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Showing results for "technique".

1521. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72834/psn-pdf
      March 10, 2021 - Approach to Improving Patient Safety: Communication March 10, 2021 Schnipper JL, Fitall E, Hall KK, et al. Approach to Improving Patient Safety: Communication . PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication Introduction Each one of the countless necessa…

1522. In Conversation with...Sir Liam Donaldson, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
      May 01, 2007 - Proactive hazard analysis, which has nothing to do with reporting, is another technique that is not really

1523. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47313/psn-pdf
      September 12, 2018 - The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running two rooms" does not compromise outcomes or patient safety in joint arthroplasty. September 12, 2018 Hamilton WG, Ho H, Parks NL, et al. The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running Two Rooms" Does Not Compromise Out…

1524. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39694/psn-pdf
      July 21, 2010 - Checklists and guidelines: imaging techniques for visualizing what to do. July 21, 2010 Davidoff F. Checklists and guidelines: imaging techniques for visualizing what to do. JAMA. 2010;304(2):206-7. doi:10.1001/jama.2010.972. https://psnet.ahrq.gov/issue/checklists-and-guidelines-imaging-techniques-visualizing-wha…

1525. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33795/psn-pdf
      November 01, 2015 - Introducing the Redesigned AHRQ Patient Safety Network November 1, 2015 Wachter R. Introducing the Redesigned AHRQ Patient Safety Network . PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/introducing-redesigned-ahrq-patient-safety-network Editorial It's hard to believe that it has been 15 years since th…

1526. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49816/psn-pdf
      January 01, 2018 - A Painful Medication Reconciliation Mishap January 1, 2018 Chou R. A Painful Medication Reconciliation Mishap. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap Case Objectives Recognize that substance use disorders are common in patients with acute pain. Understand th…

1527. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49501/psn-pdf
      February 03, 2006 - Lost in Transition February 1, 2006 Beach C. Lost in Transition. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/lost-transition Case Objectives Provide an overview of transitions in continuously operating industries Review cognitive error Describe the complex dynamics of transitions in emergency care Pro…

1528. Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes) | PSNet
      psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication-program-reduce-medical
      February 26, 2025 - Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes) Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

1529. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837659/psn-pdf
      July 08, 2022 - Medication Safety Events Related to Diagnostic Imaging July 8, 2022 Sanchez L, Porras H, Lammers C. Medication Safety Events Related to Diagnostic Imaging. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging The Cases Case #1: A 42-year-old woman admitted with…

1530. In Conversation With… Rebecca Smith-Bindman, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
      October 01, 2013 - Moreover, this information will help the radiologist optimize the CT technique, reducing the risk of

1531. Safety in Radiology | PSNet
      psnet.ahrq.gov/perspective/safety-radiology
      October 01, 2013 - Moreover, this information will help the radiologist optimize the CT technique, reducing the risk of

1532. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected | PSNet
      psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
      September 25, 2024 - rates. 5 The etiology of the stricture and the experience of the proceduralist often determine which technique

1533. Duplicate Therapies in Retail Pharmacy | PSNet
      psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
      August 05, 2022 - J R Soc Med . 2003 May;96(5):219-22. [ Free full text ] The SHARE Approach—Using the teach-Back Technique

1534. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
      February 26, 2025 - This technique allows teams to examine patterns across multiple events within a category (such as medication … Patient Safety Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique

1535. The Evolution of Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/evolution-root-cause-analysis
      February 26, 2025 - This technique allows teams to examine patterns across multiple events within a category (such as medication … Patient Safety Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique

1536. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61078/psn-pdf
      October 28, 2020 - Additionally, insulin pump infusion site leakage occurred several times, possibly due to improper insertion technique

1537. Low on the Totem Pole | PSNet
      psnet.ahrq.gov/web-mm/low-totem-pole
      October 01, 2003 - with his feeling that his worries might be unfounded (maybe this procedure doesn’t require aseptic technique

1538. Root Cause Analysis Gone Wrong | PSNet
      psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
      August 28, 2024 - ) Using a range of information-gathering and analytical tools (such as interviews, the "five whys" technique

1539. Code Blue—Where To? | PSNet
      psnet.ahrq.gov/web-mm/code-blue-where
      March 30, 2020 - Yet the location of this arrest—outside the main hospital—doubtless led to the poor technique, inadequately

1540. The Worst Headache | PSNet
      psnet.ahrq.gov/web-mm/worst-headache
      July 01, 2016 - Many believe that xanthochromia must be measured by spectrophotometry; however this technique is not