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psnet.ahrq.gov/node/840255/psn-pdf
November 16, 2022 - HFE interventions commonly focus on people, tools,
technology, procedures, and processes. … all work system
elements (including people) can go right or wrong, HFE uses human-centered design 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 … HFE offers an essential path
forward to navigating that complexity to build safe processes and outcomes
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psnet.ahrq.gov/node/841306/psn-pdf
December 14, 2022 - adjust to challenges and changes while maintaining high-quality care.1
For some healthcare delivery processes … As
opposed to Safety-I, Safety-II focuses on understanding why most healthcare delivery processes are … In complex work environments, healthcare professionals adapt
standard processes and create informal … processes that allow flexibility to accomplish desired outcomes. … Work processes are typically studied and created based on
what people imagine work to be like at the
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psnet.ahrq.gov/node/43693/psn-pdf
January 20, 2015 - Effectiveness of facilitated introduction of a standard
operating procedure into routine processes in … Effectiveness of facilitated introduction of a standard operating
procedure into routine processes in … /psnet.ahrq.gov/issue/effectiveness-facilitated-introduction-standard-operating-procedure-routine-
processes … ://psnet.ahrq.gov/issue/effectiveness-facilitated-introduction-standard-operating-procedure-routine-processes … ://psnet.ahrq.gov/issue/effectiveness-facilitated-introduction-standard-operating-procedure-routine-processes
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psnet.ahrq.gov/node/47184/psn-pdf
August 08, 2018 - Delivering on the promise of CLER: a patient safety
rotation that aligns resident education with hospital
processes … Delivering on the Promise of CLER: A Patient Safety Rotation That
Aligns Resident Education With Hospital Processes … psnet.ahrq.gov/issue/delivering-promise-cler-patient-safety-rotation-aligns-resident-education-
hospital-processes … psnet.ahrq.gov/issue/delivering-promise-cler-patient-safety-rotation-aligns-resident-education-hospital-processes … psnet.ahrq.gov/issue/delivering-promise-cler-patient-safety-rotation-aligns-resident-education-hospital-processes
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psnet.ahrq.gov/issue/care-deficiencies-and-leaders-inadequate-reviews-patient-who-died-lt-col-luke-weathers-jr-va
April 10, 2024 - This analysis examines a case of communication failure during cardiac telemetry processes that resulted … November 13, 2013
Deficiencies in Inpatient Mental Health Care Coordination and Processes … July 5, 2023
Deficiencies in Quality Management Processes and Delays in the Communication
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psnet.ahrq.gov/issue/decision-making-processes-used-nurses-during-intravenous-drug-preparation-and-administration
June 29, 2022 - Study
Decision-making processes used by nurses during intravenous drug preparation … Decision-making processes used by nurses during intravenous drug preparation and administration. … Decision-making processes used by nurses during intravenous drug preparation and administration.
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psnet.ahrq.gov/issue/eliciting-functional-processes-apologizing-errors-health-care-developing-explanatory-model
February 01, 2023 - Commentary
Eliciting the functional processes of apologizing for errors in health … 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
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psnet.ahrq.gov/node/46647/psn-pdf
January 01, 2020 - How differences between manager and clinician
perceptions of safety culture impact hospital processes … How Differences Between Manager and Clinician Perceptions of
Safety Culture Impact Hospital Processes … found that in hospitals where manager and frontline perceptions of safety culture were more aligned,
processes
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psnet.ahrq.gov/node/34956/psn-pdf
February 28, 2011 - Processes for effective communication in primary care. … Processes for effective communication in primary care. Ann Intern
Med. 2005;142(8):709-714. … https://psnet.ahrq.gov/issue/processes-effective-communication-primary-care
The authors address obstacles … https://psnet.ahrq.gov/issue/processes-effective-communication-primary-care
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psnet.ahrq.gov/node/42281/psn-pdf
May 22, 2013 - The effect of computerized provider order entry systems
on clinical care and work processes in emergency … The effect of computerized provider order entry systems on
clinical care and work processes in emergency … https://psnet.ahrq.gov/issue/effect-computerized-provider-order-entry-systems-clinical-care-and-work-
processes-emergency … https://psnet.ahrq.gov/issue/effect-computerized-provider-order-entry-systems-clinical-care-and-work-processes-emergency … https://psnet.ahrq.gov/issue/effect-computerized-provider-order-entry-systems-clinical-care-and-work-processes-emergency
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psnet.ahrq.gov/issue/effects-physical-environments-medical-wards-medication-communication-processes-affecting
November 17, 2021 - The effects of physical environments in medical wards on medication communication processes … 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
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psnet.ahrq.gov/issue/do-team-processes-really-have-effect-clinical-performance-systematic-literature-review
November 13, 2019 - Review
Do team processes really have an effect on clinical performance? … 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.
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psnet.ahrq.gov/node/37278/psn-pdf
September 27, 2017 - The impact of team processes on psychiatric case
management.
September 27, 2017
Simpson A. … The impact of team processes on psychiatric case management. J Adv Nurs. 2007;60(4):409-
18. … https://psnet.ahrq.gov/issue/impact-team-processes-psychiatric-case-management
This qualitative study … https://psnet.ahrq.gov/issue/impact-team-processes-psychiatric-case-management
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/37987/psn-pdf
May 26, 2011 - Requirements for the design and implementation of
checklists for surgical processes. … Requirements for the design and implementation
of checklists for surgical processes. … https://psnet.ahrq.gov/issue/requirements-design-and-implementation-checklists-surgical-processes
This … https://psnet.ahrq.gov/issue/requirements-design-and-implementation-checklists-surgical-processes
https
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psnet.ahrq.gov/node/39219/psn-pdf
January 13, 2010 - No simple fix for fixation errors: cognitive processes and
their clinical applications. … No simple fix for fixation errors: cognitive processes and their clinical
applications. … https://psnet.ahrq.gov/issue/no-simple-fix-fixation-errors-cognitive-processes-and-their-clinical-applications … https://psnet.ahrq.gov/issue/no-simple-fix-fixation-errors-cognitive-processes-and-their-clinical-applications
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psnet.ahrq.gov/node/42648/psn-pdf
October 09, 2013 - The cost of poor blood specimen quality and errors in
preanalytical processes. … The cost of poor blood specimen quality and errors in preanalytical processes. … https://psnet.ahrq.gov/issue/cost-poor-blood-specimen-quality-and-errors-preanalytical-processes
This … https://psnet.ahrq.gov/issue/cost-poor-blood-specimen-quality-and-errors-preanalytical-processes
https
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psnet.ahrq.gov/node/40802/psn-pdf
January 01, 2012 - Nurses' clinical reasoning: processes and practices of
medication safety. … Nurses' clinical reasoning: processes and practices of medication safety. … https://psnet.ahrq.gov/issue/nurses-clinical-reasoning-processes-and-practices-medication-safety
This … https://psnet.ahrq.gov/issue/nurses-clinical-reasoning-processes-and-practices-medication-safety
https
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psnet.ahrq.gov/issue/care-and-oversight-deficiencies-related-multiple-homicides-louis-johnson-va-medical-center
February 10, 2021 - data analysis, clinical documentation review, patient safety incident reporting , medication security processes … From the Same Author(s)
Deficiencies in Inpatient Mental Health Care Coordination and Processes … February 10, 2021
Evaluation of Registered Nurse Competency Processes in Veterans Health
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psnet.ahrq.gov/node/41654/psn-pdf
September 05, 2012 - Veterans Health Care: Veterans Health Administration
Processes for Responding to Reported Adverse Events … https://psnet.ahrq.gov/issue/veterans-health-care-veterans-health-administration-processes-responding … https://psnet.ahrq.gov/issue/veterans-health-care-veterans-health-administration-processes-responding-reported-adverse … https://psnet.ahrq.gov/issue/veterans-health-care-veterans-health-administration-processes-responding-reported-adverse
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psnet.ahrq.gov/node/34959/psn-pdf
June 22, 2009 - Processes for disciplining nurses for unprofessional
conduct of a serious nature: a critique. … Processes for disciplining nurses for unprofessional conduct of a serious
nature: a critique. … https://psnet.ahrq.gov/issue/processes-disciplining-nurses-unprofessional-conduct-serious-nature-critique … https://psnet.ahrq.gov/issue/processes-disciplining-nurses-unprofessional-conduct-serious-nature-critique