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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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psnet.ahrq.gov/node/38990/psn-pdf
September 30, 2009 - expertise is developed could inform simulation training efforts to increase
competency in surgical technique
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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
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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
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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
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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
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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
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psnet.ahrq.gov/node/39520/psn-pdf
June 10, 2018 - common failures in root cause analysis (RCA) and explains how each undermines the
effectiveness of the technique
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psnet.ahrq.gov/node/35401/psn-pdf
April 06, 2011 - https://psnet.ahrq.gov/issue/what-constitutes-prescribing-error-paediatrics
The authors used a Delphi technique
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psnet.ahrq.gov/node/42234/psn-pdf
June 03, 2013 - of natural language processing to identify adverse drug events and discusses
the potential for this technique
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psnet.ahrq.gov/node/47538/psn-pdf
January 23, 2019 - qualitative-study-nursing
This interview study used a human factors method, the critical incident technique