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Total Results: 6,859 records

Showing results for "operational".

  1. Does patient-centered design guarantee patient safety?: Using human factors engineering to find a balance between provider and patient needs. | PSNet

    psnet.ahrq.gov/issue/does-patient-centered-design-guarantee-patient-safety-using-human-factors-engineering-find
    November 23, 2016 - Study Does patient-centered design guarantee patient safety?: Using human factors engineering to find a balance between provider and patient needs. Citation Text: France DJ, Throop P, Walczyk B, et al. Does Patient-Centered Design Guarantee Patient Safety? J Patient Saf. 2008;1(3):145-15…

  2. Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. | PSNet

    psnet.ahrq.gov/issue/intensive-care-unit-critical-incident-analysis-objective-tool-select-content-simulation
    June 28, 2023 - Study Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. Citation Text: Yartsev A, Yang F. Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. Simul Healthc. 202…

  3. Changes in hospital-acquired conditions and mortality associated with the hospital-acquired condition reduction program. | PSNet

    psnet.ahrq.gov/issue/changes-hospital-acquired-conditions-and-mortality-associated-hospital-acquired-condition
    July 24, 2019 - Study Changes in hospital-acquired conditions and mortality associated with the hospital-acquired condition reduction program. Citation Text: Arntson E, Dimick JB, Nuliyalu U, et al. Changes in hospital-acquired conditions and mortality associated with the hospital-acquired condition red…

  4. How incident reporting systems can stimulate social and participative learning: a mixed-methods study. | PSNet

    psnet.ahrq.gov/issue/how-incident-reporting-systems-can-stimulate-social-and-participative-learning-mixed-methods
    November 04, 2020 - Study How incident reporting systems can stimulate social and participative learning: a mixed-methods study. Citation Text: de Kam D, Kok J, Grit K, et al. How incident reporting systems can stimulate social and participative learning: a mixed-methods study. Health Policy (New York). 202…

  5. Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting system. | PSNet

    psnet.ahrq.gov/issue/patterns-medication-incidents-10-yr-experience-cross-national-anaesthesia-incident-reporting
    January 15, 2025 - Study Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting system. Citation Text: Sanduende-Otero Y, Villalón-Coca J, Romero-García E, et al. Patterns in medication incidents: A 10-yr experience of a cross-national anaesthesia incident r…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852700/psn-pdf
    August 30, 2023 - taking action to avoid drift into harm as a result of latent risks in our system, many of which are operational

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865570/psn-pdf
    April 10, 2024 - Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner April 10, 2024 https://psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive- approach-data Summary North American Partners…

  8. PCA Overdose | PSNet

    psnet.ahrq.gov/web-mm/pca-overdose
    April 01, 2017 - PCA Overdose Citation Text: Doyle JD. PCA Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

  9. X-ray Flip | PSNet

    psnet.ahrq.gov/web-mm/x-ray-flip
    August 10, 2019 - X-ray Flip Citation Text: Shapiro MJ. X-ray Flip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downl…

  10. Is It Safe to Be Direct? | PSNet

    psnet.ahrq.gov/web-mm/it-safe-be-direct
    September 30, 2015 - Is It Safe to Be Direct? Citation Text: Kulkarni NS, Williams M. Is It Safe to Be Direct?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49756/psn-pdf
    April 01, 2016 - Lost in Sign Out and Documentation April 1, 2016 Detsky ME. Lost in Sign Out and Documentation. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation The Case A 71-year-old man presented to the emergency department with chest pain. While being evaluated by the emergency physician, …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49560/psn-pdf
    April 01, 2008 - The Wrongful Resuscitation April 1, 2008 Teno JM. The Wrongful Resuscitation. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/wrongful-resuscitation The Case   An 80-year-old man with diabetes, peripheral vascular disease, bilateral below-the-knee amputations, and poor quality of life had previously been r…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49396/psn-pdf
    April 01, 2003 - The 2-Week Itch April 1, 2003 Cohen MR. The 2-Week Itch. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/2-week-itch The Case A 40-year-old woman with bipolar disorder (on trazodone) came to her primary care physician with new urticaria. She received a handwritten prescription for Zyrtec and Atarax. The ha…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33634/psn-pdf
    May 04, 2006 - The Wild West: Patient Safety in Office-Based Anesthesia May 1, 2006 Kaushal R, Upadhyayula S, Gaba DM, et al. The Wild West: Patient Safety in Office-Based Anesthesia. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia Perspective Over the last decade, sur…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49629/psn-pdf
    June 01, 2011 - Say It Again June 1, 2011 Henriksen K, Hall KK. Say It Again. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/say-it-again The Case A 72-year-old man was admitted to the hospital with community-acquired pneumonia and hyponatremia. During his third hospital night, the on-call physician was contacted by the c…

  16. System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary | PSNet

    psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-intervention-innovation
    July 23, 2024 - System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL September 23, 2024 View more articles from the same…

  17. Primers | PSNet

    psnet.ahrq.gov/primers-0
    March 15, 2025 - Primers Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts. Latest Primers Clinical Decision Support Systems March…

  18. The Magnetic Deflection | PSNet

    psnet.ahrq.gov/web-mm/magnetic-deflection
    November 18, 2016 - The Magnetic Deflection Citation Text: Kanal E. The Magnetic Deflection. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

  19. Central, not Epidural | PSNet

    psnet.ahrq.gov/web-mm/central-not-epidural
    August 28, 2024 - Central, not Epidural Citation Text: Simmons D. Central, not Epidural. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  20. Comanagement: Who's in Charge? | PSNet

    psnet.ahrq.gov/web-mm/comanagement-whos-charge
    July 01, 2011 - Comanagement: Who's in Charge? Citation Text: Cheng HQ. Comanagement: Who's in Charge?. 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 EndNote 7 XML Endno…
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