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psnet.ahrq.gov/issue/surgical-mistakes-persist-bay-state-still-tiny-fraction-total-procedures
September 10, 2014 - May 18, 2016
Why hospitals want patients to ask doctors, 'Have you washed your hands? … May 16, 2007
Hospitals combat errors at the 'hand-off.' … to Retained Surgical Items: The RSI Bundle
May 29, 2024
Your Safety in our Hands
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psnet.ahrq.gov/node/40020/psn-pdf
September 20, 2011 - Case 34-2010: a 65-year-old woman with an incorrect
operation on the left hand. … Massachusetts General Hospital: Case 34-2010: a
65-year-old woman with an incorrect operation on the left hand … https://psnet.ahrq.gov/issue/case-34-2010-65-year-old-woman-incorrect-operation-left-hand
The Case Records … https://psnet.ahrq.gov/issue/case-34-2010-65-year-old-woman-incorrect-operation-left-hand
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/41527/psn-pdf
July 18, 2012 - Improving Transitions of Care: Hand-off Communications. … https://psnet.ahrq.gov/issue/improving-transitions-care-hand-communications
This tool describes factors … https://psnet.ahrq.gov/issue/improving-transitions-care-hand-communications
https://psnet.ahrq.gov/primer
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psnet.ahrq.gov/node/849137/psn-pdf
May 17, 2023 - organization’s work to improve core safety activities related to medication safety, falls, infections, and hand … trends-adverse-event-rates-hospitalized-patients-2010-2019
https://psnet.ahrq.gov/issue/interventions-improve-hand-hygiene-compliance-patient-care … https://psnet.ahrq.gov/issue/interventions-improve-hand-hygiene-compliance-patient-care
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psnet.ahrq.gov/node/46361/psn-pdf
May 23, 2018 - Inadequate hand-off communication.
May 23, 2018
Inadequate hand-off communication. … https://psnet.ahrq.gov/issue/inadequate-hand-communication
The Joint Commission publishes sentinel event … https://psnet.ahrq.gov/issue/inadequate-hand-communication
https://psnet.ahrq.gov/issue/joint-commission-center-transforming-healthcare
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.320_slideshow.ppt
January 01, 2020 - medical history presented to a new primary care physician complaining of 2 years of progressive bilateral hand … , the primary care doctor documented 4/5 weakness in all extremities and a loss of sensation in his hands … patient was diagnosed with a peripheral neuropathy (a loss of sensation that typically begins in the hands
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psnet.ahrq.gov/issue/effect-workload-infection-risk-critically-ill-patients
March 02, 2011 - RIS
Download Citation
Related Resources From the Same Author(s)
Hand … June 17, 2014
WHO research agenda on the role of the institutional safety climate for hand … January 27, 2021
Implementation of hand hygiene in health-care facilities: results from … the WHO Hand Hygiene Self-Assessment Framework global survey 2019. … March 11, 2015
Status of the implementation of the World Health Organization multimodal hand
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psnet.ahrq.gov/node/39982/psn-pdf
January 17, 2012 - Hand-off Communications.
January 17, 2012
DeRosier JM, Stalhandske E, Bagian JP, et al. … https://psnet.ahrq.gov/issue/hand-communications
The Joint Commission Center for Transforming Healthcare … https://psnet.ahrq.gov/issue/hand-communications
https://psnet.ahrq.gov/issue/joint-commission-center-transforming-healthcare
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psnet.ahrq.gov/node/33656/psn-pdf
September 01, 2007 - For example, the idea of washing hands, it's not something we think about at
all, until I realized that … 10,000 people in more than a dozen countries mainly because health care
workers weren't washing their hands … And that's when I realized that there was something interesting in our
failure to wash hands.
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psnet.ahrq.gov/node/42171/psn-pdf
April 17, 2013 - most frequently identified problems included ineffective communication, inadequate training, and poor hand … perceptions-risk-patient-safety-pediatric-icu-study-american-pediatric-intensivists
https://psnet.ahrq.gov/issue/hand-hygiene-healthcare-settings … https://psnet.ahrq.gov/issue/hand-hygiene-healthcare-settings
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psnet.ahrq.gov/issue/nurses-perception-shift-handovers-europe-results-european-nurses-early-exit-study
September 24, 2016 - commentary in epidemiological studies: identifying what contributes to successful interventions to promote hand … September 9, 2020
The problem with 'My Five Moments for Hand Hygiene'. … qualitative study of senior hospital managers' views on current and innovative strategies to improve hand … December 3, 2014
Interventions to improve hand hygiene compliance in patient care. … Nurses
Nurse Managers
Organizational Behaviorists
Nurse Care
Discontinuities, Gaps, and Hand-Off
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psnet.ahrq.gov/issue/prevalence-nature-severity-and-risk-factors-prescribing-errors-hospital-inpatients
October 22, 2014 - June 21, 2016
Patient safety and the problem of many hands.
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psnet.ahrq.gov/issue/high-profile-investigations-hospital-safety-problems-england-did-not-prompt-patients-switch
July 11, 2012 - September 4, 2013
With money at risk, hospitals push staff to wash hands.
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psnet.ahrq.gov/issue/using-failure-mode-and-effect-analysis-identify-potential-failures-psychiatric-hospital
June 22, 2017 - Tell me how pleased you are with your workplace, and I will tell you how often you wash your hands
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psnet.ahrq.gov/issue/estimating-deaths-due-medical-error-ongoing-controversy-and-why-it-matters
December 30, 2014 - June 8, 2011
Do physicians clean their hands?
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psnet.ahrq.gov/issue/how-not-waste-crisis-qualitative-study-problem-definition-and-its-consequences-three
April 21, 2015 - October 10, 2018
Do physicians clean their hands?
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psnet.ahrq.gov/issue/association-between-prolonged-stay-emergency-department-and-adverse-events-older-patients
March 13, 2015 - June 1, 2011
Do physicians clean their hands?
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psnet.ahrq.gov/node/43968/psn-pdf
April 24, 2015 - Illustrating how mental models can hinder efforts to improve hand hygiene in
health care, this commentary … team-mental-models-and-their-potential-improve-teamwork-and-safety-review-and-implications
https://psnet.ahrq.gov/issue/hand-hygiene-healthcare-settings … https://psnet.ahrq.gov/issue/strategies-prevent-healthcare-associated-infections-through-hand-hygiene
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psnet.ahrq.gov/node/43114/psn-pdf
April 09, 2014 - Engaging patients in health care–acquired infection (HAI) prevention, such as asking providers about hand … primer/health-care-associated-infections
https://psnet.ahrq.gov/issue/engaging-patient-observer-promote-hand-hygiene-compliance-ambulatory-care … https://psnet.ahrq.gov/issue/engaging-patient-observer-promote-hand-hygiene-compliance-ambulatory-care
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psnet.ahrq.gov/issue/banning-handshake-health-care-setting
January 12, 2022 - Hand hygiene is an important practice that prevents transmission of health care–associated infections … November 16, 2015
Impact of a hospital-wide hand hygiene initiative on healthcare-associated … qualitative study of senior hospital managers' views on current and innovative strategies to improve hand … theoretical framework for behavior change to hospital workers' real-time explanations for noncompliance with hand