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psnet.ahrq.gov/node/47613/psn-pdf
December 05, 2018 - inappropriate prescribing
increased after hospital discharge, even when using multiple statistical techniques
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effectivehealthcare.ahrq.gov/sites/default/files/cer-243-prehospital-airway-management-appendix-f-1_0.xlsx
January 01, 2016 - Outcomes DA
Table F-1. Outcomes evidence table
Author, Year KQ Airway Type
Intervention 1 Device Name/Description
Intervention 1 N Analyzed
Intervention 1 Airway Type
Intervention 2 Device Name/Description
Intervention 2 N Analyzed
Intervention 2 Outcome Category Outcome Detail Analysis Modifier Category
(KQ4 Only) M…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-fullreport.pdf
March 01, 2019 - there are many asthma medication delivery devices, each requiring different handling and
inhalation techniques … of formats (MDI, DPI, nebulizer) that involve different delivery devices
and differing inhalation techniques
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effectivehealthcare.ahrq.gov/sites/default/files/cer-243-prehospital-airway-management-disposition-comments.pdf
June 14, 2021 - It
shows the most import factor is to secure an airway,
with any of these three techniques that would … controls and so
the study was not included
in this SR which was
geared towards
comparisons of airway
techniques … the continuum of care, as most patients
can be ventilated effectively with proper BVM
ventilation techniques
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/icu-assessment.docx
April 01, 2022 - ICU Assessment
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI
Date Completed by Team: _____________________
ICU Assessment of Current CLABSI & CAUTI Prevention Practices
The purpose of this assessment is to understand current central line-associated bloodstream infections (CLABSI) and…
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs024090-turchin-final-report-2019.pdf
January 01, 2019 - Most commonly used techniques to assess a patient's mortality risk draw primarily on
administrative … Modern NLP techniques can effectively identify key concepts in medical text but until now
analytical … death within 12 months in a large dataset of EMR data
using several statistical and machine learning techniques … Accuracy of different statistical and
machine learning techniques was compared. … We also utilized two machine-learning benchmark techniques: support vector
machines (SVMs) and neural
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psnet.ahrq.gov/node/49389/psn-pdf
February 01, 2003 - Improving continuing medical education for surgical techniques:
applying the lessons learned in the
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psnet.ahrq.gov/node/41711/psn-pdf
September 26, 2012 - Beyond FMEA: the structured what-if technique (SWIFT).
September 26, 2012
Card AJ, Ward JR, Clarkson PJ. Beyond FMEA: The structured what-if technique (SWIFT). J Healthc Risk
Manag. 2012;31(4):23-29. doi:10.1002/jhrm.20101.
https://psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards
This commentary…
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psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
April 28, 2021 - Improving continuing medical education for surgical techniques: applying the lessons learned in the first
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psnet.ahrq.gov/node/867525/psn-pdf
January 15, 2025 - Teaching nursing students the ethical and legal
consequences of medical errors: insights from the
RaDonda Vaught case using the jigsaw technique.
January 15, 2025
Geiselman EL, Opsahl A, Townsend C. Teaching nursing students the ethical and legal consequences of
medical errors: insights from the RaDonda Vaught cas…
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psnet.ahrq.gov/node/43586/psn-pdf
October 22, 2014 - Exploring the causes of junior doctors' prescribing
mistakes: a qualitative study.
October 22, 2014
Lewis PJ, Ashcroft DM, Dornan T, et al. Exploring the causes of junior doctors' prescribing mistakes: a
qualitative study. Br J Clin Pharmacol. 2014;78(2):310-9. doi:10.1111/bcp.12332.
https://psnet.ahrq.gov/issue/e…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/idea
January 01, 2023 - Idea Generation
Benchmarking
Description
Benchmarking is a process of evaluating metrics or best practices from other organizations (either related or unrelated to your own) and then applying them to your organization.
Brainwriting
Description
B…
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psnet.ahrq.gov/node/852454/psn-pdf
August 16, 2023 - Supporting carers to improve patient safety and maintain
their well-being in transitions from mental health
hospitals to the community: a prioritisation nominal
group technique.
August 16, 2023
McMullen S, Panagioti M, Planner C, et al. Supporting carers to improve patient safety and maintain their
well?being in …
-
psnet.ahrq.gov/node/60614/psn-pdf
June 24, 2020 - A systems approach to analyzing and preventing hospital
adverse events.
June 24, 2020
Leveson N, Samost A, Dekker SWA, et al. A systems approach to analyzing and preventing hospital
adverse events. J Patient Saf. 2020;16(2):162-167. doi:10.1097/pts.0000000000000263.
https://psnet.ahrq.gov/issue/systems-approach-an…
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psnet.ahrq.gov/node/40206/psn-pdf
June 15, 2011 - Frequency of pediatric medication administration errors
and contributing factors.
June 15, 2011
Ozkan S, Kocaman G, Ozturk C, et al. Frequency of pediatric medication administration errors and
contributing factors. J Nurs Care Qual. 2011;26(2):136-43. doi:10.1097/NCQ.0b013e3182031006.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/73497/psn-pdf
July 14, 2021 - Health care workers' experiences of workplace incidents
that posed a risk of patient and worker injury: a critical
incident technique analysis.
July 14, 2021
Strid EN, Wåhlin C, Ros A, et al. Health care workers’ experiences of workplace incidents that posed a risk
of patient and worker injury: a critical incident…
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psnet.ahrq.gov/node/43960/psn-pdf
April 01, 2015 - Understanding the causes of intravenous medication
administration errors in hospitals: a qualitative critical
incident study.
April 1, 2015
Keers RN, Williams SD, Cooke J, et al. Understanding the causes of intravenous medication administration
errors in hospitals: a qualitative critical incident study. BMJ Open. …
-
psnet.ahrq.gov/node/43188/psn-pdf
May 21, 2014 - Training induces cognitive bias: the case of a simulation-
based emergency airway curriculum.
May 21, 2014
Park C, Stojiljkovic L, Milicic B, et al. Training induces cognitive bias: the case of a simulation-based
emergency airway curriculum. Simul Healthc. 2014;9(2):85-93. doi:10.1097/SIH.0b013e3182a90304.
https:/…
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psnet.ahrq.gov/node/38436/psn-pdf
February 25, 2009 - The effectiveness of inking needle core prostate biopsies
for preventing patient specimen identification errors: a
technique to address Joint Commission patient safety
goals in specialty laboratories.
February 25, 2009
Raff LJ, Engel G, Beck KR, et al. The effectiveness of inking needle core prostate biopsies for …
-
psnet.ahrq.gov/node/45500/psn-pdf
September 28, 2016 - PIPc study: development of indicators of potentially
inappropriate prescribing in children (PIPc) in primary
care using a modified Delphi technique.
September 28, 2016
Barry E, O'Brien K, Moriarty F, et al. PIPc study: development of indicators of potentially inappropriate
prescribing in children (PIPc) in primary…