-
psnet.ahrq.gov/node/35401/psn-pdf
April 06, 2011 - https://psnet.ahrq.gov/issue/what-constitutes-prescribing-error-paediatrics
The authors used a Delphi technique
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psnet.ahrq.gov/node/39520/psn-pdf
June 10, 2018 - common failures in root cause analysis (RCA) and explains how each undermines the
effectiveness of the technique
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psnet.ahrq.gov/node/42234/psn-pdf
June 03, 2013 - of natural language processing to identify adverse drug events and discusses
the potential for this technique
-
psnet.ahrq.gov/issue/hospitals-bid-heal-selves-saves-thousands
February 26, 2025 - Patient Safety Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique
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psnet.ahrq.gov/node/74236/psn-pdf
January 12, 2022 - can-sbar-be-implemented-high-fidelity-and-does-it-improve-communication-
between-healthcare
Situation, Background, Assessment, Recommendation (SBAR) is a mnemonic technique
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psnet.ahrq.gov/node/33671/psn-pdf
July 01, 2008 - One such
technique is root cause analysis (RCA), commonly used to identify and correct the factors that … Health care organizations were introduced to this accident investigation
technique in the mid-1990s. … Instead of replacing the RCA tool with yet another improvement technique, it's
time we heeded the lesson
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psnet.ahrq.gov/node/39785/psn-pdf
October 13, 2010 - supporting-patient-safety-examining-communication-within-delivery-suite-
teams-through
This study used both ethnographic approaches and a structured observation technique
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psnet.ahrq.gov/node/867634/psn-pdf
February 26, 2025 - using-simulation-augment-root-cause-analysis-patient-safety-incidents-tertiary-
care-womens
Root cause analysis (RCA) is a common investigation technique
-
psnet.ahrq.gov/node/43936/psn-pdf
December 04, 2015 - Practical application of this technique may also
help promote a culture of safety.
-
psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
March 15, 2023 - Indications, Complications, and Risk Factors of Tracheostomy The modern percutaneous tracheostomy technique … thousands of years. 2 Ciaglia and colleagues improved the percutaneous procedure by applying the Seldinger technique … fluctuations in cuff pressures. 19 Hospital staff often have knowledge deficits about proper manometric technique … 12,16 It is appropriate for ICU staff to check cuff pressures at the bedside when needed, but proper technique … Policy and staff education should include airway cuff pressure monitoring technique and protocols.
-
psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg
May 01, 2017 - This "Safe Tract" technique helps avoid tube placement through an overlying loop of bowel.( 13 ) Aspirated … should be removed and reinserted at a slightly different angle, once again utilizing the Safe Tract technique … reverse Trendelenburg position allows gravity to lower any overlying bowel; some clinicians use this technique … With the pull technique, the gastrostomy tube is affixed to the suture and "pulled" back through the … With the push technique, the gastrostomy tube is pushed over the guidewire and held in place in similar
-
psnet.ahrq.gov/node/41554/psn-pdf
January 03, 2017 - to analyze adverse events in the inpatient setting,
the authors advocate for increasing use of this technique
-
psnet.ahrq.gov/node/37258/psn-pdf
March 23, 2011 - -
staff
Rather than using traditional retrospective methods, this study employed an observational technique
-
psnet.ahrq.gov/node/60299/psn-pdf
May 06, 2020 - impact-multidisciplinary-team-huddles-patient-safety-systematic-review-and-
proposed-taxonomy
Huddles are one technique
-
psnet.ahrq.gov/node/41513/psn-pdf
September 26, 2012 - anaesthetic-drug-administration-potential-contributor-healthcare-associated-
infections
Anesthesiologists were observed to violate sterile technique
-
psnet.ahrq.gov/node/38246/psn-pdf
January 02, 2009 - chemotherapy-safety-and-severe-adverse-events-cancer-patients-strategies-efficiently-avoid
https://psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-technique-prevent-chemotherapy-errors
-
psnet.ahrq.gov/node/37689/psn-pdf
April 16, 2008 - resident-uncertainty-clinical-decision-making-and-impact-patient-care-qualitative-study
https://psnet.ahrq.gov/issue/critical-incident-technique
-
psnet.ahrq.gov/node/40009/psn-pdf
November 26, 2014 - measuring-faculty-reflection-adverse-patient-events-development-and-initial-
validation-case
Reflection, or thinking about thinking, is often used as a technique
-
psnet.ahrq.gov/node/35174/psn-pdf
June 23, 2009 - They suggest systems-oriented improvements to both the technique and catheter kit used.
-
psnet.ahrq.gov/node/47538/psn-pdf
January 23, 2019 - qualitative-study-nursing
This interview study used a human factors method, the critical incident technique