Results

Total Results: 6,859 records

Showing results for "operations".

161. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42232/psn-pdf
     May 08, 2013 - incident reports), reliability (ensuring adherence to appropriate processes of care), sensitivity to operations

162. Surgical confusions in ophthalmology. | PSNet
     psnet.ahrq.gov/issue/surgical-confusions-ophthalmology
     November 16, 2022 - The most common adverse events included wrong lens implants and wrong eye operations, and the authors

163. Consequences of running more operating theatres than anaesthetists to staff them: a stochastic simulation study. | PSNet
     psnet.ahrq.gov/issue/consequences-running-more-operating-theatres-anaesthetists-staff-them-stochastic-simulation
     October 19, 2022 - anesthesiologist was required to cover more than two operating rooms and was also increased when multiple lengthy operations

164. Quality and safety in hospital pediatrics during COVID-19: a national qualitative study. | PSNet
     psnet.ahrq.gov/issue/quality-and-safety-hospital-pediatrics-during-covid-19-national-qualitative-study
     November 17, 2021 - changes in workflows, discharge and transfer process, patient and family engagement , and hospital operations

165. Strategies for learning from failure. | PSNet
     psnet.ahrq.gov/issue/strategies-learning-failure
     September 25, 2024 - This article draws a distinction between preventable failures in predictable operations—which are largely

166. The Measurement and Monitoring of Safety. | PSNet
     psnet.ahrq.gov/issue/measurement-and-monitoring-safety
     October 01, 2024 - incident reports ), reliability (ensuring adherence to appropriate processes of care), sensitivity to operations

167. Telehealth and Patient Safety. | PSNet
     psnet.ahrq.gov/primer/telehealth-and-patient-safety
     July 27, 2022 - that clinical practices and health systems were obliged to rapidly implement telehealth into existing operations … with the onset of the COVID-19 pandemic, which reduced the time and opportunity for healthcare operations … medical home and limiting care fragmentation whenever possible, Integrating protocols in telehealth operations

168. The National Center for Human Factors Engineering in Healthcare. | PSNet
     psnet.ahrq.gov/issue/national-center-human-factors-engineering-healthcare
     January 15, 2020 - February 21, 2024 Enhancing safety in high-risk operations: a multilevel analysis of

169. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35875/psn-pdf
     May 21, 2013 - According to an AHRQ-supported study, wrong-site surgery occurred at a rate of approximately 1 per 113,000 operations

170. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37290/psn-pdf
     February 15, 2011 - https://psnet.ahrq.gov/issue/handoff-strategies-settings-high-consequences-failure-lessons-health-care-operations

171. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35868/psn-pdf
     July 10, 2008 - incidence-patterns-and-prevention-wrong-site-surgery This AHRQ-supported study analyzed information from nearly 3 million operations

172. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40978/psn-pdf
     March 21, 2012 - issue/tipping-point-relationship-between-volume-and-patient-harm https://psnet.ahrq.gov/issue/should-operations-be-regionalized-empirical-relation-between-surgical-volume-and-mortality

173. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33758/psn-pdf
     December 01, 2013 - HS: You're right—in patient safety there's a very fine line between research and operations. … Clearly, delivery system operations want fixes and solutions, and sometimes we just don't have clear … At times it's hard to push for research that seems to interfere or slow down clinical operations. … I regularly engage with VA operations partners in other safety-related work.

174. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49665/psn-pdf
     September 01, 2012 - 18,000 surgical procedures.(2-7) However, some estimates are as frequent as 1 in every 1000 abdominal operations … before the RSI is discovered.( 11,12) Gawande's study of RSIs identified three risk factors: emergency operations … Operations involving the chest or abdomen are more commonly associated with RSIs, but RSIs can occur … observational study, Greenberg and colleagues demonstrated that a count discrepancy occurred in 1 of every 8 operations

175. Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box analysis. | PSNet
     psnet.ahrq.gov/issue/impact-team-performance-surgical-safety-checklist-patient-outcomes-operating-room-black-box
     March 20, 2024 - Operations performed by teams with better scores were associated with better postoperative outcomes

176. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. | PSNet
     psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
     March 03, 2021 - transformed the field of surgery, allowing for decreased morbidity and mortality in even the most complex operations … However, in patients with prior operations and adhesions, this may not be a safe approach. … With the Open technique, especially in patients with adhesions from prior operations, it is important … that go undetected increase perioperative morbidity and mortality in patients undergoing laparoscopic operations … July 28, 2023 Impact of resident participation in surgical operations on postoperative

177. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.266_slideshow.ppt
     May 01, 2012 - Handoff strategies in settings with high consequences for failure: lessons for health care operations … Handoff strategies in settings with high consequences for failure: lessons for health care operations … Handoff strategies in settings with high consequences for failure: lessons for health care operations

178. Impact Wellbeing. | PSNet
     psnet.ahrq.gov/issue/impact-wellbeing
     April 01, 2024 - Social Complications Credentialing, Licensure, and Discipline Culture of Safety Policies and Operations

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43917/psn-pdf
     November 03, 2015 - Nearly half a million operations were included, with an overall readmission rate of 5.7%.

180. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45118/psn-pdf
     January 23, 2017 - teamwork-training https://psnet.ahrq.gov/issue/effect-19-item-surgical-safety-checklist-during-urgent-operations-global-patient-population