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psnet.ahrq.gov/issue/economics-patient-safety-primary-and-ambulatory-care-flying-blind
April 12, 2017 - Book/Report
Emerging Classic
The Economics of Patient Safety in Primary and Ambulatory Care: Flying Blind.
Citation Text:
The Economics of Patient Safety in Primary and Ambulatory Care: Flying Blind. Slawomirski L, Auraaen A, Klazinga N. Paris, France: Organisat…
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psnet.ahrq.gov/issue/economics-medication-safety-improving-medication-safety-through-collective-real-time-learning
October 07, 2020 - Book/Report
Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning.
Citation Text:
Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. de Bienassis K, Esmail L, Lopert R, Klazinga N for the O…
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psnet.ahrq.gov/node/42939/psn-pdf
March 02, 2014 - Healthcare personnel attire in non–operating-room
settings. … Healthcare personnel attire in non-operating-room settings. … https://psnet.ahrq.gov/issue/healthcare-personnel-attire-non-operating-room-settings
This guidance examined … https://psnet.ahrq.gov/issue/healthcare-personnel-attire-non-operating-room-settings
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/43591/psn-pdf
August 02, 2015 - The automated operating room: a team approach to
patient safety and communication. … The automated operating room: a team approach to patient safety
and communication. … https://psnet.ahrq.gov/issue/automated-operating-room-team-approach-patient-safety-and-communication … https://psnet.ahrq.gov/issue/automated-operating-room-team-approach-patient-safety-and-communication
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psnet.ahrq.gov/continuing-education
February 26, 2025 - Departments
(44)
Intensive Care Units
(37)
Labor and Delivery
(6)
Operating … The surgical team had difficulty controlling bleeding and the patient left the operating room (OR) with
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psnet.ahrq.gov/node/33848/psn-pdf
December 01, 2017 - determine how best to structure system changes.(8)
Improvements in the processes and culture in the operating
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psnet.ahrq.gov/node/43274/psn-pdf
September 27, 2016 - Distractions in the operating room.
September 27, 2016
Feil M. PA-PSRS Patient Saf Advis. … https://psnet.ahrq.gov/issue/distractions-operating-room
Operating rooms are complex environments with … https://psnet.ahrq.gov/issue/distractions-operating-room
https://psnet.ahrq.gov/issue/human-factor-cardiac-surgery-errors-and-near-misses-high-technology-medical-domain
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psnet.ahrq.gov/node/35724/psn-pdf
May 26, 2010 - A prospective study of patient safety in the operating
room. … A prospective study of patient safety in the operating room.
Surgery. 2006;139(2):159-173. … https://psnet.ahrq.gov/issue/prospective-study-patient-safety-operating-room
This study used a multidisciplinary … https://psnet.ahrq.gov/issue/prospective-study-patient-safety-operating-room
https://psnet.ahrq.gov/primer
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psnet.ahrq.gov/node/60258/psn-pdf
April 22, 2020 - Operational Measurement of Diagnostic Safety: State of
the Science.
April 22, 2020
Singh H, Bradford A, Goeschel C. Rockville, MD: Agency for Healthcare Research and Quality; April 2020.
AHRQ Publication No. 20-0040-1-EF.
https://psnet.ahrq.gov/issue/operational-measurement-diagnostic-safety-state-science
This is…
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psnet.ahrq.gov/issue/how-one-health-system-overcame-resistance-surgical-checklist
May 23, 2018 - April 13, 2022
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Operating room fires … February 22, 2019
Relationship between operating room teamwork, contextual factors, and … July 30, 2014
Operating room teamwork among physicians and nurses: teamwork in the eye … and operating room personnel. … May 3, 2006
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See More About The Topic
Operating Room
Health
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psnet.ahrq.gov/issue/improving-working-environment-safe-surgical-care
July 29, 2015 - March 27, 2017
Does teamwork improve performance in the operating room? … March 21, 2017
Improving patient safety in the operating theatre and perioperative care … analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating … March 3, 2011
Attitudinal changes resulting from repetitive training of operating room … Castration
January 1, 2004
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psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
April 01, 2006 - He was taken to the operating room, and it was discovered the angio-seal closure device had failed and … 2006
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Outpatient Surgery
Operating
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psnet.ahrq.gov/node/865413/psn-pdf
March 27, 2024 - A health system must include its risk manager, chief operating
officer, and chief information officer
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psnet.ahrq.gov/node/49746/psn-pdf
October 01, 2015 - surgeons reviewed the imaging and performed a physical examination, they took the
patient urgently to the operating
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psnet.ahrq.gov/node/49512/psn-pdf
May 01, 2006 - The next morning, the patient was taken to the operating room (OR), and spinal anesthesia was
administered … Neither should operating on
the wrong side of the right patient.
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psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
March 27, 2024 - A health system must include its risk manager, chief operating officer, and chief information officer … December 1, 2015
WebM&M Cases
Good Catch in the Operating
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psnet.ahrq.gov/issue/creating-high-reliability-health-care-system-improving-performance-core-processes-care-johns
January 27, 2016 - July 1, 2017
Operating management system for high reliability: leadership, accountability
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psnet.ahrq.gov/issue/clinical-characteristics-and-short-term-outcomes-acute-kidney-injury-missed-diagnosis-older
April 20, 2022 - and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating
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psnet.ahrq.gov/node/45762/psn-pdf
July 02, 2017 - operative-team-communication-during-simulated-emergencies-too-busy-
respond
Communication failures in the operating … Researchers
observed and analyzed communication across seven operating room teams during a simulated … operative-team-communication-during-simulated-emergencies-too-busy-respond
https://psnet.ahrq.gov/issue/communication-failure-operating-room … https://psnet.ahrq.gov/issue/operating-room-hazards-and-approaches-improve-patient-safety
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/47181/psn-pdf
August 22, 2018 - critical-role-surgeon-anesthesiologist-relationship-patient-safety
https://psnet.ahrq.gov/issue/silence-power-and-communication-operating-room … https://psnet.ahrq.gov/issue/teamwork-operating-room-frontline-perspectives-among-hospitals-and-operating-room-personnel … https://psnet.ahrq.gov/issue/safety-culture-operating-room-variability-among-perioperative-healthcare-workers