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psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
April 28, 2021 - 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)
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0495_05-24-2013.pdf
January 01, 2013 - The nominator is uncertain whether a specific imaging technique is best for
the metastatic breast cancer … There is uncertainty regarding which imaging technique is best to assess response to
treatment.
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cds.ahrq.gov/sites/default/files/cds/artifact/396/cap_3_DecidExecut.html
January 01, 1970 - constellation of suggestive clinical features, a demonstrable infiltrate by chest radiograph or other imaging technique … required for the diagnosis of pneumonia a demonstrable infiltrate by chest radiograph or other imaging technique … AND a demonstrable infiltrate by chest radiograph or other imaging technique is required for the diagnosis
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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
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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
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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
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-207-section-6-tables-6-7.pdf
June 02, 2025 - Reliability testing of California hospital values
Loneway Technique
Spearman Correlation
for lagged
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion.pptx
April 01, 2022 - Ensure proper insertion technique
Use a Standard Indwelling Urinary Catheter Kit8
Tier 1 interventions … Preventing CLABSI and CAUTI
IUC Insertion ׀ 6
6
Ensure Proper Insertion Technique9
Aseptic insertion technique … is recommended
Many nurses and other clinicians have to relearn “proper” technique
Working environment … trauma center
Timeframe: 1/29 – 6/30
59% of the attempts had at least 1 major break in aseptic insertion technique
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/breast-biopsy-update_clinician.pdf
May 01, 2016 - either aims the needle directly at the area of a palpable lesion
(freehand biopsy) or uses an imaging technique … Currently, more than half of all breast biopsies use a core-
needle technique. … The clinical technique used to perform a core-needle
breast biopsy was found to influence the sensitivity … The freehand technique
has lower sensitivity than biopsies using either stereotactic
radiography or … size, location, or imaging
characteristics of a lesion may influence the choice of one
breast biopsy technique
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap3.ppt
January 01, 2003 - *
Aseptic Technique: Goals
Remove transient organisms and soil from the skin. … *
Aseptic Technique
Prepare skin with antiseptic/detergent
chlorhexidine 2 percent in 70 percent … C-VAD Line Cultures: Indications
The utility of catheter cultures is controversial; nonetheless, proper technique … *
Arterial Lines: Aseptic Technique
As with C-VADs, always:
Clean your hands with soap and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-110414.pptx
January 01, 2013 - “deeper dive” to identify improvement opportunities
Ensuring competency in insertion using aseptic technique … Tier 2 Protocol: Enhanced Practices – Evaluation of indication for use, maintenance, and removal technique … standard indwelling urinary catheter kit with pre-sealed junction
Ensure proper aseptic insertion technique … Am I using proper technique? Do I need to ask for help? Can the catheter be removed today?
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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
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digital.ahrq.gov/principal-investigator/gisondi-michael
January 01, 2025 - professions education: Defining a research agenda for emergency medicine using a foresight and strategy technique … professions education: Defining a research agenda for emergency medicine using a foresight and strategy technique
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/109-performing-premortem-project-assessment-fg.docx
April 01, 2025 - A premortem analysis is a technique wherein you and your team look forward to the end of the project … SAY:
There are other benefits to using this technique.
· Gain prospective hindsight: Mitchell et al. … , in 1989, found about 30 percent of groups correctly identified failure points using this technique.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hypofractionated-radiation-therapy-draft-appendix-d2.xlsx
January 01, 2024 - All patients were treated using the bilateral two-field technique in a day with PT (Proteus 235; Ion … The BeamCath technique was initially used (10% of participants), but this technique was subsequently … The CTV–PTV margin was 6 mm (4 mm towards the rectum) with the BeamCath technique. … The BeamCath technique was initially used (10% of participants), but this technique was subsequently … The CTV–PTV margin was 6 mm (4 mm towards the rectum) with the BeamCath technique.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/ullah-r-et-al-2002
January 01, 2002 - Low cost real-time telemedicine is a useful technique, providing reliable otorhinolaryngology consultations … Workflow-Related Findings
"There is a learning curve in mastering the technique of endoscopic examination
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/clabsi.html
November 01, 2024 - proper procedure is performed every time a central line is inserted and helps identify any breaches in technique … Tip | Scrub the Hub – Johns Hopkins Medicine This video demonstrates proper technique for scrubbing a
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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.
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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
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-209-section-6-table-6-7.pdf
June 02, 2025 - Reliability testing of California hospital values
Loneway Technique
Spearman Correlation
for lagged