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Showing results for "operational".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72737/psn-pdf
    February 09, 2021 - Geisinger’s Outpatient Addiction Medicine Specialty Program Uses Data-Driven Decision Making and MAT to Reduce Mortality Rates February 9, 2021 https://psnet.ahrq.gov/innovation/geisingers-outpatient-addiction-medicine-specialty-program-uses-data- driven-decision Summary The team at Geisinger sought to develop a…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33579/psn-pdf
    September 15, 2024 - Systems Approach September 15, 2024 Systems Approach. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/systems-approach PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in …

  3. In Conversation with…Jack Barker, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-withjack-barker-phd
    January 01, 2006 - In Conversation with…Jack Barker, PhD January 1, 2006  Also Read an Essay Citation Text: In Conversation with…Jack Barker, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy C…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41796/psn-pdf
    January 18, 2013 - Retained surgical items: a problem yet to be solved. January 18, 2013 Stawicki SPA, Moffatt-Bruce SD, Ahmed HM, et al. Retained surgical items: a problem yet to be solved. J Am Coll Surg. 2013;216(1):15-22. doi:10.1016/j.jamcollsurg.2012.08.026. https://psnet.ahrq.gov/issue/retained-surgical-items-problem-yet-be-so…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73321/psn-pdf
    May 26, 2021 - Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hospitals. May 26, 2021 Serou N, Husband AK, Forrest SP, et al. Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hos…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837512/psn-pdf
    January 01, 2024 - Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. June 22, 2022 Wooldridge AR, Carayon P, Hoonakker PLT, et al. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. Hum Factors. 2024;6…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38270/psn-pdf
    December 01, 2010 - Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008. December 1, 2010 Oakbrook Terrace, IL: The Joint Commission; November 2008. https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-report-quality-and-safety-2008 The quality of care delivered at US hospita…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838318/psn-pdf
    October 12, 2022 - Exposure to incivility does not hinder speaking up: a randomised controlled high-fidelity simulation-based study. October 12, 2022 Vauk S, Seelandt JC, Huber K, et al. Exposure to incivility does not hinder speaking up: a randomised controlled high-fidelity simulation-based study. Br J Anaesth. 2022;129(5):776-787…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36315/psn-pdf
    July 10, 2008 - Wrong-side/wrong-site, wrong-procedure, and wrong- patient adverse events: are they preventable? July 10, 2008 Seiden SC, Barach P. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: Are they preventable? Arch Surg. 2006;141(9):931-9. https://psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-p…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42944/psn-pdf
    March 03, 2024 - Clinical Learning Environment Review (CLER) Program. March 3, 2024 Accreditation Council for Graduate Medical Education. https://psnet.ahrq.gov/issue/clinical-learning-environment-review-cler-program Many graduate medical education programs have instituted patient safety didactics or online courses to meet accredi…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44866/psn-pdf
    March 15, 2016 - Associations between attending physician workload, teaching effectiveness, and patient safety. March 15, 2016 Wingo MT, Halvorsen AJ, Beckman T, et al. Associations between attending physician workload, teaching effectiveness, and patient safety. J Hosp Med. 2016;11(3):169-73. doi:10.1002/jhm.2540. https://psnet.a…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848363/psn-pdf
    May 03, 2023 - Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases. May 3, 2023 Pitts CC, Ponce BA, Arguello AM, et al. Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases. Ann Surg. 2023;…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50778/psn-pdf
    January 08, 2020 - A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge. January 8, 2020 Manges K, Groves PS, Farag A, et al. A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge. BMJ Qual Saf. 2020;29(6):499-5…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47886/psn-pdf
    April 24, 2019 - Clinical impact of intraoperative electronic health record downtime on surgical patients. April 24, 2019 Harrison AM, Siwani R, Pickering BW, et al. Clinical impact of intraoperative electronic health record downtime on surgical patients. J Am Med Inform Assoc. 2019;26(10):928-933. doi:10.1093/jamia/ocz029. https:…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46732/psn-pdf
    June 07, 2018 - The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. June 7, 2018 Fuchshuber P, Schwaitzberg S, Jones D, et al. The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. Surg Endosc. 2018;32(6):2583-2602. doi:10.1007/s00464- 017-5933-…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34775/psn-pdf
    February 07, 2019 - Escape Fire: Lessons for the Future of Health Care. February 7, 2019 Berwick DM. Washington DC: Commonwealth Fund; 2002. https://psnet.ahrq.gov/issue/escape-fire-lessons-future-health-care This report represents an edited version of Donald Berwick’s Plenary Address presented at the Institute for Healthcare Improve…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855089/psn-pdf
    January 01, 2024 - React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. November 8, 2023 Barlow M, Watson B, Morse K, et al. React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. J Health Organ Manag. 2024;38(7):992-1008. doi:10.1108/jhom-06-20…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39716/psn-pdf
    August 09, 2013 - Patient handovers within the hospital: translating knowledge from motor racing to healthcare. August 9, 2013 Catchpole K, Sellers R, Goldman A, et al. Patient handovers within the hospital: translating knowledge from motor racing to healthcare. Qual Saf Health Care. 2010;19(4):318-22. doi:10.1136/qshc.2009.026542. …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38749/psn-pdf
    April 08, 2011 - Parental misinterpretations of over-the-counter pediatric cough and cold medication labels. April 8, 2011 Lokker N, Sanders LM, Perrin EM, et al. Parental misinterpretations of over-the-counter pediatric cough and cold medication labels. Pediatrics. 2009;123(6):1464-1471. doi:10.1542/peds.2008-0854. https://psnet.…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47587/psn-pdf
    February 13, 2019 - Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations. February 13, 2019 Ilgen JS, Eva KW, de Bruin A, et al. Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations. Adv Health Sci Edu: Theory Pract. 2019;24(4):…
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