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psnet.ahrq.gov/issue/va-health-care-va-uses-medical-injury-tort-claims-data-assess-veterans-care-should-take
February 10, 2010 - February 10, 2010
Veterans Health Care: Veterans Health Administration Processes for … August 31, 2016
VA Health Care: Improvements Needed in Processes Used to Address Providers
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psnet.ahrq.gov/node/49792/psn-pdf
May 01, 2017 - and weight restrictions of diagnostic imaging tests (e.g., CT scanning).(5) Furthermore,
abdominal processes … However, we know very little about clinicians' thought processes in such cases. … This case highlights how a focus on basic clinical
skills, cognitive processes, and team-based care … are not there yet, future health IT tools to support busy ED providers and improve their cognitive
processes … Health Information Technology Use for Improving Providers' Cognitive Processes (27)
Assist in information
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psnet.ahrq.gov/node/49699/psn-pdf
February 01, 2014 - weaknesses in the system and corrective plans should include risk reduction
strategies that span multiple processes … Quality Processes and Risk Management
Lastly, more robust quality control processes may reduce the likelihood … such as failure mode and effects analysis
(FMEA), will help institutions ensure that new medications, processes … Use proactive risk assessment tools whenever new medications, processes, and services are
implemented … from
errors
• Encouragement of patient input n quality improvement and safety initiatives
Quality processes
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psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
June 01, 2016 - one physician to another, known as "handoffs," are pervasive.( 1 ) Failures in these communication processes … As a result, the year-end transfer requires unique organizational processes capable of seamlessly transitioning … Without such processes in place, there is a higher probability of patients or important clinical information … Communication Processes. … In the meantime, the principles above should be used to guide the development of handoff processes that
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psnet.ahrq.gov/node/49632/psn-pdf
July 01, 2011 - from one physician to another, known as "handoffs," are pervasive.(1) Failures in
these communication processes … As a result, the year-end
transfer requires unique organizational processes capable of seamlessly transitioning … Without such processes in place, there is a higher probability of patients or important
clinical information … Communication Processes. … In the meantime, the
principles above should be used to guide the development of handoff processes that
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psnet.ahrq.gov/node/48052/psn-pdf
June 12, 2019 - commentary discusses the role of leadership, systemwide
staff engagement, external influences, and processes
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psnet.ahrq.gov/node/50763/psn-pdf
December 18, 2019 - An examination of the case records identified
breakdowns in care processes such as lack of training,
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psnet.ahrq.gov/issue/patient-handovers-within-hospital-translating-knowledge-motor-racing-healthcare
April 01, 2015 - Effectiveness of facilitated introduction of a standard operating procedure into routine processes … May 1, 2015
Effect of a "Lean" intervention to improve safety processes and outcomes
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psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2015
November 23, 2016 - October 18, 2023
Defense Health Agency Processes for Responding to Provider Quality and … July 19, 2016
VA Health Care: Improvements Needed in Processes Used to Address Providers
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psnet.ahrq.gov/issue/quality-care-cranial-implant-surgeries-james-haley-va-medical-center-tampa-florida
June 13, 2012 - Related Resources From the Same Author(s)
Evaluation of Registered Nurse Competency Processes … January 24, 2024
Deficiencies in Quality Management Processes and Delays in the Communication
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psnet.ahrq.gov/issue/enhancing-patient-safety-and-resident-education-during-academic-year-end-transfer-outpatients
March 25, 2017 - Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes … Related Resources
Deficiencies in Inpatient Mental Health Care Coordination and Processes
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psnet.ahrq.gov/issue/implementation-science-approach-promote-optimal-implementation-adoption-use-and-spread
July 13, 2010 - 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/issue/teamwork-and-error-operating-room-analysis-skills-and-roles
April 15, 2009 - April 22, 2009
Effect of a "Lean" intervention to improve safety processes and outcomes … Effectiveness of facilitated introduction of a standard operating procedure into routine processes
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psnet.ahrq.gov/issue/if-only-failed-missed-and-absent-error-recovery-opportunities-medication-errors
July 15, 2009 - Related Resources From the Same Author(s)
Prospective risk analysis of health care processes … Defining near misses: towards a sharpened definition based on empirical data about error handling processes
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psnet.ahrq.gov/issue/bare-minimum-reality-global-anaesthesia-and-patient-safety
April 22, 2015 - 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/issue/interventions-improve-teamwork-and-communications-among-healthcare-staff
March 03, 2011 - Effectiveness of facilitated introduction of a standard operating procedure into routine processes … May 1, 2015
Effect of a "Lean" intervention to improve safety processes and outcomes
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psnet.ahrq.gov/issue/state-science-human-factors-and-ergonomics-healthcare
April 01, 2015 - Effectiveness of facilitated introduction of a standard operating procedure into routine processes … May 1, 2015
Effect of a "Lean" intervention to improve safety processes and outcomes
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psnet.ahrq.gov/issue/human-factors-engineering-tool-medical-device-evaluation-hospital-procurement-decision-making
June 28, 2017 - cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes … May 18, 2022
Care transition of trauma patients: processes with articulation work before
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psnet.ahrq.gov/issue/time-accelerate-integration-human-factors-and-ergonomics-patient-safety
October 03, 2013 - 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/issue/role-safety-culture-influencing-provider-perceptions-patient-safety
November 09, 2016 - Quality-related event learning in community pharmacies: manual versus computerized reporting processes … How differences between manager and clinician perceptions of safety culture impact hospital processes