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psnet.ahrq.gov/issue/building-culture-patient-safety-through-simulation-interprofessional-learning-model
August 21, 2019 - Embracing errors in simulation-based training: the effect of error training on retention and transfer of central … venous catheter skills.
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psnet.ahrq.gov/issue/healthcare-quality-and-safety-workforce-report-new-imperatives-quality-and-safety-mean-new
May 06, 2015 - Safety and Quality
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Safety Risk of Air Embolus Associated with Central … Venous Catheters Used for Haemodialysis Treatment.
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psnet.ahrq.gov/issue/design-everyday-things
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October 10, 2017 - At that time, he still had a central venous catheter in place, despite the antibiotic course having been … The patient had no signs or symptoms of infection and his central line was removed without complications … The patient also lacked follow-up with an Infectious Diseases physician and the central venous access … necessary laboratory tests, timely follow-up in the Infectious Diseases clinic would have occurred, and the central … venous catheter would have been removed at completion of therapy.
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July 01, 2012 - The intensive care unit (ICU) physicians decided the patient needed central venous access and requested … Unfamiliar with the central line kit, they struggled but successfully put a triple-lumen catheter in … Sterile technique was breached multiple times as they navigated the central line insertion process in … The physician, who breached sterile technique during the central venous catheter (CVC) insertion, put … Simulation-based mastery learning reduces complications during central venous catheter insertion in a
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psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2013
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psnet.ahrq.gov/issue/patient-hand-initiation-and-evaluation-phone-study-randomized-trial-patient-handoff-methods
December 20, 2023 - Embracing errors in simulation-based training: the effect of error training on retention and transfer of central … venous catheter skills.
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'Matching Michigan': a 2-year stepped interventional programme to minimise central … venous catheter-blood stream infections in intensive care units in England.
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psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-approach
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psnet.ahrq.gov/issue/residency-program-fills-medication-safety-void
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