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Showing results for "operating".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865489/psn-pdf
    April 03, 2024 - Safety is the preservation of value. April 3, 2024 Vandeskog B. Safety is the preservation of value. J Safety Res. 2024;89:105-115. doi:10.1016/j.jsr.2024.02.004. https://psnet.ahrq.gov/issue/safety-preservation-value Safety is at the heart of safety science, and yet “safety” lacks a consensus definition among saf…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41613/psn-pdf
    August 22, 2012 - Standardized postoperative handover process improves outcomes in the intensive care unit: a model for operational sustainability and improved team performance. August 22, 2012 Bhakta RT, Stockwell DC. Transitions of care in the pediatric cardiac intensive care unit*. Crit Care Med. 2012;40(7). doi:10.1097/ccm.0b0…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44770/psn-pdf
    September 24, 2016 - Obstacles to research on the effects of interruptions in healthcare. September 24, 2016 Grundgeiger T, Dekker SWA, Sanderson P, et al. Obstacles to research on the effects of interruptions in healthcare. BMJ Qual Saf. 2016;25(6):392-5. doi:10.1136/bmjqs-2015-004083. https://psnet.ahrq.gov/issue/obstacles-research-…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865820/psn-pdf
    May 08, 2024 - Breaking the silence on medical mistakes. May 8, 2024 Scott M. The Pulse. New York Public Radio; April 26, 2024. https://psnet.ahrq.gov/issue/breaking-silence-medical-mistakes Individuals involved in medical errors need time and support to process the incident and its consequences. This moderated podcast examines …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35188/psn-pdf
    August 16, 2016 - The Handbook of Patient Safety Compliance: A Practical Guide for Health Care Organizations. August 16, 2016 Rozovsky FA, Woods JR. San Francisco, CA: Jossey-Bass; 2005. ISBN 9780787965105. https://psnet.ahrq.gov/issue/handbook-patient-safety-compliance-practical-guide-health-care-organizations This well-referenced…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35912/psn-pdf
    July 23, 2010 - Portable advanced medical simulation for new emergency department testing and orientation. July 23, 2010 Kobayashi L, Shapiro MJ, Sucov A, et al. Portable advanced medical simulation for new emergency department testing and orientation. Acad Emerg Med. 2006;13(6):691-5. https://psnet.ahrq.gov/issue/portable-advanc…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43185/psn-pdf
    May 14, 2014 - Preventing health care–associated harm in children. May 14, 2014 Walsh KE, Bundy DG, Landrigan CP. Preventing health care-associated harm in children. JAMA. 2014;311(17):1731-2. doi:10.1001/jama.2014.2038. https://psnet.ahrq.gov/issue/preventing-health-care-associated-harm-children This commentary describes why de…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73572/psn-pdf
    August 04, 2021 - Center for Innovations in Quality, Effectiveness and Safety. IQuESt! August 4, 2021 Houston, TX:  Baylor College of Medicine. https://psnet.ahrq.gov/issue/center-innovations-quality-effectiveness-and-safety-iquest This Center represents a partnership with the Veterans Affairs Health Services Research & Develo…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43354/psn-pdf
    July 16, 2014 - Weaving a healthcare tapestry of safety and communication. July 16, 2014 Hay J, Collin S, Koruth S. Weaving a healthcare tapestry of safety and communication. Nurs Manage. 2014;45(7):40-6. doi:10.1097/01.NUMA.0000451035.84587.7d. https://psnet.ahrq.gov/issue/weaving-healthcare-tapestry-safety-and-communication Th…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34082/psn-pdf
    July 21, 2009 - Microsystems in health care: Part 2. Creating a rich information environment. July 21, 2009 Nelson EC, Batalden PB, Homa K, et al. Microsystems in health care: Part 2. Creating a rich information environment. Jt Comm J Qual Patient Saf. 2003;29(1):5-15. https://psnet.ahrq.gov/issue/microsystems-health-care-part-2-…

  11. Adverse Event | PSNet

    psnet.ahrq.gov/taxonomy/term/3437
    May 23, 2025 - Adverse Event Any injury caused by medical care. Examples: pneumothorax from central venous catheter placement anaphylaxis to penicillin postoperative wound infection hospital-acquired delirium (or "sundowning") in elderly patients Identifying something as an adverse event does not imply "error," "negligence," or po…

  12. Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout | PSNet

    psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback-and-burnout
    January 22, 2020 - Every work setting in health care, from operating rooms to the office practice and visiting nurse group … Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.

  13. A comparative study measuring the difference of healthcare workers reactions among those involved in a patent safety incident and healthcare professionals while working during COVID-19. | PSNet

    psnet.ahrq.gov/issue/comparative-study-measuring-difference-healthcare-workers-reactions-among-those-involved
    February 15, 2023 - Study A comparative study measuring the difference of healthcare workers reactions among those involved in a patent safety incident and healthcare professionals while working during COVID-19. Citation Text: Seys D, De Decker E, Waelkens H, et al. A comparative study measuring the differe…

  14. Safety culture and workforce well-being associations with Positive Leadership WalkRounds. | PSNet

    psnet.ahrq.gov/issue/safety-culture-and-workforce-well-being-associations-positive-leadership-walkrounds
    January 21, 2019 - Study Safety culture and workforce well-being associations with Positive Leadership WalkRounds. Citation Text: Sexton JB, Adair KC, Profit J, et al. Safety culture and workforce well-being associations with Positive Leadership WalkRounds. Jt Comm J Qual Patient Saf. 2021;47(7):403-411. d…

  15. In Conversation With… Richard Kronick, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
    February 01, 2014 - 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

  16. The PeaceHealth Governance Journey in Support of Quality and Safety | PSNet

    psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
    August 01, 2007 - As an example, Jim Conway, the former chief operating officer of Dana Farber, went to talk to a particular … When boards look at finance, they look at the operating margin, they look at days of cash on hand, they … March 13, 2013 WebM&M Cases Good Catch in the Operating

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840174/psn-pdf
    August 28, 2024 - Less than two hours after the repeat CT scan, the patient was taken to the operating room (OR) to undergo … He confirmed that she understood what happened, including the miscommunication among operating room

  18. Missed CANDOR Implementation Opportunities. | PSNet

    psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
    November 11, 2020 - Less than two hours after the repeat CT scan, the patient was taken to the operating room (OR) to undergo … He confirmed that she understood what happened, including the miscommunication among operating room team

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845654/psn-pdf
    March 08, 2023 - NHS staff cried in safety interviews, says watchdog. March 8, 2023 Reed J. BBC. February 27, 2023. https://psnet.ahrq.gov/issue/nhs-staff-cried-safety-interviews-says-watchdog Stressful and caustic work environments are known to compromise health care safety and teamwork. This news story discusses an ongoing inves…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50826/psn-pdf
    January 22, 2020 - Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations January 22, 2020 Feldman SS, Brazil V, Zengul FD, et al, eds. Health Syst (Basingstoke). 2019;8(3):153-227. https://psnet.ahrq.gov/issue/health-informatics-healthcare-quality-and-safety-and-…
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