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Showing results for "operating".

4861. High Reliability Organization (HRO) Principles and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
      February 26, 2025 - High Reliability Organization (HRO) Principles and Patient Safety Timothy Vogus, PhD; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Conversation View more articles from the same authors. Citation Text: Vogus T, Lee M, Mos…

4862. In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
      February 26, 2025 - In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety Timothy Vogus, PhD; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Essay View more articles from the same authors. Ci…

4863. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851158/psn-pdf
      June 28, 2023 - Ventricular Wall Injury during a Diagnostic Cardiac Catheterization June 28, 2023 Pham TH, Atreja S. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization The Case A patient was …

4864. CVC Placement: Speak Now or Do Not Use the Line | PSNet
      psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
      November 01, 2003 - CVC Placement: Speak Now or Do Not Use the Line Citation Text: Ault M, Rosen B. CVC Placement: Speak Now or Do Not Use the Line. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar …

4865. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49545/psn-pdf
      September 01, 2007 - He was taken to the operating room, and it was discovered the angio-seal closure device had failed and

4866. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33701/psn-pdf
      October 01, 2010 - A checklist can help support individuals operating in such automatic environments by signaling that

4867. In Conversation With… Lawrence Smith, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-lawrence-smith-md
      February 01, 2012 - shown to improve compliance with practice guidelines, decrease complications and mortality rates in the operating … Resident supervision in the operating room: does this impact on outcome?

4868. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49443/psn-pdf
      May 01, 2004 - Privacy Gone Awry May 1, 2004 Pauker SG, Pauker SP. Privacy Gone Awry. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/privacy-gone-awry The Case A 3-year-old child underwent bilateral myringotomies and tube insertion with adenoidectomy. Preoperatively, she had an upper respiratory infection, but was eating…

4869. Safety and Medical Education | PSNet
      psnet.ahrq.gov/perspective/safety-and-medical-education
      December 01, 2013 - Annual Perspective Safety and Medical Education Sumant Ranji, MD | January 1, 2014  Also Read a Conversation View more articles from the same authors. Citation Text: Ranji SR. Safety and Medical Education. PSNet [internet]. Rockville (MD): Agency for Healt…

4870. Diagnostic Errors | PSNet
      psnet.ahrq.gov/perspective/diagnostic-errors
      December 01, 2013 - Annual Perspective Diagnostic Errors Urmimala Sarkar, MD; Kaveh Shojania, MD | January 1, 2014  Also Read a Conversation View more articles from the same authors. Citation Text: Sarkar U, Shojania KG. Diagnostic Errors. PSNet [internet]. Rockville (MD): Ag…

4871. Pre-analytical pitfalls: Missing and mislabeled specimens | PSNet
      psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
      April 18, 2018 - and placing high priority “STAT” tests in central laboratories located near emergency departments, operating … care unit setting 14 with pre-analytic error costs representing 0.23 to 1.2% of a total hospital operating

4872. EMS Perils from Hospital Overcrowding | PSNet
      psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
      November 25, 2020 - The patient was admitted to the orthopedic inpatient service and taken to the operating room on hospital … citing an increase in ED visits from 95 million in 1997 to 108 million in 2000. 6   When hospitals are operating

4873. July Syndrome | PSNet
      psnet.ahrq.gov/web-mm/july-syndrome
      July 01, 2011 - WebM&M Cases If You Say So: Taking a Syringe at Face Value in the Operating

4874. Building a Safety Program Using Principles of Resilience Engineering | PSNet
      psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
      October 23, 2013 - For instance, the push for maximizing operating room (OR) utilization can sometimes lead OR coordinators

4875. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization | PSNet
      psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
      September 01, 2012 - Ventricular Wall Injury during a Diagnostic Cardiac Catheterization Citation Text: Pham TH, Atreja S. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Ci…

4876. Diffusion of Responsibility Leads to Danger | PSNet
      psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
      November 08, 2013 - Diffusion of Responsibility Leads to Danger Citation Text: Balcezak TJ, Deshpande O. Diffusion of Responsibility Leads to Danger. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar…

4877. Mitigating bias in AI at the point of care. | PSNet
      psnet.ahrq.gov/issue/mitigating-bias-ai-point-care
      March 08, 2023 - Newspaper/Magazine Article Mitigating bias in AI at the point of care. Citation Text: Mitigating bias in AI at the point of care. Decamp M, Lindvall C. Science. 2023;381(6654):150-152. Copy Citation Save Save to your library Print Download PDF …

4878. Patient Safety 101 | PSNet
      psnet.ahrq.gov/patient-safety-101
      March 26, 2025 - Patient Safety 101: The Fundamentals What is Patient Safety? The breadth of the field of patient safety is captured in various definitions. It has been defined as avoiding harm to patients from care that is intended to help them. 1 It involves the prevention and mitigation of harm caused by err…

4879. In Conversation With… Enrico Coiera, MB, BS, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
      February 01, 2014 - Just because somebody likes music when they're operating doesn't mean that it is a safe thing to do. … environments such as the pediatric ward, the emergency department, medical–surgical units, and the operating … simulated environment, Feuerbacher and colleagues ( 11 ) found that in 8 of 18 simulated procedures, operating … In contrast, when there were no operating room distractions or interruptions, only 1 of 18 simulated

4880. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857059/psn-pdf
      November 29, 2023 - tube in the intensive care unit (ICU) using the “pull technique” (i.e., via the mouth) because an operating … When he contacted the operating surgeon, he learned that the plan was to revise the PEG tube via laparoscopic … end of her inpatient stay and recommended outpatient open gastrostomy tube revision, but neither the operating … Risk Factors and Alternative Approaches In many locations, operating room access is limited, so bedside