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psnet.ahrq.gov/issue/healthcare-inspection-emergency-department-patient-deaths-memphis-vamc-memphis-tennessee
November 29, 2023 - Related Resources From the Same Author(s)
Deficiencies in Quality Management Processes … February 17, 2021
Deficiencies in Inpatient Mental Health Care Coordination and Processes
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psnet.ahrq.gov/node/866847/psn-pdf
September 25, 2024 - conditions that make error more likely, and we know the
individual, team, and leadership behaviors and processes … role
of leadership goes beyond saying, “Have a safe day today,” to creating the culture, structure, processes … the context of a leadership-driven organizational commitment to safety as a core
value with culture, processes … attestation-based measure that encourages hospitals
to assess and work toward a culture, structures, and processes
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psnet.ahrq.gov/node/867655/psn-pdf
February 26, 2025 - defined as “a coordinated, proactive strategy in which risks are
anticipated and systemwide safety processes … Learning health systems should be aligned around a common goal plus
standards, processes, and infrastructure … AI has the potential to streamline standard processes, such as notetaking, and to reduce
the burden … However, it is important to consider that AI should complement, not replace,
existing processes within
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psnet.ahrq.gov/node/33682/psn-pdf
April 01, 2009 - The other is
routine safety processes, such as hand hygiene, communication, and medication reconciliation … way, which has been more traditional for The Joint Commission, is to focus on the
structures and the processes … when public stakeholders say that adverse events keep happening that should
not happen and safety processes … In general, the approach on the
accreditation standard side is to say, these are the processes you need … We have been pushing outside the routine accreditation and certification processes
for the more rapid
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psnet.ahrq.gov/node/849660/psn-pdf
May 31, 2023 - Improve Spoken Communication: Organizations’ health literacy plans include processes to
ensure clear … Have processes in place to review materials with patients. … Support Patients’ Health Management Efforts: Have processes in place for providers to develop
action … Health Literate Organization
Health literate organizations weave health literacy into all of their processes
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psnet.ahrq.gov/node/837963/psn-pdf
August 31, 2022 - This disease can result from
several different pathophysiological processes, be challenging to diagnose … been fully elucidated, research in the field suggests
that both the individual clinician’s cognitive processes … Other cognitive processes found to lead to diagnostic error
included faulty data gathering such as incomplete … The most common system-related problems were due to
poor policies, processes, procedures, teamwork, … suggest that educating providers about errors of clinical reasoning and
awareness of one’s own cognitive processes
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psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_case_mesenteric_ischemia_08.05.2022.pdf
January 01, 2022 - • This disease can result from several different pathophysiological
processes, be challenging to … been fully
elucidated, research in the field suggests that both the individual
clinician’s cognitive processes … – Other cognitive processes found to lead to diagnostic error included faulty
data gathering such … – The most common system-related problems were due to poor policies,
processes, procedures, teamwork … that educating
providers about errors of clinical reasoning and awareness of one’s
own cognitive processes
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psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review
March 23, 2012 - The review also found wide variation in processes for handling test results across studies. … The authors advocate for more standardized processes for informing patients of abnormal results, and
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psnet.ahrq.gov/issue/human-factors-and-ergonomics-patient-safety
June 21, 2006 - February 23, 2018
Care transition of trauma patients: processes with articulation work … cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes
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psnet.ahrq.gov/submit-your-toolkit-landing
care safer by submitting a Patient Safety Toolkit to support the implementation of products, services, processes … Checklists are helpful in reducing omissions in standardized processes designed to support safe care.
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psnet.ahrq.gov/issue/doing-well-doing-good-evaluating-influence-patient-safety-performance-hospital-financial
September 11, 2024 - How differences between manager and clinician perceptions of safety culture impact hospital processes … May 3, 2017
Processes for identifying and reviewing adverse events and near misses at
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psnet.ahrq.gov/node/49618/psn-pdf
February 01, 2011 - web-mm/one-toxic-drug-not-another
Case Objectives
Distinguish between the three distinct regulatory processes … Appreciate how emerging maintenance-of-certification and licensure processes address physician
competence … Turning back to certification, a fair question is whether current certification processes truly make … The processes and dimensions of informed self-assessment: a
conceptual model. … Regulatory Processes in Physician Practice.
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psnet.ahrq.gov/node/49702/psn-pdf
March 01, 2014 - Describe two examples of well-defined processes to identify individual accountability for adverse
events … learning.(9) Organizations can reinforce these professional duties by: (i) developing well-
defined processes … In addition, organizations should strive to
build processes for assessing the extent to which systems … this process, thus allowing clinicians to know what to expect.(7)
Organizational fidelity to these processes … easier to deliver and receive.(7,10)
Applied to the present case, we might imagine organizational processes
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psnet.ahrq.gov/issue/trainees-perceptions-being-allowed-fail-clinical-training-sense-making-model
November 24, 2021 - November 20, 2019
An act of performance: exploring residents' decision-making processes … November 24, 2021
An act of performance: exploring residents' decision-making processes
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psnet.ahrq.gov/issue/deficiencies-care-coordination-and-facility-response-patient-suicide-minneapolis-va-health
September 30, 2020 - January 24, 2024
Deficiencies in Inpatient Mental Health Care Coordination and Processes … April 26, 2006
Deficiencies in Quality Management Processes and Delays in the Communication
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psnet.ahrq.gov/issue/impact-power-health-care-team-performance-and-patient-safety-review-literature
February 01, 2023 - May 26, 2021
Assessing patients 2019 experiences with medical injury reconciliation processes … barcode medication administration, and closed-loop electronic medication management systems on work processes
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psnet.ahrq.gov/issue/interdisciplinary-and-interprofessional-communication-intervention-how-psychological-safety
May 31, 2023 - Download Citation
Related Resources From the Same Author(s)
Psychosocial processes … August 30, 2023
Psychosocial processes in healthcare workers: how individuals'
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psnet.ahrq.gov/issue/medication-errors-community-pharmacies-evaluation-standardized-safety-program
June 29, 2022 - barcode medication administration, and closed-loop electronic medication management systems on work processes … 2022
The effect of providing staff training and enhanced support to care homes on care processes
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psnet.ahrq.gov/issue/information-flow-during-pediatric-trauma-care-transitions-things-falling-through-cracks
February 16, 2022 - Related Resources From the Same Author(s)
Care transition of trauma patients: processes … cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes
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psnet.ahrq.gov/issue/hospitalizations-and-deaths-related-adverse-drug-events-worldwide-systematic-review-studies
May 04, 2022 - September 28, 2022
Medication errors and processes to reduce them in care homes in the … barcode medication administration, and closed-loop electronic medication management systems on work processes