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Total Results: 1,930 records

Showing results for "technique".

101. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49662/psn-pdf
     August 01, 2012 - 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 https://psnet.ahrq.gov//#references

102. Rethinking Root Cause Analysis | PSNet
     psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
     August 21, 2016 - Initially developed for use in high-risk industries such as nuclear power and aviation, the technique … Although the technique of RCA seems conceptually sound, over the past decade experts began to question … not assess the impact of corrective actions on outcomes, although it did highlight the value of the technique … He argues that the approach of asking "why" multiple times—a technique drawn from the Toyota Production … Summary In the early days of the patient safety movement, RCA seemed like an essential technique to

103. Hospitals' bid to heal selves saves thousands. | PSNet
     psnet.ahrq.gov/issue/hospitals-bid-heal-selves-saves-thousands
     February 26, 2025 - Patient Safety Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique

104. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849679/psn-pdf
     June 28, 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.

105. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47398/psn-pdf
     December 22, 2018 - simulation-based-clinical-rehearsals-method-improving-patient-safety High-risk industries such as aviation and nuclear power routinely employ rehearsal as a learning technique

106. Psn-Pdf (pdf file)
     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

107. Psn-Pdf (pdf file)
     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

108. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43936/psn-pdf
     December 04, 2015 - Practical application of this technique may also help promote a culture of safety.

109. Psn-Pdf (pdf file)
     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

110. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37258/psn-pdf
     March 23, 2011 - - staff Rather than using traditional retrospective methods, this study employed an observational technique

111. Psn-Pdf (pdf file)
     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

112. Psn-Pdf (pdf file)
     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

113. Psn-Pdf (pdf file)
     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

114. Psn-Pdf (pdf file)
     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

115. Psn-Pdf (pdf file)
     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

116. Psn-Pdf (pdf file)
     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

117. Psn-Pdf (pdf file)
     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

118. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35174/psn-pdf
     June 23, 2009 - They suggest systems-oriented improvements to both the technique and catheter kit used.

119. Wrong Turn through Colon: Misplaced PEG | PSNet
     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

120. Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture | PSNet
     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.