errors In the present case, this might include

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33755/psn-pdf
    September 01, 2013 - others, especially when errors occur [2]); systems orientation (members recognize that people and processes … Align systems and processes. Inertia is a powerful force. … To make change stick, critical organizational processes must support and reinforce desired behaviors … .(9) Budgeting, hiring, performance management, and monitoring and control processes all signal the … Systems and processes are often the responsibility of managers, but frontline clinicians can also play

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44169/psn-pdf
    November 06, 2015 - insufficient transparency, investigations, and regulations around laboratory facilities with poor processes … diagnostic-errors https://psnet.ahrq.gov/issue/cost-poor-blood-specimen-quality-and-errors-preanalytical-processes

  6. Maximize benefits of IV workflow management systems by addressing workarounds and errors. | PSNet

    psnet.ahrq.gov/issue/maximize-benefits-iv-workflow-management-systems-addressing-workarounds-and-errors
    May 31, 2017 - Workflow processes for compounded sterile preparation can affect patient safety . … have increasingly implemented workflow management systems to automate compounded sterile solution processes

  7. The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis. | PSNet

    psnet.ahrq.gov/issue/secondary-use-data-support-medication-safety-hospital-setting-systematic-review-and-narrative
    July 31, 2019 - The authors developed an integrated framework to describe the processes, mechanisms, and barriers for … 2021 The effect of providing staff training and enhanced support to care homes on care processes

  8. Measuring safety in older adult care homes: a scoping review of the international literature. | PSNet

    psnet.ahrq.gov/issue/measuring-safety-older-adult-care-homes-scoping-review-international-literature
    June 30, 2021 - psychological harm related to the care home environment, abusive or neglectful practices, and the absence of processes … July 13, 2022 Medication errors and processes to reduce them in care homes in the United

  9. Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. | PSNet

    psnet.ahrq.gov/issue/learning-during-crisis-impact-covid-19-hospital-acquired-pressure-injury-incidence
    August 25, 2021 - hospital-acquired pressure injuries allowed their hospital to quickly adapt existing workflows and processes … October 14, 2020 Implementation of patient safety structures and processes in the patient-centered

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41870/psn-pdf
    December 12, 2012 - of safety incident reporting in maternity care: the influence of working relationships and group processes … dimensions of safety incident reporting in maternity care: the influence of working relationships and group processes

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46965/psn-pdf
    March 28, 2018 - other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors Drug shortages may require clinicians, pharmacists, and hospitals to divert from standard processes … psnet.ahrq.gov/issue/rework-and-workarounds-nurse-medication-administration-process-implications-work-processes

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46147/psn-pdf
    August 08, 2018 - This commentary describes how one academic medical center integrated structures, processes, and frameworks … https://psnet.ahrq.gov/issue/creating-high-reliability-health-care-system-improving-performance-core-processes-care-johns

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47154/psn-pdf
    May 23, 2018 - The authors note widely varying review processes, data inclusion, and preventability assessment, and … recommend standardization of definitions and processes in order to reduce bias.

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39621/psn-pdf
    June 23, 2010 - Defining near misses: towards a sharpened definition based on empirical data about error handling processes … Defining near misses: towards a sharpened definition based on empirical data about error handling processes

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45729/psn-pdf
    September 20, 2017 - issue/maximize-benefits-iv-workflow-management-systems-addressing- workarounds-and-errors Workflow processes … have increasingly implemented workflow management systems to automate compounded sterile solution processes

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45119/psn-pdf
    November 18, 2016 - speak up to prevent infections: opportunities to leverage quality improvement and care management processes … speak up to prevent infections: Opportunities to leverage quality improvement and care management processes

  17. Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary | PSNet

    psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
    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 … There were 7 process steps, 35 subprocess steps with some variation between sub-steps, and some unique processes … recommended to f orm 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

  18. Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. | PSNet

    psnet.ahrq.gov/issue/applying-toyota-production-system-principles-psychiatric-hospital-making-transfers-safer-and
    January 27, 2016 - of Toyota Production System principles, which emphasize designing standardized and reliable work processes … Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes

  19. Debriefing in the OR: a quality improvement project. | PSNet

    psnet.ahrq.gov/issue/debriefing-or-quality-improvement-project
    April 24, 2018 - This project report discusses an initiative to improve operating room processes through debriefings … January 12, 2022 Care transition of trauma patients: processes with articulation work

  20. Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021. | PSNet

    psnet.ahrq.gov/issue/ranking-rate-state-medical-boards-serious-disciplinary-actions-2019-2021
    October 05, 2016 - The reduction of variation in processes across various states, involvement of patients on review boards … February 8, 2023 Defense Health Agency Processes for Responding to Provider Quality and
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