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psnet.ahrq.gov/Information/Panel
January 01, 2012 - She values her early career experiences in semiconductor processing, technology optimization, business
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psnet.ahrq.gov/web-mm/e-prescribing-e-error
February 03, 2021 - Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies
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psnet.ahrq.gov/node/72589/psn-pdf
December 23, 2020 - Diagnosis is a complex process that relies on cognitive processing by health professionals and the design
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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - ‘ICT-Enabled Time-Critical Clinical Practices: Examining the Affordances of an Information Processing
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psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis
January 06, 2017 - Study
Process of care failures in breast cancer diagnosis.
Citation Text:
Weingart SN, Saadeh MG, Simchowitz B, et al. Process of care failures in breast cancer diagnosis. J Gen Intern Med. 2009;24(6):702-709. doi:10.1007/s11606-009-0982-0.
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psnet.ahrq.gov/issue/requirements-design-and-implementation-checklists-surgical-processes
September 25, 2008 - Review
Requirements for the design and implementation of checklists for surgical processes.
Citation Text:
Verdaasdonk EGG, Stassen LPS, Widhiasmara PP, et al. Requirements for the design and implementation of checklists for surgical processes. Surg Endosc. 2009;23(4):715-26. doi:10.10…
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psnet.ahrq.gov/issue/hospitals-look-improve-informed-consent-process
November 10, 2010 - Newspaper/Magazine Article
Hospitals look to improve informed consent process.
Citation Text:
Hospitals look to improve informed consent process. O'Reilly KB.
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psnet.ahrq.gov/issue/monitoring-diagnostic-process-inpatient-neurology-service
November 03, 2015 - Study
Monitoring the diagnostic process on an inpatient neurology service.
Citation Text:
Dhand A, Bucelli R, Varadhachary A, et al. Monitoring the Diagnostic Process on an Inpatient Neurology Service. Neurohospitalist. 2017;7(3):132-136. doi:10.1177/1941874416677681.
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psnet.ahrq.gov/issue/people-processes-health-it-and-accurate-patient-identification
April 11, 2018 - Newspaper/Magazine Article
People, processes, health IT and accurate patient identification.
Citation Text:
People, processes, health IT and accurate patient identification. Quick Safety. October 1, 2018;(45):1-2.
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psnet.ahrq.gov/issue/henry-ford-production-system-reduction-surgical-pathology-process-misidentification-defects
July 16, 2013 - Study
The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization.
Citation Text:
Zarbo RJ, Tuthill M, D'Angelo R, et al. The Henry Ford Production System: reduction of surgical pathology in-p…
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psnet.ahrq.gov/node/867359/psn-pdf
December 18, 2024 - in
training on standardized processes for tasks that include identifying expressed breast milk and processing
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psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
January 31, 2024 - in training on standardized processes for tasks that include identifying expressed breast milk and processing
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psnet.ahrq.gov/node/49753/psn-pdf
February 01, 2016 - The bedside cart, consisting of the image processing equipment and light source, which is
transmitted
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psnet.ahrq.gov/node/49723/psn-pdf
January 01, 2015 - These methods have been
applied in other high-risk domains (e.g., aviation, processing plant operations
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psnet.ahrq.gov/web-mm/right-patient-wrong-sample
June 01, 2004 - zone in which highest volume instruments and assays are moved close to each other and to the specimen processing
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psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
December 01, 2005 - Information processing and human-machine interaction: an approach to cognitive engineering.
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psnet.ahrq.gov/glossary/failure-mode-and-effect-analysis-fmea
September 13, 2021 - Failure Mode and Effect Analysis (FMEA)
September 13, 2021
Anonymous (not verified)
A common process used to prospectively identify error risk within a particular process. FMEA begins with a complete process mapping that identifies all the steps that must occur for a given process to occur (e.g., programming an…
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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
and patient safety.
April 21, 2010
Halbesleben JRB, Savage GT, Wakefield DS, et al. Rework and workarounds in nurse medication
administration process: implications for work processes and patient safety. Health Care M…
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psnet.ahrq.gov/node/33750/psn-pdf
May 01, 2013 - Is this a place where we're going to have to use natural language
processing with vast medical electronic
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psnet.ahrq.gov/node/33825/psn-pdf
January 01, 2017 - Rethinking Root Cause Analysis
January 1, 2016
Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
Annual Perspective 2016
Introduction
Root cause analysis (RCA) is a systematic process to analyze adverse events and near miss…