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Showing results for "operational".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46861/psn-pdf
    February 28, 2018 - Special K with no license to kill: accidental ketamine overdose on induction of general anesthesia. February 28, 2018 Warner LL, Smischney N. Accidental Ketamine Overdose on Induction of General Anesthesia. Am J Case Rep. 2018;19:10-12. https://psnet.ahrq.gov/issue/special-k-no-license-kill-accidental-ketamine-ove…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44981/psn-pdf
    June 07, 2016 - Simulation-based training: the missing link to lastingly improved patient safety and health? June 7, 2016 Mileder LP, Schmölzer GM. Simulation-based training: the missing link to lastingly improved patient safety and health? Postgrad Med J. 2016;92(1088):309-11. doi:10.1136/postgradmedj-2015-133732. https://psnet.…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72531/psn-pdf
    January 01, 2021 - Factors influencing physician responsiveness to nurse- initiated communication: a qualitative study. December 2, 2020 Manojlovich M, Harrod M, Hofer TP, et al. Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study. BMJ Qual Saf. 2021;30(9):747-754. doi:10.1136/bmjqs-2020…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855423/psn-pdf
    November 15, 2023 - Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review. November 15, 2023 Lim PJH, Chen L, Siow S, et al. Facilitators and barriers to the implementation of surgical safety checklist: an integrative review. Int J Qual Health Care. 2023;35(4):mzad086. doi:10.1093/in…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846147/psn-pdf
    March 15, 2023 - Automated capture of intraoperative adverse events using artificial intelligence: a systematic review and meta- analysis. March 15, 2023 Eppler MB, Sayegh AS, Maas M, et al. Automated capture of intraoperative adverse events using artificial intelligence: a systematic review and meta-analysis. J Clin Med. 2023;12(…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73529/psn-pdf
    July 28, 2021 - Prevalence and characteristics of interruptions and distractions during surgical counts. July 28, 2021 Bubric KA, Biesbroek SL, Laberge JC, et al. Prevalence and characteristics of interruptions and distractions during surgical counts. Jt Comm J Qual Patient Saf. 2021;47(9):556-562. doi:10.1016/j.jcjq.2021.05.004. …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43954/psn-pdf
    May 13, 2015 - Training safer surgeons: how do patients view the role of simulation in orthopaedic training? May 13, 2015 Akhtar K, Sugand K, Wijendra A, et al. Training safer surgeons: How do patients view the role of simulation in orthopaedic training? Patient Saf Surg. 2015;9:11. doi:10.1186/s13037-015-0058-5. https://psnet.a…

  8. Active Error (or Active Failure) | PSNet

    psnet.ahrq.gov/glossary/active-error-or-active-failure
    September 13, 2021 - Active Error (or Active Failure) September 13, 2021 Anonymous (not verified) The terms active and latent as applied to errors were coined by Reason . Active errors occur at the point of contact between a human and some aspect of a larger system (e.g., a human machine interface). They are generally readily …

  9. Hidden Mystery | PSNet

    psnet.ahrq.gov/web-mm/hidden-mystery
    December 01, 2011 - SPOTLIGHT CASE Hidden Mystery Citation Text: Brunette DD. Hidden Mystery. 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 …

  10. Pre-analytical pitfalls: Missing and mislabeled specimens | PSNet

    psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
    April 18, 2018 - Pre-analytical pitfalls: Missing and mislabeled specimens Citation Text: Tran NK, Liu Y. Pre-analytical pitfalls: Missing and mislabeled specimens . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49474/psn-pdf
    March 01, 2005 - Hidden Mystery March 1, 2005 Brunette DD. Hidden Mystery. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/hidden-mystery Case Objectives Appreciate the challenges of caring for morbidly obese patients. List specific interventions that can be implemented when caring for obese patients. Develop a rational ap…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837758/psn-pdf
    August 03, 2022 - Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality. August 3, 2022 Burns ML, Saager L, Cassidy RB, et al. Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality. JAMA Surg. 2022;157(9):807-815. doi:10.1001/jamasurg.2022.2804. https://p…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60039/psn-pdf
    March 11, 2020 - A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. March 11, 2020 Linnane R, Diedrich J. Milwaukee Journal Sentinel. February 25, 2020. https://psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw- delays Delays in emergency r…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45459/psn-pdf
    January 03, 2017 - Applying the high reliability health care maturity model to assess hospital performance: a VA case study. January 3, 2017 Sullivan JL, Rivard PE, Shin MH, et al. Applying the High Reliability Health Care Maturity Model to Assess Hospital Performance: A VA Case Study. Jt Comm J Qual Patient Saf. 2016;42(9):389-411. …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854827/psn-pdf
    October 25, 2023 - Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation awareness in the OR. October 25, 2023 Ramjaun A, Hammond Mobilio M, Wright N, et al. Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation awareness in the OR. Ann Surg. 2023;278…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73686/psn-pdf
    September 08, 2021 - Device use errors among patients with asthma and COPD and the role of training: a real-life study. September 8, 2021 Papaioannou AI, Bartziokas K, Hillas G, et al. Device use errors among patients with asthma and COPD and the role of training: a real-life study. Postgrad Med. 2021;133(5):524-529. doi:10.1080/00325…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840478/psn-pdf
    November 30, 2022 - Interventions into reliability-seeking health care organizations: a systematic review of their goals and measuring methods. November 30, 2022 Auschra C, Asaad E, Sydow J, et al. Interventions into reliability-seeking health care organizations: a systematic review of their goals and measuring methods. J Patient Saf…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47331/psn-pdf
    October 17, 2018 - Description and factors associated with missed nursing care in an acute care community hospital. October 17, 2018 Duffy JR, Culp S, Padrutt T. Description and factors associated with missed nursing care in an acute care community hospital. J Nurs Adm. 2018;48(7-8):361-367. doi:10.1097/NNA.0000000000000630. https:/…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40279/psn-pdf
    May 25, 2011 - Inadequate health literacy among paid caregivers of seniors. May 25, 2011 Lindquist LA, Jain N, Tam K, et al. Inadequate health literacy among paid caregivers of seniors. J Gen Intern Med. 2011;26(5):474-9. doi:10.1007/s11606-010-1596-2. https://psnet.ahrq.gov/issue/inadequate-health-literacy-among-paid-caregivers…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60791/psn-pdf
    August 12, 2020 - Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study. August 12, 2020 Dekker - van Doorn C, Wauben LSGL, van Wijngaarden JDH, et al. Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study. BMC Health Serv Res. …
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