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Total Results: 6,859 records

Showing results for "operations".

201. Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality. | PSNet
     psnet.ahrq.gov/issue/association-anesthesiologist-staffing-ratio-surgical-patient-morbidity-and-mortality
     July 06, 2022 - The authors categorized the staffing into four groups based on the number of operations the anesthesiologist

202. Undetected Foreign Object | PSNet
     psnet.ahrq.gov/web-mm/undetected-foreign-object
     April 24, 2018 - 18,000 surgical procedures.( 2-7 ) However, some estimates are as frequent as 1 in every 1000 abdominal operations … 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

203. CE/MOC Quizzes | PSNet
     psnet.ahrq.gov/cme
     February 26, 2025 - Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations A man with a … October 30, 2024 Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations

204. Medically Induced Trauma Support Services (MITSS). | PSNet
     psnet.ahrq.gov/issue/medically-induced-trauma-support-services-mitss
     December 07, 2016 - magazine article covers the backstory that led to the creation of the organization which has now ceased operations

205. Please, write to me. Writing outpatient clinic letters to patients. Guidance. | PSNet
     psnet.ahrq.gov/issue/please-write-me-writing-outpatient-clinic-letters-patients-guidance
     March 04, 2020 - Physicians Epidemiology of Errors and Adverse Events Health Literacy Improvement Policies and Operations

206. Patient Safety Through Teamwork and Communication Toolkit. | PSNet
     psnet.ahrq.gov/issue/patient-safety-through-teamwork-and-communication-toolkit
     October 25, 2013 - February 21, 2024 Enhancing safety in high-risk operations: a multilevel analysis of

207. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44434/psn-pdf
     June 21, 2016 - management practices, i.e., they consistently set quality targets and had a greater focus on hospital operations

208. Simulation in Surgical Training and Practice. | PSNet
     psnet.ahrq.gov/issue/simulation-surgical-training-and-practice
     February 15, 2012 - 27, 2023 Understanding the clinical implications of resident involvement in uncommon operations

209. "Going solid": a model of system dynamics and consequences for patient safety. | PSNet
     psnet.ahrq.gov/issue/going-solid-model-system-dynamics-and-consequences-patient-safety
     August 01, 2018 - This article explores ongoing shifts in care delivery operations and the potential they create for accidents

210. Surgical fires: decreasing incidence relies on continued prevention efforts. | PSNet
     psnet.ahrq.gov/issue/surgical-fires-decreasing-incidence-relies-continued-prevention-efforts
     April 03, 2019 - June 27, 2018 Wrong-site orthopedic operations on the extremities: the Pennsylvania experience

211. Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. | PSNet
     psnet.ahrq.gov/issue/disruptions-surgical-flow-and-their-relationship-surgical-errors-exploratory-investigation
     August 26, 2011 - Using a trained observer to monitor for errors and flow disruptions in cardiac surgery operations, this

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866839/psn-pdf
     September 25, 2024 - Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations September … Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations. … https://psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and- operations … https://psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations … The patient eventually developed osteomyelitis requiring multiple operations and a prolonged hospital

213. Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. | PSNet
     psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
     May 30, 2012 - to an AHRQ-supported study , wrong-site surgery occurred at a rate of approximately 1 per 113,000 operations

214. Strategies to Improve Patient Safety: Final Report to Congress Required by the Patient Safety and Quality Improvement Act of 2005. | PSNet
     psnet.ahrq.gov/issue/strategies-improve-patient-safety-final-report-congress-required-patient-safety-and-quality
     June 21, 2016 - development of learning health systems that integrate continuous learning and improvement in day-to-day operations

215. To improve health care, focus on fixing systems — not people. | PSNet
     psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people
     September 08, 2021 - View More See More About The Topic Learning Organization Policies and Operations

216. Emergency department crowding: the canary in the health care system. | PSNet
     psnet.ahrq.gov/issue/emergency-department-crowding-canary-health-care-system
     March 30, 2022 - Group Administrators Emergency Medicine Epidemiology of Errors and Adverse Events Policies and Operations

217. How Collective Design Triumphed Over Competition in the Fight Against HAIs. | PSNet
     psnet.ahrq.gov/issue/how-collective-design-triumphed-over-competition-fight-against-hais
     February 05, 2019 - February 23, 2022 Assisting beginners in root cause analysis operations: analysis and

218. Mitigating bias in AI at the point of care. | PSNet
     psnet.ahrq.gov/issue/mitigating-bias-ai-point-care
     March 08, 2023 - January 16, 2008 Enhancing safety in high-risk operations: a multilevel analysis of the

219. Resilience Engineering in Practice: a Guidebook. | PSNet
     psnet.ahrq.gov/issue/resilience-engineering-practice-guidebook
     February 06, 2019 - Health Care Executives and Administrators Latent Errors Human Factors Engineering Policies and Operations

220. Continuing Education | PSNet
     psnet.ahrq.gov/continuing-education
     February 26, 2025 - Result Tracking Improvement (2) Nurse Staffing Ratios (2) Policies and Operations … Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations … Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations