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psnet.ahrq.gov/issue/human-factors-analysis-technical-and-team-skills-among-surgical-trainees-during-procedural
March 03, 2011 - January 1, 2015
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Simulation techniques
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psnet.ahrq.gov/issue/association-between-surgical-trainee-daytime-sleepiness-and-intraoperative-technical-skill
June 27, 2018 - October 13, 2018
Simulation techniques for teaching time-outs: a controlled trial.
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psnet.ahrq.gov/issue/pediatric-quality-and-safety-nursing-perspective
February 15, 2017 - Minimization of occurrence of retained surgical items using machine learning and deep learning techniques
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psnet.ahrq.gov/issue/observational-study-direct-oral-anticoagulant-awareness-indicating-inadequate-recognition
April 24, 2018 - Dorr Surgical Techniques & Technologies Award: "Running two rooms" does not compromise outcomes or patient
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psnet.ahrq.gov/issue/patient-safety-climate-primary-care-age-matters
June 11, 2010 - July 1, 2020
Comparative performance of pediatric weight estimation techniques: a human
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psnet.ahrq.gov/issue/promoting-patient-safety-results-teamstepps-initiative
October 17, 2012 - August 25, 2021
Techniques to improve patient safety in hospitals: what nurse administrators
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psnet.ahrq.gov/issue/patient-safety-plastic-surgery-identifying-areas-quality-improvement-efforts
November 01, 2017 - Resident participation does not affect surgical outcomes, despite introduction of new techniques
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psnet.ahrq.gov/issue/impact-critical-event-checklists-anaesthetist-performance-simulated-operating-theatre
August 16, 2017 - Gastrointestinal Endoscopy: Expect the Unexpected
August 25, 2021
Simulation techniques
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psnet.ahrq.gov/node/33785/psn-pdf
May 01, 2015 - In Conversation With… John D. Birkmeyer, MD
May 1, 2015
In Conversation With… John D. Birkmeyer, MD. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
Editor's note: John D. Birkmeyer, MD, is an internationally recognized health services researcher with
expertise in perfo…
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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
April 01, 2008 - Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest
Citation Text:
Raff G, Goudy B. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest. PSNet [internet]. Rockvil…
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psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis
May 24, 2017 - Toolkit
Healthcare Failure Mode and Effect Analysis.
Citation Text:
Healthcare Failure Mode and Effect Analysis. National Center for Patient Safety.
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psnet.ahrq.gov/node/49628/psn-pdf
June 01, 2011 - operating room to control hemorrhage occurs one week postoperatively.(1) Multiple
instruments and techniques
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psnet.ahrq.gov/node/50844/psn-pdf
January 29, 2020 - Improving Patient Safety and Team Communication
through Daily Huddles
January 29, 2020
Shaikh U. Improving Patient Safety and Team Communication through Daily Huddles. PSNet [internet].
2020.
https://psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
Background
Communicat…
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psnet.ahrq.gov/web-mm/wheres-feeding-tube
September 01, 2003 - A randomized controlled trial comparing three different techniques of nasojejunal feeding tube placement
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psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other
October 01, 2018 - procedure should include a discussion of these potential complications, along with specific training in the techniques
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psnet.ahrq.gov/issue/using-medical-error-reporting-drive-patient-safety-efforts
September 18, 2024 - Commentary
Using medical-error reporting to drive patient safety efforts.
Citation Text:
Stow J. Using medical-error reporting to drive patient safety efforts. AORN J. 2006;84(3):406-8, 411-4, 417-20; quiz 421-4.
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psnet.ahrq.gov/issue/human-patient-simulation-teaching-students-provide-safe-care
June 24, 2009 - Commentary
Human patient simulation: teaching students to provide safe care.
Citation Text:
Henneman EA, Cunningham H, Roche JP, et al. Human patient simulation: teaching students to provide safe care. Nurse Educ. 2007;32(5):212-7.
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psnet.ahrq.gov/issue/problem-5-whys
July 19, 2023 - Commentary
The problem with the '5 whys.'
Citation Text:
Card AJ. The problem with '5 whys'. BMJ Qual Saf. 2017;26(8):671-677. doi:10.1136/bmjqs-2016-005849.
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psnet.ahrq.gov/issue/patient-safety-public-health
July 19, 2023 - Commentary
Patient safety: this is public health.
Citation Text:
Card AJ. Patient safety: this is public health. J Healthc Risk Manag. 2014;34(1):6-12. doi:10.1002/jhrm.21145.
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psnet.ahrq.gov/node/49721/psn-pdf
December 01, 2014 - Our experience is that hospitals in the US do not use the same medical supplies and
techniques across