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Total Results: 6,859 records

Showing results for "operations".

3921. Improving safety with information technology. | PSNet
      psnet.ahrq.gov/issue/improving-safety-information-technology
      July 25, 2011 - Commentary Classic Improving safety with information technology. Citation Text: Bates DW, Gawande AA. Improving safety with information technology. N Engl J Med. 2003;348(25):2526-34. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …

3922. Medicare's Oversight of Ambulatory Surgery Centers Report. | PSNet
      psnet.ahrq.gov/issue/medicares-oversight-ambulatory-surgery-centers-report
      February 11, 2015 - Book/Report Medicare's Oversight of Ambulatory Surgery Centers Report. Citation Text: Medicare's Oversight of Ambulatory Surgery Centers Report. Washington, DC: Office of the Inspector General; September 2019. Report No. OEI-01-15-00400. Copy Citation Save Save …

3923. Nursing homes fined for COVID infection control lapses. | PSNet
      psnet.ahrq.gov/issue/nursing-homes-fined-covid-infection-control-lapses
      November 24, 2021 - Newspaper/Magazine Article Nursing homes fined for COVID infection control lapses. Citation Text: Nursing homes fined for COVID infection control lapses. Jaffe S. Medpage Today. November 25, 2020. Copy Citation Save Save to your library Print Down…

3924. How Veterans Affairs failed to stop a pathologist who misdiagnosed 3,000 cases. | PSNet
      psnet.ahrq.gov/issue/how-veterans-affairs-failed-stop-pathologist-who-misdiagnosed-3000-cases
      October 23, 2019 - Newspaper/Magazine Article How Veterans Affairs failed to stop a pathologist who misdiagnosed 3,000 cases. Citation Text: How Veterans Affairs failed to stop a pathologist who misdiagnosed 3,000 cases. Rein L. Washington Post. August 30, 2019. Copy Citation Save S…

3925. My patient almost died from a mistake I made. I apologized and it changed my life. | PSNet
      psnet.ahrq.gov/issue/my-patient-almost-died-mistake-i-made-i-apologized-and-it-changed-my-life
      October 23, 2019 - Newspaper/Magazine Article My patient almost died from a mistake I made. I apologized and it changed my life. Citation Text: My patient almost died from a mistake I made. I apologized and it changed my life. McLean K. Huffington Post. October 16, 2019. Copy Citation Sav…

3926. Healthcare wants to fly as high as the aviation industry. Can it? | PSNet
      psnet.ahrq.gov/issue/healthcare-wants-fly-high-aviation-industry-can-it
      April 12, 2023 - Newspaper/Magazine Article Healthcare wants to fly as high as the aviation industry. Can it? Citation Text: Healthcare wants to fly as high as the aviation industry. Can it? Twenter P. Becker's Clinical Leadership. October 30, 2023. Copy Citation Save Save to…

3927. Complications: A Surgeon's Notes on an Imperfect Science. | PSNet
      psnet.ahrq.gov/issue/complications-surgeons-notes-imperfect-science
      January 13, 2010 - Book/Report Classic Complications: A Surgeon's Notes on an Imperfect Science. Citation Text: Complications: A Surgeon's Notes on an Imperfect Science. Gawande A. New York, NY: Metropolitan Books; 2002. ISBN: 9780805063196. Copy Citation Save …

3928. These patients had to lobby for correct diabetes diagnoses. Was their race a reason? | PSNet
      psnet.ahrq.gov/issue/these-patients-had-lobby-correct-diabetes-diagnoses-was-their-race-reason
      July 10, 2024 - Newspaper/Magazine Article These patients had to lobby for correct diabetes diagnoses. Was their race a reason? Citation Text: These patients had to lobby for correct diabetes diagnoses. Was their race a reason? Sable-Smith B. KFF Health News. January 9, 2024. Copy Citation …

3929. Anesthesia outside of the OR: cause for patient safety concerns? | PSNet
      psnet.ahrq.gov/issue/anesthesia-outside-or-cause-patient-safety-concerns
      May 25, 2022 - Newspaper/Magazine Article Anesthesia outside of the OR: cause for patient safety concerns? Citation Text: Anesthesia outside of the OR: cause for patient safety concerns? DePeau-Wilson M. MedPage Today. January 13, 2023. Copy Citation Save Save to your library …

3930. Before mea culpa, Children’s was confident its air systems weren’t source of infection | PSNet
      psnet.ahrq.gov/issue/mea-culpa-childrens-was-confident-its-air-systems-werent-source-infection
      July 19, 2010 - Newspaper/Magazine Article Before mea culpa, Children’s was confident its air systems weren’t source of infection Citation Text: Before mea culpa, Children’s was confident its air systems weren’t source of infection Gilbert D, Gutman D. Seattle Times. November 26, 2019. Copy Citation …

3931. The high cost of retained surgical items. | PSNet
      psnet.ahrq.gov/issue/high-cost-retained-surgical-items
      February 22, 2023 - Newspaper/Magazine Article The high cost of retained surgical items. Citation Text: The high cost of retained surgical items. Moorehead LD. Outpatient Surgery. April 5, 2023. Copy Citation Save Save to your library Print Download PDF Share …

3932. Framework for analysing risk and safety in clinical medicine. | PSNet
      psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine
      March 05, 2014 - Commentary Classic Framework for analysing risk and safety in clinical medicine. Citation Text: Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-7. Copy Citation Format: …

3933. Some doctors questioning whether shorter shifts for interns are endangering patients. | PSNet
      psnet.ahrq.gov/issue/some-doctors-questioning-whether-shorter-shifts-interns-are-endangering-patients
      July 26, 2017 - Newspaper/Magazine Article Some doctors questioning whether shorter shifts for interns are endangering patients. Citation Text: Some doctors questioning whether shorter shifts for interns are endangering patients. Boodman SG. Kaiser Health News. July 9, 2013. Copy Citation …

3934. Measuring shared mental models in healthcare. | PSNet
      psnet.ahrq.gov/issue/measuring-shared-mental-models-healthcare
      June 30, 2019 - Commentary Measuring shared mental models in healthcare. Citation Text: Measuring shared mental models in healthcare. Gisick LM, Webster KL, Keebler JR, et al. J Patient Saf Risk Manag. 2018;23:207–219. Copy Citation Save Save to your library Print Downl…

3935. Learning From Serious Failings in Care: Main Report. | PSNet
      psnet.ahrq.gov/issue/learning-serious-failings-care-main-report
      August 23, 2017 - Book/Report Learning From Serious Failings in Care: Main Report. Citation Text: Learning From Serious Failings in Care: Main Report. Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Academy of Medical Royal Colleges and Faculties in Scotland; May 2015. Copy Citation …

3936. The normalization of deviance: what are the perioperative risks? | PSNet
      psnet.ahrq.gov/issue/normalization-deviance-what-are-perioperative-risks
      July 15, 2020 - Commentary The normalization of deviance: what are the perioperative risks? Citation Text: McNamara SA. The normalization of deviance: what are the perioperative risks? AORN J. 2011;93(6):796-801. doi:10.1016/j.aorn.2011.02.009. Copy Citation Format: DOI Google Scholar Pu…

3937. Communication in the perioperative setting. | PSNet
      psnet.ahrq.gov/issue/communication-perioperative-setting
      July 22, 2020 - Commentary Communication in the perioperative setting. Citation Text: Cvetic E. Communication in the perioperative setting. AORN J. 2011;94(3):261-70. doi:10.1016/j.aorn.2011.01.017. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

3938. Building accountability through patient safety organizations. | PSNet
      psnet.ahrq.gov/issue/building-accountability-through-patient-safety-organizations
      June 19, 2024 - Commentary Building accountability through patient safety organizations. Citation Text: Ross J. Building accountability through patient safety organizations. J Perianesth Nurs. 2007;22(5):346-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

3939. 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

3940. 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