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Showing results for "operational".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45130/psn-pdf
    July 18, 2018 - Surgical fires: decreasing incidence relies on continued prevention efforts. July 18, 2018 Bruley ME, Arnold TV, Finley E, Deutsch ES, Treadwell JR. PA-PSRS Pa Patient Saf Advis. June 2018;15. https://psnet.ahrq.gov/issue/surgical-fires-decreasing-incidence-relies-continued-prevention-efforts Although surgical fir…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46412/psn-pdf
    October 11, 2017 - Team-based care: the changing face of cardiothoracic surgery. October 11, 2017 Crawford TC, Conte J, Sanchez JA. Team-Based Care: The Changing Face of Cardiothoracic Surgery. Surg Clin North Am. 2017;97(4):801-810. doi:10.1016/j.suc.2017.03.003. https://psnet.ahrq.gov/issue/team-based-care-changing-face-cardiothor…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40365/psn-pdf
    February 12, 2014 - Strategies for learning from failure. February 12, 2014 Edmondson A. Strategies of learning from failure. Harv Bus Rev. 2011;89(4):48-55, 137. https://psnet.ahrq.gov/issue/strategies-learning-failure Failures are inevitable in any industry, especially in one as complex as health care. The ability to learn from fai…

  4. The Physical Environment: An Often Unconsidered Patient Safety Tool | PSNet

    psnet.ahrq.gov/perspective/physical-environment-often-unconsidered-patient-safety-tool
    November 21, 2018 - The Physical Environment: An Often Unconsidered Patient Safety Tool Anjali Joseph, PhD, EDAC; Eileen B. Malone, RN, MSN, MS, EDAC | October 1, 2012  View more articles from the same authors. Citation Text: Joseph A, Malone EB. The Physical Environment: An Often Unc…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49593/psn-pdf
    October 01, 2009 - Who Nose Where the Airway Is? October 1, 2009 Lee CR. Who Nose Where the Airway Is? PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/who-nose-where-airway The Case A 70-year-old man with peripheral vascular disease was brought to the operating room to undergo vascular bypass surgery on his right upper extrem…

  6. Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner | PSNet

    psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
    February 26, 2025 - Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL A…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49763/psn-pdf
    June 01, 2016 - July Syndrome June 1, 2016 Young JQ. July Syndrome. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/july-syndrome The Case A 64-year-old man was seen in the thoracic surgery clinic in June after being diagnosed with a right lower lobe lung cancer. The attending surgeon saw the patient along with his fellow,…

  8. Routine Goes Awry | PSNet

    psnet.ahrq.gov/web-mm/routine-goes-awry
    September 23, 2020 - Routine Goes Awry Citation Text: Huoh KC, Rosbe KW. Routine Goes Awry. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47637/psn-pdf
    January 16, 2019 - Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. January 16, 2019 Olson ME, Borman-Shoap E, Mathias K, et al. Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. Diagnosis (Berl). 2018;5(4):243-248. doi:10.1515/dx-2018- …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866158/psn-pdf
    June 19, 2024 - Anesthesia-related closed claims in free-standing ambulatory surgery centers. June 19, 2024 Pimentel MPT, Chung S, Ross JM, et al. Anesthesia-related closed claims in free-standing ambulatory surgery centers. Anesth Analg. 2024;139(3):521-531. doi:10.1213/ane.0000000000006700. https://psnet.ahrq.gov/issue/anesthes…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34729/psn-pdf
    October 31, 2016 - Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition. October 31, 2016 Casey SM. Santa Barbara, CA: Aegean; 1998. ISBN 9780963617880. https://psnet.ahrq.gov/issue/set-phasers-stun-and-other-true-tales-design-technology-and-human-error- second-edition This book introduce…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851189/psn-pdf
    July 05, 2023 - So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. July 5, 2023 Conn Busch J, Wu J, Anglade E, et al. So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. Jt Comm J Qual Patient Saf. 2023;49(8)…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38100/psn-pdf
    July 02, 2009 - Surgical team behaviors and patient outcomes. July 2, 2009 Mazzocco K, Petitti DB, Fong KT, et al. Surgical team behaviors and patient outcomes. Am J Surg. 2009;197(5):678-85. doi:10.1016/j.amjsurg.2008.03.002. https://psnet.ahrq.gov/issue/surgical-team-behaviors-and-patient-outcomes Direct observation of teamwork…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44851/psn-pdf
    March 16, 2016 - Understanding psychological safety in health care and education organizations: a comparative perspective. March 16, 2016 Edmondson AC, Higgins M, Singer SJ, et al. Understanding Psychological Safety in Health Care and Education Organizations: A Comparative Perspective. Res Hum Dev. 2016;13(1):65-83. doi:10.1080/15…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46618/psn-pdf
    June 25, 2018 - Identifying quality markers of a safe surgical ward: an interview study of patients, clinical staff, and administrators. June 25, 2018 Hassen Y, Singh P, Pucher PH, et al. Identifying quality markers of a safe surgical ward: An interview study of patients, clinical staff, and administrators. Surgery. 2018;163(6):1…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45106/psn-pdf
    August 16, 2017 - The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'SBAR' tools as a means of communication between anaesthetic staff. August 16, 2017 MacDougall-Davis SR, Kettley L, Cook TM. The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'SBAR' tools as a means of communi…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46407/psn-pdf
    March 20, 2018 - Same behavior, different provider: American medical students' attitudes toward reporting risky behaviors committed by doctors, nurses, and classmates. March 20, 2018 Aggarwal S, Kheriaty A. Same behavior, different provider: American medical students' attitudes toward reporting risky behaviors committed by doctors…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35565/psn-pdf
    June 16, 2011 - Error, stress, and teamwork in medicine and aviation: cross sectional surveys. June 16, 2011 Sexton JB. Error, stress, and teamwork in medicine and aviation: cross sectional surveys. BMJ. 2002;320(7237):745-749. doi:10.1136/bmj.320.7237.745. https://psnet.ahrq.gov/issue/error-stress-and-teamwork-medicine-and-aviat…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865518/psn-pdf
    April 10, 2024 - Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. April 10, 2024 Tang KM, Lee P, Anosike BI, et al. Decreasing prescribing errors in antimicrobial stewardship program- restricted medications. Hosp Pediatr. 2024;14(4):281-290. doi:10.1542/hpeds.2023-007548. https://psnet.ahr…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39105/psn-pdf
    November 18, 2009 - Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training. November 18, 2009 Paull DE, Mazzia L, Izu BS, et al. Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training. Am J Surg. 2…
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