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psnet.ahrq.gov/node/60066/psn-pdf
March 25, 2020 - Because the ED was busy with no available beds, the patient remained in the waiting room. … Second, nursing staff did not reassess the patient while
she was in the waiting room. … Input pertains to factors outside of the immediate control of the ED, such as patient disease factors … Triage Process
Delays due to ED crowding and boarding are outside the immediate control of any one individual … Delays in the operating room: signs of an imperfect
system. Can J Surg. 2010;53(3):189-195.
16.
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psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
November 25, 2020 - Because the ED was busy with no available beds, the patient remained in the waiting room. … Second, nursing staff did not reassess the patient while she was in the waiting room. … Input pertains to factors outside of the immediate control of the ED, such as patient disease factors … Triage Process
Delays due to ED crowding and boarding are outside the immediate control of any one … Delays in the operating room: signs of an imperfect system. Can J Surg. 2010;53(3):189-195.
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psnet.ahrq.gov/node/848108/psn-pdf
April 26, 2023 - the operating room reported a 5.3% incidence of complications. … https://psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room … operating room: report from the Pediatric Sedation
Research Consortium.Pediatrics. 2006;118(3):1087 … Procedural sedation outside of the operating room
using ketamine in 22,645 children. … room.
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psnet.ahrq.gov/web-mm/turn-other-cheek
October 26, 2010 - However, most patients referred from outside providers arrive with only a paper pathology report to guide … October 4, 2011
WebM&M Cases
Good Catch in the Operating Room … View More
See More About The Topic
Outpatient Surgery
Operating Room
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psnet.ahrq.gov/node/49615/psn-pdf
December 01, 2010 - bed shortage, the patient remained in the ED for 8 hours before being transferred to an
inpatient room … ED or on the inpatient unit remain on the surface when transported to
Radiology and the operating room … In our facility, to identify these patients,
staff members place a SKIN ALERT sticker on the outside
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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - the operating room continues to increase.1
• Pediatric procedural sedation is now commonly performed … the
operating room reported a 5.3% incidence of complications. … operating room: report
from the Pediatric Sedation Research Consortium. … Procedural sedation outside of the operating room using ketamine in 22,645 children. … Analysis of adverse events associated with adult moderate procedural sedation outside the operating room
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psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
January 23, 2017 - the operating room continues to increase. 1 Pediatric procedural sedation is now commonly performed … the operating room reported a 5.3% incidence of complications. … operating room: report from the Pediatric Sedation Research Consortium. … Procedural sedation outside of the operating room using ketamine in 22,645 children. … Analysis of adverse events associated with adult moderate procedural sedation outside the operating room
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psnet.ahrq.gov/sites/default/files/2019-11/webmm_spotlight_suicide_risk_assessment.pdf
January 01, 2019 - additional information can be obtained via review of ambulance run
sheets, family or friend input, outside … observation
– Minimization of environmental (ligature) risks
– Provision of safe dining equipment
– Room
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
June 01, 2012 - At this hospital, standard procedure called for all transfers from outside hospitals to be seen and evaluated … They had taken her to the operating room, but she developed low blood pressure before the case and the … morning.
5
6
Case: Transfer Troubles (3)
Early the next day, the patient was taken to the operating room … Record keeping during transfer of critically ill patients -- room for improvement.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.236_slideshow.ppt
March 01, 2011 - color is back to normal
FiO2 = the fraction of inspired oxygen the child is receiving; normal ambient room … Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU of a children
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psnet.ahrq.gov/web-mm/forgotten-turn
August 01, 2018 - a bed shortage, the patient remained in the ED for 8 hours before being transferred to an inpatient room … the ED or on the inpatient unit remain on the surface when transported to Radiology and the operating room … In our facility, to identify these patients, staff members place a SKIN ALERT sticker on the outside
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psnet.ahrq.gov/issue/reflecting-change
December 02, 2009 - Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room … 2017
Analysis of adverse events associated with adult moderate procedural sedation outside … the operating room.
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psnet.ahrq.gov/node/49654/psn-pdf
June 01, 2012 - At this hospital, standard procedure called for
all transfers from outside hospitals to be seen and … They had taken her
to the operating room, but she developed low blood pressure before the case and the … Early the next day, the patient was taken to the operating room for surgical repair of her hip fracture … Record keeping during transfer of critically ill
patients—room for improvement?
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psnet.ahrq.gov/node/49579/psn-pdf
March 21, 2009 - the call was interrupted as a
senior nurse grabbed the ED physician and said, "We need you in code room … The physician entered the room and found an elderly gentleman with no pulse, no blood pressure, and very … majority of patients seen in EDs present directly or are brought by ambulance, many are
referred from outside … of an unstable patient, there may be a
cacophony created by multiple providers in the resuscitation room … Ideally, the room should be quiet with the exception of the reporting EMS provider and
receiving physician
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psnet.ahrq.gov/web-mm/transfer-troubles
December 29, 2014 - At this hospital, standard procedure called for all transfers from outside hospitals to be seen and evaluated … They had taken her to the operating room, but she developed low blood pressure before the case and the … Early the next day, the patient was taken to the operating room for surgical repair of her hip fracture … Record keeping during transfer of critically ill patients—room for improvement? … View More
See More About The Topic
Emergency Departments
Operating Room
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psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
January 12, 2022 - used baby monitors in some patients’ rooms so nursing could be responsive and monitor patients from outside … of the patient's room. … We also placed some intravenous (IV) pumps outside of the patient’s room to effectively maintain the … IVs without necessarily having to go into the patient's room multiple times, which reduced potential … Our medication safety team had to use barcode scanning outside of the patient room and then use baby
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psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
January 12, 2022 - used baby monitors in some patients’ rooms so nursing could be responsive and monitor patients from outside … of the patient's room. … We also placed some intravenous (IV) pumps outside of the patient’s room to effectively maintain the … IVs without necessarily having to go into the patient's room multiple times, which reduced potential … Our medication safety team had to use barcode scanning outside of the patient room and then use baby
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psnet.ahrq.gov/web-mm/all-history
February 28, 2011 - the call was interrupted as a senior nurse grabbed the ED physician and said, "We need you in code room … The physician entered the room and found an elderly gentleman with no pulse, no blood pressure, and very … majority of patients seen in EDs present directly or are brought by ambulance, many are referred from outside … of an unstable patient, there may be a cacophony created by multiple providers in the resuscitation room … Ideally, the room should be quiet with the exception of the reporting EMS provider and receiving physician
-
psnet.ahrq.gov/node/50698/psn-pdf
November 27, 2019 - of an ambulance run sheet, input from close family
members or friends, collateral information from outside … 1 observation,
minimization of environmental (ligature) risks, provision of safe dining equipment, room
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psnet.ahrq.gov/perspective/application-safety-ii-principles
August 28, 2024 - procedures are operationalized more effectively when there is a full understanding of workflows, so there is room … The second step is to tap into external expertise, sometimes outside of health care. … you ask registration, perioperative techs, or bedside nurses, you'll hear about things that folks do outside … of policy and outside of work as imagined to keep patients safe.