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Showing results for "operating".

4701. Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke in US rural and urban hospitals. | PSNet
      psnet.ahrq.gov/issue/weekend-effect-hospital-mortality-ischemic-and-hemorrhagic-stroke-us-rural-and-urban
      January 19, 2022 - May 12, 2021 Absence or presence: silent discourse in the operating room and impact on

4702. Psn-Pdf (pdf file)
      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

4703. Psn-Pdf (pdf file)
      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

4704. The impact of internal service quality on preventable adverse events in hospitals. | PSNet
      psnet.ahrq.gov/issue/impact-internal-service-quality-preventable-adverse-events-hospitals
      September 24, 2016 - Study The impact of internal service quality on preventable adverse events in hospitals. Citation Text: Zheng S, Tucker AL, Ren ZJ, et al. The Impact of Internal Service Quality on Preventable Adverse Events in Hospitals. Production Operations Manag. 2017;27(12):2201-2212. doi:10.1111/po…

4705. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49596/psn-pdf
      December 01, 2009 - and was told he could not be seen because "we didn't perform the surgery, so you should contact your operating

4706. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44020/psn-pdf
      March 25, 2015 - Wrong-site orthopedic operations on the extremities: the Pennsylvania experience. March 25, 2015 Clarke JR. PA-PSRS Patient Saf Advis. 2015;12:19-27. https://psnet.ahrq.gov/issue/wrong-site-orthopedic-operations-extremities-pennsylvania-experience Wrong-site surgeries are considered never events by the National Qu…

4707. Patient Safety | PSNet
      psnet.ahrq.gov/issue/patient-safety-21
      October 14, 2020 - Multi-use Website Patient Safety Citation Text: Patient Safety Organisation for Economic Co-operation and Development. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

4708. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36833/psn-pdf
      March 03, 2011 - Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. March 3, 2011 Michaels RK, Makary MA, Dahab Y, et al. Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. Ann S…

4709. Departure From Central Line Ritual | PSNet
      psnet.ahrq.gov/web-mm/departure-central-line-ritual
      October 13, 2018 - Here, the safety culture of the operating room (OR) provides us some ideas. … Procedural checklists, inventory lists and review, and time outs all help prevent errors in the operating

4710. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60066/psn-pdf
      March 25, 2020 - Vascular Surgery team, which evaluated the patient at 7:30am and agreed to take the patient to the operating … inpatient hallway spaces even if inpatient beds are not ready.14  Other strategies include smoothing operating … Also known as advanced triage, standing orders, standard operating procedures, and nurse-initiated protocols … Delays in the operating room: signs of an imperfect system. Can J Surg. 2010;53(3):189-195. 16.

4711. In Conversation with… Edward Tenner, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
      June 01, 2011 - I don't doubt that in preventing surgical errors, operating on the wrong limb, and that kind of thing … Organizations are pressured to maximize revenue by operating at, or near, saturation. … devices showed that junior and experienced clinicians alike routinely got "lost in menuspace" when operating … Risk-sensitive events during laparoscopic cholecystectomy: the influence of the integrated operating

4712. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care | PSNet
      psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
      November 25, 2020 - Vascular Surgery team, which evaluated the patient at 7:30am and agreed to take the patient to the operating … inpatient hallway spaces even if inpatient beds are not ready. 14  Other strategies include smoothing operating … Also known as advanced triage, standing orders, standard operating procedures, and nurse-initiated protocols … Delays in the operating room: signs of an imperfect system. Can J Surg. 2010;53(3):189-195.

4713. Intraosseous Line Extravasation in a Pediatric Trauma Patient | PSNet
      psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
      September 29, 2021 - The patient was subsequently taken to the operating room for exploration and debridement of her injuries … After stabilization, she was quickly transferred to the operating room (OR) for definitive management … patient with traumatic injuries was effectively managed both acutely in the ED and definitively in the operating … Always Safe November 1, 2006 View More See More About The Topic Operating

4714. Transfer Troubles | PSNet
      psnet.ahrq.gov/web-mm/transfer-troubles
      December 29, 2014 - 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 … 2003 View More See More About The Topic Emergency Departments Operating

4715. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49491/psn-pdf
      September 01, 2005 - identified communication errors as a root cause in more than 60% of events.(12) Observation of teams in the operating … Human factors in the operating room: Interpersonal determinants of safety, efficiency, and morale. … Communication failures in the operating room: an observational classification of recurrent types and

4716. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33832/psn-pdf
      April 01, 2017 - So there are at least two logics operating: anticipation/prevention and resilience/containment. … Because if we know how things are operating right now and where our vulnerabilities are, we can make

4717. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865570/psn-pdf
      April 10, 2024 - classification of 4 or 5 according to the American Society of Anesthesiologists (ASA), and (5) high risk for an operating … Similarly, the NAPSI team noted seven total operating room fires over the study period but also was

4718. Anesthesia: A Weighty Issue | PSNet
      psnet.ahrq.gov/web-mm/anesthesia-weighty-issue
      September 01, 2006 - Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating … Anesthesia May 1, 2006 View More See More About The Topic Operating

4719. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33625/psn-pdf
      January 01, 2006 - what circumstances and how is it useful for a medical student to question a surgeon's decision in the operating … may be effective where the health care setting or processes most resemble a cockpit environment: the operating

4720. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49756/psn-pdf
      April 01, 2016 - The surgery team was urgently re-consulted, and the patient was taken to the operating room. … The patient was transferred to the intensive care unit from the operating room in septic shock.