Results

Total Results: over 10,000 records

Showing results for "processes".

321. Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. | PSNet
     psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medications-tomah-va-medical-center-tomah
     October 12, 2022 - January 24, 2024 Deficiencies in Quality Management Processes and Delays in the Communication … October 9, 2013 Veterans Health Care: Veterans Health Administration Processes for Responding

322. Information flow during pediatric trauma care transitions: things falling through the cracks. | PSNet
     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

323. Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota. | PSNet
     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

324. Making safety training stickier: a richer model of safety training engagement and transfer. | PSNet
     psnet.ahrq.gov/issue/making-safety-training-stickier-richer-model-safety-training-engagement-and-transfer
     October 06, 2021 - 2021 The effect of providing staff training and enhanced support to care homes on care processes … barcode medication administration, and closed-loop electronic medication management systems on work processes

325. Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in Virginia. | PSNet
     psnet.ahrq.gov/issue/multiple-failures-test-results-follow-patient-diagnosed-prostate-cancer-hampton-va-medical
     July 26, 2023 - January 24, 2024 Deficiencies in Quality Management Processes and Delays in the Communication … February 7, 2024 Deficiencies in Quality Management Processes and Delays in the Communication

326. Trainees' perceptions of being allowed to fail in clinical training: a sense-making model. | PSNet
     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

327. The patients' perspective: hematological cancer patients' experiences of adverse events as part of care. | PSNet
     psnet.ahrq.gov/issue/patients-perspective-hematological-cancer-patients-experiences-adverse-events-part-care
     December 01, 2019 - December 1, 2019 Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional … April 21, 2021 Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional

328. The patient perspective on errors in cancer care: results of a cross-sectional survey. | PSNet
     psnet.ahrq.gov/issue/patient-perspective-errors-cancer-care-results-cross-sectional-survey
     August 18, 2021 - August 18, 2021 Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional … May 12, 2021 Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional

329. The relationship between safety climate and safety performance: a review. | PSNet
     psnet.ahrq.gov/issue/relationship-between-safety-climate-and-safety-performance-review
     February 03, 2021 - 2021 The effect of providing staff training and enhanced support to care homes on care processes … barcode medication administration, and closed-loop electronic medication management systems on work processes

330. Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success. | PSNet
     psnet.ahrq.gov/issue/improving-handoffs-perioperative-environment-conceptual-framework-key-theories-system-factors
     November 16, 2022 - 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

331. Learning environments, reliability enhancing work practices, employee engagement, and safety climate in VA cardiac catheterization laboratories. | PSNet
     psnet.ahrq.gov/issue/learning-environments-reliability-enhancing-work-practices-employee-engagement-and-safety
     August 12, 2020 - 2021 The effect of providing staff training and enhanced support to care homes on care processes … barcode medication administration, and closed-loop electronic medication management systems on work processes

332. A recent two-fold increase in medical adverse event deaths among US inpatients. | PSNet
     psnet.ahrq.gov/issue/recent-two-fold-increase-medical-adverse-event-deaths-among-us-inpatients
     April 06, 2022 - Related Resources From the Same Author(s) Psychological safety during the test of new work processes … Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes

333. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866995/psn-pdf
     October 30, 2024 - We are not computers: Our fundamental cognitive processes, along with time constraints, limit us to … without fear of disrespect or retribution.2 Such collaboration should now be ingrained into hospital processes … Electronic Health Records and Cognitive Processes  https://psnet.ahrq.gov//#1 https://psnet.ahrq.gov … Our understanding of the influence of electronic health records (EHRs) on clinicians’ processes is still … that we are far from ideal practices in efficiently capitalizing on EHRs to optimize our cognitive processes

334. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852699/psn-pdf
     August 30, 2023 - pandemic necessitated a shift in operations as healthcare delivery organizations and workers adjusted processes … Although processes were put in place to address patient safety challenges, many organizations that had … Systems and processes were overly reliant on the healthcare workforce’s attention to maintaining safety … The pandemic highlighted pre-existing gaps in the system and processes that contribute to health inequities … lost ground using a whole systems approach that will result in improvement in both patient safety processes

335. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849592/psn-pdf
     May 31, 2023 - patient and staff buy-in, integration of the program into existing workflows, and fidelity to program processes … The Fall TIPS Program is based on engaging patients and their family/loved ones across three main processes … The toolkit contains guides and aides that hospital personnel can use to conduct each of these processes … Implementing teams should recruit and train nurse champions and establish processes for auditing and … To maintain organization wide buy-in,organizations should have processes for consistent reporting on

336. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis | PSNet
     psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
     February 26, 2025 - The processes could be secretive and confidential because we are dealing with sensitive events, like … In health care, we can think about the design of the processes that our staff use daily and how we can … To have a strong safety culture, we must have patient safety tools and processes that support that open … So, as we think about each of our safety processes—a communication and resolutions program, root cause … How can we think about changing processes that have not yet harmed patients?

337. The Evolution of Root Cause Analysis | PSNet
     psnet.ahrq.gov/perspective/evolution-root-cause-analysis
     February 26, 2025 - However, the healthcare system is highly complex, with many interdependent parts and processes that can … 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, RCA 2 formalizes the emphasis on understanding how organizational systems and processes … How can we think about changing processes that have not yet harmed patients?

338. Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans | PSNet
     psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create-customized-prevention
     July 23, 2024 - patient and staff buy-in, integration of the program into existing workflows, and fidelity to program processes … The Fall TIPS Program is based on engaging patients and their family/loved ones across three main processes … The toolkit contains guides and aides that hospital personnel can use to conduct each of these processes … Implementing teams should recruit and train nurse champions and establish processes for auditing and … To maintain organization wide buy-in,organizations should have processes for consistent reporting on

339. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33846/psn-pdf
     November 01, 2017 - "(1) Technology, with its array of capabilities to measure data, manage information, and automate processes … health age (2), the electronic management of health care information and the automation of clinical processes … patient safety and outcomes, it can only serve as an enabler for better care, rather than supplant the processes … change management initiative, three major components determine the endeavor's success: technology, processes … By maintaining focus on the people as much as the processes, technology will boost the progression toward

340. Low rate of completion of recommended tests and referrals in an academic primary care practice with resident trainees. | PSNet
     psnet.ahrq.gov/issue/low-rate-completion-recommended-tests-and-referrals-academic-primary-care-practice-resident
     January 17, 2024 - December 7, 2022 Systems engineering analysis of diagnostic referral closed-loop processes … October 2, 2024 Role of knowledge and reasoning processes as predictors of resident physicians