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www.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-fac-guide.html
February 01, 2017 - Ventilator-Associated Event Surveillance: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Ventilator-Associated Event Surveillance
Say:
This module will focus on ventilator-associated event surveillance and how it can be used in your unit.
Slide 2: Learning Objectiv…
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www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-fac-guide.html
February 01, 2017 - Early Mobility in the Intensive Care Unit: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Early Mobility in the Intensive Care Unit
Say:
In this slide set, we will look at the benefits, safety, feasibility, and sustainability of early mobility. Many hospitals and int…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Early Mobility in the Intensive Care Unit
SAY:
In this slide set, we will look at the benefits, safety, feasibility, and sustainability of early mobility. Many hospitals and intensive care units or IC…
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digital.ahrq.gov/ahrq-funded-projects/fourth-annual-pediatric-telehealth-colloquium/annual-summary/2010
January 01, 2010 - Investigator
Marcin, James
Organization
University of California, Davis
Funding Mechanism
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www.ahrq.gov/hai/tools/mvp/technical-bundles.html
March 01, 2017 - Technical Bundles Module
This module provides evidence-based recommendations, literature reviews, sample protocols, and other resources to help the team address the following topics:
Daily Care Processes
Early Mobility
Low Tidal Volume Ventilation
Overview of the AHRQ Safety Program for Mechanically…
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digital.ahrq.gov/sites/default/files/docs/citation/asthmacarewithhit_081011comp.pdf
July 01, 2011 - Create a mechanism that would enable clinicians to invoke the updated applet from Epic,
the commercially … Developing the model for this invocation mechanism
was not a trivial task. … The team had to conceive of an invocation mechanism that would be
intuitively meaningful and natural … In fact, more
than half of the modifications were tied to the mechanism for maintaining the underlying … The Health IT Asthma Project did succeed at
establishing a mechanism through which clinicians could
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psnet.ahrq.gov/node/866817/psn-pdf
January 01, 2025 - Longitudinal study of the manifestations and mechanisms
of technology-related prescribing errors in pediatrics.
September 25, 2024
Raban MZ, Fitzpatrick E, Merchant A, et al. Longitudinal study of the manifestations and mechanisms of
technology-related prescribing errors in pediatrics. J Am Med Inform Assoc. 2025;3…
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psnet.ahrq.gov/node/867087/psn-pdf
January 01, 2025 - The impact of surgical complications on obstetricians'
and gynecologists' wellbeing and coping mechanisms as
second victims.
November 6, 2024
Collings R, Potter C, Gebski V, et al. The impact of surgical complications on obstetricians’ and
gynecologists’ well-being and coping mechanisms as second victims. Am J Obs…
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psnet.ahrq.gov/node/855433/psn-pdf
November 15, 2023 - Room for resilience: a qualitative study about
accountability mechanisms in the relation between work-
as-done (WAD) and work-as-imagined (WAI) in hospitals.
November 15, 2023
Weenink J-W, Tresfon J, van de Voort I, et al. Room for resilience: a qualitative study about accountability
mechanisms in the relation bet…
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psnet.ahrq.gov/node/838312/psn-pdf
October 12, 2022 - Causes of adverse events in home mechanical
ventilation: a nursing perspective.
October 12, 2022
Lipprandt M, Liedtke W, Langanke M, et al. Causes of adverse events in home mechanical ventilation: a
nursing perspective. BMC Nurs. 2022;21(1):264. doi:10.1186/s12912-022-01038-2.
https://psnet.ahrq.gov/issue/causes-a…
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psnet.ahrq.gov/node/867701/psn-pdf
August 01, 2017 - Toolkit To Improve Safety for Mechanically Ventilated
Patients.
August 1, 2017
Agency for Healthcare Research and Quality . Toolkit To Improve Safety for Mechanically Ventilated
Patients. August 2017.
https://psnet.ahrq.gov/issue/toolkit-improve-safety-mechanically-ventilated-patients
Patients requiring mechanica…
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psnet.ahrq.gov/node/840175/psn-pdf
November 16, 2022 - Mechanical Prosthetic Valve Thrombosis with
Thromboembolism.
November 16, 2022
Hedayati N, White RO. Mechanical Prosthetic Valve Thrombosis with Thromboembolism. PSNet [internet].
2022.
https://psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
The Case
A 61-year-old woman presented to …
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psnet.ahrq.gov/node/39409/psn-pdf
March 31, 2010 - Learning mechanisms to limit medication administration
errors.
March 31, 2010
Drach-Zahavy A, Pud D. Learning mechanisms to limit medication administration errors. J Adv Nurs.
2010;66(4). doi:10.1111/j.1365-2648.2010.05294.x.
https://psnet.ahrq.gov/issue/learning-mechanisms-limit-medication-administration-errors
…
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psnet.ahrq.gov/node/35660/psn-pdf
June 25, 2010 - Increased catheter-related bloodstream infection rates
after the introduction of a new mechanical valve
intravenous access port.
June 25, 2010
Maragakis LL, Bradley KL, Song X, et al. Increased catheter-related bloodstream infection rates after the
introduction of a new mechanical valve intravenous access port. In…
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psnet.ahrq.gov/node/43620/psn-pdf
October 29, 2014 - Error in intensive care: psychological repercussions and
defense mechanisms among health professionals.
October 29, 2014
Laurent A, Aubert L, Chahraoui K, et al. Error in intensive care: psychological repercussions and defense
mechanisms among health professionals. Crit Care Med. 2014;42(11):2370-8.
doi:10.1097/CC…
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psnet.ahrq.gov/node/42536/psn-pdf
August 13, 2014 - Levels of reflective thinking and patient safety: an
investigation of the mechanisms that impact on student
learning in a single cohort over a 5 year curriculum.
August 13, 2014
Ambrose LJ, Ker J. Levels of reflective thinking and patient safety: an investigation of the mechanisms that
impact on student learning i…
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psnet.ahrq.gov/node/44507/psn-pdf
July 18, 2016 - Six habits to enhance MET performance under stress: a
discussion paper reviewing team mechanisms for
improved patient outcomes.
July 18, 2016
Fein EC, Mackie B, Chernyak-Hai L, et al. Six habits to enhance MET performance under stress: A
discussion paper reviewing team mechanisms for improved patient outcomes. Aus…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0030_06-19-2008.pdf
January 01, 2008 - Effective Health Care
Topic Number(s): 0090
Document Completion Date: 6-29-09
1
Results of Topic Selection Process & Next Steps
Mechanical thrombectomy devices in acute coronary syndromes will go forward for refinement as a
comparative effectiveness or effectiveness review. The scope of thi…
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psnet.ahrq.gov/node/38767/psn-pdf
April 18, 2011 - Failed spinal anaesthesia: mechanisms, management,
and prevention.
April 18, 2011
Fettes PDW, Jansson J-R, Wildsmith JAW. Failed spinal anaesthesia: mechanisms, management, and
prevention. Br J Anaesth. 2009;102(6):739-48. doi:10.1093/bja/aep096.
https://psnet.ahrq.gov/issue/failed-spinal-anaesthesia-mechanisms-ma…
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psnet.ahrq.gov/node/42342/psn-pdf
December 31, 2014 - The safety of electronic prescribing: manifestations,
mechanisms, and rates of system-related errors
associated with two commercial systems in hospitals.
December 31, 2014
Westbrook JI, Baysari M, Li L, et al. The safety of electronic prescribing: manifestations, mechanisms, and
rates of system-related errors asso…