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Showing results for "operational".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40147/psn-pdf
    January 19, 2011 - Assessing the quality of patient handoffs at care transitions. January 19, 2011 Manser T, Foster S, Gisin S, et al. Assessing the quality of patient handoffs at care transitions. Qual Saf Health Care. 2010;19(6):e44. doi:10.1136/qshc.2009.038430. https://psnet.ahrq.gov/issue/assessing-quality-patient-handoffs-care…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38373/psn-pdf
    January 28, 2009 - A simulation design for research evaluating safety innovations in anaesthesia. January 28, 2009 Merry AF, Weller JM, Robinson BJ, et al. A simulation design for research evaluating safety innovations in anaesthesia*. Anaesthesia. 2008;63(12):1349-57. doi:10.1111/j.1365-2044.2008.05638.x. https://psnet.ahrq.gov/iss…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39435/psn-pdf
    April 07, 2010 - Patient safety in surgery: non-technical aspects of safe surgical performance. April 7, 2010 Youngson GG, Flin R. Patient safety in surgery: non-technical aspects of safe surgical performance. Patient Saf Surg. 2010;4(1):4. doi:10.1186/1754-9493-4-4. https://psnet.ahrq.gov/issue/patient-safety-surgery-non-technica…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37343/psn-pdf
    December 02, 2008 - Surgical confusions in ophthalmology. December 2, 2008 Simon JW, Ngo Y, Khan S, et al. Surgical confusions in ophthalmology. Arch Ophthalmol. 2007;125(11):1515-22. https://psnet.ahrq.gov/issue/surgical-confusions-ophthalmology This retrospective study reviewed more than 100 cases to characterize common sources of …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47658/psn-pdf
    December 12, 2018 - Heartbroken. December 12, 2018 McGrory K, Bedi N. Tampa Bay Times. November 28, 2018. https://psnet.ahrq.gov/issue/heartbroken Pediatric cardiac surgery is a high-risk practice. This news investigation reports on a series of serious patient safety incidents at a health care institute dedicated to treating heart pr…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865418/psn-pdf
    March 27, 2024 - Cybersecurity and How to Maintain Patient Safety March 27, 2024 Pelletreau B, Riggi J, Gale B, et al. Cybersecurity and How to Maintain Patient Safety. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety Introduction The integration of information technology (I…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33701/psn-pdf
    October 01, 2010 - What Makes a Good Checklist October 1, 2010 McLaughlin AC. What Makes a Good Checklist. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/what-makes-good-checklist Perspective The use of checklists is a primitive yet remarkably effective strategy for ensuring accuracy in complex tasks. Checklists have lo…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33705/psn-pdf
    January 01, 2011 - Risk Management and Patient Safety December 1, 2010 Manuel BM, McCarthy JL, Berry WR, et al. Risk Management and Patient Safety. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/risk-management-and-patient-safety Perspective In 1990, a Harvard-based research team reported the incidence of medical errors …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61002/psn-pdf
    September 17, 2020 - Patient Safety September 17, 2020 Organisation for Economic Co-operation and Development. https://psnet.ahrq.gov/issue/patient-safety-21 Organizations worldwide are focusing efforts on reducing the conditions that contribute to medical error. This website provides a collection of reports and other resources that c…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48038/psn-pdf
    June 05, 2019 - Addressing Problematic Opioid Use in OECD Countries. June 5, 2019 Organisation for Economic Co-operation and Development. Paris, France: OECD Publishing; 2019. ISBN: 978926474260. https://psnet.ahrq.gov/issue/addressing-problematic-opioid-use-oecd-countries The overprescribing of prescription opioids heightens the…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42158/psn-pdf
    April 03, 2013 - Long-term effects of a perioperative safety checklist from the viewpoint of personnel. April 3, 2013 Böhmer AB, Kindermann P, Schwanke U, et al. Long-term effects of a perioperative safety checklist from the viewpoint of personnel. Acta Anaesthesiol Scand. 2013;57(2):150-7. doi:10.1111/aas.12020. https://psnet.ahr…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41255/psn-pdf
    May 04, 2012 - EACTS guidelines for the use of patient safety checklists. May 4, 2012 Clark SC, Dunning J, Alfieri OR, et al. EACTS guidelines for the use of patient safety checklists. Eur J Cardiothorac Surg. 2012;41(5):993-1004. doi:10.1093/ejcts/ezs009. https://psnet.ahrq.gov/issue/eacts-guidelines-use-patient-safety-checklist…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43920/psn-pdf
    July 10, 2018 - Master of Science in Medical and Healthcare Simulation. July 10, 2018 Drexel University College of Medicine. https://psnet.ahrq.gov/issue/master-science-medical-and-healthcare-simulation Simulation training enables learning from mistakes without the potential for patient harm. This multidisciplinary degree program…

  14. Tacit Handover, Overt Mishap | PSNet

    psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
    August 01, 2006 - Tacit Handover, Overt Mishap Citation Text: Cooper JB, Kamdar BB. Tacit Handover, Overt Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

  15. Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability | PSNet

    psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
    May 27, 2020 - Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability Citation Text: Semkiw K, Anderson D, Natale JA. Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability. PSNet [internet]. Rockville (MD): Agency for Heal…

  16. Who Nose Where the Airway Is? | PSNet

    psnet.ahrq.gov/web-mm/who-nose-where-airway
    May 01, 2016 - Who Nose Where the Airway Is? Citation Text: Lee CR. Who Nose Where the Airway Is?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  17. July Syndrome | PSNet

    psnet.ahrq.gov/web-mm/july-syndrome
    July 01, 2011 - July Syndrome Citation Text: Young JQ. July Syndrome. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS D…

  18. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-04/final_psnet_spotlight_retained_vaginal_packing_04.08.2021.pdf
    January 01, 2021 - Spotlight Spotlight Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough Source and Credits • This presentation is based on the April 2021 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Verna Gibbs, MD o AHRQ W…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50949/psn-pdf
    February 26, 2020 - Pre-analytical pitfalls: Missing and mislabeled specimens February 26, 2020 Tran NK, Liu Y. Pre-analytical pitfalls: Missing and mislabeled specimens . PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens The Case Case #1: A 56-year-old man was admitted to…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49654/psn-pdf
    June 01, 2012 - Transfer Troubles June 1, 2012 Hains IM. Transfer Troubles. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/transfer-troubles Case Objectives Recognize that transfer of patients between hospitals is common. Understand the frequency of errors and adverse events in the transfer of patients between hospitals. …
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