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psnet.ahrq.gov/issue/review-verbal-order-policies-acute-care-hospitals
January 03, 2017 - Rework and workarounds in nurse medication administration process: implications for work processes … December 30, 2014
Parenteral nutrition prescribing processes using computerized prescriber
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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/changes-physician-practice-patterns-after-implementation-communication-and-resolution-program
September 01, 2018 - The "Seven Pillars" response to patient safety incidents: effects on medical liability processes … The "Seven Pillars" response to patient safety incidents: effects on medical liability processes
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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/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
February 01, 2014 - Environmental factors, workflow, and staffing
Staff competency and education
Patient education
Quality processes … ask questions about their medications and their purpose
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19
System-Based Analysis (7)
Quality Processes … and Risk Management
More robust quality control processes may reduce likelihood of this type of error … to implement, focus on those that do not rely on human vigilance or memory
Whenever new medications, processes
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psnet.ahrq.gov/issue/systematic-proactive-risk-assessment-hazards-surgical-wards-quantitative-study
August 15, 2013 - Effectiveness of facilitated introduction of a standard operating procedure into routine processes … July 31, 2013
Effect of a "Lean" intervention to improve safety processes and outcomes
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psnet.ahrq.gov/issue/evaluating-effect-data-standardization-and-validation-patient-matching-accuracy
November 28, 2018 - cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes … April 3, 2019
People, processes, health IT and accurate patient identification.
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psnet.ahrq.gov/issue/oxford-notechs-system-reliability-and-validity-tool-measuring-teamwork-behaviour-operating
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/patient-handover-surgery-intensive-care-using-formula-1-pit-stop-and-aviation-models-improve
October 03, 2011 - Effectiveness of facilitated introduction of a standard operating procedure into routine processes … March 23, 2022
Care transition of trauma patients: processes with articulation work before
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psnet.ahrq.gov/issue/combined-teamwork-training-and-work-standardisation-intervention-operating-theatres
January 20, 2015 - Effectiveness of facilitated introduction of a standard operating procedure into routine processes … November 18, 2016
Effect of a "Lean" intervention to improve safety processes and outcomes
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psnet.ahrq.gov/issue/combining-systems-and-teamwork-approaches-enhance-effectiveness-safety-improvement
January 20, 2015 - Effectiveness of facilitated introduction of a standard operating procedure into routine processes … November 18, 2016
Effect of a "Lean" intervention to improve safety processes and outcomes
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psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-fy-2020
September 10, 2014 - May 26, 2021
Deficiencies in Inpatient Mental Health Care Coordination and Processes … December 23, 2012
Evaluation of Registered Nurse Competency Processes in Veterans Health
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psnet.ahrq.gov/issue/integration-prospective-and-retrospective-methods-risk-analysis-hospitals
June 23, 2010 - Defining near misses: towards a sharpened definition based on empirical data about error handling processes … June 23, 2010
Prospective risk analysis of health care processes: a systematic evaluation
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psnet.ahrq.gov/issue/safer-delivery-surgical-services-program-s3-explaining-its-differential-effectiveness-and
January 20, 2015 - Effectiveness of facilitated introduction of a standard operating procedure into routine processes … November 16, 2022
Effect of a "Lean" intervention to improve safety processes and outcomes
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psnet.ahrq.gov/issue/building-ambulatory-safety-program-academic-health-system
April 22, 2016 - November 13, 2019
Processes for identifying and reviewing adverse events and near misses … May 22, 2024
Deficiencies in Quality Management Processes and Delays in the Communication
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psnet.ahrq.gov/issue/identifying-and-quantifying-medication-errors-evaluation-rapidly-discontinued-medication
February 03, 2011 - 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/root-cause-analyses-suicides-mental-health-clients
March 16, 2016 - Root Cause Analyses of Suicides of Mental Health Clients: Identifying Systematic Processes and Service-Level … Root Cause Analyses of Suicides of Mental Health Clients: Identifying Systematic Processes and Service-Level
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psnet.ahrq.gov/issue/qualitative-study-systemic-influences-paramedic-decision-making-care-transitions-and-patient
January 08, 2014 - January 8, 2014
Identifying safe care processes when GPs work in or alongside emergency … September 23, 2020
Care transition of trauma patients: processes with articulation work
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psnet.ahrq.gov/issue/factors-influencing-incident-reporting-surgical-care
March 03, 2011 - Related Resources From the Same Author(s)
Effect of a "Lean" intervention to improve safety processes … Effectiveness of facilitated introduction of a standard operating procedure into routine processes