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Showing results for "technique".

81. Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit. | PSNet
    psnet.ahrq.gov/issue/associations-person-related-environment-related-and-communication-related-factors-medication
    January 19, 2022 - May 19, 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

82. The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis. | PSNet
    psnet.ahrq.gov/issue/presence-and-potential-impact-psychological-safety-healthcare-setting-evidence-synthesis
    October 20, 2021 - experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique … July 14, 2021 Evaluation of older persons' medications: a critical incident technique

83. A qualitative study of what care workers do to provide patient safety at home through telecare. | PSNet
    psnet.ahrq.gov/issue/qualitative-study-what-care-workers-do-provide-patient-safety-home-through-telecare
    September 08, 2021 - experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique … July 14, 2021 Evaluation of older persons' medications: a critical incident technique

84. Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx (pdf file)
    psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
    January 01, 2023 - Indications, Complications and Risk Factors of Tracheostomy (1) • The modern percutaneous tracheostomy technique … of years.2 • Ciaglia and colleagues improved the percutaneous procedure by applying the Seldinger technique … Cuff Pressure Monitoring • Hospital staff often have knowledge deficits about proper manometric technique … • 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

85. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60829/psn-pdf
    August 19, 2020 - https://psnet.ahrq.gov/issue/patient-safety-20 Simulation is a recognized technique to educate and plan

86. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38688/psn-pdf
    June 03, 2009 - article describes how one health system markedly improved its quality and safety by applying a safety technique

87. Negative emotions experienced by healthcare staff following medication administration errors: a descriptive study using text-mining and content analysis of incident data. | PSNet
    psnet.ahrq.gov/issue/negative-emotions-experienced-healthcare-staff-following-medication-administration-errors
    December 18, 2019 - experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique … July 14, 2021 Evaluation of older persons' medications: a critical incident technique

88. Improving Patient Safety and Team Communication through Daily Huddles | PSNet
    psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
    December 15, 2024 - 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

89. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73680/psn-pdf
    January 01, 2022 - Technique (e.g., changes in equipment) and technology-based (e.g. trigger tools) interventions were

90. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74747/psn-pdf
    February 09, 2022 - prevalence of diagnostic error in pediatric hospitals varied and largely depended on the measurement technique

91. 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

92. 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

93. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33959/psn-pdf
    January 17, 2012 - healthcare failure mode and effect analysis (HFMEA), the steps of the HFMEA process, and how to apply the technique

94. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/41089/psn-pdf
    January 25, 2012 - improving-patient-safety-lessons-rock-climbing This commentary proposes that applying the buddy system (a safety technique

95. 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.

96. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36516/psn-pdf
    January 07, 2011 - identify types of medication errors and found few errors in the nurse cohort, but identified wrong technique

97. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38990/psn-pdf
    September 30, 2009 - expertise is developed could inform simulation training efforts to increase competency in surgical technique

98. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38991/psn-pdf
    September 30, 2009 - /why-dont-doctors-wash-their-hands-more The author uses personal experience to explain how sterile technique

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42378/psn-pdf
    August 15, 2013 - preventable adverse event, most of which are related to periprocedural care and not errors of surgical technique

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37213/psn-pdf
     October 13, 2011 - from their experience using simulation to teach safety skills to nursing students and illustrate the technique