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Total Results: 6,859 records

Showing results for "operational".

2901. The role of documents and documentation in communication failure across the perioperative pathway. A literature review. | PSNet
      psnet.ahrq.gov/issue/role-documents-and-documentation-communication-failure-across-perioperative-pathway
      November 06, 2015 - Review The role of documents and documentation in communication failure across the perioperative pathway. A literature review. Citation Text: Braaf S, Manias E, Riley R. The role of documents and documentation in communication failure across the perioperative pathway. A literature revi…

2902. Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). | PSNet
      psnet.ahrq.gov/issue/rating-medical-emergency-teamwork-performance-development-team-emergency-assessment-measure
      January 13, 2010 - Study Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). Citation Text: Cooper S, Cant R, Porter J, et al. Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). Resuscitation. …

2903. Medication administration process assessment: applying lessons learned from commercial aviation. | PSNet
      psnet.ahrq.gov/issue/medication-administration-process-assessment-applying-lessons-learned-commercial-aviation
      May 25, 2011 - Commentary Medication administration process assessment: applying lessons learned from commercial aviation. Citation Text: Donahue M, Brown JP, Fitzpatrick JJ. Medication administration process assessment: applying lessons learned from commercial aviation. J Nurs Admin. 2009;39(2):77-8…

2904. The normalization of deviance: a threat to patient safety. | PSNet
      psnet.ahrq.gov/issue/normalization-deviance-threat-patient-safety
      December 21, 2016 - Commentary The normalization of deviance: a threat to patient safety. Citation Text: Odom-Forren J. The normalization of deviance: a threat to patient safety. J Perianesth Nurs. 2011;26(3):216-9. doi:10.1016/j.jopan.2011.05.002. Copy Citation Format: DOI Google Scholar Pu…

2905. Organizational resilience as paradox management: a systematic review of the literature. | PSNet
      psnet.ahrq.gov/issue/organizational-resilience-paradox-management-systematic-review-literature
      February 15, 2017 - Review Organizational resilience as paradox management: a systematic review of the literature. Citation Text: Tekletsion BF, Gomes JFDS, Tefera B. Organizational resilience as paradox management: a systematic review of the literature. J Contingencies Crisis Manage. 2024;32(1):e12495. doi…

2906. An evaluation of medication errors—the pediatric surgical service experience. | PSNet
      psnet.ahrq.gov/issue/evaluation-medication-errors-pediatric-surgical-service-experience
      March 02, 2011 - Study An evaluation of medication errors—the pediatric surgical service experience. Citation Text: Engum SA, Breckler FD. An evaluation of medication errors-the pediatric surgical service experience. J Pediatr Surg. 2008;43(2):348-52. doi:10.1016/j.jpedsurg.2007.10.042. Copy Citation…

2907. Medical error disclosure: the gap between attitude and practice. | PSNet
      psnet.ahrq.gov/issue/medical-error-disclosure-gap-between-attitude-and-practice
      November 13, 2024 - Study Medical error disclosure: the gap between attitude and practice. Citation Text: Ghalandarpoorattar SM, Kaviani A, Asghari F. Medical error disclosure: the gap between attitude and practice. Postgrad Med J. 2012;88(1037):130-3. doi:10.1136/postgradmedj-2011-130118. Copy Citation…

2908. The creation and impact of a dedicated section on quality and patient safety in a clinical academic department. | PSNet
      psnet.ahrq.gov/issue/creation-and-impact-dedicated-section-quality-and-patient-safety-clinical-academic-department
      May 28, 2008 - Commentary The creation and impact of a dedicated section on quality and patient safety in a clinical academic department. Citation Text: Boudreaux AM, Vetter TR. The Creation and Impact of a Dedicated Section on Quality and Patient Safety in a Clinical Academic Department. Academic Medi…

2909. Integrating CUSP and TRIP to improve patient safety. | PSNet
      psnet.ahrq.gov/issue/integrating-cusp-and-trip-improve-patient-safety
      June 16, 2011 - Commentary Integrating CUSP and TRIP to improve patient safety. Citation Text: Romig M, Goeschel CA, Pronovost P, et al. Integrating CUSP and TRIP to improve patient safety. Hosp Pract (1995). 2010;38(4):114-21. doi:10.3810/hp.2010.11.348. Copy Citation Format: DOI Google…

2910. Should patients have a role in patient safety? A safety engineering view. | PSNet
      psnet.ahrq.gov/issue/should-patients-have-role-patient-safety-safety-engineering-view
      June 10, 2009 - Commentary Should patients have a role in patient safety? A safety engineering view. Citation Text: Lyons M. Should patients have a role in patient safety? A safety engineering view. Qual Saf Health Care. 2007;16(2):140-2. Copy Citation Format: Google Scholar PubMed BibTe…

2911. Patient safety and leadership: do you walk the walk? | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-leadership-do-you-walk-walk
      November 04, 2020 - Commentary Patient safety and leadership: do you walk the walk? Citation Text: Jarrett MP. Patient Safety and Leadership: Do You Walk the Walk? J Healthc Manag. 2017;62(2):88-92. doi:10.1097/JHM-D-17-00005. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

2912. Promoting patient safety with perioperative hand-off communication. | PSNet
      psnet.ahrq.gov/issue/promoting-patient-safety-perioperative-hand-communication
      April 22, 2011 - Commentary Promoting patient safety with perioperative hand-off communication. Citation Text: Robinson NL. Promoting Patient Safety With Perioperative Hand-off Communication. J Perianesth Nurs. 2016;31(3):245-53. doi:10.1016/j.jopan.2014.08.144. Copy Citation Format: DOI Go…

2913. The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide. | PSNet
      psnet.ahrq.gov/issue/nursing-home-expert-panels-falls-investigation-guide-toolkit-how-guide
      January 09, 2025 - Tools/Toolkit The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide. Citation Text: The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide. Portland, OR: Oregon Patient Safety Commission; 2022.  Copy Citation Sav…

2914. Experience of wrong site surgery and surgical marking practices among clinicians in the UK. | PSNet
      psnet.ahrq.gov/issue/experience-wrong-site-surgery-and-surgical-marking-practices-among-clinicians-uk
      October 20, 2010 - Study Experience of wrong site surgery and surgical marking practices among clinicians in the UK. Citation Text: Giles SJ, Rhodes P, Clements G, et al. Experience of wrong site surgery and surgical marking practices among clinicians in the UK. Qual Saf Health Care. 2006;15(5):363-8. …

2915. Safety learning system development--incident reporting component for family practice. | PSNet
      psnet.ahrq.gov/issue/safety-learning-system-development-incident-reporting-component-family-practice
      March 21, 2012 - Review Safety learning system development--incident reporting component for family practice. Citation Text: O'Beirne M, Sterling P, Reid R, et al. Safety learning system development--incident reporting component for family practice. Qual Saf Health Care. 2010;19(3):252-7. doi:10.1136/q…

2916. Hospital checklists are meant to save lives—so why do they often fail? | PSNet
      psnet.ahrq.gov/issue/hospital-checklists-are-meant-save-lives-so-why-do-they-often-fail
      July 31, 2013 - Newspaper/Magazine Article Hospital checklists are meant to save lives—so why do they often fail? Citation Text: Anthes E. Hospital checklists are meant to save lives - so why do they often fail? Nature. 2015;523(7562):516-8. doi:10.1038/523516a. Copy Citation Format: DOI G…

2917. A piece of my mind. Coping with fallibility. | PSNet
      psnet.ahrq.gov/issue/piece-my-mind-coping-fallibility
      June 26, 2015 - Commentary Classic A piece of my mind. Coping with fallibility. Citation Text: Levinson W, Dunn PM. A piece of my mind. Coping with fallibility. JAMA. 1989;261(15):2252. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

2918. Labeling solutions and medications in sterile procedural settings. | PSNet
      psnet.ahrq.gov/issue/labeling-solutions-and-medications-sterile-procedural-settings
      July 13, 2016 - Commentary Labeling solutions and medications in sterile procedural settings. Citation Text: Sheridan DJ. Labeling solutions and medications in sterile procedural settings. Jt Comm J Qual Patient Saf. 2006;32(5):276-82. Copy Citation Format: Google Scholar PubMed BibTeX End…

2919. Enhancing the effectiveness of team debriefings in medical simulation: more best practices. | PSNet
      psnet.ahrq.gov/issue/enhancing-effectiveness-team-debriefings-medical-simulation-more-best-practices
      March 17, 2021 - Commentary Enhancing the effectiveness of team debriefings in medical simulation: more best practices. Citation Text: Lyons R, Lazzara EH, Benishek LE, et al. Enhancing the effectiveness of team debriefings in medical simulation: more best practices. Jt Comm J Qual Patient Saf. 2015;41(3…

2920. Social risk, health inequity, and patient safety. | PSNet
      psnet.ahrq.gov/issue/social-risk-health-inequity-and-patient-safety
      September 28, 2022 - Commentary Social risk, health inequity, and patient safety. Citation Text: Boisvert S. Social risk, health inequity, and patient safety. J Healthc Risk Manag. 2022;42(2):18-25. doi:10.1002/jhrm.21519. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7…