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2221. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47325/psn-pdf
      January 01, 2020 - What can apologies in the electronic health record tell us about health care quality, processes, and safety? August 29, 2018 Matulis JC, North F. What Can Apologies in the Electronic Health Record Tell Us About Health Care Quality, Processes, and Safety? J Patient Saf. 2020;16(3):e187-e193. doi:10.1097/pts.00000000…

2222. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861763/psn-pdf
      January 31, 2024 - The process and perspective of serious incident investigations in adult community mental health services: integrative review and synthesis. January 31, 2024 Haylor H, Sparkes T, Armitage G, et al. The process and perspective of serious incident investigations in adult community mental health services: integrative …

2223. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/864851/psn-pdf
      March 20, 2024 - The Joint Commission's ongoing professional practice evaluation process: costly, ineffective, and potentially harmful to safety culture. March 20, 2024 Donnelly LF, Podberesky DJ, Towbin AJ, et al. The Joint Commission's ongoing professional practice evaluation process: costly, ineffective, and potentially harmful…

2224. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47721/psn-pdf
      April 24, 2019 - Effects of chemotherapy prescription clinical decision- support systems on the chemotherapy process: a systematic review. April 24, 2019 Rahimi R, Moghaddasi H, Rafsanjani KA, et al. Effects of chemotherapy prescription clinical decision- support systems on the chemotherapy process: A systematic review. Int J Med …

2225. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866853/psn-pdf
      October 02, 2024 - Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. October 2, 2024 Cox C, Hatfield T, Fritz Z. Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. BMJ Qual Saf. 2024;33(12):769-779. doi:10.1136/bmjqs-202…

2226. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836778/psn-pdf
      March 23, 2022 - Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. March 23, 2022 Irons MW, Auta A, Portlock JC, et al. Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. Home Health Care Serv Q. 2022;41(2):91-123. doi:10.1080/01…

2227. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60317/psn-pdf
      May 13, 2020 - The nurse's experience of decision-making processes in missed nursing care: a qualitative study. May 13, 2020 Abdelhadi N, Drach?Zahavy A, Srulovici E. The nurse’s experience of decision?making processes in missed nursing care: a qualitative study. J Adv Nurs. 2020;76(8):2161-2170. doi:10.1111/jan.14387. https://p…

2228. AHRQ Grant Final Progress Report: Improving Patient Safety Through Provider Communication Strategy Enhancements (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/daugherty-report.pdf
      January 01, 2024 - fatigue, distractions, and interruptions; poor interpersonal communications; imperfect information processing

2229. Evidence in Use of Clinical Reasoning Checklists for Diagnostic Error Reduction (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-error-reduction.pdf
      September 04, 2020 - Evidence in Use of Clinical Reasoning Checklists for Diagnostic Error Reduction PATIENT SAFETY e Issue Brief 3 Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction e Issue Brief Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Prepared for: …

2230. The Future of Pediatric Diagnostic Safety Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-5.html
      August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions The Future of Pediatric Diagnostic Safety Research Previous Page Next Page Table of Contents Pediatric Diagnostic Safety: State of the Science and Future Directions Introduction Challenges in Approaching Diagnostic Safety Un…

2231. PowerPoint Presentation (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/krishnan_ahrq-mcda-presentation.pdf
      August 27, 2012 - PowerPoint Presentation Use of Analytic Hierarchy Process to elicit stakeholder preferences for prioritizing research August 27, 2012 Jerry A. Krishnan, MD, PhD (jakris@uic.edu) Professor of Medicine and Public Health Associate Vice President for Population Health Sciences on behalf of the CONCERT …

2232. Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Materials Management and Production Processes Group Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/Materials%20Management%20and%20Production%20Processes%20Group%20Report.pdf
      June 16, 2021 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Materials Management and Production Processes Group Report 1 Industrial Systems Engineering and Health Care Materials Management and Production Processes Breakout Group —Session Summary Eugene S. Schneller, Ph.D. (c…

2233. Health IT Hazard Manager Beta-Test Appendix F: “Other (specify)” Entries (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/AppendixF_HIT_Hazard_Manager_Beta_Test.pdf
      June 16, 2021 - Health IT Hazard Manager Beta-Test Appendix F: “Other (specify)” Entries Appendix F – “Other (specify)” Entries Several questions in the beta Hazard Manager Discovery¸ Causation, Impact, Corrective Action, and Vetting and Resolution tabs permitted participants to select “Other” and write their response in a …

2234. Reducing Waste and Inefficiency in Health Care Through Lean Process Redesign: Literature Review | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/leanprocess/leanprocess.html
      May 01, 2018 - Reducing Waste and Inefficiency in Health Care Through Lean Process Redesign: Literature Review Executive Summary Our Nation's health service delivery systems face growing challenges to enhance quality while reducing costs. Lean/Toyota Production Systems (TPS) is a process redesign strategy develo…

2235. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spread.pptx
      April 15, 2012 - PowerPoint Presentation 1 Define spread and its role within an organization Examine external and internal factors that affect spread Present the components of a spread plan Discuss myths and barriers to spread Learning Objectives 2 “Spreading takes the process from the narrow, segmented population(s) or…

2236. Module 6: Sustainability: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-facguide.html
      March 01, 2017 - Module 6: Sustainability: Facilitator Notes AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Slide 1: Module 6: Sustainability Say: The Sustainability module of this toolkit helps an organization maintain and sustain a process that has worked well. Slide 2: Objectives Say: In this module we wi…

2237. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
      August 21, 2015 - PowerPoint Presentation Communication and Optimal Resolution (CANDOR) Toolkit Module 5: Response and Disclosure Communication In Module 5 of the CANDOR Toolkit, we will discuss the Response and Disclosure component of the CANDOR process. 1 Objectives Define the Response and Disclosure component of the CANDOR Proc…

2238. PowerPoint Presentation (ppt file)
      digital.ahrq.gov/sites/default/files/docs/page/Crandall.ppt
      September 01, 2005 - PowerPoint Presentation Effective IT Implementation in Health Care Patient Safety and National Resource Center Annual Conference June 2005 Donald Crandall, MD, FACS Trinity Health – Our Communities Sixth largest tax-exempt health system in the United States Operating revenues of $5.3 billion 44,000…

2239. Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. | PSNet
      psnet.ahrq.gov/issue/use-prospective-risk-analysis-method-improve-safety-cancer-chemotherapy-process
      May 29, 2019 - Study Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. Citation Text: 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…

2240. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilapi.html
      April 01, 2018 - Guide for Developing a Community-Based Patient Safety Advisory Council Appendix I. Process Objectives, Measurements, and Evaluation Strategies The tables below provide examples of objectives that can be adapted for a patient advisory council and ways to measure its success. A. Create a Patient Advisory Coun…