Results

Total Results: 6,859 records

Showing results for "operational".

  1. psnet.ahrq.gov/issue/meta-review-methods-measuring-and-monitoring-safety-primary-care
    November 03, 2021 - Review A meta-review of methods of measuring and monitoring safety in primary care. Citation Text: O’Connor P, Madden C, O’Dowd E, et al. A meta-review of methods of measuring and monitoring safety in primary care. Int J Qual Health Care. 2021;33(3):mzab117. doi:10.1093/intqhc/mzab117. …
  2. psnet.ahrq.gov/primer/teamwork-training
    September 15, 2024 - Teamwork Training Citation Text: Teamwork Training. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…
  3. psnet.ahrq.gov/curated-library/rapid-response-systems
    September 15, 2024 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Rapid Response Systems  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: AHRQ Date Created: January 24, 20…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33721/psn-pdf
    November 01, 2011 - Lesson from the VA's Team Training Program November 1, 2011 Neily J, Mills PD, Paull DE, et al. Lesson from the VA's Team Training Program . PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/lesson-vas-team-training-program Perspective Introduction The Veterans Health Administration (VHA) National Center…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836978/psn-pdf
    May 16, 2022 - Check Twice, Transport Once May 16, 2022 DePew A, Rice J, Chou J. Check Twice, Transport Once. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/check-twice-transport-once The Case Case #1: A 26-year-old woman (Patient A) presented to the Emergency Department (ED) with abdominal pain and was diagnosed with “s…
  6. psnet.ahrq.gov/web-mm/privacy-gone-awry
    February 24, 2011 - Privacy Gone Awry Citation Text: Pauker SG, Pauker SP. Privacy Gone Awry. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…
  7. psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
    September 29, 2021 - SPOTLIGHT CASE Intraosseous Line Extravasation in a Pediatric Trauma Patient Citation Text: Yoon J, Barnes DK. Intraosseous Line Extravasation in a Pediatric Trauma Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38410/psn-pdf
    January 23, 2012 - A towel with a safety message. January 23, 2012 Lerner M. https://psnet.ahrq.gov/issue/towel-safety-message This newspaper article highlights a simple innovation one hospital is using to trigger a time out in the operating room. https://psnet.ahrq.gov/issue/towel-safety-message https://psnet.ahrq.gov//#timeouts
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35519/psn-pdf
    July 24, 2008 - Bringing surgeons down to earth. July 24, 2008 Landro L. https://psnet.ahrq.gov/issue/bringing-surgeons-down-earth This article reports on several pilot initiatives designed to improve safety culture in the operating room. https://psnet.ahrq.gov/issue/bringing-surgeons-down-earth https://psnet.ahrq.gov//#safetycul…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40877/psn-pdf
    February 05, 2018 - Fire Safety. February 5, 2018 Council on Surgical & Perioperative Safety. https://psnet.ahrq.gov/issue/fire-safety This initiative provides information on surgical fires and makes recommendations to address the risk of fires during surgery. https://psnet.ahrq.gov/issue/fire-safety https://psnet.ahrq.gov/issue/pra…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35903/psn-pdf
    May 04, 2015 - Costly issues of an uncommunicative OR. May 4, 2015 Neil R. Costly issues of an uncommunicative OR. Materials management in health care. 2006;15(3):30-3. https://psnet.ahrq.gov/issue/costly-issues-uncommunicative-or This article discusses initiatives for better communication and teamwork in the operating room in or…
  12. psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
    January 01, 2009 - SPOTLIGHT CASE The Missing Abscess: Radiology Reads in the Digital Era Citation Text: Siegel EL. The Missing Abscess: Radiology Reads in the Digital Era. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation…
  13. psnet.ahrq.gov/web-mm/transfer-troubles
    December 29, 2014 - SPOTLIGHT CASE Transfer Troubles Citation Text: Hains IM. Transfer Troubles. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
  14. psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
    August 20, 2018 - A Double “Never Event”: Wrong Patient and Wrong Side. Citation Text: Bellini A, Salcedo ES. A Double “Never Event”: Wrong Patient and Wrong Side.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865411/psn-pdf
    March 27, 2024 - Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy March 27, 2024 Lopez C, Tache V. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/uterine-artery-injury-during-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49774/psn-pdf
    November 01, 2016 - Don't Dismiss the Dangerous: Obstetric Hemorrhage November 1, 2016 Main EK. Don't Dismiss the Dangerous: Obstetric Hemorrhage. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage Case Objectives List the common causes of obstetric hemorrhage and the need for a unit-sta…
  17. psnet.ahrq.gov/issue/probabilistic-risk-assessment-accidental-abo-incompatible-thoracic-organ-transplantation-and
    June 24, 2020 - Study Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003. Citation Text: Cook RI, Wreathall J, Smith A, et al. Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 200…
  18. psnet.ahrq.gov/issue/double-checking-administration-medicines-what-evidence-systematic-review
    June 18, 2014 - Review Double checking the administration of medicines: what is the evidence? A systematic review. Citation Text: Alsulami Z, Conroy S, Choonara I. Double checking the administration of medicines: what is the evidence? A systematic review. Arch Dis Child. 2012;97(9):833-7. doi:10.1136/a…
  19. psnet.ahrq.gov/issue/risk-factors-adverse-events-emergency-department-procedural-sedation-children
    January 19, 2014 - Study Risk factors for adverse events in emergency department procedural sedation for children. Citation Text: Bhatt M, Johnson DW, Chan J, et al. Risk Factors for Adverse Events in Emergency Department Procedural Sedation for Children. JAMA Pediatr. 2017;171(10):957-964. doi:10.1001/jam…
  20. psnet.ahrq.gov/issue/use-emergency-manual-during-intraoperative-cardiac-arrest-interprofessional-team-positive
    April 03, 2019 - Study Use of an emergency manual during an intraoperative cardiac arrest by an interprofessional team: a positive-exemplar case study of a new patient safety tool. Citation Text: Merrell SB, Gaba DM, Agarwala A, et al. Use of an Emergency Manual During an Intraoperative Cardiac Arrest by…

Search the AHRQ Archive

Information and reports more than 5 years old may be found in the AHRQ Archive site.

Search Archive

Search Within A Specific AHRQ Site

You selected to view results for the following site: