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psnet.ahrq.gov/node/33641/psn-pdf
November 01, 2006 - Would you have
called this an "expected complication" of the procedure and moved on? … Cognitive and usability engineering methods for the evaluation of clinical
information systems.
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
July 30, 2020 - The Infectious Diseases Society of America continues to recommend NAATs as the diagnostic method of choice … oropharyngeal sampling. 39,40 A recent systematic review and meta-analysis examining specimen collection methods … and typically require either a nasal or saliva specimen. 46 Early studies have suggested that some methods
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psnet.ahrq.gov/curated-library/patient-and-family-engagement-long-term-care
April 10, 2024 - More
Reconceptualizing patient safety beyond harm: insights from a mixed-methods … Study
Reconceptualizing patient safety beyond harm: insights from a mixed-methods
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psnet.ahrq.gov/node/33886/psn-pdf
August 01, 2019 - and functionality; computerized order entry, clinical decision support, and reminders; and proper
methods … Policy and procedure. … Each organization should have a policy/procedure regarding documentation
assistance processes, including … log-in procedures; scope of documentation assistance; requirements
for provider review of information
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psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
January 31, 2024 - We used both qualitative and quantitative methods trying to understand how handoffs and distractions—not … JB : I have to say that most surgeons believe that the quality of the operative procedure itself is a … surprised how, even where you're focused on comparatively high-volume surgeons all doing the same type of procedure … Why not have those applicants send a video representative of the most common types of procedures they … They should also look at the outcome measures for those procedures and those specialties for which that
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psnet.ahrq.gov/issue/challenging-status-quo-focusing-patient-safety-and-joy-work
December 01, 2021 - Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure … providers' attitudes, experiences, and advice
January 22, 2020
We Want to Know-a mixed methods … The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures
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psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
September 07, 2019 - The collective knowledge created through simulations can inform training methods, protocol development … Improved FMEA Methods for Proactive Healthcare Risk Analysis. Springer, Singapore: 2019.
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psnet.ahrq.gov/node/861880/psn-pdf
January 31, 2024 - contextual determinants to high
adherence to structured family-centered rounds: a national multi-site mixed methods … A conceptual
framework informed by scoping and narrative literature review methods.
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psnet.ahrq.gov/node/836839/psn-pdf
March 31, 2022 - reported development of an
observational measure8 to complement the more typical survey-based assessment methods … psychological safety in healthcare teams:
developing an observational measure to complement survey methods
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psnet.ahrq.gov/curated-library/diagnostic-error
March 10, 2025 - This review examines eight research methods used to estimate the incidence of diagnostic error and recommends … This review examines eight research methods used to estimate the incidence of diagnostic error and recommends
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psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication-program-reduce-medical
February 26, 2025 - contextual determinants to high adherence to structured family-centered rounds: a national multi-site mixed methods … A conceptual framework informed by scoping and narrative literature review methods.
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psnet.ahrq.gov/web-mm/medication-mix-bad-worse
March 01, 2018 - released new draft guidance for Best Practices in Developing Proprietary Names for Drug, which includes methods … 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods
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psnet.ahrq.gov/node/49538/psn-pdf
June 01, 2007 - appropriate support of
an IRB, the publication of detailed IRB membership information, a written set of IRB procedures … , and a
specific written set of procedures for prompt reporting of unanticipated problems (or risk to … regulations are sometimes ambiguous, and in part because detailed
descriptions of standard operating procedures … The researcher has the responsibility to then carry
through the methods exactly as prescribed in the
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psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
January 26, 2022 - Specifically, 1-15% of patients either cannot complete imaging procedures due to claustrophobia or they … These two cases highlight the risks of minimal-to-moderate sedation for imaging procedures, especially … Reassessments should be implemented into workflows throughout each procedure to ensure safe and appropriate … Prior to procedures, patients may receive oral and/or IV pre-medications involving multiple doses from … role perceptions during anesthesia crisis management in magnetic-resonance imaging settings: a mixed-methods
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psnet.ahrq.gov/node/845472/psn-pdf
March 15, 2023 - to improve clinical care such as RPM or using augmented reality for remote support during
bedside procedures … At times, patients will want to please
their health care provider, and with the pen and paper method
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psnet.ahrq.gov/node/865419/psn-pdf
March 27, 2024 - educating clinicians about cognitive biases, their potential contribution to diagnostic errors, and
methods … implement conscious consideration of alternative diagnoses, may also
have some efficacy.33,34 These methods … Methods Inf Med. 2019;58(S 02):e43-e57. [Available at]
26. Ackermann K, Baker J, Green M, et al.
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psnet.ahrq.gov/perspective/conversation-james-augustine-md
July 28, 2021 - In the past we tried to use “typical” cases as our method of presenting education to our EMS providers … past year, with our need to social distance, we have developed a lot of distance learning policies and procedures … determine the most appropriate care destination, which may require performing more detailed diagnostic procedures … It is critical that clinical assessments and procedures be performed correctly and safely to reduce the … associated with licensure and continuing education requirements, personnel are taught processes and procedures
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psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
October 19, 2022 - model of defibrillators has been recommended to address these potential problems.( 18 ) A variety of methods … Case & Commentary: Part 3 This incident prompted a major review of code blue procedures, an inventory … resulted from having multiple devices in one institution and from failing to use a thorough checklist procedure … sufficient—as in aviation, staff must be educated as to the crucial need to strictly follow checklist procedures … 7, 2017
A dynamic risk management approach for reducing harm from invasive bedside procedures
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psnet.ahrq.gov/primer/teamwork-training
September 07, 2019 - Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed methods
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psnet.ahrq.gov/node/33569/psn-pdf
September 07, 2019 - sometimes after) discharge to reconcile medications, instruct
patients and caregivers in self-care methods