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psnet.ahrq.gov/node/49497/psn-pdf
December 01, 2005 - train future generations of health care professionals must evolve away from
traditional lecture-based techniques
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psnet.ahrq.gov/node/49450/psn-pdf
June 01, 2004 - Empathic communication techniques can also help physicians respond to patients' anger.(11) Empathy
refers
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psnet.ahrq.gov/node/33707/psn-pdf
February 01, 2011 - Course is 8 days, plus time
for a QI project;
Content : standard,
evidenced-based quality
theory and techniques
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psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety
November 10, 2015 - Techniques such as root cause analysis are then used to understand the cause and contributing factors
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psnet.ahrq.gov/node/33842/psn-pdf
January 01, 2018 - We used both quantitative and qualitative
methods, including multiple rapid assessment techniques such
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psnet.ahrq.gov/web-mm/missed-appendicitis
March 13, 2013 - highly trained caregivers, both doctors and nurses, working as a team, utilizing good communication techniques
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psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - Recently, however, studies have identified techniques to help physicians improve their ability to identify
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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/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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Format:
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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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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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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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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…
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psnet.ahrq.gov/web-mm/anesthesia-weighty-issue
September 01, 2006 - Anesthesia: A Weighty Issue
Citation Text:
Sinha AC. Anesthesia: A Weighty Issue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
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psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - The Evolution of Root Cause Analysis
February 26, 2025
Behrhorst J, Gale B, Van CM. The Evolution of Root Cause Analysis. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/evolution-root-cause-analysis
Introduction
Root Cause Analysis (RCA) is a structured approach designed to uncover the direct causes of…
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psnet.ahrq.gov/node/33701/psn-pdf
October 01, 2010 - What Makes a Good Checklist
October 1, 2010
McLaughlin AC. What Makes a Good Checklist. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/what-makes-good-checklist
Perspective
The use of checklists is a primitive yet remarkably effective strategy for ensuring accuracy in complex
tasks. Checklists have lo…
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psnet.ahrq.gov/node/73549/psn-pdf
July 28, 2021 - Local Anesthesia-Induced Coma During Total Knee
Arthroplasty.
July 28, 2021
Aldwinckle R. Local Anesthesia-Induced Coma During Total Knee Arthroplasty. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/local-anesthesia-induced-coma-during-total-knee-arthroplasty
The Case
A 61-year-old male patient weighing 57…
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psnet.ahrq.gov/node/49836/psn-pdf
July 01, 2018 - Primary Workaround, Secondary Complication
July 1, 2018
Debono D, Levett-Jones T. Primary Workaround, Secondary Complication. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
The Case
A young adult with a progressive neurological disorder presented to a hospital emerg…
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psnet.ahrq.gov/node/49596/psn-pdf
December 01, 2009 - Round-Trip Service
December 1, 2009
McGrath MH. Round-Trip Service. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/round-trip-service
The Case
A 70-year-old man with a long history of degenerative joint disease was experiencing increased symptoms
in his left knee. He was referred by his primary care provid…
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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
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psnet.ahrq.gov/node/38688/psn-pdf
June 03, 2009 - Empowered to improve.
June 3, 2009
Gardner E.
https://psnet.ahrq.gov/issue/empowered-improve
This article describes how one health system markedly improved its quality and safety by applying a safety
technique used in the nuclear power industry.
https://psnet.ahrq.gov/issue/empowered-improve