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Showing results for "operations".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38863/psn-pdf
    August 12, 2009 - https://psnet.ahrq.gov/issue/handoff-strategies-settings-high-consequences-failure-lessons-health-care-operations

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38749/psn-pdf
    April 08, 2011 - This study also found that limited numeracy (the ability to apply arithmetic operations to everyday

  3. Operating room briefings. | PSNet

    psnet.ahrq.gov/issue/operating-room-briefings
    January 02, 2017 - National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43402/psn-pdf
    October 20, 2014 - surgical-safety-checklist-reduce-morbidity-and-mortality-global-population https://psnet.ahrq.gov/issue/effect-19-item-surgical-safety-checklist-during-urgent-operations-global-patient-population

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46459/psn-pdf
    August 20, 2018 - balancing-supervision-and-autonomy-ongoing-tension https://psnet.ahrq.gov/issue/impact-resident-participation-surgical-operations-postoperative-outcomes-national-surgical

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41325/psn-pdf
    October 06, 2016 - how-reliable-are-clinical-systems-uk-nhs-study-seven-nhs-organisations One key characteristic of high reliability organizations is maintaining sensitivity to operations—understanding

  7. 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

  8. 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

  9. 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

  10. A Community-Shared Clinical Abstract to Improve Care | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/community-shared-clinical-abstract-improve-care-mn
    January 01, 2023 - this project was completed by a Steering Committee and a Planning Team of clinical, technical, and operations

  11. AHRQ’s Support of the USPSTF (pdf file)

    www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/2025-03/ahrq-support-of-the-uspstf-2025.pdf
    January 01, 2025 - AHRQ Supports the USPSTF To support the Task Force, the USPSTF Program: l Assists with day-to-day operations

  12. 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

  13. 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

  14. 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

  15. 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

  16. 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.

  17. 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

  18. 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

  19. 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

  20. Impact Wellbeing. | PSNet

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