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Showing results for "technique".

61. The problem with the '5 whys.' | PSNet
    psnet.ahrq.gov/issue/problem-5-whys
    July 19, 2023 - August 20, 2014 Beyond FMEA: the structured what-if technique (SWIFT). … Patient Safety Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique

62. The future of safety and quality in radiation oncology. | PSNet
    psnet.ahrq.gov/issue/future-safety-and-quality-radiation-oncology
    May 17, 2023 - Patient Safety Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique … February 10, 2015 Failure mode and effect analysis: a technique to prevent chemotherapy

63. Patient safety: this is public health. | PSNet
    psnet.ahrq.gov/issue/patient-safety-public-health
    July 19, 2023 - July 7, 2021 Beyond FMEA: the structured what-if technique (SWIFT). … Patient Safety Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique

64. In Conversation With… John D. Birkmeyer, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
    January 31, 2024 - Have you seen marked variations in technique? … Then finally we looked at whether there were aspects of technique that could explain why some surgeons … Certainly at a qualitative level we appreciated wide variation both in technique and skill. … RW : As I looked at the videos, the examples of the surgeons with relatively poor surgical technique … RW : So you're watching the videos come in, you're seeing variations in technique that are even a little

65. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest | PSNet
    psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
    April 01, 2008 - Both errors in judgment and errors in technique occurred, and the attending surgeon was ultimately responsible … In this patient, an injury to the intercostal artery suggests that the technique utilized to insert the … Standard well-accepted thoracostomy technique involves dissection and tube placement immediately superior … External Jugular Cutdown Technique for Totally Implantable Venous Access Devices: a Single-Centre Study … Hickman central venous catheters in children: open versus percutaneous technique. 

66. A model of chemotherapy education for novice oncology nurses that supports a culture of safety. | PSNet
    psnet.ahrq.gov/issue/model-chemotherapy-education-novice-oncology-nurses-supports-culture-safety
    September 24, 2010 - Related Resources From the Same Author(s) Failure mode and effect analysis: a technique … March 11, 2011 Failure mode and effect analysis: a technique to prevent chemotherapy

67. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50844/psn-pdf
    January 29, 2020 - significant contributors to medical errors and patient harm.1 When used consistently, huddles – a technique … TeamSTEPPS recommends the “Concern-Uncomfortable-Safety Event” (CUS) technique to minimize ambiguity … in communicating the seriousness of patient safety issues.7 This communication technique uses escalating … Huddles are an efficient communication technique to allow teams to share information, identify concerns

68. Fidelity and the impact of patient safety huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project. | PSNet
    psnet.ahrq.gov/issue/fidelity-and-impact-patient-safety-huddles-teamwork-and-safety-culture-evaluation-huddle
    August 25, 2021 - December 8, 2021 Evaluation of older persons' medications: a critical incident technique … experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique

69. Experience of learning from everyday work in daily safety huddles: a multi-method study. | PSNet
    psnet.ahrq.gov/issue/experience-learning-everyday-work-daily-safety-huddles-multi-method-study
    June 23, 2021 - From the Same Author(s) Evaluation of older persons' medications: a critical incident technique … experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique

70. Prescribers' perspectives on including reason for use information on prescriptions and medication labels: a qualitative thematic analysis. | PSNet
    psnet.ahrq.gov/issue/prescribers-perspectives-including-reason-use-information-prescriptions-and-medication-labels
    July 14, 2021 - experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique … December 8, 2021 Evaluation of older persons' medications: a critical incident technique

71. Identifying no-harm incidents in home healthcare: a cohort study using trigger tool methodology. | PSNet
    psnet.ahrq.gov/issue/identifying-no-harm-incidents-home-healthcare-cohort-study-using-trigger-tool-methodology
    January 25, 2023 - March 2, 2016 Evaluation of older persons' medications: a critical incident technique … experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique

72. Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. | PSNet
    psnet.ahrq.gov/issue/reviewing-deaths-british-and-us-hospitals-study-two-scales-assessing-preventability
    April 03, 2019 - well-being in transitions from mental health hospitals to the community: a prioritisation nominal group technique … Patient Safety Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique

73. Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care. | PSNet
    psnet.ahrq.gov/issue/developing-learning-health-system-insights-qualitative-process-evaluation-pharmacist-led
    February 17, 2021 - Patient Safety Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique … of potentially inappropriate prescribing in children (PIPc) in primary care using a modified Delphi technique

74. Hospital quality-review spending and patient safety: a longitudinal analysis using instrumental variables. | PSNet
    psnet.ahrq.gov/issue/hospital-quality-review-spending-and-patient-safety-longitudinal-analysis-using-instrumental
    December 21, 2022 - experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique … Patient Safety Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique

75. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49389/psn-pdf
    February 01, 2003 - The open Hasson technique can be used, but it has also been associated with bowel and vessel injuries … From this brief report, three obvious concerns are: training, technique, and equipment design. … laparoscopy safely is not simple—for trainees today or for practicing surgeons who had to acquire this technique … Laparoscopy is a demanding technique, but one that can be performed safely in a very high percentage … A Demonstration of Proper Technique for Trocar Insertion* (Illustration by Chris Gralapp) http://www.ncbi.nlm.nih.gov

76. 'Safer, not safe': service users' experiences of psychological safety in inpatient mental health wards in the United Kingdom. | PSNet
    psnet.ahrq.gov/issue/safer-not-safe-service-users-experiences-psychological-safety-inpatient-mental-health-wards
    March 13, 2024 - well-being in transitions from mental health hospitals to the community: a prioritisation nominal group technique … well-being in transitions from mental health hospitals to the community: a prioritisation nominal group technique

77. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33785/psn-pdf
    May 01, 2015 - Have you seen marked variations in technique? … Then finally we looked at whether there were aspects of technique that could explain why some surgeons … Certainly at a qualitative level we appreciated wide variation both in technique and skill. … RW: As I looked at the videos, the examples of the surgeons with relatively poor surgical technique are … RW: So you're watching the videos come in, you're seeing variations in technique that are even a little

78. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33825/psn-pdf
    January 01, 2017 - 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

79. The impact of hospital accreditation on the quality of healthcare: a systematic literature review. | PSNet
    psnet.ahrq.gov/issue/impact-hospital-accreditation-quality-healthcare-systematic-literature-review
    October 20, 2021 - April 14, 2021 Evaluation of older persons' medications: a critical incident technique … experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique

80. Support opportunities for second victims lessons learned: a qualitative study of the top 20 US News and World Report Honor Roll Hospitals. | PSNet
    psnet.ahrq.gov/issue/support-opportunities-second-victims-lessons-learned-qualitative-study-top-20-us-news-and
    May 19, 2021 - March 10, 2021 Evaluation of older persons' medications: a critical incident technique … experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique