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Total Results: 6,859 records

Showing results for "operations".

4281. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50928/psn-pdf
      February 21, 2020 - Updates in the Role of Health IT in Patient Safety February 21, 2020 Hall KK, Fitall E, Hettinger AZ. Updates in the Role of Health IT in Patient Safety. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety Background Health information technology (HIT) has the potential…

4282. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33736/psn-pdf
      September 01, 2012 - In Conversation With… Jack Needleman, PhD September 1, 2012 In Conversation With… Jack Needleman, PhD. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/conversation-jack-needleman-phd Editor's note: Jack Needleman, PhD, is a Professor in the Department of Health Policy and Management at UCLA School of P…

4283. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49741/psn-pdf
      September 01, 2015 - Abdominal Pain in Early Pregnancy September 1, 2015 Kilpatrick CC. Abdominal Pain in Early Pregnancy. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/abdominal-pain-early-pregnancy Case Objectives Recognize when nausea and vomiting in pregnancy is abnormal. Identify the most common causes of non-obstetric a…

4284. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49676/psn-pdf
      February 01, 2013 - Death by PCA February 1, 2013 Hicks RW. Death by PCA. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/death-pca The Case A healthy 21-year-old pregnant woman delivered a healthy baby via Caesarean section after an uncomplicated pregnancy. Two hours after delivery, the post-anesthesia care unit (PACU) nurse …

4285. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49864/psn-pdf
      June 01, 2019 - Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout June 1, 2019 Adair KC, Frankel A, Sexton B. Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/speaking-patient-safety-…

4286. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846768/psn-pdf
      March 29, 2023 - Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. March 29, 2023 Bohringer C. Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery The Ca…

4287. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49482/psn-pdf
      May 01, 2005 - Pregnant With Danger May 1, 2005 Pearlman MD, Desmond JS. Pregnant With Danger. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/pregnant-danger The Case A 35-year-old woman, 38 weeks pregnant, presented to the emergency department (ED) in the middle of the night complaining of left leg pain. She also had so…

4288. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49642/psn-pdf
      December 01, 2011 - Order Interrupted by Text: Multitasking Mishap December 1, 2011 Halamka J. Order Interrupted by Text: Multitasking Mishap. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap Case Objectives State the prevalence of mobile devices among clinicians and their common health…

4289. Low on the Totem Pole | PSNet
      psnet.ahrq.gov/web-mm/low-totem-pole
      October 01, 2003 - SPOTLIGHT CASE Low on the Totem Pole Citation Text: Wachter R. Low on the Totem Pole. 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 …

4290. Communication Failure—Who's in Charge? | PSNet
      psnet.ahrq.gov/web-mm/communication-failure-whos-charge
      April 01, 2018 - Communication Failure—Who's in Charge? Citation Text: Fackler J, Schwartz JM. Communication Failure—Who's in Charge?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndN…

4291. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73104/psn-pdf
      January 04, 2021 - Surge planning has become even more important for hospital operations in an effort to take into consideration … high-reliability https://psnet.ahrq.gov//#42 https://psnet.ahrq.gov/issue/assisting-beginners-root-cause-analysis-operations-analysis-and-recommendations-regarding

4292. How Does Infection Prevention Fit Into a Safety Program? | PSNet
      psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
      March 01, 2014 - was the establishment of formal infection prevention and control programs under health care facility operations

4293. In Conversation with...Sorrel King | PSNet
      psnet.ahrq.gov/perspective/conversation-withsorrel-king
      March 01, 2007 - Georgia has also been engaging patients and families in the physical redesign of its hospitals and operations

4294. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
      January 01, 2020 - Predictors of In-hospital Postoperative Opioid Overdose After Major Elective Operations: A Nationally

4295. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49651/psn-pdf
      May 01, 2012 - Handoff strategies in settings with high consequences for failure: lessons for health care operations

4296. In Conversation With… Ann L. Hendrich, RN, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-ann-l-hendrich-rn-phd
      February 26, 2025 - Hendrich, RN, PhD, is Vice President of Clinical Excellence Operations and Executive Director of the

4297. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863308/psn-pdf
      February 28, 2024 - factors can also increase the risk of aspiration including head-down positioning and certain types of operations

4298. Emergent Triage Miss | PSNet
      psnet.ahrq.gov/web-mm/emergent-triage-miss
      March 06, 2015 - improve the accuracy of triage, help better manage crowded EDs, and assist in understanding daily ED operations

4299. Organizational Learning | PSNet
      psnet.ahrq.gov/curated-library/organizational-learning
      August 11, 2025 - This article draws a distinction between preventable failures in predictable operations—which are largely

4300. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60172/psn-pdf
      March 01, 2021 - In 2016, a survey of 503 nurses, physicians, IT practitioners, and CFOs/financial operations experts