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Total Results: 6,859 records

Showing results for "operations".

  1. Interventions for reducing wrong-site surgery and invasive procedures. | PSNet

    psnet.ahrq.gov/issue/interventions-reducing-wrong-site-surgery-and-invasive-procedures
    September 07, 2011 - National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations

  2. Deviation from a preoperative surgical and anaesthetic care plan is associated with increased risk of adverse intraoperative events in major abdominal surgery. | PSNet

    psnet.ahrq.gov/issue/deviation-preoperative-surgical-and-anaesthetic-care-plan-associated-increased-risk-adverse
    August 20, 2018 - Journal Article Study A standardized marking procedure for ENT operations

  3. Development and interrater agreement of a novel classification system combining medical and surgical adverse event reporting. | PSNet

    psnet.ahrq.gov/issue/development-and-interrater-agreement-novel-classification-system-combining-medical-and
    September 20, 2011 - Journal Article Study A standardized marking procedure for ENT operations

  4. Knowledge retention after simulated crisis: importance of independent practice and simulated mortality. | PSNet

    psnet.ahrq.gov/issue/knowledge-retention-after-simulated-crisis-importance-independent-practice-and-simulated
    September 13, 2017 - 31, 2019 Understanding the clinical implications of resident involvement in uncommon operations

  5. In Conversation with...J. Bryan Sexton, PhD, MA | PSNet

    psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
    December 01, 2006 - In Conversation with...J. Bryan Sexton, PhD, MA December 1, 2006  Also Read an Essay Citation Text: In Conversation with..J. Bryan Sexton, PhD, MA. PSNet [internet]. 2006.In Conversation with...J. Bryan Sexton, PhD, MA. PSNet [internet]. Rockville (MD): Agency for…

  6. Establishing a Safety Culture: Thinking Small | PSNet

    psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
    December 01, 2006 - Establishing a Safety Culture: Thinking Small Timothy J. Hoff, PhD | December 1, 2006  Also Read a Conversation View more articles from the same authors. Citation Text: Hoff TJ. Establishing a Safety Culture: Thinking Small. PSNet [internet]. Rockville (MD): Age…

  7. In Conversation With… Mark Graban, MS, MBA | PSNet

    psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
    January 01, 2015 - In Conversation With… Mark Graban, MS, MBA January 1, 2015  Also Read an Essay Citation Text: In Conversation With… Mark Graban, MS, MBA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015…

  8. Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care | PSNet

    psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
    January 01, 2015 - Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care Paul E. Plsek, MS | January 1, 2015  Also Read a Conversation View more articles from the same authors. Citation Text: Plsek PE. Innovation and Lean Thinking: Mutuall…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857059/psn-pdf
    November 29, 2023 - The Risks of a Malpositioned Gastrostomy Tube and Poor Communication November 29, 2023 Hight RA. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication Disclosure of Relevant Financial …

  10. Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
    January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx Spotlight The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department Source and Credits • This presentation is based on the April 2023 AH…

  11. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. | PSNet

    psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
    January 23, 2017 - SPOTLIGHT CASE The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. Citation Text: Amashta ML, Barnes DK. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department.. PSNet [internet]. Rockv…

  12. Insurers stop paying for care linked to errors. | PSNet

    psnet.ahrq.gov/issue/insurers-stop-paying-care-linked-errors
    January 18, 2023 - Newspaper/Magazine Article Insurers stop paying for care linked to errors. Citation Text: Insurers stop paying for care linked to errors. Fuhrmans V. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  13. Theme Issue on Medical Error. | PSNet

    psnet.ahrq.gov/issue/theme-issue-medical-error
    October 01, 2024 - Special or Theme Issue Theme Issue on Medical Error. Citation Text: Theme Issue on Medical Error. BMJ. 2000 Mar 18;320(7237):725-814. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  14. Improving Physician Well-Being, Restoring Meaning in Medicine. | PSNet

    psnet.ahrq.gov/issue/physician-well-being
    November 18, 2020 - Multi-use Website Improving Physician Well-Being, Restoring Meaning in Medicine. Citation Text: Improving Physician Well-Being, Restoring Meaning in Medicine. Accreditation Council for Graduate Medical Education. Copy Citation Save Save to your library Print…

  15. Drug labeling and packaging — looking beyond what meets the eye. | PSNet

    psnet.ahrq.gov/issue/drug-labeling-and-packaging-looking-beyond-what-meets-eye
    April 16, 2018 - Newspaper/Magazine Article Drug labeling and packaging — looking beyond what meets the eye. Citation Text: Drug labeling and packaging — looking beyond what meets the eye. PA-PSRS Patient Safety Advisory. Copy Citation Save Save to your library Print Dow…

  16. Bridging the gap between work-as-imagined and work-as-done. | PSNet

    psnet.ahrq.gov/issue/bridging-gap-between-work-imagined-and-work-done
    July 18, 2018 - Newspaper/Magazine Article Bridging the gap between work-as-imagined and work-as-done. Citation Text: Bridging the gap between work-as-imagined and work-as-done. Deutsch ES. PA-PSRS Patient Saf Advis. June 2017;14:80-83. Copy Citation Save Save to your library …

  17. Infection After Carpal Tunnel Surgery | PSNet

    psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
    May 28, 2014 - The patient remained in the hospital for 11 days, during which she underwent two additional operations … satisfied after surgery. 3 Once performed predominantly as an inpatient procedure, 99% of carpal tunnel operations … different definitions of infection. 7 The largest national study of 855,832 carpal tunnel decompression operations … In a prospective randomized controlled study involving 1,504 consecutive carpal tunnel release operations

  18. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.353_slideshow.ppt
    August 01, 2015 - even between providers for treatment purposes Development of these unintended practices in day-to-day operations … to do so, and it helps ensure that misinterpretations of the law do not get embedded into day-to-day operations

  19. A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1. | PSNet

    psnet.ahrq.gov/issue/descriptive-study-morbidity-and-mortality-conferences-and-their-conformity-medical-incident
    September 28, 2010 - National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations

  20. Human factor in cardiac surgery: errors and near misses in a high technology medical domain. | PSNet

    psnet.ahrq.gov/issue/human-factor-cardiac-surgery-errors-and-near-misses-high-technology-medical-domain
    June 09, 2010 - June 9, 2010 Improving patient safety by identifying latent failures in successful operations
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