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Showing results for "operating".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44221/psn-pdf
    September 27, 2016 - Reducing surgical errors: implementing a three-hinge approach to success. September 27, 2016 Landers R. Reducing surgical errors: implementing a three-hinge approach to success. AORN J. 2015;101(6):657-65. doi:10.1016/j.aorn.2015.04.013. https://psnet.ahrq.gov/issue/reducing-surgical-errors-implementing-three-hing…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42625/psn-pdf
    November 08, 2013 - Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. November 8, 2013 Judson TJ, Howell MD, Guglielmi C, et al. Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. Jt Comm J Qual Patient Saf. 2013;39(10):4…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41188/psn-pdf
    March 07, 2012 - Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients. March 7, 2012 Nakayama DK, Lester SS, Rich DR, et al. Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients. J Pediatr Surg. 2012;47(1):112-8. …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865682/psn-pdf
    April 24, 2024 - Global Medical Supply Chain Security. April 24, 2024 Cadwallader AB, ed. AMA J Ethics. 2024;26(4):e275-e359. https://psnet.ahrq.gov/issue/global-medical-supply-chain-security Drug shortages are a known problem that gained patient safety prominence during the COVID-19 pandemic. This special issue covers a rang…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39914/psn-pdf
    October 13, 2010 - Clinical handover of patients arriving by ambulance to the emergency department: a literature review. October 13, 2010 Bost N, Crilly J, Wallis M, et al. Clinical handover of patients arriving by ambulance to the emergency department - a literature review. Int Emerg Nurs. 2010;18(4):210-20. doi:10.1016/j.ienj.2009.…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46736/psn-pdf
    December 17, 2018 - Back to basics: the Universal Protocol. December 17, 2018 Spruce L. Back to Basics: The Universal Protocol: 1.4 www.aornjournal.org/content/cme. AORN J. 2018;107(1):116-125. doi:10.1002/aorn.12002. https://psnet.ahrq.gov/issue/back-basics-universal-protocol Wrong-site, wrong-procedure, and wrong-patient errors are…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45011/psn-pdf
    May 25, 2016 - High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. May 25, 2016 Oster C, Braaten J, eds. Indianapolis, IN: Sigma Theta Tau International; 2016. ISBN: 9781940446387. https://psnet.ahrq.gov/issue/high-reliability-organizations-healthcare-handbook-patient-safety-quality This publicati…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43133/psn-pdf
    February 25, 2015 - The effectiveness of management-by-walking-around: a randomized field study. February 25, 2015 Tucker AL, Singer SJ. The Effectiveness of Management-By-Walking-Around: A Randomized Field Study. Prod Oper Manag. 2014;24(2). doi:10.1111/poms.12226. https://psnet.ahrq.gov/issue/effectiveness-management-walking-around…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46876/psn-pdf
    August 15, 2018 - Design for patient safety: a systems-based risk identification framework. August 15, 2018 Simsekler MCE, Ward JR, Clarkson J. Design for patient safety: a systems-based risk identification framework. Ergonomics. 2018;61(8):1046-1064. doi:10.1080/00140139.2018.1437224. https://psnet.ahrq.gov/issue/design-patient-sa…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47218/psn-pdf
    January 09, 2019 - The accuracy of medical dispatch—a systematic review. January 9, 2019 Bohm K, Kurland L. The accuracy of medical dispatch - a systematic review. Scand J Trauma Resusc Emerg Med. 2018;26(1):94. doi:10.1186/s13049-018-0528-8. https://psnet.ahrq.gov/issue/accuracy-medical-dispatch-systematic-review Medical dispatch i…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866072/psn-pdf
    June 05, 2024 - WHO Global Report on Patient Safety. June 5, 2024 Geneva, Switzerland: World Health Organization; 2024. ISBN 9789240095458. https://psnet.ahrq.gov/issue/who-global-report-patient-safety Comparative data can help to inform and motivate patient safety improvement efforts. This report uses the seven objectives of the…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47906/psn-pdf
    August 21, 2019 - Creating a just culture: the Ottawa Hospital's experience. August 21, 2019 Forster AJ, Hamilton S, Hayes T, et al. Creating a Just Culture: The Ottawa Hospital's experience. Healthc Manage Forum. 2019;32(5):266-271. doi:10.1177/0840470419853303. https://psnet.ahrq.gov/issue/creating-just-culture-ottawa-hospitals-ex…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45915/psn-pdf
    July 19, 2017 - Half the time, nursing homes scrutinized on safety by Medicare are still treacherous. July 19, 2017 Rau J. Kaiser Health News. July 6, 2017. https://psnet.ahrq.gov/issue/half-time-nursing-homes-scrutinized-safety-medicare-are-still-treacherous System failures contribute to recurring problems in health care environ…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34005/psn-pdf
    August 17, 2017 - Medically Induced Trauma Support Services (MITSS). August 17, 2017 Tobin WN. Patient Safety Quality Healthcare. May/June 2013. https://psnet.ahrq.gov/issue/medically-induced-trauma-support-services-mitss Medically Induced Trauma Support Services (MITSS), Inc. was a nonprofit organization that supported, educated, …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40181/psn-pdf
    September 25, 2011 - The cost of serious fall-related injuries at three midwestern hospitals. September 25, 2011 Wong CA, Recktenwald AJ, Jones ML, et al. The cost of serious fall-related injuries at three Midwestern hospitals. Jt Comm J Qual Patient Saf. 2011;37(2):81-87. https://psnet.ahrq.gov/issue/cost-serious-fall-related-injurie…

  16. Telehealth and Patient Safety. | PSNet

    psnet.ahrq.gov/primer/telehealth-and-patient-safety
    July 27, 2022 - Telehealth and Patient Safety. Citation Text: O'Malley G, Shaikh U, Marcin JP. Telehealth and Patient Safety.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Google Scholar BibTeX EndNote X3 …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73303/psn-pdf
    May 26, 2021 - Safety Culture in EMS May 26, 2021 Cebollero C, Fitall E, Hall KK, et al. Safety Culture in EMS. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/safety-culture-ems Defining a Just Culture A Just Culture is one that supports transparent and honest error reporting with the goal of fostering an environmen…

  18. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.257_slideshow.ppt
    December 01, 2011 - Spotlight Case July 2008 Spotlight Case Order Interrupted by Text: Multitasking Mishap * * Source and Credits This presentation is based on the December 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: John Halamka, MD, MS, Chief Informa…

  19. In Conversation With… Mark Graban, MS, MBA | PSNet

    psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
    January 01, 2015 - engage employees in improvement, instead of just expecting them to come to work and follow a standard operating … these are the cultural themes that lead to improved safety and improved quality in a factory or in an operating … A chief operating officer that had worked his way up from being a frontline nurse was embracing Lean

  20. Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care | PSNet

    psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
    January 01, 2015 - engage employees in improvement, instead of just expecting them to come to work and follow a standard operating … these are the cultural themes that lead to improved safety and improved quality in a factory or in an operating … A chief operating officer that had worked his way up from being a frontline nurse was embracing Lean
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