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Showing results for "operational".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45082/psn-pdf
    April 27, 2016 - Surgeons must tell patients of double-booked surgeries, new guidelines say. April 27, 2016 Abelson J, Staltzman J. Boston Globe. April 13, 2016. https://psnet.ahrq.gov/issue/surgeons-must-tell-patients-double-booked-surgeries-new-guidelines-say Although scheduling overlapping surgeries may improve operating room e…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60758/psn-pdf
    August 05, 2020 - Lessons learned from medical malpractice claims involving critical care nurses. August 5, 2020 Myers LC, Heard L, Mort E. Lessons learned from medical malpractice claims involving critical care nurses. Am J Crit Care. 2020;29(3):174-181. doi:10.4037/ajcc2020341. https://psnet.ahrq.gov/issue/lessons-learned-medical…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44307/psn-pdf
    November 06, 2015 - The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring System between 2002 and 2008. November 6, 2015 Rutherford JS, Flin R, Irwin A. The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Inci…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846153/psn-pdf
    March 15, 2023 - Surgical fire in the United States: 2000-2020. March 15, 2023 Grauer JS, Kana LA, Alzouhayli SJ, et al. Surgical fire in the United States: 2000–2020. Surgery. 2022;173(2):357-364. doi:10.1016/j.surg.2022.10.015. https://psnet.ahrq.gov/issue/surgical-fire-united-states-2000-2020 Surgical fires, while rare, can res…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35899/psn-pdf
    January 02, 2017 - Labeling solutions and medications in sterile procedural settings. January 2, 2017 Sheridan DJ. Labeling solutions and medications in sterile procedural settings. Jt Comm J Qual Patient Saf. 2006;32(5):276-82. https://psnet.ahrq.gov/issue/labeling-solutions-and-medications-sterile-procedural-settings In response …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865719/psn-pdf
    May 01, 2024 - High reliability pediatric heart centers: always working toward getting better. May 1, 2024 Torzone A, Birely A. High reliability pediatric heart centers: always working toward getting better. Curr Opin Cardiol. 2024;39(4):356-363. doi:10.1097/hco.0000000000001143. https://psnet.ahrq.gov/issue/high-reliability-ped…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36856/psn-pdf
    August 31, 2011 - Hospital workload and adverse events. August 31, 2011 Weissman JS, Rothschild JM, Bendavid E, et al. Hospital workload and adverse events. Med Care. 2007;45(5):448-55. https://psnet.ahrq.gov/issue/hospital-workload-and-adverse-events Past research suggests a relationship between nursing workload and quality of car…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44088/psn-pdf
    May 13, 2015 - Safety culture and care: a program to prevent surgical errors. May 13, 2015 Hemingway MW, O'Malley C, Silvestri S. Safety culture and care: a program to prevent surgical errors. AORN J. 2015;101(4):404-12; quiz 413-5. doi:10.1016/j.aorn.2015.01.002. https://psnet.ahrq.gov/issue/safety-culture-and-care-program-prev…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41358/psn-pdf
    July 06, 2012 - Safety skills training for surgeons: a half-day intervention improves knowledge, attitudes and awareness of patient safety. July 6, 2012 Arora S, Sevdalis N, Ahmed M, et al. Safety skills training for surgeons: A half-day intervention improves knowledge, attitudes and awareness of patient safety. Surgery. 2012;152…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38350/psn-pdf
    March 01, 2011 - A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety. March 1, 2011 Rodriguez-Paz JM, Mark L, Herzer KR, et al. A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46909/psn-pdf
    August 01, 2018 - Guidance on Safe Medical Staffing: Report of a Working Party. August 1, 2018 London, UK: Royal College of Physicians; 2018. ISBN: 9781860167270. https://psnet.ahrq.gov/issue/guidance-safe-medical-staffing-report-working-party Lack of appropriate staffing can diminish the safety and effectiveness of medical service…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44062/psn-pdf
    September 09, 2015 - How to make medication error reporting systems work—factors associated with their successful development and implementation. September 9, 2015 Holmström A-R, Laaksonen R, Airaksinen M. How to make medication error reporting systems work-- Factors associated with their successful development and implementation. Hea…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60234/psn-pdf
    April 15, 2020 - Mistakes, Errors and Failures across Cultures. April 15, 2020 Vanderheiden E, Mayer C, eds. Springer Nature. Cham, Switzerland: 2020. ISBN 9783030355739 https://psnet.ahrq.gov/issue/mistakes-errors-and-failures-across-cultures-navigating-potentials Human error, mistakes and failure have cultural aspects that are im…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44116/psn-pdf
    September 12, 2018 - Procedural timeout compliance is improved with real-time clinical decision support. September 12, 2018 Shear T, Deshur M, Avram MJ, et al. Procedural Timeout Compliance Is Improved With Real-Time Clinical Decision Support. J Patient Saf. 2018;14(3):148-152. doi:10.1097/PTS.0000000000000185. https://psnet.ahrq.gov/…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45369/psn-pdf
    October 29, 2017 - The aging physician and the medical profession: a review. October 29, 2017 Dellinger P, Pellegrini CA, Gallagher TH. The Aging Physician and the Medical Profession: A Review. JAMA Surg. 2017;152(10):967-971. doi:10.1001/jamasurg.2017.2342. https://psnet.ahrq.gov/issue/aging-physician-and-medical-profession-review …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50428/psn-pdf
    September 04, 2019 - Patient safety incidents caused by poor quality surgical instruments. September 4, 2019 Dominguez ED, Rocos B. Patient Safety Incidents Caused by Poor Quality Surgical Instruments. Cureus. 2019;11(6):e4877. doi:10.7759/cureus.4877. https://psnet.ahrq.gov/issue/patient-safety-incidents-caused-poor-quality-surgical-…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40576/psn-pdf
    July 06, 2011 - A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non- routine events, teamwork and patient outcomes. July 6, 2011 Schraagen JM, Schouten T, Smit M, et al. A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non-rou…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837516/psn-pdf
    June 22, 2022 - Fostering ethical conduct through psychological safety. June 22, 2022 Ferrere A, Rider C, Renerte B et al. Sloan Manag Rev. Summer 2022;39-43. https://psnet.ahrq.gov/issue/fostering-ethical-conduct-through-psychological-safety A baseline expectation in a safe organization is that employees feel comfortable and supp…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44862/psn-pdf
    March 16, 2016 - Patient safety science in cardiothoracic surgery: an overview. March 16, 2016 Sanchez JA, Ferdinand FD, Fann J. Patient Safety Science in Cardiothoracic Surgery: An Overview. Ann Thorac Surg. 2016;101(2):426-33. doi:10.1016/j.athoracsur.2015.12.034. https://psnet.ahrq.gov/issue/patient-safety-science-cardiothoraci…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44787/psn-pdf
    January 20, 2016 - Medication errors involving overrides of healthcare technology. January 20, 2016 Grissinger M. PA-PSRS Patient Saf Advis. December 2015;12:141-148. https://psnet.ahrq.gov/issue/medication-errors-involving-overrides-healthcare-technology Users often bypass alerts meant to enhance safety of medication ordering and d…
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