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psnet.ahrq.gov/node/861738/psn-pdf
January 31, 2024 - The absence of a foreign body was documented in the
procedure note but not whether the tendon was visualized … Clinical Procedures in Emergency Medicine. 7th ed. Saunders Elsevier;
2019:956-979.
9. … Flexor tendon repair: recent changes and current methods. J
Hand Surg (Eur Vol). 2021;47(1):31-39.
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psnet.ahrq.gov/sites/default/files/2024-01/spotlight_case_laceration_needed_exam_not_x-ray_final.pdf
January 01, 2024 - • The absence of a foreign body was documented in the procedure note but not
whether the tendon was … Clinical Procedures in Emergency
Medicine. 7th ed. Saunders Elsevier; 2019:956-979.
9. … Flexor tendon repair: recent changes and current methods.
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psnet.ahrq.gov/perspective/workplace-safety-health-care
January 01, 2017 - For some GYN procedures requiring lithotomy, the nurse must remove the bed end. … After discussion with surgeons performing this procedure we changed the pick process such that only two … Job Safety Analysis of GYN Procedure. … Basic Job Step
Injury Type
Potential Hazards
Recommended Safe Procedures
Attendant cleans … Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience
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psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
September 24, 2024 - While the causes of preventable harms and methods to prevent them continue to be identified and reported … you set a goal that is specific, you can actually measure it, and it's actionable, meaning there is a method
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psnet.ahrq.gov/periodic-issue/periodic-issue-431
March 27, 2024 - This mixed-methods study explored general surgery residents’ perceptions of psychological safety support … The procedure was complicated by the need to extend the lower uterine segment incision bilaterally for
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psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
August 21, 2024 - due to a belief that the physician–patient knows the medical facts of the disease and the treatment procedure … incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods
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psnet.ahrq.gov/node/49857/psn-pdf
March 01, 2019 - associated with the wrong dose (18%), and many were attributed
to poor communication, not following procedure … contributor to
patient harm and a longstanding problem in health care.(13) Several standardized handoff methods
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psnet.ahrq.gov/perspective/conversation-edward-kelley-phd
December 01, 2014 - We've looked at quality and quality information methods, focusing on safety, and then talking about value … will need to be further refined to ensure a clear blending of improvement science and sociological methods
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psnet.ahrq.gov/periodic-issue/periodic-issue-305
August 25, 2021 - Commentary
Application of human factors methods to ensure appropriate infant identification … During the procedure, she was fully monitored with a continuous arterial oxygen saturation probe, heart
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psnet.ahrq.gov/periodic-issue/periodic-issue-315
October 27, 2021 - This article highlights systems influences that detract from the effectiveness of current methods of … During the surgical procedure, the neurosurgeon adjusted the patient’s head, displacing the external
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psnet.ahrq.gov/periodic-issue/periodic-issue-417
November 29, 2023 - Each recommendation includes an illustrative diagram, explains its importance, and offers methods to … rocuronium for endotracheal intubation, and she was given intravenous sugammadex (200 mg) at the end of the procedure
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psnet.ahrq.gov/periodic-issue/periodic-issue-429
February 28, 2024 - International Ergonomics Association conference examined applications of human factors core concepts and methods … During the procedure, his expired tidal volume decreased from 560 ml to about 330 ml.
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psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
February 26, 2025 - some cases, including in the presence of hemodynamic instability, when the expertise to perform the procedure … 2024
Clinicians' insights on emergency department boarding: an explanatory mixed methods
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psnet.ahrq.gov/node/49669/psn-pdf
November 01, 2012 - bone marrow leading to
chronic anemia) underwent an uncomplicated coronary artery bypass grafting procedure … All of these methods were equally as effective in reducing either the amount of blood products
transfused
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psnet.ahrq.gov/periodic-issue/periodic-issue-288
April 28, 2021 - and change performance over time, incorporate new clinical evidence, data types, data sources, and methods … Not Enough Verna Gibbs, MD | April 28, 2021
Two separate patients undergoing urogynecologic procedures
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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - – The patient had two procedures during the previous week - an arteriogram
followed by balloon tamponade … • Methods such as continuous oximetry, end-tidal carbon dioxide
(ETCO2) monitoring, and acoustic respiratory
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psnet.ahrq.gov/issue/ahrq-epc-program-grand-rounds-making-healthcare-safer
December 16, 2015 - January 31, 2024
Reconceptualizing patient safety beyond harm: insights from a mixed-methods
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psnet.ahrq.gov/node/49733/psn-pdf
May 01, 2015 - The patient never saw her new physicians and was never scheduled
for the recommended cardiac surgery procedure … She did undergo the
procedure without complications and proceeded to have a healthy child at full term … Current methods of transfer of young people with Type 1 diabetes to
adult services.
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psnet.ahrq.gov/issue/key-cpoe
May 21, 2008 - 2011
Anticoagulation patient safety goal compliance at a university health system: methods
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psnet.ahrq.gov/issue/next-patient-safety
September 11, 2019 - November 4, 2020
Medication safety in mental health hospitals: a mixed-methods analysis