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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/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/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/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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effectivehealthcare.ahrq.gov/sites/default/files/related_files/asthma-treatment_disposition-comments.pdf
September 10, 2012 - Those studies have
consistently shown the efficacy of the technique, which was
developed in the first … Opat AJ, Cohen MM, Bailey MJ, Abramson MJ, "A Clinical
Trial of the Buteyko Breathing Technique in Asthma … The conclusion was that Buteyko is a safe and
efficacious asthma management technique and has the clinical … The
Buteyko technique certainly has been shown to be an important
adjunct to treatment." Dr. … Buteyko
breathing technique for asthma: an
effective intervention. http://www.nzma.org.nz/journal/116
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-notes.docx
April 01, 2022 - the technical aspects of our work, such as inserting central lines or urinary catheters with aseptic technique … be identified that did not cause harm but put patients at risk for harm, such as a breach in aseptic technique … The 5 Whys technique helps understand why one contributing factor led to another contributing factor. … For example, some staff may omit hand hygiene, the next may not use best aseptic technique to insert … Drill down by using the "5 Whys" 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/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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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/cus-facilitator-guide-maternal-equity.pdf
June 02, 2025 - Maternal Health
Video Objective
To demonstrate an example of how to speak up, using a TeamSTEPPS technique
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions-pocketgd.pdf
June 02, 2025 - Use aseptic technique when inserting urinary
catheters
2.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/root-cause-analysis
January 01, 2023 - Description
Root cause analysis (RCA) is a popular technique used to determine why a problem occurred
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psnet.ahrq.gov/node/33671/psn-pdf
July 01, 2008 - One such
technique is root cause analysis (RCA), commonly used to identify and correct the factors that … Health care organizations were introduced to this accident investigation
technique in the mid-1990s. … Instead of replacing the RCA tool with yet another improvement technique, it's
time we heeded the lesson
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d7_combo_implementationmeasurement.docx
January 01, 2016 - assisting in inserting the line
|_| Full body drape to cover the patient
|_| Use of sterile precautions/technique … Indicate which sterile technique precautions were used by the provider inserting the catheter and the … but a general statement indicates that precautions were used, then check “Use of sterile precautions/technique
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psnet.ahrq.gov/issue/hospitals-bid-heal-selves-saves-thousands
February 26, 2025 - Patient Safety Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/029-hand-hygiene-webinar-slides.pptx
October 01, 2024 - Promotion
Prevent Person-Based MRSA Transmission1
Performing hand hygiene at key moments using appropriate technique … Promotion
7
Start With Healthy Hands2,5,7
Healthy Hands
Hand Hygiene Indications
Hand Hygiene Technique … Non-ICU
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Hand Hygiene Promotion
12
Hand Hygiene Technique … AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Hand Hygiene Promotion
13
Hand Hygiene Technique … Efficacy of the World Health Organization-recommended handwashing technique and a modified washing technique
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psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
March 15, 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.
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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/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/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/74236/psn-pdf
January 12, 2022 - can-sbar-be-implemented-high-fidelity-and-does-it-improve-communication-
between-healthcare
Situation, Background, Assessment, Recommendation (SBAR) is a mnemonic technique