-
psnet.ahrq.gov/node/44959/psn-pdf
March 09, 2016 - However,
only one technique was significantly associated with medication agreement: the medical assistant
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psnet.ahrq.gov/node/41455/psn-pdf
June 13, 2012 - More than 65% of errors involved breaks in aseptic technique, while nearly half of
those remaining were
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psnet.ahrq.gov/web-mm/wheres-feeding-tube
September 01, 2003 - is the most frequently used method to secure feeding tubes, some clinicians prefer to use the bridle technique … small-bore nasoenteric tubes in patients at high risk for unintentional tube removal.( 4 ) With this technique … Nasal bridle revisited: an improvement in the technique to prevent unintentional removal of small-bore … Evaluation of a technique for blind placement of post-pyloric feeding tubes in intensive care: application
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psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other
October 01, 2018 - the required central line training module a year earlier, which included one slide on proper removal technique … The fact that the training "included one slide on proper removal technique" suggests that this education … competencies required of resident physicians, while CVC removal has not.( 12,13 ) Recently, CVC insertion technique … performing the procedure and all necessary materials, are process improvements that may improve CVC removal technique
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psnet.ahrq.gov/node/851158/psn-pdf
June 28, 2023 - The most evident issue is the initial device and technique used for left heart catheterization and
cineangiography … This technique of contrast
injection through end-hole catheters such as the MPA catheter is discouraged … Unfortunately, this technique is still commonly performed in practice for
multiple reasons, including
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psnet.ahrq.gov/primer/detection-safety-hazards
March 30, 2022 - Another, more qualitative approach termed SWIFT ("structured what-if technique") can be used either … as an adjunct to FMEA or as a stand-alone technique. … Patient Safety Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique
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psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
January 01, 2016 - inserting an NG tube appears to be a relatively simple procedure, one must follow correct placement technique … In this case, the problems probably arose more from a lack of knowledge than poor technique. … sufficiently sophisticated.( 4,5 ) Most simulations of common medical procedures focus on elementary technique
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psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
March 01, 2007 - 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/issue/plan-aims-cut-hospital-deaths
August 28, 2019 - Patient Safety Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique
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psnet.ahrq.gov/issue/flying-blind
January 18, 2023 - Patient Safety Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique
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psnet.ahrq.gov/issue/introduction-trigger-tools-identifying-adverse-events
January 08, 2020 - Patient Safety Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique
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psnet.ahrq.gov/issue/mental-health-inpatient-settings-creating-conditions-delivery-safe-and-therapeutic-care
November 20, 2024 - well-being in transitions from mental health hospitals to the community: a prioritisation nominal group technique
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psnet.ahrq.gov/node/46491/psn-pdf
August 20, 2018 - involving a medical student who did not speak up when a urinary
catheter was inserted without sterile technique
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psnet.ahrq.gov/node/41481/psn-pdf
September 26, 2012 - Spaced education, a technique involving repeated interactive online educational encounters spaced over
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psnet.ahrq.gov/issue/integrating-patient-safety-education-early-medical-education-utilizing-cadaver-sponges-and
September 23, 2020 - A PSNet perspective explored the value of simulation as an educational technique.
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psnet.ahrq.gov/issue/simulation-based-clinical-rehearsals-method-improving-patient-safety
September 28, 2022 - High-risk industries such as aviation and nuclear power routinely employ rehearsal as a learning technique
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psnet.ahrq.gov/issue/diagnostic-error-pediatric-hospital-narrative-review
November 16, 2022 - prevalence of diagnostic error in pediatric hospitals varied and largely depended on the measurement technique
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psnet.ahrq.gov/issue/conversations-withlucian-leape-md
March 13, 2024 - Patient Safety Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique
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psnet.ahrq.gov/node/38642/psn-pdf
April 30, 2012 - ashp-national-survey-pharmacy-practice-hospital-settings-prescribing-and-transcribing-2007
https://psnet.ahrq.gov/issue/medication-errors-involving-wrong-administration-technique
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psnet.ahrq.gov/node/38455/psn-pdf
January 02, 2017 - issue/rapid-response-teams-walk-dont-run
https://psnet.ahrq.gov/issue/implementation-sbar-communication-technique-tertiary-center