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941. Pre-analytical pitfalls: Missing and mislabeled specimens | PSNet
     psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
     April 18, 2018 - Microbiological specimens were collected for culture and first transported to the central laboratory for processing

942. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49527/psn-pdf
     December 01, 2006 - in which highest volume instruments and assays are moved close to each other and to the specimen processing

943. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49388/psn-pdf
     February 01, 2003 - Information processing and human-machine interaction: an approach to cognitive engineering.

944. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33674/psn-pdf
     February 01, 2009 - But we're not very good yet at taking all of these "safety issues," processing them, and prioritizing

945. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49708/psn-pdf
     May 01, 2014 - In one study, Radley and colleagues report that processing a prescription drug order through a computerized

946. Technical Expert Panel | PSNet
     psnet.ahrq.gov/Information/Panel
     January 01, 2012 - She values her early career experiences in semiconductor processing, technology optimization, business

947. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47746/psn-pdf
     July 19, 2019 - Characterising ICU–ward handoffs at three academic medical centres: process and perceptions. July 19, 2019 Santhosh L, Lyons PG, Rojas JC, et al. Characterising ICU-ward handoffs at three academic medical centres: process and perceptions. BMJ Qual Saf. 2019;28(8):627-634. doi:10.1136/bmjqs-2018-008328. https://psn…

948. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60030/psn-pdf
     March 11, 2020 - Soft factors, smooth transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care. March 11, 2020 Latzke M, Schiffinger M, Zellhofer D, et al. Soft Factors, Smooth Transport? The role of safety climate and team processes in reducing adverse ev…

949. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845277/psn-pdf
     March 01, 2023 - Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. March 1, 2023 Liberman AL, Holl JL, Romo E, et al. Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. Acad Emerg Med. 2022;30(3):187-195. doi:10.…

950. Psn-Pdf (pdf file)
     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…

951. Psn-Pdf (pdf file)
     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

952. Psn-Pdf (pdf file)
     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…

953. Psn-Pdf (pdf file)
     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. April 3, 2017 Martinez W, Lehmann LS, Hu Y-Y, et al. Processes for Identifying and Reviewing Adverse Events and Near Misses at an Academic Medical Center. Jt Comm J Qual Patient Saf. 2017;43(1):5-15. doi:10.1016/j…

954. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35497/psn-pdf
     June 30, 2011 - Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. June 30, 2011 Bonnabry P, Cingria L, Ackermann M, et al. Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. Int J Qual Health Care. 2006;18(1):9-16. https://psnet.ahr…

955. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47191/psn-pdf
     December 21, 2018 - Barriers and facilitators to implementing a process to enable parent escalation of care for the deteriorating child in hospital. December 21, 2018 Gill FJ, Leslie GD, Marshall AP. Barriers and facilitators to implementing a process to enable parent escalation of care for the deteriorating child in hospital. Health…

956. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36562/psn-pdf
     January 12, 2011 - Increasing patient safety and efficiency in transfusion therapy using formal process definitions. January 12, 2011 Henneman EA, Avrunin GS, Clarke LA, et al. Increasing patient safety and efficiency in transfusion therapy using formal process definitions. Transfus Med Rev. 2007;21(1):49-57. https://psnet.ahrq.gov/…

957. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45355/psn-pdf
     September 28, 2016 - Getting it right for patient safety: specimen collection process improvement from operating room to pathology. September 28, 2016 D'Angelo R, Mejabi O. Getting It Right for Patient Safety: Specimen Collection Process Improvement From Operating Room to Pathology. Am J Clin Pathol. 2016;146(1):8-17. doi:10.1093/ajcp/…

958. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38659/psn-pdf
     May 27, 2009 - The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization. May 27, 2009 Zarbo RJ, Tuthill M, D'Angelo R, et al. The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by b…

959. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38454/psn-pdf
     January 02, 2017 - Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. January 2, 2017 Nuckols TK, Bell D, Paddock SM, et al. Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. Jt Comm J Qual Patient Saf. 2009;35(3):139-45. https://psn…

960. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38350/psn-pdf
     March 01, 2011 - A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety. March 1, 2011 Rodriguez-Paz JM, Mark L, Herzer KR, et al. A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards…