-
psnet.ahrq.gov/issue/human-factors-engineering-its-place-and-potential-or-safety
May 24, 2017 - Commentary
Human factors engineering: its place and potential in OR safety.
Citation Text:
Criscitelli T. Human factors engineering: its place and potential in OR safety. AORN J. 2015;101(5):571-3. doi:10.1016/j.aorn.2015.02.013.
Copy Citation
Format:
DOI Google Scholar Pub…
-
psnet.ahrq.gov/issue/duplication-surgical-site-marking
November 18, 2016 - Commentary
Duplication of surgical site marking.
Citation Text:
Davis JS, Karmacharya J, Schulman C. Duplication of surgical site marking. J Patient Saf. 2012;8(4):151-2. doi:10.1097/PTS.0b013e3182699a01.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote X3 X…
-
psnet.ahrq.gov/issue/how-surgical-trainees-handle-catastrophic-errors-qualitative-study
March 19, 2019 - Study
How surgical trainees handle catastrophic errors: a qualitative study.
Citation Text:
Balogun JA, Bramall AN, Bernstein M. How Surgical Trainees Handle Catastrophic Errors: A Qualitative Study. J Surg Educ. 2015;72(6):1179-84. doi:10.1016/j.jsurg.2015.05.003.
Copy Citation
Fo…
-
psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
September 30, 2020 - SPOTLIGHT CASE
Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy
Citation Text:
Lopez C, Tache V. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. PSNet [internet]. Rockville (MD): Agency for Healt…
-
psnet.ahrq.gov/web-mm/nothing-called-small-surgery
February 01, 2023 - Nothing Called Small Surgery
Citation Text:
Manske C. Nothing Called Small Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
-
psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
January 01, 2008 - Then they have a hard time assessing in a comprehensive way the clinical and operational systems that … In a challenging health care environment, replete with financial, operational, and human resource issues
-
psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
January 01, 2015 - is remarkable that the Virginia Mason has integrated innovation and lean at both the strategic and operational … The organization has also developed an innovative culture that encourages clinical and operational associates
-
psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
January 01, 2015 - is remarkable that the Virginia Mason has integrated innovation and lean at both the strategic and operational … The organization has also developed an innovative culture that encourages clinical and operational associates
-
psnet.ahrq.gov/node/73387/psn-pdf
March 17, 2021 - COVID-19 and the Built Environment
June 30, 2021
Joseph A, Scanlon MM, Fitall E, et al. COVID-19 and the Built Environment. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/covid-19-and-built-environment
Introduction
The “built environment” in healthcare refers to the hospital structure and any other fix…
-
psnet.ahrq.gov/web-mm/dressed-failure
September 01, 2011 - This underscores the need for careful planning from an information technology, operational, and patient
-
psnet.ahrq.gov/node/49872/psn-pdf
August 08, 2019 - for SEA.(14) This lowered the threshold for clinicians to order MRI for suspected SEA,
created an operational
-
psnet.ahrq.gov/web-mm/infused-not-ingested
February 01, 2017 - These responsibilities should be a priority for hospitals committed to patient safety, not a simple operational
-
psnet.ahrq.gov/web-mm/wrong-channel
February 01, 2003 - A facility could identify the installation and operational steps that most often lead to infusion pump
-
psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - mitigation of harm caused by errors of omission or commission in healthcare, and the establishment of
operational
-
psnet.ahrq.gov/primer/patient-safety-indicators
June 15, 2024 - mitigation of harm caused by errors of omission or commission in healthcare, and the establishment of operational
-
psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - systolic blood pressure (SBP). 4,5 In practical terms, non-weight-based dosing (mcg/min) offers the operational
-
psnet.ahrq.gov/issue/suffering-silence-medical-error-and-its-impact-health-care-providers
December 12, 2014 - Review
Suffering in silence: medical error and its impact on health care providers.
Citation Text:
Robertson JJ, Long B. Suffering in Silence: Medical Error and its Impact on Health Care Providers. J Emerg Med. 2018;54(4). doi:10.1016/j.jemermed.2017.12.001.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/crises-clinical-care-approach-management
March 23, 2011 - Commentary
Crises in clinical care: an approach to management.
Citation Text:
Runciman WB. Crises in clinical care: an approach to management. Quality and Safety in Health Care. 2005;14(3). doi:10.1136/qshc.2004.012856.
Copy Citation
Format:
DOI Google Scholar BibTeX EndN…
-
psnet.ahrq.gov/issue/provider-interruptions-and-patient-perceptions-care-observational-study-emergency-department
June 26, 2024 - Study
Provider interruptions and patient perceptions of care: an observational study in the emergency department.
Citation Text:
Schneider A, Wehler M, Weigl M. Provider interruptions and patient perceptions of care: an observational study in the emergency department. BMJ Qual Saf. 2019;…
-
psnet.ahrq.gov/issue/exploring-impact-employee-engagement-and-patient-safety
July 27, 2022 - Review
Exploring the impact of employee engagement and patient safety.
Citation Text:
Scott G, Hogden A, Taylor R, et al. Exploring the impact of employee engagement and patient safety. Int J Qual Health Care. 2022;34(3):mzac059. doi:10.1093/intqhc/mzac059.
Copy Citation
Format:
…