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psnet.ahrq.gov/node/44754/psn-pdf
March 23, 2016 - Use of failure mode and effects analysis to improve
emergency department handoff processes. … Use of Failure Mode and Effects Analysis to Improve Emergency Department Handoff
Processes. … //psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-improve-emergency-department-
handoff-processes … that used failure mode and effects analysis to identify weaknesses in emergency department handoff
processes … https://psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-improve-emergency-department-handoff-processes
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psnet.ahrq.gov/issue/parenteral-nutrition-prescribing-processes-using-computerized-prescriber-order-entry
September 11, 2019 - Study
Parenteral nutrition prescribing processes using computerized prescriber order … Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to … Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to
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psnet.ahrq.gov/issue/psychosocial-processes-healthcare-workers-how-individuals-perceptions-interpersonal
July 26, 2023 - Study
Psychosocial processes in healthcare workers: how individuals' perceptions … Psychosocial processes in healthcare workers: how individuals' perceptions of interpersonal communication … Psychosocial processes in healthcare workers: how individuals' perceptions of interpersonal communication
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psnet.ahrq.gov/node/45784/psn-pdf
April 03, 2017 - Processes for identifying and reviewing adverse events
and near misses at an academic medical center … Processes for Identifying and Reviewing Adverse Events and
Near Misses at an Academic Medical Center … https://psnet.ahrq.gov/issue/processes-identifying-and-reviewing-adverse-events-and-near-misses-
academic-medical-center … operational leaders at a single academic medical center identified multiple conferences,
meetings, and processes … https://psnet.ahrq.gov/issue/processes-identifying-and-reviewing-adverse-events-and-near-misses-academic-medical-center
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psnet.ahrq.gov/node/39461/psn-pdf
April 21, 2010 - Rework and workarounds in nurse medication
administration process: implications for work processes … Rework and workarounds in nurse medication
administration process: implications for work processes and … psnet.ahrq.gov/issue/rework-and-workarounds-nurse-medication-administration-process-
implications-work-processes … psnet.ahrq.gov/issue/rework-and-workarounds-nurse-medication-administration-process-implications-work-processes … psnet.ahrq.gov/issue/rework-and-workarounds-nurse-medication-administration-process-implications-work-processes
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psnet.ahrq.gov/node/38507/psn-pdf
February 10, 2015 - From tasks to processes: the case for changing health
information technology to improve health care. … From tasks to processes: the case for changing health information technology to
improve health care. … https://psnet.ahrq.gov/issue/tasks-processes-case-changing-health-information-technology-improve-health … https://psnet.ahrq.gov/issue/tasks-processes-case-changing-health-information-technology-improve-health-care … https://psnet.ahrq.gov/issue/tasks-processes-case-changing-health-information-technology-improve-health-care
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psnet.ahrq.gov/node/42306/psn-pdf
May 29, 2013 - Do team processes really have an effect on clinical
performance? A systematic literature review. … Do team processes really have an effect on clinical performance? A systematic
literature review. … https://psnet.ahrq.gov/issue/do-team-processes-really-have-effect-clinical-performance-systematic-
literature-review … https://psnet.ahrq.gov/issue/do-team-processes-really-have-effect-clinical-performance-systematic-literature-review … https://psnet.ahrq.gov/issue/do-team-processes-really-have-effect-clinical-performance-systematic-literature-review
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psnet.ahrq.gov/node/40747/psn-pdf
September 07, 2011 - Misdiagnosis: analysis based on case record review with
proposals aimed to improve diagnostic processes … Misdiagnosis: analysis based on case record review with proposals aimed
to improve diagnostic processes … psnet.ahrq.gov/issue/misdiagnosis-analysis-based-case-record-review-proposals-aimed-improve-
diagnostic-processes … psnet.ahrq.gov/issue/misdiagnosis-analysis-based-case-record-review-proposals-aimed-improve-diagnostic-processes … psnet.ahrq.gov/issue/misdiagnosis-analysis-based-case-record-review-proposals-aimed-improve-diagnostic-processes
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psnet.ahrq.gov/node/41227/psn-pdf
March 21, 2012 - Parenteral nutrition prescribing processes using
computerized prescriber order entry: opportunities … Parenteral nutrition prescribing processes using computerized prescriber order
entry: opportunities … https://psnet.ahrq.gov/issue/parenteral-nutrition-prescribing-processes-using-computerized-prescriber … https://psnet.ahrq.gov/issue/parenteral-nutrition-prescribing-processes-using-computerized-prescriber-order-entry … https://psnet.ahrq.gov/issue/parenteral-nutrition-prescribing-processes-using-computerized-prescriber-order-entry
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psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
November 16, 2022 - HFE interventions commonly focus on people, tools, technology, procedures, and processes. … As healthcare systems, technology, and processes increase in complexity, HFE approaches were designed … A shared mental model means that cross-functional teams are in alignment with the steps and processes … We’re also interested in designing processes and the physical environment. … those processes.
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psnet.ahrq.gov/node/40928/psn-pdf
May 04, 2012 - Decision-making processes used by nurses during
intravenous drug preparation and administration. … Decision-making processes used by nurses during intravenous drug
preparation and administration. … https://psnet.ahrq.gov/issue/decision-making-processes-used-nurses-during-intravenous-drug-preparation … https://psnet.ahrq.gov/issue/decision-making-processes-used-nurses-during-intravenous-drug-preparation-and-administration … https://psnet.ahrq.gov/issue/decision-making-processes-used-nurses-during-intravenous-drug-preparation-and-administration
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psnet.ahrq.gov/node/39156/psn-pdf
April 17, 2011 - Understanding interdisciplinary health care teams: using
simulation design processes from the Air Carrier … Understanding interdisciplinary health care teams: using
simulation design processes from the Air Carrier … ://psnet.ahrq.gov/issue/understanding-interdisciplinary-health-care-teams-using-simulation-design-
processes-air … https://psnet.ahrq.gov/issue/understanding-interdisciplinary-health-care-teams-using-simulation-design-processes-air … https://psnet.ahrq.gov/issue/understanding-interdisciplinary-health-care-teams-using-simulation-design-processes-air
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psnet.ahrq.gov/issue/quality-and-safety-acute-surgical-ward-exploratory-cohort-study-process-and-outcome
March 03, 2011 - This study found that compliance with specific care processes was poor and that risk for adverse events … 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 … October 4, 2011
Effect of a "Lean" intervention to improve safety processes and outcomes
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psnet.ahrq.gov/node/36338/psn-pdf
October 26, 2010 - Work practice, work
processes and utopian views of automatic drug
dispensing systems. … Work practice, work processes and
utopian views of automatic drug dispensing systems. … https://psnet.ahrq.gov/issue/who-charge-patient-safety-work-practice-work-processes-and-utopian-views … https://psnet.ahrq.gov/issue/who-charge-patient-safety-work-practice-work-processes-and-utopian-views-automatic-drug … https://psnet.ahrq.gov/issue/who-charge-patient-safety-work-practice-work-processes-and-utopian-views-automatic-drug
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psnet.ahrq.gov/issue/reducing-failures-daily-medical-practice-healthcare-failure-mode-and-effect-analysis-combined
August 10, 2022 - computer simulation (HFMEA-CS) for prospective risk analysis of complex and potentially harmful processes … Use of HFMEA-CS to analyze medication processes during admission and discharge for patients with a rare … Effectiveness of facilitated introduction of a standard operating procedure into routine processes
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psnet.ahrq.gov/node/42963/psn-pdf
September 27, 2016 - The effects of physical environments in medical wards on
medication communication processes affecting … The effects of physical environments in medical wards on medication
communication processes affecting … https://psnet.ahrq.gov/issue/effects-physical-environments-medical-wards-medication-communication-
processes-affecting … https://psnet.ahrq.gov/issue/effects-physical-environments-medical-wards-medication-communication-processes-affecting … https://psnet.ahrq.gov/issue/effects-physical-environments-medical-wards-medication-communication-processes-affecting
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psnet.ahrq.gov/issue/veterans-health-care-veterans-health-administration-processes-responding-reported-adverse
August 15, 2012 - Book/Report
Veterans Health Care: Veterans Health Administration Processes for Responding … Citation Text:
Veterans Health Care: Veterans Health Administration Processes for Responding to Reported … Citation
Citation Text:
Veterans Health Care: Veterans Health Administration Processes … October 10, 2012
Evaluation of Registered Nurse Competency Processes in Veterans Health
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psnet.ahrq.gov/node/46226/psn-pdf
October 29, 2017 - Eliciting the functional processes of apologizing for
errors in health care: developing an explanatory … Eliciting the Functional Processes of Apologizing for Errors in Health Care:
Developing an Explanatory … https://psnet.ahrq.gov/issue/eliciting-functional-processes-apologizing-errors-health-care-developing … https://psnet.ahrq.gov/issue/eliciting-functional-processes-apologizing-errors-health-care-developing-explanatory-model … https://psnet.ahrq.gov/issue/eliciting-functional-processes-apologizing-errors-health-care-developing-explanatory-model
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psnet.ahrq.gov/node/38779/psn-pdf
July 15, 2009 - Prospective risk analysis of health care processes: a
systematic evaluation of the use of HFMEA in Dutch … Prospective risk analysis of health care processes:
a systematic evaluation of the use of HFMEA in Dutch … https://psnet.ahrq.gov/issue/prospective-risk-analysis-health-care-processes-systematic-evaluation-use … https://psnet.ahrq.gov/issue/prospective-risk-analysis-health-care-processes-systematic-evaluation-use-hfmea-dutch-health … https://psnet.ahrq.gov/issue/prospective-risk-analysis-health-care-processes-systematic-evaluation-use-hfmea-dutch-health
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psnet.ahrq.gov/node/42862/psn-pdf
January 15, 2014 - VA Health Care: Improvements Needed in Processes
Used to Address Providers' Actions That Contribute … https://psnet.ahrq.gov/issue/va-health-care-improvements-needed-processes-used-address-providers-
actions-contribute … expert interviews from four Veterans Affairs medical centers to identify weaknesses in peer review
processes … https://psnet.ahrq.gov/issue/va-health-care-improvements-needed-processes-used-address-providers-actions-contribute … https://psnet.ahrq.gov/issue/va-health-care-improvements-needed-processes-used-address-providers-actions-contribute