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Showing results for "processes".

61. Strategies to Better Engineer Safety into Healthcare Delivery (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/safety-engineering-strategies.pdf
    March 06, 2025 - Design Processes and Organize Work Areas to Support Safe Practice III. … and redesign outdated processes. … Design Processes and Work Areas to Support Safe Practice Rationale: Organizing processes, supplies, … tools or processes for handoff communication and medication reconciliation. … Design Processes and Work Areas to Support Safe Practice Implementation Support III.

62. Care transition of trauma patients: Processes with articulation work before and after handoff. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/care-transitions-and-teamwork-pediatric-trauma-implications-health-information/citation/care
    January 01, 2023 - Care transition of trauma patients: Processes with articulation work before and after handoff. … Care transition of trauma patients: Processes with articulation work before and after handoff.

63. Defense Health Agency Processes for Responding to Provider Quality and Safety Concerns. | PSNet
    psnet.ahrq.gov/issue/defense-health-agency-processes-responding-provider-quality-and-safety-concerns
    December 09, 2020 - Book/Report Defense Health Agency Processes for Responding to Provider Quality and … Citation Text: Defense Health Agency Processes for Responding to Provider Quality and Safety Concerns … URL Cite Citation Citation Text: Defense Health Agency Processes … December 9, 2020 VA Health Care: Improvements Needed in Processes Used to Address Providers … August 3, 2016 VA Health Care: Improvements Needed in Processes Used to Address Providers

64. Introduction | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology1.html
    April 01, 2025 - Paradigms and Terms for Improvement Efforts Foundational Terminology for Diagnosis Relating to Suboptimal Processes … diagnosis,” terminology and methods differ when defining success and failure in diagnosis and diagnostic processes

65. Navigating infection control processes in a COVID-19 only safety-net hospital at the height of the pandemic. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/evaluating-and-enhancing-health-information-technology-covid-19-response/citation/navigating
    January 01, 2023 - Navigating infection control processes in a COVID-19 only safety-net hospital at the height of the pandemic … Navigating infection control processes in a COVID-19 only safety-net hospital at the height of the pandemic

66. Team cognition in handoffs: Relating system factors, team cognition functions and outcomes in two handoff processes. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/care-transitions-and-teamwork-pediatric-trauma-implications-health-information/citation/team-cognition-handoffs
    January 01, 2023 - cognition in handoffs: Relating system factors, team cognition functions and outcomes in two handoff processes … cognition in handoffs: Relating system factors, team cognition functions and outcomes in two handoff processes

67. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60030/psn-pdf
    March 11, 2020 - The role of safety climate and team processes in reducing adverse events during intrahospital transport … The role of safety climate and team processes in reducing adverse events during intrahospital transport … This study examined the impact of safety climate and team processes on patient safety events occurring … authors analyzed 858 transfers occurring over a 4-week period and assessed safety climate and team processes … controlling for transport-, staff-, and ICU-related variables, the authors found that safety climate, team processes

68. Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments. | PSNet
    psnet.ahrq.gov/issue/cognitive-processes-involved-blame-and-blame-judgments-and-forgiveness-and-forgiveness
    August 23, 2017 - Study Cognitive processes involved in blame and blame-like judgments and in forgiveness … Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like … researchers presented 32 scenarios involving medical error to participants and compared the cognitive processes … Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like

69. Using the AHRQ Pharmacy Survey on Patient Safety Culture (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/motzslides.pdf
    June 02, 2025 - Annual safety training – Remove barriers to safety, e.g. staff intimidation, time-outs – Focus on processes … To improve processes and encourage communication 30 © Aurora Health Care, Inc. … Pilot Study – Selected Results • Surprises – Shows where we have work to do: – Processes for exchanging … Study • Some QI Project Examples: – Accurately identify patients using date of birth – Improve processes … survey • Involve all staff • Emphasize safety culture • Explain importance of taking action on processes

70. Measuring Impact | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/enhanced-recovery/measuring.html
    June 01, 2023 - teams, in conjunction with the review of evidence, to develop a clinical pathway that incorporates the processes … This worksheet includes evidence-based recommendations for processes that teams can adapt to their hospital … Improving Surgical Care and Recovery (ISCR) Pathway Checklist can be used to track compliance with ISCR processes

71. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866311/psn-pdf
    January 01, 2025 - Systematic review of types of safety incidents and the processes and systems used for safety incident … Systematic review of types of safety incidents and the processes and systems used for safety incident … https://psnet.ahrq.gov/issue/systematic-review-types-safety-incidents-and-processes-and-systems-used- … This systematic review of 106 studies examined the characteristics of incident reporting processes in … https://psnet.ahrq.gov/issue/systematic-review-types-safety-incidents-and-processes-and-systems-used-safety-incident

72. Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Baker_107.pdf
    March 30, 2008 - Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to … Electronic Systems Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes … However, implementing CPOE is challenging, particularly for high-risk processes, such as chemotherapy … Parallel processes then take place within these areas. … The processes identified as requiring additional analysis are listed in Table 1.

73. Assessing the Relationship Between Care Processes and Clinical Decision Support for Order Entry | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/assessing-relationship-between-care-processes-and-clinical-decision-support
    January 01, 2023 - Assessing the Relationship Between Care Processes and Clinical Decision Support for Order Entry … Assess the relationships between order set use and care processes. … Assessing the Relationship Between Care Processes and Clinical Decision Support for Order Entry - Final … Assessing the Relationship Between Care Processes and Clinical Decision Support for Order Entry - Final … Principal Investigator: Zhang, Jiajie Project Name: Assessing the Relationship Between Care Processes

74. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74183/psn-pdf
    December 15, 2021 - Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation … Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation … https://psnet.ahrq.gov/issue/identifying-safe-care-processes-when-gps-work-or-alongside-emergency- departments-realist … Thirteen hospitals using this service model were included in this study to explore care processes and … Findings are grouped into three care processes: facilitating appropriate streaming decisions, supporting

75. Case 4. Suntown Hospital | Agency for Healthcare Research and Quality
    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case4.html
    November 01, 2014 - Team members are staff members with knowledge of the target processes and those impacted by the processes … Given the eight separate sub-processes that were discovered, the team decided to split the processes … into two priority areas: (nursing) care processes and environmental processes. … One process owner oversaw the care processes while the second focused on environmental processes. … Step 5: Physically walk the processes.

76. Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hagg_80.pdf
    January 01, 2007 - Define the problem/processes under investigation. 2. … Collect baseline data on current systems and processes. 3. … Identify operational barriers and failure modes in current processes. 4. … • What would you recommend to improve the current processes/procedures/policies? … an area or instance of “waste” within their processes, and apply Lean t to improve the processes.

77. Original Training Modules | Agency for Healthcare Research and Quality
    www.ahrq.gov/takeheart/training/all-modules/index.html
    December 01, 2022 - sought to simultaneously begin to implement or improve their automatic referral and care coordination processes … Systems Change: Understanding Your Workflow Processes to Prepare for System Change This module describes … how to map workflow processes and provides direction on redesigning those processes to accommodate changes … status of current care coordination activities and provides guidance on redesigning care coordination processes

78. Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/savage-report.pdf
    January 01, 2024 - We refer to these improvised and informal changes in work processes as “workarounds.” … Nine percent of the pharmacists said they rarely, if ever, had to alter work processes. … Despite similar medication administration processes, we found the perceived barriers, rework processes … process to develop more reliable processes for care (see also Tucker & Edmondson, 2002). … in the work processes.

79. Care transition of trauma patients: processes with articulation work before and after handoff. | PSNet
    psnet.ahrq.gov/issue/care-transition-trauma-patients-processes-articulation-work-and-after-handoff
    June 22, 2022 - Study Care transition of trauma patients: processes with articulation work before … Care transition of trauma patients: processes with articulation work before and after handoff. … Care transition of trauma patients: processes with articulation work before and after handoff. … cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes … cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes

80. Shojania K et al. 2009 "The effects of on-screen, point of care computer reminders on processes and outcomes of care." | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shojania-k-et-al-2009
    January 01, 2009 - Shojania K et al. 2009 "The effects of on-screen, point of care computer reminders on processes and outcomes … The effects of on-screen, point of care computer reminders on processes and outcomes of care. … Objectives: To evaluate the effects on processes and outcomes of care attributable to on-screen computer … For each study, we calculated the median improvement in adherence to target processes of care and also … Do on-screen computer reminders effectively improve processes or outcomes of care? 2.