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1841. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37837/psn-pdf
      June 11, 2008 - Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network. June 11, 2008 Hickner J, Graham DG, Elder NC, et al. Testing process errors and their harms and consequences reported from family medicin…

1842. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865483/psn-pdf
      April 03, 2024 - Risks in the analogue and digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods study. April 3, 2024 Kopanz J, Lichtenegger K, Schwarz CM, et al. Risks in the analogue and digitally-supported medication process and potential solutions to increase…

1843. A Process-centered Tool for Evaluating Patient Safety Performance and Guiding Strategic Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Akins.pdf
      January 01, 2003 - A Process-centered Tool for Evaluating Patient Safety Performance and Guiding Strategic Improvement 109 A Process-centered Tool for Evaluating Patient Safety Performance and Guiding Strategic Improvement R. B. Akins Abstract This paper presents a patient safety applicator tool for implementing and assessin…

1844. Case 2. Central Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Case 2. Central Hospital Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital Case 3.…

1845. Wheeled Mobility (Wheelchair) Service Delivery (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/wheelchair-service_disposition-comments.pdf
      January 01, 2012 - What documentation is missing that would enable improved claims processing and review? b. … positioning items intended for individuals with severe disabilities will remain “uncoded” causing claims processing

1846. 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

1847. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37477/psn-pdf
      January 16, 2008 - Enhancing healthcare process design with human factors engineering and reliability science, part 1: setting the context. January 16, 2008 Boston-Fleischhauer C. Enhancing healthcare process design with human factors engineering and reliability science, part 1: setting the context. J Nurs Adm. 2008;38(1):27-32. do…

1848. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47884/psn-pdf
      May 22, 2019 - Implementation and evaluation of a laboratory safety process improvement toolkit. May 22, 2019 Kwan BM, Fernald D, Ferrarone P, et al. Implementation and Evaluation of a Laboratory Safety Process Improvement Toolkit. J Am Board Fam Med. 2019;32(2):136-145. doi:10.3122/jabfm.2019.02.180109. https://psnet.ahrq.gov/i…

1849. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39535/psn-pdf
      May 19, 2010 - Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients. May 19, 2010 Gizzi LA, Slain D, Hare JT, et al. Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients. Am J Geriatr Pharmacother. 2010;8(2):127-35. doi:10.1…

1850. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40043/psn-pdf
      March 03, 2011 - Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. March 3, 2011 McCulloch P, Kreckler S, New S, et al. Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. BMJ. 2010;341:c5469. doi:10.1136/bmj.c5469. https://psne…

1851. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38249/psn-pdf
      November 26, 2008 - Operational rounds: a practical administrative process to improve safety and clinical services in radiology. November 26, 2008 Donnelly LF, Dickerson JM, Lehkamp TW, et al. IRQN award paper: Operational rounds: a practical administrative process to improve safety and clinical services in radiology. J Am Coll Radiol…

1852. Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
      April 07, 2008 - Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures Stanley Davis, MD; William Riley, PhD; Ayse P. Gurses, PhD; Kr…

1853. Identifying Key Areas for Delivery System Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsr2.html
      February 01, 2014 - Identifying Key Areas for Delivery System Research Identifying Key Areas for Delivery System Research Previous Page Next Page Table of Contents Identifying Key Areas for Delivery System Research Executive Summary Identifying Key Areas for Delivery System Research Conclusion References Appe…

1854. 023-Ss-Cusp-Learning-From-Defects-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Learning From Defects Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Learning From Defects SAY: Welcome to this presentation on Learning From Defects as part of an o…

1855. Final Progress Report: Ambulatory Pediatric Patient Safety Learning Lab: Pursuing Safe Healthcare at Home (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/walsh-kirkendall-report.pdf
      January 01, 2025 - Sensory processing differences factor prominently in what oral formulation a child with ASD will tolerate … from clinic about what to do Information may be outdated (patient worsened while the clinic was processing

1856. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41324/psn-pdf
      June 27, 2012 - Towards an understanding of the information dynamics of the handover process in aged care settings—a prerequisite for the safe and effective use of ICT. June 27, 2012 Lyhne S, Georgiou A, Marks A, et al. Towards an understanding of the information dynamics of the handover process in aged care settings--a prerequis…

1857. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38128/psn-pdf
      January 02, 2017 - Developing process-support tools for patient safety: finding the balance between validity and feasibility. January 2, 2017 Marsteller JA, Holzmueller CG, Makary MA, et al. Developing process-support tools for patient safety: finding the balance between validity and feasibility. Jt Comm J Qual Patient Saf. 2008;34(1…

1858. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41227/psn-pdf
      March 21, 2012 - Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. March 21, 2012 Hilmas E, Peoples JD. Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. JPEN J Parenter Enteral Nutr. 2012;36(2 …

1859. Grant Application Peer Review Process | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/process/review/index.html
      April 01, 2015 - Grant Application Peer Review Process Grant applications submitted to AHRQ are evaluated by the AHRQ peer review process to ensure a fair, competent and objective assessment of their scientific and technical merit. Application Receipt and Referral Process Once received, AHRQ grant applications are submitt…

1860. Refugee CDS Module Implementation Checklist (doc file)
      cds.ahrq.gov/sites/default/files/cds/artifact/111/implementation-checklist_1.docx
      November 06, 2020 - Refugee CDS Module Implementation Checklist Refugee Health CDS Implementation Checklist Task Category Task Owner Completed Resource Identity, Owner, or Location Identify Clinical Champion to serve as Implementation Leader People Identify Impacted Clinicians and other End Users People Identif…