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psnet.ahrq.gov/periodic-issue/periodic-issue-319
November 30, 2021 - residents to fail are often made in the moment and are influenced by the patient, supervisor, trainee, and environmental
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psnet.ahrq.gov/periodic-issue/periodic-issue-332
March 31, 2022 - incidents, but there were multiple contributing factors including communication, competency and education, environmental
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psnet.ahrq.gov/periodic-issue/periodic-issue-338
April 27, 2022 - Organizational, environmental, and work-related factors can contribute to performance variations and
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psnet.ahrq.gov/periodic-issue/periodic-issue-403
August 30, 2023 - satisfactory response from the emergency medical system, competence of EMS personnel, the setting of care/environmental
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psnet.ahrq.gov/periodic-issue/periodic-issue-422
January 04, 2024 - of anesthesiology at Yale School of Medicine and is the director of the Yale Program on Healthcare Environmental
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psnet.ahrq.gov/Information/Editor
December 01, 2015 - He is director of faculty development and leads his department’s sustainability and environmental stewardship
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psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
January 01, 2016 - As problems often relate to resident management issues as well as environmental issues, diverse team
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psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
June 01, 2007 - spinal manipulative therapy
Artificial insemination with the wrong donor sperm or wrong egg
Environmental
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psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
March 29, 2023 - medical hospitals and behavioral health care organizations. 3,4 Elements of these programs include environmental … high risk for suicide within the hospital include: video observation, 1:1 observation, minimization of environmental … very useful information for a clinician regarding a patient’s social resources, coping skills, and environmental
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psnet.ahrq.gov/periodic-issue/periodic-issue-337
April 27, 2022 - The researchers classified 8.5% of recommendations as ‘strong’ (i.e., environmental modifications, equipment … Included studies cited several causes (e.g., environmental factors, staffing levels and skill mix) as
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psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
September 07, 2019 - and even more so in times of crisis when cognitive and emotional overload are exacerbated by critical environmental … used for equipment locations; reminders about hand hygiene, personal protective equipment use, and environmental
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psnet.ahrq.gov/web-mm/missing-suction-tip
January 01, 2006 - Patient and environmental safety. In: Meeker M, Rothrock J, eds. … Interrupted
September 1, 2004
WebM&M Cases
Environmental
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psnet.ahrq.gov/node/836876/psn-pdf
May 16, 2022 - The unpredictability of the scene, environmental issues like lighting (or lack thereof), and the
need
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psnet.ahrq.gov/periodic-issue/periodic-issue-376
February 01, 2023 - The commentary discusses environmental factors that contribute to postoperative infections and approaches … to mitigating environmental infectious disease hazards in perioperative spaces.
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psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
June 24, 2010 - hygiene, contact precautions for patients with MRSA, active surveillance cultures, education, effective environmental … Institute Experience
May 1, 2005
WebM&M Cases
Environmental
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psnet.ahrq.gov/psnet-collection/perspectives
January 04, 2024 - of anesthesiology at Yale School of Medicine and is the director of the Yale Program on Healthcare Environmental … of anesthesiology at Yale School of Medicine and is the director of the Yale Program on Healthcare Environmental
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psnet.ahrq.gov/node/33561/psn-pdf
September 07, 2019 - resulting from failure to follow up or communicate laboratory,
pathology, or radiology test results
Environmental
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psnet.ahrq.gov/node/49600/psn-pdf
April 01, 2010 - psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
environmental … Finally, if communication or environmental issues were implicated, these should be addressed.
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psnet.ahrq.gov/periodic-issue/periodic-issue-378
February 01, 2023 - The commentary discusses environmental factors that contribute to postoperative infections and approaches … to mitigating environmental infectious disease hazards in perioperative spaces.
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psnet.ahrq.gov/node/33643/psn-pdf
December 01, 2006 - That is an environmental link. … And to the extent that we start to acknowledge that there
are environmental issues that we can understand