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Total Results: 6,859 records

Showing results for "operational".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39602/psn-pdf
    August 09, 2013 - Postoperative handover: problems, pitfalls, and prevention of error. August 9, 2013 Nagpal K, Arora S, Abboudi M, et al. Postoperative handover: problems, pitfalls, and prevention of error. Ann Surg. 2010;252(1):171-6. doi:10.1097/SLA.0b013e3181dc3656. https://psnet.ahrq.gov/issue/postoperative-handover-problems-p…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39893/psn-pdf
    November 02, 2010 - Surgical safety and hospital volume across a wide range of interventions. November 2, 2010 Eggli Y, Halfon P, Meylan D, et al. Surgical safety and hospital volume across a wide range of interventions. Med Care. 2010;48(11):962-71. doi:10.1097/MLR.0b013e3181eaf9f6. https://psnet.ahrq.gov/issue/surgical-safety-and-h…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837027/psn-pdf
    May 04, 2022 - Association of measured quality with financial health among U.S. hospitals. May 4, 2022 Enumah SJ, Resnick AS, Chang DC. Association of measured quality with financial health among U.S. hospitals. PLOS ONE. 2022;17(4):e0266696. doi:10.1371/journal.pone.0266696. https://psnet.ahrq.gov/issue/association-measured-qua…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73980/psn-pdf
    October 20, 2021 - Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. October 20, 2021 Abraham P, Augey L, Duclos A, et al. Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. J Patient Saf…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47077/psn-pdf
    May 23, 2018 - World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. May 23, 2018 Gelb AW, Morriss WW, Johnson W, et al. World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards fo…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47508/psn-pdf
    October 24, 2018 - Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. October 24, 2018 Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.1002/aorn.12372. https://psnet.ahrq.go…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44713/psn-pdf
    January 20, 2016 - Are surgeons and anesthesiologists lying to each other or gaming the system? A national random sample survey about "truth-telling practices" in the perioperative setting in the United States. January 20, 2016 Nurok M, Lee Y-Y, Ma Y, et al. Are surgeons and anesthesiologists lying to each other or gaming the syste…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840479/psn-pdf
    January 01, 2023 - A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. November 30, 2022 Carmack A, Valleru J, Randall KH, et al. A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. Jt Comm J Qual Patient Saf. 2023;49(1):3-13. doi:10.…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40355/psn-pdf
    July 09, 2012 - The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. July 9, 2012 Maxfield D, Grenny J, Lavandero R, et al. Provo, UT: VitalSmarts; 2011. https://psnet.ahrq.gov/issue/silent-treatment-why-safety-tools-and-checklists-arent-enough-save-lives Silence Kills was a 2005 report that highligh…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866936/psn-pdf
    October 30, 2024 - Improving Hospital Handoffs Using AHRQ's Surveys on Patient Safety Culture Hospital Survey. October 30, 2024 Agency for Healthcare Research and Quality. Improving Hospital Handoffs Using AHRQ's Surveys on Patient Safety Culture Hospital Survey. October 30, 2024. https://psnet.ahrq.gov/issue/improving-hospital-hand…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35908/psn-pdf
    March 03, 2011 - Patient safety in surgery. March 3, 2011 Makary MA, Sexton B, Freischlag JA, et al. Patient safety in surgery. Ann Surg. 2006;243(5):628-32; discussion 632-5. https://psnet.ahrq.gov/issue/patient-safety-surgery This AHRQ-supported study used a surgery-specific safety questionnaire (modified from the Safety Attitu…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47608/psn-pdf
    March 20, 2019 - Use of a public health law framework to improve medication safety by anesthesia providers. March 20, 2019 Litman RS. Use of a public health law framework to improve medication safety by anesthesia providers. J Patient Saf Risk Manag. 2019;24(4):158-165. doi:10.1177/2516043518825383. https://psnet.ahrq.gov/issue/us…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46631/psn-pdf
    March 20, 2018 - Simulation-based education to ensure provider competency within the healthcare system. March 20, 2018 Griswold S, Fralliccardi A, Boulet J, et al. Simulation-based Education to Ensure Provider Competency Within the Health Care System. Acad Emerg Med. 2018;25(2):168-176. doi:10.1111/acem.13322. https://psnet.ahrq.g…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865520/psn-pdf
    April 10, 2024 - The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and outcomes: a systematic review and meta-analysis. April 10, 2024 Freedman B, Li WW, Liang Z, et al. The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and outcomes: a …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838075/psn-pdf
    September 14, 2022 - Crisis recovery in surgery: error management and problem solving in safety-critical situations. September 14, 2022 Gogalniceanu P, Kunduzi B, Ruckley C, et al. Crisis recovery in surgery: error management and problem solving in safety-critical situations. Surgery. 2022;172(2):537-545. doi:10.1016/j.surg.2022.03.007…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851193/psn-pdf
    July 05, 2023 - Overlapping surgery in arthroplasty - a systematic review and meta-analysis. July 5, 2023 Kim RG, An VVG, Lee SLK, et al. Overlapping surgery in arthroplasty – a systematic review and meta- analysis. Orthop Traumatol Surg Res. 2023;109(4):103299. doi:10.1016/j.otsr.2022.103299. https://psnet.ahrq.gov/issue/overlap…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73883/psn-pdf
    September 29, 2021 - Emergency departments are higher-risk locations for wrong blood in tube errors. September 29, 2021 Dunbar NM, Delaney M, Murphy MF, et al. Emergency departments are higher?risk locations for wrong blood in tube errors. Transfusion (Paris). 2021;61(9):2601-2610. doi:10.1111/trf.16588. https://psnet.ahrq.gov/issue/e…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43488/psn-pdf
    September 10, 2014 - The relationship between hospital systems load and patient harm. September 10, 2014 Pedroja AT, Blegen MA, Abravanel R, et al. The relationship between hospital systems load and patient harm. J Patient Saf. 2014;10(3):168-75. doi:10.1097/PTS.0b013e31829e4f82. https://psnet.ahrq.gov/issue/relationship-between-hospi…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836723/psn-pdf
    March 09, 2022 - Morbidity and mortality caused by noncompliance with California hospital licensure: immediate jeopardies in California hospitals, 2007-2017. March 9, 2022 Zheng MY, Lui H, Patino G, et al. Morbidity and mortality caused by noncompliance with California hospital licensure: immediate jeopardies in California hospita…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61059/psn-pdf
    October 28, 2020 - Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. October 28, 2020 Dodge LE, Nippita S, Hacker MR, et al. Long?term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 202…
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