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Showing results for "operational".

3501. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44048/psn-pdf
      November 20, 2015 - Clinical handover of the critically ill postoperative patient: an integrative review. November 20, 2015 Gardiner TM, Marshall AP, Gillespie BM. Clinical handover of the critically ill postoperative patient: an integrative review. Aust Crit Care. 2015;28(4):226-34. doi:10.1016/j.aucc.2015.02.001. https://psnet.ahrq…

3502. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46831/psn-pdf
      April 18, 2018 - Guideline Summary: Medication Safety. April 18, 2018 Guideline Summary: Medication Safety. AORN J. 2018;107(4):489-494. doi:10.1002/aorn.12096. https://psnet.ahrq.gov/issue/guideline-summary-medication-safety Perioperative medication errors can result in patient harm as well as emotional distress among clinical te…

3503. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34866/psn-pdf
      February 03, 2011 - Error reporting and disclosure systems: views from hospital leaders. February 3, 2011 Weissman JS, Annas CL, Epstein AM, et al. Error reporting and disclosure systems: views from hospital leaders. JAMA. 2005;293(11):1359-66. https://psnet.ahrq.gov/issue/error-reporting-and-disclosure-systems-views-hospital-leaders…

3504. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/864352/psn-pdf
      March 13, 2024 - Creating a just culture in the perioperative setting. March 13, 2024 Hooven K, Altmiller G. Creating a just culture in the perioperative setting. AORN J. 2024;119(2):152-160. doi:10.1002/aorn.14074. https://psnet.ahrq.gov/issue/creating-just-culture-perioperative-setting Fear of retaliation by leaders or colleague…

3505. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43133/psn-pdf
      February 25, 2015 - The effectiveness of management-by-walking-around: a randomized field study. February 25, 2015 Tucker AL, Singer SJ. The Effectiveness of Management-By-Walking-Around: A Randomized Field Study. Prod Oper Manag. 2014;24(2). doi:10.1111/poms.12226. https://psnet.ahrq.gov/issue/effectiveness-management-walking-around…

3506. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41534/psn-pdf
      July 25, 2012 - Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care. July 25, 2012 Hu Y-Y, Arriaga AF, Roth EM, et al. Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care. Ann Surg. 2012;256(2):203-10. doi:10.1097/SLA.0b013e…

3507. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46326/psn-pdf
      October 18, 2017 - Surgical Patient Safety: A Case-Based Approach. October 18, 2017 Stahel PF, ed. New York, NY: McGraw-Hill Education/Medical; 2017. ISBN: 9780071842631. https://psnet.ahrq.gov/issue/surgical-patient-safety-case-based-approach Surgical residency can be a stressful learning experience. This textbook provides an introd…

3508. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46876/psn-pdf
      August 15, 2018 - Design for patient safety: a systems-based risk identification framework. August 15, 2018 Simsekler MCE, Ward JR, Clarkson J. Design for patient safety: a systems-based risk identification framework. Ergonomics. 2018;61(8):1046-1064. doi:10.1080/00140139.2018.1437224. https://psnet.ahrq.gov/issue/design-patient-sa…

3509. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46963/psn-pdf
      April 18, 2018 - A Just Culture Guide. April 18, 2018 NHS Improvement. London, UK: National Health Service; March 15, 2018. https://psnet.ahrq.gov/issue/just-culture-guide Although focusing on system failure has been highlighted as key to improving patient safety, individual behaviors must also be recognized as contributors to ris…

3510. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45557/psn-pdf
      October 27, 2016 - Time-out: the professional and organizational ethics of speaking up in the OR. October 27, 2016 Berlinger N, Dietz E. Time-out: The Professional and Organizational Ethics of Speaking Up in the OR. AMA J Ethics. 2016;18(9):925-32. doi:10.1001/journalofethics.2016.18.9.stas1-1609. https://psnet.ahrq.gov/issue/time-o…

3511. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47218/psn-pdf
      January 09, 2019 - The accuracy of medical dispatch—a systematic review. January 9, 2019 Bohm K, Kurland L. The accuracy of medical dispatch - a systematic review. Scand J Trauma Resusc Emerg Med. 2018;26(1):94. doi:10.1186/s13049-018-0528-8. https://psnet.ahrq.gov/issue/accuracy-medical-dispatch-systematic-review Medical dispatch i…

3512. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42095/psn-pdf
      April 09, 2013 - Six things every plastic surgeon needs to know about teamwork training and checklists. April 9, 2013 Harden SW. Six things every plastic surgeon needs to know about teamwork training and checklists. Aesthet Surg J. 2013;33(3):443-8. doi:10.1177/1090820X13477417. https://psnet.ahrq.gov/issue/six-things-every-plasti…

3513. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867224/psn-pdf
      December 04, 2024 - Safety of inpatient care in surgical settings: cohort study. December 4, 2024 Duclos A, Frits ML, Iannaccone C, et al. Safety of inpatient care in surgical settings: cohort study. BMJ. 2024;387:e080480. doi:10.1136/bmj-2024-080480. https://psnet.ahrq.gov/issue/safety-inpatient-care-surgical-settings-cohort-study D…

3514. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46243/psn-pdf
      June 05, 2019 - AHRQ Safety Program for Improving Surgical Care and Recovery. June 5, 2019 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/ahrq-safety-program-improving-surgical-care-and-recovery Patients are vulnerable to harm after surgery. This program used methods from the Comprehensive Unit- based S…

3515. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45019/psn-pdf
      April 27, 2016 - Effectiveness of surgical safety checklists in improving patient safety. April 27, 2016 Ragusa PS, Bitterman A, Auerbach B, et al. Effectiveness of Surgical Safety Checklists in Improving Patient Safety. Orthopedics. 2016;39(2):e307-10. doi:10.3928/01477447-20160301-02. https://psnet.ahrq.gov/issue/effectiveness-s…

3516. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45915/psn-pdf
      July 19, 2017 - Half the time, nursing homes scrutinized on safety by Medicare are still treacherous. July 19, 2017 Rau J. Kaiser Health News. July 6, 2017. https://psnet.ahrq.gov/issue/half-time-nursing-homes-scrutinized-safety-medicare-are-still-treacherous System failures contribute to recurring problems in health care environ…

3517. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34005/psn-pdf
      August 17, 2017 - Medically Induced Trauma Support Services (MITSS). August 17, 2017 Tobin WN. Patient Safety Quality Healthcare. May/June 2013. https://psnet.ahrq.gov/issue/medically-induced-trauma-support-services-mitss Medically Induced Trauma Support Services (MITSS), Inc. was a nonprofit organization that supported, educated, …

3518. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48001/psn-pdf
      May 22, 2019 - Medicines safety in anaesthetic practice. May 22, 2019 Mackay E, Jennings J, Webber S. Medicines safety in anaesthetic practice. BJA Edu. 2019;19(5):151-157. doi:10.1016/j.bjae.2019.01.001. https://psnet.ahrq.gov/issue/medicines-safety-anaesthetic-practice Human factors affect medication delivery in the operating …

3519. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46854/psn-pdf
      June 20, 2018 - FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. June 20, 2018 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration. May 29, 2018. https://psnet.ahrq.gov/issue/fda-safety-communication-recommendations-reduce-surgical-fires-and-related- patient-inju…

3520. Implementing a Patient Safety Program at a Large National Health System | PSNet
      psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
      January 01, 2008 - In a challenging health care environment, replete with financial, operational, and human resource issues … Then they have a hard time assessing in a comprehensive way the clinical and operational systems that