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psnet.ahrq.gov/issue/cardiac-arrest-during-anesthesia
January 19, 2011 - Review
Cardiac arrest during anesthesia.
Citation Text:
Zuercher M, Ummenhofer W. Cardiac arrest during anesthesia. Curr Opin Crit Care. 2008;14(3):269-74. doi:10.1097/MCC.0b013e3282f948cd.
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psnet.ahrq.gov/issue/implementing-no-interruption-zones-perioperative-environment
June 09, 2021 - Commentary
Implementing No Interruption Zones in the perioperative environment.
Citation Text:
Wright I. Implementing No Interruption Zones in the Perioperative Environment. AORN J. 2016;104(6):536-540. doi:10.1016/j.aorn.2016.09.018.
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psnet.ahrq.gov/issue/implementation-sbar-communication-technique-tertiary-center
March 27, 2019 - Commentary
Implementation of the SBAR communication technique in a tertiary center.
Citation Text:
Woodhall LJ, Vertacnik L, McLaughlin M. Implementation of the SBAR Communication Technique in a Tertiary Center. J Emerg Nurs. 2008;34(4):314-317. doi:10.1016/j.jen.2007.07.007.
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psnet.ahrq.gov/issue/special-section-iea-health-care-2021
August 02, 2010 - Special or Theme Issue
Special Section: IEA Health Care 2021.
Citation Text:
Special Section: IEA Health Care 2021. Hum Factors. 2024;66(3):633-769.
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psnet.ahrq.gov/issue/patient-misidentification-oncology-care
March 22, 2006 - Commentary
Patient misidentification in oncology care.
Citation Text:
Patient misidentification in oncology care. Schulmeister L. Clin J Oncol Nurs. 2008;12:495-498.
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psnet.ahrq.gov/issue/renewal-surgical-quality-and-safety-initiatives-multispecialty-challenge
March 03, 2011 - Commentary
Renewal of surgical quality and safety initiatives: a multispecialty challenge.
Citation Text:
Polk HC. Renewal of surgical quality and safety initiatives: a multispecialty challenge. Mayo Clin Proc. 2006;81(3):345-52.
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psnet.ahrq.gov/issue/teamstepps-strategies-and-tools-enhance-performance-and-patient-safety
December 24, 2008 - Toolkit
Classic
TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety.
Citation Text:
TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. Department of Health and Human Services, Agency for Healthcare Research and Qua…
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psnet.ahrq.gov/issue/medical-errors-kill-thousands-people-each-year-are-hospitals-getting-any-safer
June 17, 2020 - Newspaper/Magazine Article
Medical errors kill thousands of people each year. But are hospitals getting any safer?
Citation Text:
Medical errors kill thousands of people each year. But are hospitals getting any safer? Weintraub K. USA Today. May 3, 2023.
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psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
December 01, 2012 - SI : We were working on coding at last year's American Delirium Society meeting (it's a brand new organization … I said if there is one thing your organization can do is please create a single code for delirium: have … Inouye, MD, MPH
December 1, 2012
Creating high reliability in health care organizations
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psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
October 30, 2019 - He is also the founder of the organization Costs of Care. … Related Resources
Perspective
High Reliability Organization
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psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
March 15, 2023 - March 29, 2023
Factors causing variation in World Health Organization surgical
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psnet.ahrq.gov/issue/ahrq-health-literacy-universal-precautions-toolkit-0
May 26, 2010 - April 6, 2022
Becoming a High Reliability Organization: Operational Advice for Hospital … October 17, 2012
Choosing a Patient Safety Organization
March 1, 2020
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psnet.ahrq.gov/issue/hospital-board-and-management-practices-are-strongly-related-hospital-performance-clinical
October 27, 2021 - July 22, 2020
Effects of healthcare organization actions and policies related to COVID
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psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
August 01, 2015 - But more needs to be done to support vendors' design innovation and for health care organization to focus … Information Exchange: The Role of Health IT Developers in Improving Patient Safety in High Reliability Organizations … each other, I don't think will happen on its own in that the incentives for individual health care organizations
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psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems
February 01, 2019 - Download Citation
Perspective
We will never transform the prevailing system of an organization … They also need to embrace new skills and habits, and teams and organizations need to adopt a new way … main academic hospital becomes more tertiary and quaternary every day, and we're partnering with other organizations
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psnet.ahrq.gov/perspective/covid-19-and-built-environment
June 30, 2021 - WHO [World Health Organization] and CDC [Centers for Disease Control and Prevention] documents had mentioned … AJ: Overall, I think healthcare organizations need motivation to start thinking about that because if … Perspective
Patient Safety Events and the Role of Patient Safety Organizations
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psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
August 10, 2019 - involving all team members.( 9 ) The importance of a team time-out is also emphasized in the World Health Organization … preventing wrong-site errors includes The Joint Commission Universal Protocol and the World Health Organization
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psnet.ahrq.gov/node/49694/psn-pdf
October 01, 2013 - The World Health Organization (WHO) and The Joint Commission have
recommended strategies for reducing … World Health Organization,
Joint Commission International, Joint Commission; May 2007.
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psnet.ahrq.gov/web-mm/critical-opportunity-lost
February 17, 2017 - ) Both the College of American Pathologists Laboratory Accreditation Program and the International Organization … International Organization for Standardization.
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psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
March 27, 2024 - Sarah Mossburg: In terms of strategies or practices for organizations that are integrating AI, would … Healthcare organizations would benefit from forming a multidisciplinary team consisting of data scientists … World Health Organization. Ethics and Governance of Artificial Intelligence for Health. … Geneva, Switzerland: World Health Organization; 2021. ISBN: 9789240029200.