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psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
January 24, 2018 - Primary Workaround, Secondary Complication
Citation Text:
Debono D, Levett-Jones T. Primary Workaround, Secondary Complication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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May 01, 2007 - In Conversation with...Sir Liam Donaldson, MD, MSc
May 1, 2007
In Conversation with..Sir Liam Donaldson, MD, MSc. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
Editor's Note: Sir Liam Donaldson, MD, MSc, is England's Chief Medical Officer, a post often referre…
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psnet.ahrq.gov/node/33820/psn-pdf
December 01, 2016 - In Conversation With... James P. Bagian, MD, PE
December 1, 2016
In Conversation With.. James P. Bagian, MD, PE. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/conversation-james-p-bagian-md-pe
Editor's note: Dr. Bagian is Director of the Center for Healthcare Engineering and Patient Safety at the
Uni…
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psnet.ahrq.gov/node/61079/psn-pdf
October 28, 2020 - When Looks Aren’t All They Appear to Be: A Medication
Error in an Uncommon Indication
October 28, 2020
Ton K. When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication . PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-
…
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psnet.ahrq.gov/node/49653/psn-pdf
May 01, 2012 - The Forgotten Line
May 1, 2012
Render ML. The Forgotten Line. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/forgotten-line
The Case
An 81-year-old man with a history of coronary artery disease, hypertension, cerebrovascular accidents, and
chronic kidney disease was transferred to a referral hospital for p…
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psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-management-sepsis
February 26, 2025 - Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis
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May 31, 2023
Innovation
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psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
May 01, 2012 - measurement is worth pursuing, as dramatically different adverse event rates are identified depending on the techniques … In addition, we looked at how good a variety of techniques were to detect these problems.
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psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
May 01, 2012 - In addition, we looked at how good a variety of techniques were to detect these problems. … measurement is worth pursuing, as dramatically different adverse event rates are identified depending on the techniques
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psnet.ahrq.gov/web-mm/perils-cross-coverage
September 22, 2010 - However, a recent review by handoff educators and researchers highlights the multiple techniques that
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psnet.ahrq.gov/node/866618/psn-pdf
December 31, 2024 - laboratory specimens to improve data accuracy:
Nursing and phlebotomy staff should be counseled on proper techniques
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psnet.ahrq.gov/web-mm/right-patient-wrong-sample
June 01, 2004 - semi-automated patient identification and specimen collection incorporating automated error-proofing techniques
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psnet.ahrq.gov/node/867357/psn-pdf
December 18, 2024 - Endotracheal Tube Intubation Techniques. [Updated 2023 Jul 10]. In:
StatPearls [Internet].
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psnet.ahrq.gov/web-mm/mismanagement-delirium
February 13, 2014 - nonpharmacological approaches for sleep, anxiety, agitation, and pain, including music, massage, relaxation techniques
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psnet.ahrq.gov/node/49579/psn-pdf
March 21, 2009 - Methods to verify received information, including repeat-back or read-back techniques.
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psnet.ahrq.gov/web-mm/slippery-slide-life
January 21, 2017 - future generations of health care professionals must evolve away from traditional lecture-based techniques
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psnet.ahrq.gov/node/837963/psn-pdf
August 31, 2022 - Surgery includes prompt laparotomy to establish mesenteric blood supply via
either open or endovascular techniques
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psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_case_mesenteric_ischemia_08.05.2022.pdf
January 01, 2022 - Surgery includes prompt laparotomy to establish mesenteric blood supply via
either open or endovascular techniques
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psnet.ahrq.gov/node/60865/psn-pdf
August 31, 2020 - we do so
that all of our managers and directors are Green Belt certified and must start using those techniques
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psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
January 01, 2023 - • Describe the techniques of nasogastric tube placement.
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psnet.ahrq.gov/node/49765/psn-pdf
August 21, 2016 - Technical
improvements to cannulation procedures (including cannula-over-wire ["Seldinger"] techniques