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psnet.ahrq.gov/issue/systematic-video-game-training-surgical-novices-improves-performance-virtual-reality
January 18, 2011 - September 30, 2011
Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism
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psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysis-deaths-surgical-care
June 23, 2009 - testing of the Coordination Process Error Reporting Tool (CPERT), a prospective clinical surveillance mechanism
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psnet.ahrq.gov/issue/incident-reporting-behaviours-following-francis-report-cross-sectional-survey
October 12, 2016 - February 1, 2017
Healthcare professional and patient codesign and validation of a mechanism
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psnet.ahrq.gov/issue/internal-reporting-system-improve-pharmacys-medication-distribution-process
October 31, 2017 - testing of the Coordination Process Error Reporting Tool (CPERT), a prospective clinical surveillance mechanism
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psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-patient-room
October 12, 2009 - Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism
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psnet.ahrq.gov/issue/hospital-financial-condition-and-quality-patient-care
January 14, 2011 - April 12, 2019
Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism
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psnet.ahrq.gov/issue/incivility-and-clinical-performance-teamwork-and-emotions-randomized-controlled-trial
May 22, 2013 - August 30, 2023
Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism
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psnet.ahrq.gov/issue/comparison-and-interpretation-urinalysis-performed-nephrologist-versus-hospital-based
March 14, 2016 - January 12, 2022
Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism
-
psnet.ahrq.gov/issue/facilitators-and-barriers-implementation-surgical-safety-checklist-ssc-integrative-review
September 07, 2016 - July 22, 2015
Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism
-
psnet.ahrq.gov/issue/methodological-variability-detecting-prescribing-errors-and-consequences-evaluation
March 05, 2010 - December 5, 2018
Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism
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psnet.ahrq.gov/issue/resource-based-view-safety-cultures-influence-hospital-performance-moderating-role-electronic
November 17, 2021 - August 10, 2022
Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism
-
psnet.ahrq.gov/issue/results-and-lessons-hospital-wide-initiative-incentivised-delivery-system-reform-improve
March 02, 2022 - March 10, 2021
Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism
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psnet.ahrq.gov/issue/patients-conceptualizations-responsibility-healthcare-typology-understanding-differing
January 08, 2020 - October 9, 2019
Healthcare professional and patient codesign and validation of a mechanism
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psnet.ahrq.gov/issue/accuracy-and-safety-medication-histories-obtained-time-intensive-care-unit-admission
October 20, 2021 - Study
Accuracy and safety of medication histories obtained at the time of intensive care unit admission of delirious or mechanically ventilated patients.
Citation Text:
Cicci CD, Fudzie SS, Campbell-Bright S, et al. Accuracy and safety of medication histories obtained at the time of inte…
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psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_delayed_symptomatic_subdural_hematoma_slides.pptx
January 01, 2024 - episodes of vomiting;
Age 65 years or older;
Amnesia for 30 minutes or more before impact;
Dangerous mechanism … had, the ED team would likely have interpreted sledding head-first into a tree without a helmet as a mechanism … blunt head trauma (with or without neurologic abnormalities at presentation) does not consider the mechanism
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_stable_airway_slides_final.pptx
January 01, 2024 - Spotlight
Spotlight
A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care
1
Source and Credits
This presentation is based on the May 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Elizabeth Gould, NP-C, COR…
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psnet.ahrq.gov/issue/iatrogenic-illness-general-medical-service-university-hospital
August 17, 2017 - May 12, 2021
Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism
-
psnet.ahrq.gov/issue/when-order-sets-do-not-align-clinician-workflow-assessing-practice-patterns-electronic-health
March 24, 2019 - April 17, 2024
Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism
-
psnet.ahrq.gov/issue/association-note-quality-and-quality-care-cross-sectional-study
June 05, 2018 - January 23, 2017
Healthcare professional and patient codesign and validation of a mechanism
-
psnet.ahrq.gov/issue/medication-related-problems-critical-care-survivors-systematic-review
August 20, 2018 - Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism