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psnet.ahrq.gov/issue/diagnostic-errors-and-strategies-minimize-them
December 16, 2015 - February 15, 2023
Psychological safety during the test of new work processes in an emergency … Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes
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psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
June 15, 2024 - Histograms can also help users identify potential improvements in processes of care. 1 , 2 As an example … Specifically, the control chart highlights which peaks suggest out-of-control processes rather than expected … CLABSI rates in May-20 and Feb-21 were above the UCL, prompting an evaluation of the structures and processes … The run chart: a simple analytical tool for learning from variation in healthcare processes.
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psnet.ahrq.gov/node/34119/psn-pdf
June 11, 2019 - ismp-medication-safety-self-assessment-communityambulatory-
pharmacy
This community pharmacy measurement tool can be used to review processes
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psnet.ahrq.gov/node/50897/psn-pdf
February 12, 2020 - improving-safety-and-security-veterans-act-2020
https://psnet.ahrq.gov/issue/veterans-health-care-veterans-health-administration-processes-responding-reported-adverse
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.365_slideshow.ppt
January 01, 2016 - sent directly to an inpatient floor as opposed to the emergency department
8
8
Direct Admissions: Processes … ratios in order to ensure that admissions can be accommodated appropriately
9
9
Direct Admissions: Processes … Establish walk rounds to facilitate handoff communication at shift change
Develop checklists for admission processes … everything was in order for the new admission
19
Take-Home Points
Planned direct admissions are complex processes
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psnet.ahrq.gov/issue/care-transitions-outpatient-surgery-preoperative-process-facilitators-and-obstacles
December 31, 2014 - 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
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psnet.ahrq.gov/node/50726/psn-pdf
December 11, 2019 - https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-acute-care-hospitals
Structured processes
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psnet.ahrq.gov/node/72788/psn-pdf
February 24, 2021 - deeper
understanding of the factors contributing to lack of response to concerns to enhance existing processes
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psnet.ahrq.gov/node/50633/psn-pdf
November 06, 2019 - ASC services and found them lacking in appropriately skilled clinical staffs, patient communication
processes
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psnet.ahrq.gov/node/867773/psn-pdf
February 01, 2024 - central-line-insertion-care-team-checklist
Checklists are helpful in reducing omissions in standardized processes
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psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
August 30, 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/47966/psn-pdf
May 29, 2019 - and communication as well as templates to support their use and instructions to begin associated
processes
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psnet.ahrq.gov/node/60937/psn-pdf
September 23, 2020 - psnet.ahrq.gov/issue/practice-medicine-understanding-diagnostic-error
This article discusses cognitive decision processes
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psnet.ahrq.gov/node/72831/psn-pdf
March 10, 2021 - This article discusses the engagement of anesthesiologists in the disclosure processes to
ensure learning
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psnet.ahrq.gov/node/50606/psn-pdf
October 30, 2019 - psnet.ahrq.gov/issue/one-doctor-25-deaths-how-could-it-have-happened
Systemic failures persistently undermine processes
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psnet.ahrq.gov/node/865348/psn-pdf
January 01, 2023 - https://psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance
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psnet.ahrq.gov/node/73872/psn-pdf
September 22, 2021 - https://psnet.ahrq.gov/issue/parenteral-nutrition-safety
Parenteral nutrition (PN) processes contain
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psnet.ahrq.gov/node/60829/psn-pdf
August 19, 2020 - psnet.ahrq.gov/issue/patient-safety-20
Simulation is a recognized technique to educate and plan to improve care processes
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psnet.ahrq.gov/node/45311/psn-pdf
May 20, 2019 - joint-commission-big-book-checklists-2nd-edition
Checklists are a widely accepted strategy to improve communication and standardize processes
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psnet.ahrq.gov/issue/communication-critical-care-environments-mobile-telephones-improve-patient-care
June 27, 2018 - 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