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Total Results: 6,859 records

Showing results for "operating".

4721. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49507/psn-pdf
      April 01, 2006 - During this period, the surgeon began to yell at the members of the operating room (OR) team for a variety … It was as if he entered the operating room directly from central casting.

4722. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49398/psn-pdf
      May 01, 2003 - While the risk for patients and surgeons may be low in controlled settings (operating rooms and invasive … One study from the operating room revealed blood contamination of approximately 30% of surfaces tested

4723. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33659/psn-pdf
      October 01, 2007 - organization would respond to a given behavior by a clinician (e.g., bringing unauthorized equipment into the operating … How would our organization respond to a surgeon who uses an unauthorized piece of equipment in the operating

4724. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33705/psn-pdf
      January 01, 2011 - analyses and in separate studies.(10,13,14) As a result, RMF has put in place interventions in the operating … A prospective study of patient safety in the operating room. Surgery. 2006;139:159-173.

4725. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-472
      February 26, 2025 - advocate program: using quality improvement to optimize behavioral and communication disconnect in the operating … article describes the development, implementation, and sustainment of a peer advocate (PA) program for operating

4726. Rescue Improvement Conference Innovation Summary | PSNet
      psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
      September 23, 2024 - For example, the RIC has led to changes in patient positioning and equipment in the operating room that … When the innovation is fully realized, it may become a standard operating procedure in the hospital.

4727. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33630/psn-pdf
      March 01, 2006 - The purchase and operating costs lead directly to high team-training implementation costs. … Procedure-based units such as the operating room or the GI suite are easily compared to aviation.

4728. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49724/psn-pdf
      January 01, 2015 - He was sent urgently back into the operating room in order to fix the perforation, and postoperatively … effects of aviation-style non- technical skills training on technical performance and outcome in the operating

4729. Comanagement: Who's in Charge? | PSNet
      psnet.ahrq.gov/web-mm/comanagement-whos-charge
      July 01, 2011 - The presence of a hospitalist on the surgical wards frees up the surgeon to spend more time in the operating … April 1, 2003 View More See More About The Topic Hospitals Operating

4730. Weekly Resource | PSNet
      psnet.ahrq.gov/periodic-issue/weekly-resource
      March 25, 2025 - Commentary Analyzing and mitigating the risks of patient harm during operating … This article describes the use of a risk management approach to improve handoffs from the operating room

4731. Systems Approach | PSNet
      psnet.ahrq.gov/primer/systems-approach
      June 15, 2024 - outpatient surgery suite had led to production pressures as well as unexpected changes in the makeup of the operating … Computer monitors in the operating room had been placed in such a way that viewing them forced nurses

4732. Fumbled Handoff | PSNet
      psnet.ahrq.gov/web-mm/fumbled-handoff
      September 01, 2006 - verbal signouts are often conducted in interrupted environments, such as at the nurses' station, in the operating … 1, 2019 Handoff checklists improve the reliability of patient handoffs in the operating

4733. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
      January 01, 2024 - are unclear, but there was difficulty achieving intraoperative hemostasis, and the patient left the operating

4734. The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level. | PSNet
      psnet.ahrq.gov/issue/economics-patient-safety-strengthening-value-based-approach-reducing-patient-harm-national
      May 02, 2018 - Book/Report The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level. Citation Text: The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level. Slawomirski L, Auraaen A, Klazing…

4735. The Economics of Patient Safety Part III: Long-term Care: Valuing Safety for the Long Haul. | PSNet
      psnet.ahrq.gov/issue/economics-patient-safety-part-iii-long-term-care-valuing-safety-long-haul
      September 28, 2022 - Book/Report The Economics of Patient Safety Part III: Long-term Care: Valuing Safety for the Long Haul. Citation Text: The Economics of Patient Safety Part III: Long-term Care: Valuing Safety for the Long Haul. de Bienassis K, Llena-Nozal A, Klazinga N for the Organisation for Econo…

4736. System Governance Towards Improved Patient Safety: Key Functions, Approaches and Pathways to Implementation. | PSNet
      psnet.ahrq.gov/issue/system-governance-towards-improved-patient-safety-key-functions-approaches-and-pathways
      October 07, 2020 - Book/Report System Governance Towards Improved Patient Safety: Key Functions, Approaches and Pathways to Implementation. Citation Text: System Governance Towards Improved Patient Safety: Key Functions, Approaches and Pathways to Implementation. Auraaen A, Saar K, Klazinga N for the Organ…

4737. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866839/psn-pdf
      September 25, 2024 - elbow wounds—or at least to appreciate that more thorough evaluation of the wound was required in the operating … Have a low threshold for surgical exploration of a wound in an operating room if there is suspicion of

4738. Incidence of accidental awareness during general anaesthesia in obstetrics: a multicentre, prospective cohort study. | PSNet
      psnet.ahrq.gov/issue/incidence-accidental-awareness-during-general-anaesthesia-obstetrics-multicentre-prospective
      December 10, 2024 - Study Emerging Classic Incidence of accidental awareness during general anaesthesia in obstetrics: a multicentre, prospective cohort study. Citation Text: Incidence of accidental awareness during general anaesthesia in obstetrics: a multicentre, prospective coho…

4739. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60864/psn-pdf
      August 31, 2020 - psnet.ahrq.gov//#_edn1 https://psnet.ahrq.gov/primer/culture-safety Strong Safety Processes1 An institution operating

4740. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49501/psn-pdf
      February 03, 2006 - psnet.ahrq.gov/web-mm/lost-transition Case Objectives Provide an overview of transitions in continuously operating … For example, a trauma nurse asks if anyone has informed the operating room (OR) of a patient’s pending