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psnet.ahrq.gov/node/33589/psn-pdf
September 15, 2024 - The concept of high reliability is
attractive for health care, due to the complexity of operations and … both the authority
and the responsibility to make real-time operational adjustments to maintain safe operations … characteristic ways of thinking: preoccupation with failure; reluctance to simplify explanations for
operations … , successes, and failures; sensitivity to operations (situation awareness); deference to frontline
expertise … Sensitivity to
Operations
Based on their understanding of operational complexity, people in HROs strive
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psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
September 27, 2023 - SPOTLIGHT CASE
Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations … Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations. … Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations. … Given a history of previous abdominal operations, severe abdominal pain not responsive to opioid analgesia … Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations.
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digital.ahrq.gov/sites/default/files/docs/resource/Governance_Considerations.pdf
June 16, 2021 - Q1 2006
Working Groups
• Planning and Management
• Communications
• Development
• Adoption
• Operations … Working Group
Security and Privacy
Working Group
Leader: Executive Director - TBH
Members: RHIO Operations … 501(c)3 corporation is the preferred way to organize:
Form an interim governing board to oversee operations … Executive Director) to be responsible for the governance set-up and
operations. … • A governing board is necessary for overseeing operations
• An advisory board is recommended to represent
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hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2012_MaskedStats_Dx_Pr_Grps.PDF
January 01, 2012 - on the nervous system 134,555 1.84%
02: Operations on the endocrine system 14,431 0.20%
03: Operations … on the eye 4,652 0.06%
04: Operations on the ear 2,704 0.04%
05: Operations on the nose, mouth, and … pharynx 23,964 0.33%
06: Operations on the respiratory system 119,701 1.64%
07: Operations on the … : Operations on the digestive system 602,326 8.25%
10: Operations on the urinary system 99,817 1.37% … 11: Operations on the male genital organs 206,753 2.83%
12: Operations on the female genital organs
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hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2013_MaskedStats_Dx_Pr_Grps.PDF
January 01, 2013 - on the nervous system 127,951 1.80%
02: Operations on the endocrine system 12,721 0.18%
03: Operations … on the eye 4,346 0.06%
04: Operations on the ear 2,412 0.03%
05: Operations on the nose, mouth, and … pharynx 25,057 0.35%
06: Operations on the respiratory system 122,732 1.72%
07: Operations on the … : Operations on the digestive system 597,219 8.39%
10: Operations on the urinary system 95,899 1.35% … 11: Operations on the male genital organs 200,965 2.82%
12: Operations on the female genital organs
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www.ahrq.gov/research/shuttered/acfselection/chapter4.html
July 01, 2018 - a "concept of operations" or "ConOps"). … General Staff
The Operations Section (Figure 4) conducts tactical medical operations to carry out … The Operations Section is responsible for the following:
Developing and managing the Operations Section … Figure 4: Operations Section
The Operations Section includes the following functional Branches: Staging … Operations Section: The section responsible for all tactical operations at the incident.
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psnet.ahrq.gov/issue/should-operations-be-regionalized-empirical-relation-between-surgical-volume-and-mortality
August 04, 2021 - Study
Classic
Should operations be regionalized? … Should operations be regionalized? The empirical relation between surgical volume and mortality. … Should operations be regionalized? The empirical relation between surgical volume and mortality.
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hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2014_MaskedStats_Dx_Pr_Grps.PDF
January 01, 2014 - on the nervous system 124,459 1.76%
02: Operations on the endocrine system 10,576 0.15%
03: Operations … on the eye 4,088 0.06%
04: Operations on the ear 2,267 0.03%
05: Operations on the nose, mouth, and … pharynx 24,366 0.34%
06: Operations on the respiratory system 123,503 1.75%
07: Operations on the … : Operations on the digestive system 589,733 8.34%
10: Operations on the urinary system 94,274 1.33% … 11: Operations on the male genital organs 197,961 2.80%
12: Operations on the female genital organs
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psnet.ahrq.gov/issue/health-informatics-healthcare-quality-and-safety-and-healthcare-simulation-new-triad-advance
April 28, 2021 - Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations … Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations … Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence4.html
April 01, 2025 - Contents
Four Pillars for Sustainable Centers of Excellence
Introduction
Center of Excellence Operations … Daily Operations Actively integrating a CE’s efforts into the daily operations of the health system should … effective. 16 Integration may require creating new models of sharing staff across clinical teams, operations … P2 grantees and stakeholders within the health system while integrating those stakeholders into the operations
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psnet.ahrq.gov/issue/cause-concern-drug-shortages-disrupt-operations-tax-hospitalists-treatment-patterns
March 27, 2005 - Newspaper/Magazine Article
Cause for concern: drug shortages disrupt operations, … Citation Text:
Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns … Cite
Citation
Citation Text:
Cause for concern: drug shortages disrupt operations
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hcup-us.ahrq.gov/db/nation/kid/tools/stats/KID_2012_MaskedStats_Dx_Pr_Grps.PDF
January 01, 2012 - on the nervous system 90,181 2.82%
02: Operations on the endocrine system 1,975 0.06%
03: Operations … on the eye 2,923 0.09%
04: Operations on the ear 4,182 0.13%
05: Operations on the nose, mouth, and … pharynx 31,170 0.98%
06: Operations on the respiratory system 25,066 0.78%
07: Operations on the cardiovascular … system 69,393 2.17%
08: Operations on the hemic and lymphatic system 7,916 0.25%
09: Operations on … the digestive system 148,064 4.63%
10: Operations on the urinary system 17,855 0.56%
11: Operations
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hcup-us.ahrq.gov/db/nation/kid/tools/stats/KID_2009_MaskedStats_Dx_Pr_Grps.PDF
January 01, 2009 - on the nervous system 101,737 2.99%
02: Operations on the endocrine system 2,445 0.07%
03: Operations … on the eye 3,378 0.10%
04: Operations on the ear 4,653 0.14%
05: Operations on the nose, mouth, and … pharynx 30,350 0.89%
06: Operations on the respiratory system 27,604 0.81%
07: Operations on the cardiovascular … system 72,404 2.13%
08: Operations on the hemic and lymphatic system 8,670 0.25%
09: Operations on … the digestive system 168,165 4.94%
10: Operations on the urinary system 19,676 0.58%
11: Operations
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psnet.ahrq.gov/issue/impact-resident-participation-surgical-operations-postoperative-outcomes-national-surgical
November 16, 2022 - Study
Impact of resident participation in surgical operations on postoperative outcomes … Impact of Resident Participation in Surgical Operations on Postoperative Outcomes. … Impact of Resident Participation in Surgical Operations on Postoperative Outcomes.
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psnet.ahrq.gov/issue/first-year-who-surgical-safety-checklist-7148-otorhinolaryngological-operations-use-and-user
October 30, 2019 - Study
First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations … First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user … First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user
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www.ahrq.gov/sites/default/files/2024-09/khare-report.pdf
January 01, 2024 - Final Progress Report: Improving ED Quality and Safety by Enhancing Operations and Quality Management … FINAL PROGRESS REPORT
Improving ED Quality and Safety by Enhancing Operations and Quality Management … JAMA. 2009;302(7):767-773.
9
FINAL PROGRESS REPORT: Improving ED Quality and Safety by Enhancing Operations
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www.ahrq.gov/nursing-home/resources/huddle-tool.html
July 01, 2021 - Source: Institute for Healthcare Improvement
Topic(s): Safe Operations
Audience(s): Nursing Assistants
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/nursing/nursing.pptx
July 07, 2012 - concerns and provide counsel
- Represent their unit and staff within the hospital
Oversee unit-based operations … Customer-/patient-focused care delivery
- Regulation and unit-based protocol
5
Oversee Unit-Based
Operations … Motivates staff to strive for professional excellence
- Is a socio-adaptive component
Management:
Operations … strategic planning; customer focus; measurement, analysis, and knowledge management; workforce focus; operations … analyzing defects and developing plans to address harm
Typical safety indicators
Tools
23
Financial
Operations
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www.ahrq.gov/nursing-home/resources/post-vaccination.html
May 01, 2021 - Source: CMS
Topic(s): Safe Operations; Infection Prevention & Control
Audience(s): Clinical Leaders
-
psnet.ahrq.gov/node/44020/psn-pdf
March 25, 2015 - Wrong-site orthopedic operations on the extremities: the
Pennsylvania experience. … https://psnet.ahrq.gov/issue/wrong-site-orthopedic-operations-extremities-pennsylvania-experience
Wrong-site … https://psnet.ahrq.gov/issue/wrong-site-orthopedic-operations-extremities-pennsylvania-experience
https