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Showing results for "operational".

4161. Mistaking error. | PSNet
      psnet.ahrq.gov/issue/mistaking-error
      July 06, 2011 - Book/Report Mistaking error. Citation Text: Mistaking error. Cook RI, Woods DD. Chapter in: Youngberg BJ, Hatlie, MJ, ed. Patient Safety Handbook, Sudbury, MA: Jones and Bartlett; 2004. Copy Citation Save Save to your library Print Download PDF …

4162. Resilience Engineering: Concepts and Precepts. | PSNet
      psnet.ahrq.gov/issue/resilience-engineering-concepts-and-precepts
      January 12, 2011 - Book/Report Resilience Engineering: Concepts and Precepts. Citation Text: Resilience Engineering: Concepts and Precepts. Hollnagel E, Woods DD, Leveson N. Burlington, VT: Ashgate; 2006. ISBN: 978-0754649045. Copy Citation Save Save to your library Print …

4163. Quick Tips--When Planning for Surgery. | PSNet
      psnet.ahrq.gov/issue/quick-tips-when-planning-surgery-0
      December 18, 2008 - Fact Sheet/FAQs Quick Tips--When Planning for Surgery. Citation Text: Quick Tips--When Planning for Surgery. Rockville, MD: Agency for Health Care Policy and Research; 2005. AHRQ Pub. No. 01-0040d. Copy Citation Save Save to your library Print Download P…

4164. Surgeon, Heal Thyself: Optimising Surgical Performance by Managing Stress. | PSNet
      psnet.ahrq.gov/issue/surgeon-heal-thyself-optimising-surgical-performance-managing-stress
      November 10, 2017 - Book/Report Surgeon, Heal Thyself: Optimising Surgical Performance by Managing Stress. Citation Text: Surgeon, Heal Thyself: Optimising Surgical Performance by Managing Stress. Shiralkar U. Boca Raton, FL: CRC Press; 2017. ISBN: 9781498724036. Copy Citation Save S…

4165. Error rate greatest in hospital radiology. | PSNet
      psnet.ahrq.gov/issue/error-rate-greatest-hospital-radiology
      December 24, 2008 - Newspaper/Magazine Article Error rate greatest in hospital radiology. Citation Text: Error rate greatest in hospital radiology. Stein R; USP; United States Pharmacopeia Copy Citation Save Save to your library Print Download PDF Share Face…

4166. Preventing wrong-site surgery in Minnesota: a 5-year journey. | PSNet
      psnet.ahrq.gov/issue/preventing-wrong-site-surgery-minnesota-5-year-journey
      December 19, 2007 - Newspaper/Magazine Article Preventing wrong-site surgery in Minnesota: a 5-year journey. Citation Text: Preventing wrong-site surgery in Minnesota: a 5-year journey. Rydrych D, Apold J, Harder K. Patient Saf Qual Healthc. November/December 2012;9:24-27,30-32,34. Copy Citation …

4167. Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety | PSNet
      psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
      March 01, 2017 - in organizations by appealing to professionalism—even though nothing has been done to optimize the operational

4168. In Conversation With… Alison Holmes, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
      March 01, 2014 - First, and as described above, it was essential to define the composition, scope, and operational funding

4169. Emerging Safety Issues in Artificial Intelligence | PSNet
      psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence
      February 20, 2019 - Emerging Safety Issues in Artificial Intelligence Robert Challen, MA, MBBS | July 1, 2019  View more articles from the same authors. Citation Text: Challen R. Emerging Safety Issues in Artificial Intelligence. PSNet [internet]. Rockville (MD): Agency for Healthcare…

4170. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
      June 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case June 2007 Beeline to Spine Source and Credits This presentation is based on June 2007 AHRQ WebM&M Spotlight Case See full article at http://webmm.ahrq.gov CME credit is available online Commentary by: Gerald W. Smetana, MD, Harvard Medical School, Beth Israel D…

4171. Lost in Sign Out and Documentation | PSNet
      psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation
      January 31, 2011 - Lost in Sign Out and Documentation Citation Text: Detsky ME. Lost in Sign Out and Documentation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …

4172. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33864/psn-pdf
      January 01, 2019 - How Does Health Care Simulation Affect Patient Care? August 1, 2018 Lopreiato JO. How Does Health Care Simulation Affect Patient Care? PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care Perspective Introduction Health care simulation programs have spread…

4173. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33596/psn-pdf
      June 01, 2025 - Failure to Rescue January 29, 2025 Tokareva I, Romano P. Failure to Rescue. PSNet [internet]. 2025. https://psnet.ahrq.gov/primer/failure-rescue Updated in January 2025 by Irina Tokareva RN, BSN, MAS, CPHQ and Patrick Romano, MD, MPH. PSNet primers are regularly reviewed and updated to ensure that they reflect cur…

4174. Residual Anesthesia: Tepid Burn | PSNet
      psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
      February 10, 2010 - Residual Anesthesia: Tepid Burn Citation Text: Kurrek MM, Twersky RS. Residual Anesthesia: Tepid Burn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndN…

4175. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49792/psn-pdf
      May 01, 2017 - One operational definition of diagnostic error is missed opportunities to make a correct or timely diagnosis

4176. Strategically Advancing Patient and Family Advisory Councils in New York State Hospitals. | PSNet
      psnet.ahrq.gov/issue/strategically-advancing-patient-and-family-advisory-councils-new-york-state-hospitals
      February 22, 2017 - Book/Report Strategically Advancing Patient and Family Advisory Councils in New York State Hospitals. Citation Text: Strategically Advancing Patient and Family Advisory Councils in New York State Hospitals. Bethesda, MD: Institute for Patient- and Family-Centered Care; June 2018. Copy …

4177. Driving out errors. | PSNet
      psnet.ahrq.gov/issue/driving-out-errors
      December 15, 2011 - Newspaper/Magazine Article Driving out errors. Citation Text: Weinstock M. Driving out errors,. Hospitals & health networks. 2011;85(4):46-9, 2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Ci…

4178. Nurse Vaught sentenced for deadly medical error. | PSNet
      psnet.ahrq.gov/issue/nurse-vaught-sentenced-deadly-medical-error
      January 25, 2023 - Newspaper/Magazine Article Nurse Vaught sentenced for deadly medical error. Citation Text: Nurse Vaught sentenced for deadly medical error. DePeau-Wilson M. MedPage Today. May 13, 2022.  Copy Citation Save Save to your library Print Download …

4179. UCSD, doc who overdosed in hospital bathroom face lawsuits. | PSNet
      psnet.ahrq.gov/issue/ucsd-doc-who-overdosed-hospital-bathroom-face-lawsuits
      March 27, 2024 - Newspaper/Magazine Article UCSD, doc who overdosed in hospital bathroom face lawsuits. Citation Text: UCSD, doc who overdosed in hospital bathroom face lawsuits. Clark C. MedPage Today. February 10, 2020.  Copy Citation Save Save to your library …

4180. Machine learning is booming in medicine. It’s also facing a credibility crisis. | PSNet
      psnet.ahrq.gov/issue/machine-learning-booming-medicine-its-also-facing-credibility-crisis
      May 22, 2019 - Newspaper/Magazine Article Machine learning is booming in medicine. It’s also facing a credibility crisis. Citation Text: Machine learning is booming in medicine. It’s also facing a credibility crisis. Ross C. STAT. June 2, 2021. Copy Citation Save Save to …