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Showing results for "operational".

  1. Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture. | PSNet

    psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
    November 25, 2020 - Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture. Citation Text: Barnes DK, Randhawa SDS, Fitzpatrick EP. Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US De…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37768/psn-pdf
    April 27, 2010 - The wisdom and justice of not paying for "preventable complications." April 27, 2010 Pronovost P, Goeschel CA, Wachter R. The wisdom and justice of not paying for "preventable complications". JAMA. 2008;299(18):2197-9. doi:10.1001/jama.299.18.2197. https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-prevent…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74853/psn-pdf
    February 24, 2022 - The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. February 24, 2022 Hartstein B, Munante M, Toor PA. The Top Six: Standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. NEJM Catal Innov Care Deliv. 2022;3(2):e1-e20. doi…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61087/psn-pdf
    January 01, 2022 - A high-reliability organization framework for health care: a multiyear implementation strategy and associated outcomes. November 4, 2020 Sculli GL, Pendley-Louis R, Neily J, et al. A high-reliability organization framework for health care: a multiyear implementation strategy and associated outcomes. J Patient Saf.…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47609/psn-pdf
    December 19, 2018 - Nurse Staffing Levels, Missed Vital Signs and Mortality in Hospitals: Retrospective Longitudinal Observational Study. December 19, 2018 Griffiths P, Ball JE, Bloor K, et al. Nurse Staffing Levels, Missed Vital Signs And Mortality In Hospitals: Retrospective Longitudinal Observational Study. Southampton, UK: NIHR J…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43128/psn-pdf
    August 25, 2015 - Locating errors through networked surveillance: a multimethod approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac surgery. August 25, 2015 Thompson DA, Marsteller JA, Pronovost P, et al. Locating Errors Through Networked Surveillance: A Multimethod Approach …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38331/psn-pdf
    October 20, 2010 - Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. October 20, 2010 Rhodes P, Giles SJ, Cook GA, et al. Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. Qual Saf Health Care. 2008;17(6):409-15. doi:10.1136/qshc.2007.0230…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39071/psn-pdf
    November 04, 2009 - Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improvements in handover. November 4, 2009 Pickering BW, Hurley K, Marsh B. Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improve…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40171/psn-pdf
    May 30, 2011 - Qualities and attributes of a safe practitioner: identification of safety skills in healthcare. May 30, 2011 Long S, Arora S, Moorthy K, et al. Qualities and attributes of a safe practitioner: identification of safety skills in healthcare. BMJ Qual Saf. 2011;20(6):483-490. doi:10.1136/bmjqs.2010.043166. https://ps…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39016/psn-pdf
    April 04, 2011 - Variation in hospital mortality associated with inpatient surgery. April 4, 2011 Ghaferi AA, Birkmeyer JD, Dimick JB. Variation in hospital mortality associated with inpatient surgery. N Engl J Med. 2009;361(14):1368-75. doi:10.1056/NEJMsa0903048. https://psnet.ahrq.gov/issue/variation-hospital-mortality-associate…

  11. How Does Health Care Simulation Affect Patient Care? | PSNet

    psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
    August 01, 2018 - How Does Health Care Simulation Affect Patient Care? Joseph O. Lopreiato, MD, MPH | August 1, 2018  Also Read a Conversation View more articles from the same authors. Citation Text: Lopreiato JO. How Does Health Care Simulation Affect Patient Care?. PSNet [inter…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33567/psn-pdf
    June 15, 2024 - Handoffs June 15, 2024 Handoffs and Signouts. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/handoffs 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 2024. Backgroun…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38585/psn-pdf
    April 30, 2014 - Development of an online morbidity, mortality, and near- miss reporting system to identify patterns of adverse events in surgical patients. April 30, 2014 Bilimoria KY, Kmiecik TE, DaRosa DA, et al. Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40618/psn-pdf
    August 27, 2012 - Predictors of likelihood of speaking up about safety concerns in labour and delivery. August 27, 2012 Lyndon A, Sexton B, Simpson KR, et al. Correction. BMJ Qual Saf. 2011;22(2):791-799. doi:10.1136/bmjqs.2010.050211. https://psnet.ahrq.gov/issue/predictors-likelihood-speaking-about-safety-concerns-labour-and-deli…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41941/psn-pdf
    February 11, 2013 - A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers. February 11, 2013 Percarpio KB, Watts V. A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39947/psn-pdf
    July 03, 2014 - Association between implementation of a medical team training program and surgical mortality. July 3, 2014 Neily J, Mills PD, Young-Xu Y, et al. Association between implementation of a medical team training program and surgical mortality. JAMA. 2010;304(15):1693-1700. doi:10.1001/jama.2010.1506. https://psnet.ahrq…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39045/psn-pdf
    April 04, 2011 - Risks of complications by attending physicians after performing nighttime procedures. April 4, 2011 Rothschild JM. Risks of Complications by Attending Physicians After Performing Nighttime Procedures. JAMA. 2009;302(14):1565-1572. doi:10.1001/jama.2009.1423. https://psnet.ahrq.gov/issue/risks-complications-attendi…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42969/psn-pdf
    October 31, 2014 - Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse events in surgery. October 31, 2014 Howell A-M, Panesar S, Burns EM, et al. Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse events in surgery. Ann Surg. 2014;2…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40013/psn-pdf
    July 24, 2011 - Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? July 24, 2011 Bergal LM, Schwarzkopf R, Walsh M, et al. Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? J Patient Saf. 2010;6(4):221-5. h…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46196/psn-pdf
    October 13, 2018 - Association of a surgical task during training with team skill acquisition among surgical residents: the missing piece in multidisciplinary team training. October 13, 2018 Sparks JL, Crouch DL, Sobba K, et al. Association of a Surgical Task During Training With Team Skill Acquisition Among Surgical Residents: The …
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