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Showing results for "operational".

  1. Workplace violence and its effects on patient safety. | PSNet

    psnet.ahrq.gov/issue/workplace-violence-and-its-effects-patient-safety
    January 19, 2011 - Commentary Workplace violence and its effects on patient safety. Citation Text: McNamara SA. Workplace violence and its effects on patient safety. AORN J. 2010;92(6):677-82. doi:10.1016/j.aorn.2010.07.012. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …

  2. Applying the Toyota Production System: using a patient safety alert system to reduce error. | PSNet

    psnet.ahrq.gov/issue/applying-toyota-production-system-using-patient-safety-alert-system-reduce-error
    June 21, 2015 - Commentary Applying the Toyota Production System: using a patient safety alert system to reduce error. Citation Text: Furman C, Caplan RA. Applying the Toyota Production System: using a patient safety alert system to reduce error. Jt Comm J Qual Patient Saf. 2007;33(7):376-386. Copy …

  3. Prevalence of adverse drug combinations in a large post-mortem toxicology database. | PSNet

    psnet.ahrq.gov/issue/prevalence-adverse-drug-combinations-large-post-mortem-toxicology-database
    July 29, 2020 - Study Prevalence of adverse drug combinations in a large post-mortem toxicology database. Citation Text: Launiainen T, Vuori E, Ojanperä I. Prevalence of adverse drug combinations in a large post-mortem toxicology database. Int J Legal Med. 2009;123(2):109-15. doi:10.1007/s00414-008-02…

  4. Blind Spots: When Medicine Gets It Wrong, and What It Means for Our Health. | PSNet

    psnet.ahrq.gov/issue/blind-spots-when-medicine-gets-it-wrong-and-what-it-means-our-health
    April 22, 2016 - Book/Report Blind Spots: When Medicine Gets It Wrong, and What It Means for Our Health. Citation Text: Makary M. Blind Spots: When Medicine Gets It Wrong, And What It Means For Our Health. New York, NY: Bloomsbury Publishing; 2024. ISBN 9781639735310. Copy Citation Format: …

  5. Improving patient safety and communication through care rounds in a pediatric oncology outpatient clinic. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-and-communication-through-care-rounds-pediatric-oncology-outpatient
    January 14, 2011 - Commentary Improving patient safety and communication through care rounds in a pediatric oncology outpatient clinic. Citation Text: Blough CA, Walrath JM. Improving patient safety and communication through care rounds in a pediatric oncology outpatient clinic. J Nurs Care Qual. 2007;22…

  6. The evolving story of overlapping surgery. | PSNet

    psnet.ahrq.gov/issue/evolving-story-overlapping-surgery
    April 19, 2016 - Commentary The evolving story of overlapping surgery. Citation Text: Mello MM, Livingston EH. The Evolving Story of Overlapping Surgery. JAMA. 2017;318(3):233-234. doi:10.1001/jama.2017.8061. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

  7. Special K with no license to kill: accidental ketamine overdose on induction of general anesthesia. | PSNet

    psnet.ahrq.gov/issue/special-k-no-license-kill-accidental-ketamine-overdose-induction-general-anesthesia
    March 17, 2021 - Commentary Special K with no license to kill: accidental ketamine overdose on induction of general anesthesia. Citation Text: Warner LL, Smischney N. Accidental Ketamine Overdose on Induction of General Anesthesia. Am J Case Rep. 2018;19:10-12. Copy Citation Format: Google …

  8. Perianesthesia nursing advocacy: an influential voice for patient safety. | PSNet

    psnet.ahrq.gov/issue/perianesthesia-nursing-advocacy-influential-voice-patient-safety
    June 08, 2022 - Commentary Perianesthesia nursing advocacy: an influential voice for patient safety. Citation Text: Windle PE, Mamaril M, Fossum S. Perianesthesia nursing advocacy: an influential voice for patient safety. J Perianesth Nurs. 2008;23(3):163-71. doi:10.1016/j.jopan.2008.03.008. Copy Ci…

  9. TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. | PSNet

    psnet.ahrq.gov/issue/teamstepps-strategies-and-tools-enhance-performance-and-patient-safety
    December 24, 2008 - Toolkit Classic TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. Citation Text: TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. Department of Health and Human Services, Agency for Healthcare Research and Qua…

  10. Medicare failed to investigate suspicious infection cases from 96 hospitals. | PSNet

    psnet.ahrq.gov/issue/medicare-failed-investigate-suspicious-infection-cases-96-hospitals
    May 29, 2019 - Newspaper/Magazine Article Medicare failed to investigate suspicious infection cases from 96 hospitals. Citation Text: Medicare failed to investigate suspicious infection cases from 96 hospitals. Jewett C. Kaiser Health News. May 9, 2017. Copy Citation Save Save t…

  11. Assessing teamwork and communication in the authentic patient care learning environment. | PSNet

    psnet.ahrq.gov/issue/assessing-teamwork-and-communication-authentic-patient-care-learning-environment
    July 02, 2014 - Commentary Assessing teamwork and communication in the authentic patient care learning environment. Citation Text: Haftel HM, Hicks PJ. Assessing teamwork and communication in the authentic patient care learning environment. Pediatrics. 2011;127(4):601-3. doi:10.1542/peds.2010-3767. Co…

  12. Using technology to promote perinatal patient safety. | PSNet

    psnet.ahrq.gov/issue/using-technology-promote-perinatal-patient-safety
    January 27, 2021 - Commentary Using technology to promote perinatal patient safety. Citation Text: McCartney PR. Using technology to promote perinatal patient safety. J Obstet Gynecol Neonatal Nurs. 2006;35(3):424-31. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

  13. Embedding quality improvement and patient safety - the UCLA value analysis experience. | PSNet

    psnet.ahrq.gov/issue/embedding-quality-improvement-and-patient-safety-ucla-value-analysis-experience
    October 02, 2019 - Commentary Embedding quality improvement and patient safety - the UCLA value analysis experience. Citation Text: Gambone JC, Broder MS. Embedding quality improvement and patient safety: the UCLA value analysis experience. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):581-92. Copy C…

  14. Reporting adverse events to patients: a step-by-step approach. | PSNet

    psnet.ahrq.gov/issue/reporting-adverse-events-patients-step-step-approach
    November 16, 2022 - Newspaper/Magazine Article Reporting adverse events to patients: a step-by-step approach. Citation Text: Cherry RA, Marcus L, Dorn B. Reporting adverse events to patients: a step-by-step approach. Physician Executive. 2010;36(3):4-6, 8-9. Copy Citation Format: Google Schola…

  15. An interview with Peter Pronovost | PSNet

    psnet.ahrq.gov/issue/interview-peter-pronovost
    July 01, 2017 - Award Recipient An interview with Peter Pronovost Citation Text: Pronovost P. An interview with Peter Pronovost. Jt Comm J Qual Saf. 2004;30(12):659-64. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

  16. The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? | PSNet

    psnet.ahrq.gov/issue/emperors-new-clothes-or-whatever-happened-human-error
    March 27, 2005 - Meeting/Conference Proceedings The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Citation Text: The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Hollnagel E, Amalberti R. Chapter In: Dekker SWA, ed.  Proceedings of the 4th International Workshop…

  17. Performing an inadvertent procedure. | PSNet

    psnet.ahrq.gov/issue/performing-inadvertent-procedure
    October 16, 2019 - Commentary Performing an inadvertent procedure. Citation Text: Gupta A, Jain S, Croft C. Performing an Inadvertent Procedure. JAMA. 2019;321(5):504-505. doi:10.1001/jama.2018.21438. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  18. The tension between promoting mobility and preventing falls in the hospital. | PSNet

    psnet.ahrq.gov/issue/tension-between-promoting-mobility-and-preventing-falls-hospital
    April 24, 2018 - Commentary The tension between promoting mobility and preventing falls in the hospital. Citation Text: Growdon ME, Shorr RI, Inouye SK. The Tension Between Promoting Mobility and Preventing Falls in the Hospital. JAMA Intern Med. 2017;177(6):759-760. doi:10.1001/jamainternmed.2017.0840. …

  19. Implementing AORN recommended practices for prevention of retained surgical items. | PSNet

    psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-prevention-retained-surgical-items
    January 05, 2017 - Commentary Implementing AORN recommended practices for prevention of retained surgical items. Citation Text: Goldberg JL, Feldman DL. Implementing AORN recommended practices for prevention of retained surgical items. AORN J. 2012;95(2):205-16; quiz 217-9. doi:10.1016/j.aorn.2011.11.010…

  20. Alarm algorithms in critical care monitoring. | PSNet

    psnet.ahrq.gov/issue/alarm-algorithms-critical-care-monitoring
    February 03, 2010 - Review Alarm algorithms in critical care monitoring. Citation Text: Imhoff M, Kuhls S. Alarm algorithms in critical care monitoring. Anesth Analg. 2006;102(5):1525-37. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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