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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
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psnet.ahrq.gov/node/42216/psn-pdf
June 28, 2013 - Simulation for ward processes of surgical care.
June 28, 2013
Pucher PH, Darzi A, Aggarwal R. … Simulation for ward processes of surgical care. … https://psnet.ahrq.gov/issue/simulation-ward-processes-surgical-care
This commentary describes one hospital's … https://psnet.ahrq.gov/issue/simulation-ward-processes-surgical-care
https://psnet.ahrq.gov/issue/simulation-exercises-patient-safety-strategy-systematic-review
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psnet.ahrq.gov/node/41444/psn-pdf
June 13, 2012 - Evaluation of Registered Nurse Competency Processes in
Veterans Health Administration Facilities. … https://psnet.ahrq.gov/issue/evaluation-registered-nurse-competency-processes-veterans-health-
administration-facilities … https://psnet.ahrq.gov/issue/evaluation-registered-nurse-competency-processes-veterans-health-administration-facilities … https://psnet.ahrq.gov/issue/evaluation-registered-nurse-competency-processes-veterans-health-administration-facilities
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
December 27, 2021 - How would you help
them incorporate root cause analyses into their quality improvement processes? … The 5 Whys, fishbone diagrams, and fall-out
analyses are processes you can use with your
practices … Include all individuals who are involved in the processes being improved in the 5 Whys
Exercise. … their practices incorporate these processes as a regular part of their
quality improvement work. … The 5 Whys, fishbone diagrams, and fall-out analyses are
processes that PFs and practices can use to
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psnet.ahrq.gov/issue/understanding-informal-aspects-medication-processes-maintain-patient-safety-hospitals
March 06, 2024 - Study
Understanding the informal aspects of medication processes to maintain patient … Understanding the informal aspects of medication processes to maintain patient safety in hospitals: a … Understanding the informal aspects of medication processes to maintain patient safety in hospitals: a
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psnet.ahrq.gov/issue/using-rapid-response-system-provide-better-oversight-patient-care-processes
January 07, 2015 - Commentary
Using the rapid response system to provide better oversight of patient care processes … Using the rapid response system to provide better oversight of patient care processes. … Using the rapid response system to provide better oversight of patient care processes. … July 20, 2022
Deficiencies in Inpatient Mental Health Care Coordination and Processes
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psnet.ahrq.gov/issue/exploring-medication-safety-structures-and-processes-nursing-homes-cross-sectional-study
July 25, 2018 - Study
Exploring medication safety structures and processes in nursing homes: a cross-sectional … Exploring medication safety structures and processes in nursing homes: a cross-sectional study. … Exploring medication safety structures and processes in nursing homes: a cross-sectional study. … July 26, 2023
Psychosocial processes in healthcare workers: how individuals' perceptions
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psnet.ahrq.gov/node/60376/psn-pdf
July 30, 2020 - Processes for supporting team development, which should already be embedded in general
healthcare processes … De-briefings: Processes through which new team members are invited to share their insights after a
care … Checklists: New team members should be empowered to follow processes and challenge any gaps
observed … in those processes, without need to take into account hierarchies and conventions with
which they are … HFE can help realign workflows to increase worker reliability under duress by
designing processes to
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psnet.ahrq.gov/node/39344/psn-pdf
March 03, 2010 - Mistake-proofing healthcare: why stopping processes
may be a good start. … Mistake-proofing healthcare: Why stopping processes may be a good start. … https://psnet.ahrq.gov/issue/mistake-proofing-healthcare-why-stopping-processes-may-be-good-start
This … https://psnet.ahrq.gov/issue/mistake-proofing-healthcare-why-stopping-processes-may-be-good-start
https
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psnet.ahrq.gov/node/45314/psn-pdf
September 01, 2018 - The "Seven Pillars" response to patient safety incidents:
effects on medical liability processes and … The "Seven Pillars" Response to Patient Safety Incidents:
Effects on Medical Liability Processes and … ://psnet.ahrq.gov/issue/seven-pillars-response-patient-safety-incidents-effects-medical-liability-
processes-and … https://psnet.ahrq.gov/issue/seven-pillars-response-patient-safety-incidents-effects-medical-liability-processes-and … https://psnet.ahrq.gov/issue/seven-pillars-response-patient-safety-incidents-effects-medical-liability-processes-and
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psnet.ahrq.gov/issue/psychological-safety-during-test-new-work-processes-emergency-department
September 08, 2021 - Study
Psychological safety during the test of new work processes in an emergency … Psychological safety during the test of new work processes in an emergency department. … Psychological safety during the test of new work processes in an emergency department.
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psnet.ahrq.gov/issue/implementing-human-factors-approach-rca2-tools-processes-and-strategies
July 21, 2021 - Study
Implementing a human factors approach to RCA(2) : tools, processes and strategies … Implementing a human factors approach to RCA(2) : tools, processes and strategies. … Implementing a human factors approach to RCA(2) : tools, processes and strategies.
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psnet.ahrq.gov/issue/nurses-perceptions-open-disclosure-processes-cancer-care-cross-sectional-study
December 01, 2019 - Study
Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional … Nurses’ perceptions of open disclosure processes in cancer care: a cross-sectional study. … Nurses’ perceptions of open disclosure processes in cancer care: a cross-sectional study.
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psnet.ahrq.gov/issue/act-performance-exploring-residents-decision-making-processes-seek-help
October 13, 2021 - Study
An act of performance: exploring residents' decision-making processes to seek … An act of performance: exploring residents’ decision‐making processes to seek help. … An act of performance: exploring residents’ decision‐making processes to seek help.
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www.ahrq.gov/sites/default/files/2024-11/blumenthal-report.pdf
January 01, 2024 - : To determine if reports by emergency department (ED) personnel about failures
in clinical safety processes … METHODS
We measured the perceptions of staff about potentially unsafe processes and the actual
occurrence … Interviews followed a
structured protocol that covered 1) specific clinical processes that interviewees … – that is, processes that are important to the care of all ED
patients, regardless of diagnosis (e.g … and on which to focus our chart review to validate reports of failing processes.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-suppl-items.doc
June 02, 2025 - Your Medical Office’s Processes Around Diagnosis
SECTION A: Time Availability
How much do you agree … needs clarification
(1
(2
(3
(4
(5
(9
The following items ask about your medical office’s processes … The processes start when a patient seeks care for a health problem, and include:
Gathering, integrating
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www.ahrq.gov/patient-safety/settings/labor-delivery/index.html
July 01, 2023 - The second bundle provides resources that align the toolkit’s adaptive care processes with the clinical … care processes recommended in the Alliance for Innovation on Maternal Health (AIM) program .
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4f_pdi08-postophemorrhage-bestpractices.pdf
May 16, 2016 - Best Processes/Systems of Care
Introduction: Essential First Steps
• Engage key preoperative/perioperative … This tool will
provide the data to track patient characteristics, processes, and outcomes for continuous … • Evaluate effectiveness of new processes, determine gaps, modify processes as needed, and
reimplement … and secondary
post-tonsillectomy hemorrhage at least annually).8
Additional Resources
Systems/Processes … Best Processes/Systems of Care
Introduction: Essential First Steps
Recommended Practice: Risk Factor