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psnet.ahrq.gov/issue/understanding-and-improving-everyday-work-healthcare
May 13, 2020 - Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand
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psnet.ahrq.gov/issue/how-i-minimize-mistransfusion-risk-my-hospital
July 22, 2015 - February 6, 2008
Hand-off Communications.
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psnet.ahrq.gov/issue/origin-and-uses-primum-non-nocere-above-all-do-no-harm
January 09, 2019 - 24, 2010
Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand
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psnet.ahrq.gov/issue/key-cpoe
May 21, 2008 - April 11, 2012
Quantification of the Hawthorne effect in hand hygiene compliance monitoring
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psnet.ahrq.gov/issue/language-games-and-tragedy-bristol-royal-infirmary-disaster-revisited
August 25, 2010 - April 10, 2019
Hand hygiene and healthcare system change within multi-modal promotion
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psnet.ahrq.gov/issue/virtual-ambulatory-cusp-training
June 05, 2024 - Ambulatory Clinic or Office
Quality and Safety Professionals
Discontinuities, Gaps, and Hand-Off
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psnet.ahrq.gov/issue/new-medical-errors-how-protect-yourself
June 09, 2021 - October 13, 2021
Detection of missed fractures of hand and forearm in whole-body CT in
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psnet.ahrq.gov/issue/medical-device-associated-safety-and-risk-surveillance-and-stratagems
March 06, 2005 - 2011
Utilizing improvement science methods to improve physician compliance with proper hand
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psnet.ahrq.gov/perspective/health-care-worker-presenteeism-challenge-patient-safety
November 03, 2015 - August 20, 2018
Interventions to improve hand hygiene compliance in the ICU: a systematic
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psnet.ahrq.gov/web-mm/walking-patient-missing-drain
April 01, 2006 - Health Care Providers
Facility and Group Administrators
Medicine
Discontinuities, Gaps, and Hand-Off
-
psnet.ahrq.gov/web-mm/troubling-amine
September 01, 2003 - September 8, 2010
WebM&M Cases
On the Other Hand
-
psnet.ahrq.gov/web-mm/dangerous-detour
November 28, 2018 - Administrators
Mental Health Care (Psychiatry and Clinical Psychology)
Discontinuities, Gaps, and Hand-Off
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psnet.ahrq.gov/web-mm/transition-nowhere
March 21, 2009 - Care Executives and Administrators
Emergency Medicine
Nephrology
Discontinuities, Gaps, and Hand-Off
-
psnet.ahrq.gov/node/49484/psn-pdf
June 01, 2005 - majority of potential ADEs occur during ordering.(6) In most U.S. hospitals, clinicians write orders by
hand
-
psnet.ahrq.gov/node/33751/psn-pdf
January 01, 2014 - additional payment for preventable complications) did not
accelerate the rate of change.(17) On the other hand
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.368_slideshow.ppt
February 01, 2016 - surgeon sits; binocular lenses create a three-dimensional image; a motion filtration system minimizes hand
-
psnet.ahrq.gov/node/49632/psn-pdf
July 01, 2011 - In addition, the verbal sign-out should
occur in a quiet setting with the written sign-out in hand and
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psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
December 20, 2023 - On the other hand, overdosing insulin can cause severe hypoglycemia , coma, seizures, and even death
-
psnet.ahrq.gov/node/49398/psn-pdf
May 01, 2003 - By contrast, the case at hand and other trauma situations involve
exposure to grossly bloody equipment
-
psnet.ahrq.gov/node/33625/psn-pdf
January 01, 2006 - On one hand, this heterogeneity may impede
information sharing and learning, but it also may result