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psnet.ahrq.gov/issue/rise-health-coalition
January 08, 2020 - Patient Safety Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique
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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/issue/examining-medication-errors-tertiary-hospital
May 27, 2011 - identify types of medication errors and found few errors in the nurse cohort, but identified wrong technique
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psnet.ahrq.gov/issue/surgical-adverse-events-systematic-review
June 01, 2012 - preventable adverse event, most of which are related to periprocedural care and not errors of surgical technique
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psnet.ahrq.gov/issue/fellowships-and-mentorships-program
January 26, 2023 - Patient Safety Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique
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psnet.ahrq.gov/issue/high-reliability-organizations-hros-what-they-know-we-dont-part-i
July 27, 2022 - Patient Safety Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique
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psnet.ahrq.gov/issue/manchester-patient-safety-framework-mapsaf
October 27, 2021 - Patient Safety Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique
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psnet.ahrq.gov/issue/patient-safety-essentials-toolkit
January 08, 2020 - Patient Safety Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique
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psnet.ahrq.gov/issue/not-again
August 04, 2021 - September 29, 2010
Failure mode and effect analysis: a technique to prevent chemotherapy
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psnet.ahrq.gov/issue/annual-communication-apology-and-resolution-care-forum
May 03, 2023 - Patient Safety Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique
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psnet.ahrq.gov/issue/combined-proactive-risk-assessment-unifying-proactive-and-reactive-risk-assessment-techniques
May 11, 2022 - Patient Safety Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique
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psnet.ahrq.gov/node/49628/psn-pdf
June 01, 2011 - Therefore, surgical technique continues to differ
based on individual surgeon preference and experience … , and the updated guidelines do not include
technique recommendations. … However, there are reports of airway fires related to electrocautery technique
in the setting of 100%
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psnet.ahrq.gov/node/33638/psn-pdf
August 01, 2006 - He
suggested that we could use the critical incident technique to actually study the kinds of errors … (This technique involves collecting and analyzing stories of pivotal events, either positive or
negative … The critical incident technique. Psychol Bull. 1954;51:327-358. [go to PubMed]
2.
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psnet.ahrq.gov/web-mm/secured-not-always-safe
October 01, 2015 - After the patient's recovery, the family recalled being reassured before surgery that "this technique … It is often used with a general anesthetic technique that relies on spontaneous ventilation (as opposed … Rare complications with any anesthetic technique may occur, mandating careful follow-up with patients
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psnet.ahrq.gov/issue/learning-health-systems
December 24, 2008 - Patient Safety Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique
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psnet.ahrq.gov/issue/fixing-broken-healthcare-system
August 01, 2018 - Patient Safety Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique
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psnet.ahrq.gov/issue/profiles-patient-safety-misplaced-femoral-line-guidewire-and-multiple-failures-detect-foreign
April 03, 2017 - They suggest systems-oriented improvements to both the technique and catheter kit used.
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psnet.ahrq.gov/issue/patient-safety-supporting-culture-continuous-quality-improvement-hospitals-and-other-health
August 09, 2023 - Patient Safety Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique
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psnet.ahrq.gov/node/49721/psn-pdf
December 01, 2014 - Sterile technique was breached multiple times as they navigated the central line
insertion process in … evolving guidelines, our
team at Northwestern Medicine, from which the above case was drawn, has used the technique … The physician, who breached sterile technique during the central venous catheter (CVC) insertion, put … submitted by the surgeons, his team found that surgical skill varied widely, with poorer surgical
technique … Recommended practices for sterile technique.
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psnet.ahrq.gov/issue/err-human-disclosure-must-be-taught-simulation-based-assessment-study
August 04, 2021 - Disclosure technique was deficient even among the senior practitioners, highlighting the importance of