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Showing results for "operational".

  1. psnet.ahrq.gov/web-mm/techno-trip
    May 01, 2005 - Techno Trip Citation Text: Cook RI. Techno Trip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…
  2. psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
    August 21, 2024 - SPOTLIGHT CASE Don't Dismiss the Dangerous: Obstetric Hemorrhage Citation Text: Main EK. Don't Dismiss the Dangerous: Obstetric Hemorrhage. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857258/psn-pdf
    November 30, 2023 - Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon November 30, 2023 Bohringer C, Ashley S. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/always-check-muscle-twitch-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49591/psn-pdf
    October 01, 2009 - Difficult Encounters: A CMO and CNO Respond October 1, 2009 Ring EJ, Hirsch JE. Difficult Encounters: A CMO and CNO Respond. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond Case Objectives Appreciate the risk of disruptive behavior and understand institutional respons…
  5. psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
    September 25, 2024 - Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected Citation Text: Wieck M. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 202…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865489/psn-pdf
    April 03, 2024 - Safety is the preservation of value. April 3, 2024 Vandeskog B. Safety is the preservation of value. J Safety Res. 2024;89:105-115. doi:10.1016/j.jsr.2024.02.004. https://psnet.ahrq.gov/issue/safety-preservation-value Safety is at the heart of safety science, and yet “safety” lacks a consensus definition among saf…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36429/psn-pdf
    March 28, 2011 - Governing the surgical count through communication interactions: implications for patient safety. March 28, 2011 Riley R, Manias E, Polglase A. Governing the surgical count through communication interactions: implications for patient safety. Qual Saf Health Care. 2006;15(5):369-374. https://psnet.ahrq.gov/issue/go…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44789/psn-pdf
    April 25, 2016 - Guideline for prevention of retained surgical items. April 25, 2016 Putnam K. Guideline for prevention of retained surgical items. AORN J. 2015;102(6):P11-P13. https://psnet.ahrq.gov/issue/guideline-prevention-retained-surgical-items Retained surgical items are considered a sentinel event in perioperative care. Thi…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74759/psn-pdf
    February 09, 2022 - The challenge of competency assessment of the late- career practitioner. February 9, 2022 Steffany M. The challenge of competency assessment of the late?career practitioner. J Healthc Risk Manag. 2022;41(3):31-38. doi:10.1002/jhrm.21492. https://psnet.ahrq.gov/issue/challenge-competency-assessment-late-career-prac…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867145/psn-pdf
    November 13, 2024 - Technology, Education and Safety. November 13, 2024 Technology, Education and Safety. Harbell MW, ed. Curr Opin Anaesthesiol. 2024;37(6):666-742. https://psnet.ahrq.gov/issue/technology-education-and-safety-3 Despite consummate efforts to improve safety, errors still occur in anesthesiology. This special collection…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36148/psn-pdf
    March 03, 2011 - Surgical crisis management skills training and assessment: a stimulation-based approach to enhancing operating room performance. March 3, 2011 Moorthy K, Munz Y, Forrest D, et al. Surgical Crisis Management Skills Training and Assessment. Ann Surg. 2006;244(1). doi:10.1097/01.sla.0000217618.30744.61. https://psne…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840494/psn-pdf
    November 30, 2022 - Safety of anesthetic and perioperative medication practices. November 30, 2022 Meyer TA. Anesthesiology News. October 31, 2022. https://psnet.ahrq.gov/issue/safety-anesthetic-and-perioperative-medication-practices Medication use in the surgical environment is complex and high-risk. This article describes steps tow…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40836/psn-pdf
    October 12, 2011 - Exploring varieties of knowledge in safe work practices—an ethnographic study of surgical teams. October 12, 2011 Høyland S, Aase K, Hollund JG. Exploring varieties of knowledge in safe work practices - an ethnographic study of surgical teams. Patient Saf Surg. 2011;5:21. doi:10.1186/1754-9493-5-21. https://psnet.…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42282/psn-pdf
    October 08, 2013 - Flow disruptions in trauma care handoffs. October 8, 2013 Catchpole K, Gangi A, Blocker RC, et al. Flow disruptions in trauma care handoffs. J Surg Res. 2013;184(1):586-91. doi:10.1016/j.jss.2013.02.038. https://psnet.ahrq.gov/issue/flow-disruptions-trauma-care-handoffs Higher acuity trauma patients were more like…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35976/psn-pdf
    August 10, 2010 - Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma patient. August 10, 2010 Minei JP, Nathens AB, West M, et al. Guidelines for prevention, diagnosis and treatment of ventilator- associated pneumonia (VAP) in the trauma patient. J Trauma. 2006;60(5):1106-1113.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43152/psn-pdf
    May 07, 2014 - The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. May 7, 2014 Bethune R, Blencowe NS. The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. J Perioper Pract. 2014;24(3):56-58. https://psnet.ahrq.gov/issue/trainees-voice-recog…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865820/psn-pdf
    May 08, 2024 - Breaking the silence on medical mistakes. May 8, 2024 Scott M. The Pulse. New York Public Radio; April 26, 2024. https://psnet.ahrq.gov/issue/breaking-silence-medical-mistakes Individuals involved in medical errors need time and support to process the incident and its consequences. This moderated podcast examines …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42591/psn-pdf
    July 16, 2015 - Underreporting of robotic surgery complications. July 16, 2015 Cooper M, Ibrahim AM, Lyu H, et al. Underreporting of robotic surgery complications. J Healthc Qual. 2015;37(2):133-8. doi:10.1111/jhq.12036. https://psnet.ahrq.gov/issue/underreporting-robotic-surgery-complications By cross-referencing court records a…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43603/psn-pdf
    October 15, 2014 - Coaching to improve the quality of communication during briefings and debriefings. October 15, 2014 Kleiner C, Link T, Maynard T, et al. Coaching to improve the quality of communication during briefings and debriefings. AORN J. 2014;100(4):358-68. doi:10.1016/j.aorn.2014.03.012. https://psnet.ahrq.gov/issue/coachi…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39556/psn-pdf
    May 26, 2010 - Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field. May 26, 2010 Brown-Brumfield D, DeLeon A. Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field. AORN J. 2010;91(5):610-7. doi:1…

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