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Showing results for "operations".

  1. Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. | PSNet

    psnet.ahrq.gov/issue/safe-and-appropriate-use-insulin-and-other-antihyperglycemic-agents-hospital
    April 18, 2016 - Review Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. Citation Text: Cornish W. Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. Can J Diabetes. 2014;38(2):94-100. doi:10.1016/j.jcjd.2014.01.002. Copy Citation …

  2. The Armstrong Institute Resident/Fellow Scholars: a multispecialty curriculum to train future leaders in patient safety and quality improvement. | PSNet

    psnet.ahrq.gov/issue/armstrong-institute-residentfellow-scholars-multispecialty-curriculum-train-future-leaders
    October 19, 2022 - Commentary The Armstrong Institute Resident/Fellow Scholars: a multispecialty curriculum to train future leaders in patient safety and quality improvement. Citation Text: Rinke ML, Mock CK, Persing NM, et al. The Armstrong Institute Resident/Fellow Scholars: A Multispecialty Curriculum t…

  3. Managing alarm systems for quality and safety in the hospital setting. | PSNet

    psnet.ahrq.gov/issue/managing-alarm-systems-quality-and-safety-hospital-setting
    August 13, 2014 - Review Managing alarm systems for quality and safety in the hospital setting. Citation Text: Bach TA, Berglund L-M, Turk E. Managing alarm systems for quality and safety in the hospital setting. BMJ Open Qual. 2018;7(3):e000202. doi:10.1136/bmjoq-2017-000202. Copy Citation Format: …

  4. For whom the Bell Commission tolls: unintended effects of limiting residents' hours. | PSNet

    psnet.ahrq.gov/issue/whom-bell-commission-tolls-unintended-effects-limiting-residents-hours
    April 20, 2011 - Commentary For whom the Bell Commission tolls: unintended effects of limiting residents' hours. Citation Text: Millard WB. For whom the bell commission tolls: unintended effects of limiting residents' hours. Ann Emerg Med. 2009;54(4):A25-9. Copy Citation Format: Google Sc…

  5. Root cause analysis of transfusion error: identifying causes to implement changes. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-transfusion-error-identifying-causes-implement-changes
    August 15, 2018 - Commentary Root cause analysis of transfusion error: identifying causes to implement changes. Citation Text: Elhence P, Veena S, Sharma RK, et al. Root cause analysis of transfusion error: identifying causes to implement changes. Transfusion (Paris). 2010;50(12 Pt 2):2772-2777. doi:10.…

  6. Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist. | PSNet

    psnet.ahrq.gov/issue/increasing-compliance-safe-medication-administration-pediatric-anesthesia-use-standardized
    December 11, 2024 - Commentary Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist. Citation Text: Kanjia MK, Adler AC, Buck D, et al. Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized check…

  7. Crib of horrors: one hospital's approach to promoting a culture of safety. | PSNet

    psnet.ahrq.gov/issue/crib-horrors-one-hospitals-approach-promoting-culture-safety
    December 22, 2018 - Commentary Crib of horrors: one hospital's approach to promoting a culture of safety. Citation Text: Korah N, Zavalkoff S, Dubrovsky AS. Crib of Horrors: One Hospital's Approach to Promoting a Culture of Safety. Pediatrics. 2015;136(1):4-5. doi:10.1542/peds.2014-3843. Copy Citation …

  8. Culture-Check-Uptool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/Culture-Check-UpTool.docx
    June 02, 2025 - Culture Check-Up Tool Problem statement: Improving safety culture in a patient care area takes time. What is culture? Attitudes reflect the norms, values, and beliefs in the unit and, in turn, create the culture. No matter what instrument you use to assess patient safety culture, your results provide a snapshot of th…

  9. Consensus bundle on prevention of surgical site infections after major gynecologic surgery. | PSNet

    psnet.ahrq.gov/issue/consensus-bundle-prevention-surgical-site-infections-after-major-gynecologic-surgery
    January 15, 2014 - Commentary Consensus bundle on prevention of surgical site infections after major gynecologic surgery. Citation Text: Pellegrini JE, Toledo P, Soper DE, et al. Consensus Bundle on Prevention of Surgical Site Infections After Major Gynecologic Surgery. Obstet Gynecol. 2017;129(1):50-61. d…

  10. How do simulated error experiences impact attitudes related to error prevention? | PSNet

    psnet.ahrq.gov/issue/how-do-simulated-error-experiences-impact-attitudes-related-error-prevention
    October 19, 2022 - Study How do simulated error experiences impact attitudes related to error prevention? Citation Text: Breitkreuz KR, Dougal RL, Wright MC. How Do Simulated Error Experiences Impact Attitudes Related to Error Prevention? Simul Healthc. 2016;11(5):323-333. Copy Citation Format: …

  11. Culture Check-Up Tool | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/toolkit/culture-checkup.html
    December 01, 2012 - Culture Check-Up Tool CUSP Toolkit Health care provider roles Problem statement: Improving safety culture in a patient care area takes time. What is culture? Attitudes reflect the norms, values, and beliefs in the unit and, in turn, create the culture. No matter what instrument you use to assess patient…

  12. Beyond the medical record: other modes of error acknowledgment. | PSNet

    psnet.ahrq.gov/issue/beyond-medical-record-other-modes-error-acknowledgment
    August 03, 2009 - Study Beyond the medical record: other modes of error acknowledgment. Citation Text: Rosenthal M, Cornett PL, Sutcliffe K, et al. Beyond the medical record: other modes of error acknowledgment. J Gen Intern Med. 2005;20(5):404-9. Copy Citation Format: Google Scholar PubMe…

  13. The interpretability of doctor identification badges in UK hospitals: a survey of nurses and patients. | PSNet

    psnet.ahrq.gov/issue/interpretability-doctor-identification-badges-uk-hospitals-survey-nurses-and-patients
    October 07, 2013 - Study The interpretability of doctor identification badges in UK hospitals: a survey of nurses and patients. Citation Text: Hickerton BC, Fitzgerald DJ, Perry E, et al. The interpretability of doctor identification badges in UK hospitals: a survey of nurses and patients. BMJ Qual Saf. 20…

  14. A multi-disciplinary approach to medication safety and the implication for nursing education and practice. | PSNet

    psnet.ahrq.gov/issue/multi-disciplinary-approach-medication-safety-and-implication-nursing-education-and-practice
    September 26, 2018 - Study A multi-disciplinary approach to medication safety and the implication for nursing education and practice. Citation Text: Adhikari R, Tocher J, Smith P, et al. A multi-disciplinary approach to medication safety and the implication for nursing education and practice. Nurse Educ To…

  15. The use of patient pictures and verification screens to reduce computerized provider order entry errors. | PSNet

    psnet.ahrq.gov/issue/use-patient-pictures-and-verification-screens-reduce-computerized-provider-order-entry-errors
    November 16, 2022 - Study The use of patient pictures and verification screens to reduce computerized provider order entry errors. Citation Text: Hyman D, Laire M, Redmond D, et al. The use of patient pictures and verification screens to reduce computerized provider order entry errors. Pediatrics. 2012;130(…

  16. Sensemaking, safety, and cooperative work in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/sensemaking-safety-and-cooperative-work-intensive-care-unit
    September 29, 2010 - Study Sensemaking, safety, and cooperative work in the intensive care unit. Citation Text: Albolino S, Cook RI, O’Connor M. Sensemaking, safety, and cooperative work in the intensive care unit. Cog Tech Work. 2006;9(3):131-137. doi:10.1007/s10111-006-0057-5. Copy Citation Format:…

  17. Impact of an intervention to reduce prescribing errors in a pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/impact-intervention-reduce-prescribing-errors-pediatric-intensive-care-unit
    March 09, 2022 - Study Impact of an intervention to reduce prescribing errors in a pediatric intensive care unit. Citation Text: Martinez-Anton A, Sanchez I, Casanueva L. Impact of an intervention to reduce prescribing errors in a pediatric intensive care unit. Intensive Care Med. 2012;38(9):1532-8. do…

  18. The relationship between registered nurses and nursing home quality: an integrative review (2008–2014). | PSNet

    psnet.ahrq.gov/issue/relationship-between-registered-nurses-and-nursing-home-quality-integrative-review-2008-2014
    June 03, 2020 - Review The relationship between registered nurses and nursing home quality: an integrative review (2008–2014). Citation Text: Dellefield ME, Castle NG, McGilton KS, et al. The Relationship Between Registered Nurses and Nursing Home Quality: An Integrative Review (2008-2014). Nurs Econ. 2…

  19. A case of adverse drug reaction induced by dispensing error. | PSNet

    psnet.ahrq.gov/issue/case-adverse-drug-reaction-induced-dispensing-error
    August 17, 2022 - Commentary A case of adverse drug reaction induced by dispensing error. Citation Text: Gallelli L, Staltari O, Palleria C, et al. A case of adverse drug reaction induced by dispensing error. J Forensic Leg Med. 2012;19(8):497-8. doi:10.1016/j.jflm.2012.04.026. Copy Citation Format…

  20. Expected and unanticipated consequences of the quality and information technology revolutions. | PSNet

    psnet.ahrq.gov/issue/expected-and-unanticipated-consequences-quality-and-information-technology-revolutions
    March 02, 2011 - Commentary Classic Expected and unanticipated consequences of the quality and information technology revolutions. Citation Text: Wachter R. Expected and unanticipated consequences of the quality and information technology revolutions. JAMA. 2006;295(23):2780-3…
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