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Showing results for "operational".

  1. Residents' responses to medical error: coping, learning, and change. | PSNet

    psnet.ahrq.gov/issue/residents-responses-medical-error-coping-learning-and-change
    August 03, 2009 - Study Residents' responses to medical error: coping, learning, and change. Citation Text: Engel KG, Rosenthal M, Sutcliffe K. Residents' responses to medical error: coping, learning, and change. Acad Med. 2006;81(1):86-93. Copy Citation Format: Google Scholar PubMed BibTe…

  2. Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. | PSNet

    psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems-months-shutdown-then
    July 18, 2018 - Newspaper/Magazine Article Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. Citation Text: Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. Massey W, Keith …

  3. Intrahospital transport to the radiology department: risk for adverse events, nursing surveillance, utilization of a MET and practice implications. | PSNet

    psnet.ahrq.gov/issue/intrahospital-transport-radiology-department-risk-adverse-events-nursing-surveillance
    September 04, 2013 - Commentary Intrahospital transport to the radiology department: risk for adverse events, nursing surveillance, utilization of a MET and practice implications. Citation Text: Ott LK, Hoffman LA, Hravnak M. Intrahospital Transport to the Radiology Department: Risk for Adverse Events, Nur…

  4. Effective approaches to control non-actionable alarms and alarm fatigue. | PSNet

    psnet.ahrq.gov/issue/effective-approaches-control-non-actionable-alarms-and-alarm-fatigue
    January 15, 2025 - Commentary Effective approaches to control non-actionable alarms and alarm fatigue. Citation Text: Winters BD. Effective approaches to control non-actionable alarms and alarm fatigue. J Electrocardiol. 2018;51(6S):S49-S51. doi:10.1016/j.jelectrocard.2018.07.007. Copy Citation Forma…

  5. How to avoid paediatric medication errors: a user's guide to the literature. | PSNet

    psnet.ahrq.gov/issue/how-avoid-paediatric-medication-errors-users-guide-literature
    May 26, 2011 - Review How to avoid paediatric medication errors: a user's guide to the literature. Citation Text: Walsh KE, Kaushal R, Chessare JB. How to avoid paediatric medication errors: a user's guide to the literature. Arch Dis Child. 2005;90(7):698-702. Copy Citation Format: Goog…

  6. Misdiagnosis is dangerous. Help your doctor get it right. | PSNet

    psnet.ahrq.gov/issue/misdiagnosis-dangerous-help-your-doctor-get-it-right
    August 03, 2022 - Newspaper/Magazine Article Misdiagnosis is dangerous. Help your doctor get it right. Citation Text: Terry K. Misdiagnosis is dangerous. Help your doctor get it right. WebMD. November 11, 2024; Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  7. Half the time, nursing homes scrutinized on safety by Medicare are still treacherous. | PSNet

    psnet.ahrq.gov/issue/half-time-nursing-homes-scrutinized-safety-medicare-are-still-treacherous
    March 13, 2019 - Newspaper/Magazine Article Half the time, nursing homes scrutinized on safety by Medicare are still treacherous. Citation Text: Half the time, nursing homes scrutinized on safety by Medicare are still treacherous. Rau J. Kaiser Health News. July 6, 2017. Copy Citation S…

  8. Senators threaten consequences after VA confirms 4 deaths tied to computer system tested in Spokane. | PSNet

    psnet.ahrq.gov/issue/senators-threaten-consequences-after-va-confirms-4-deaths-tied-computer-system-tested-spokane
    September 21, 2022 - Newspaper/Magazine Article Senators threaten consequences after VA confirms 4 deaths tied to computer system tested in Spokane. Citation Text: Senators threaten consequences after VA confirms 4 deaths tied to computer system tested in Spokane. Donovan-Smith O. Spokesman Review. March 15,…

  9. When public health goes wrong: toward a new concept of public health error. | PSNet

    psnet.ahrq.gov/issue/when-public-health-goes-wrong-toward-new-concept-public-health-error
    September 02, 2020 - Commentary When public health goes wrong: toward a new concept of public health error. Citation Text: Bavli I. When public health goes wrong: toward a new concept of public health error. J Law Med Ethics. 2023;51(2):385-402. doi:10.1017/jme.2023.67. Copy Citation Format: DO…

  10. One intensive care nursery's experience with enhancing patient safety. | PSNet

    psnet.ahrq.gov/issue/one-intensive-care-nurserys-experience-enhancing-patient-safety
    June 21, 2006 - Commentary One intensive care nursery's experience with enhancing patient safety. Citation Text: Alton M, Mericle J, Brandon D. One intensive care nursery's experience with enhancing patient safety. Adv Neonatal Care. 2006;6(3):112-9. Copy Citation Format: Google Scholar …

  11. The need for systems integration in health care. | PSNet

    psnet.ahrq.gov/issue/need-systems-integration-health-care
    July 01, 2017 - Commentary The need for systems integration in health care. Citation Text: Mathews SC, Pronovost P. The need for systems integration in health care. JAMA. 2011;305(9):934-5. doi:10.1001/jama.2011.237. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

  12. Do some surgical implants do more harm than good? | PSNet

    psnet.ahrq.gov/issue/do-some-surgical-implants-do-more-harm-good
    January 14, 2011 - Newspaper/Magazine Article Do some surgical implants do more harm than good? Citation Text: Do some surgical implants do more harm than good? Groopman J. New Yorker Online. April 13, 2020.  Copy Citation Save Save to your library Print Download PD…

  13. Counting matters: lessons from the root cause analysis of a retained surgical item. | PSNet

    psnet.ahrq.gov/issue/counting-matters-lessons-root-cause-analysis-retained-surgical-item
    January 02, 2017 - Commentary Counting matters: lessons from the root cause analysis of a retained surgical item. Citation Text: Agrawal A. Counting matters: lessons from the root cause analysis of a retained surgical item. Jt Comm J Qual Patient Saf. 2012;38(12):566-574. Copy Citation Format: …

  14. Reducing errors in emergency surgery. | PSNet

    psnet.ahrq.gov/issue/reducing-errors-emergency-surgery
    January 31, 2018 - Review Reducing errors in emergency surgery. Citation Text: Watters DAK, Truskett PG. Reducing errors in emergency surgery. ANZ J Surg. 2013;83(6):434-437. doi:10.1111/ans.12194. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  15. Science-based training in patient safety and quality. | PSNet

    psnet.ahrq.gov/issue/science-based-training-patient-safety-and-quality
    May 06, 2009 - Commentary Science-based training in patient safety and quality. Citation Text: Pronovost P, Weisfeldt ML. Science-based training in patient safety and quality. Ann Intern Med. 2012;157(2):141-3. doi:10.7326/0003-4819-157-2-201207170-00457. Copy Citation Format: DOI Google …

  16. Disclosing errors that affect multiple patients. | PSNet

    psnet.ahrq.gov/issue/disclosing-errors-affect-multiple-patients
    April 19, 2017 - Commentary Disclosing errors that affect multiple patients. Citation Text: Chafe R, Levinson W, Sullivan T. Disclosing errors that affect multiple patients. CMAJ. 2009;180(11):1125-7. doi:10.1503/cmaj.081016. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

  17. Guidelines in practice: medication safety. | PSNet

    psnet.ahrq.gov/issue/guidelines-practice-medication-safety
    June 26, 2019 - Commentary Guidelines in practice: medication safety. Citation Text: Speth J. Guidelines in practice: medication safety. AORN J. 2023;118(6):380-389. doi:10.1002/aorn.14034. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

  18. Emergent CSCW systems: the resolution and bandwidth of workplaces. | PSNet

    psnet.ahrq.gov/issue/emergent-cscw-systems-resolution-and-bandwidth-workplaces
    May 01, 2015 - Commentary Emergent CSCW systems: the resolution and bandwidth of workplaces. Citation Text: Xiao Y, Seagull J. Emergent CSCW systems: the resolution and bandwidth of workplaces. Int J Med Inform. 2007;76 Suppl 1:S261-6. Copy Citation Format: Google Scholar PubMed BibTeX …

  19. Medication errors involving pediatric patients. | PSNet

    psnet.ahrq.gov/issue/medication-errors-involving-pediatric-patients
    January 02, 2017 - Study Medication errors involving pediatric patients. Citation Text: Santell JP, Hicks RW. Medication errors involving pediatric patients. Jt Comm J Qual Patient Saf. 2005;31(6):348-53. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  20. The normalization of deviance: do we (un)knowingly accept doing the wrong thing? | PSNet

    psnet.ahrq.gov/issue/normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing
    May 23, 2018 - Commentary The normalization of deviance: do we (un)knowingly accept doing the wrong thing? Citation Text: Prielipp RC, Magro M, Morell RC, et al. The normalization of deviance: do we (un)knowingly accept doing the wrong thing? AANA J. 2010;78(4):284-7. Copy Citation Format: …
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