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psnet.ahrq.gov/node/49393/psn-pdf
April 01, 2003 - Which End Is Which?
April 1, 2003
Campbell AR. Which End Is Which? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/which-end-which
The Case
A 39-year-old woman with chronic peri-anal fistulas and infected anal sinuses underwent laparoscopic
diverting colostomy to divert her fecal stream and allow the perine…
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psnet.ahrq.gov/web-mm/obstructed-view
August 07, 2019 - 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/49437/psn-pdf
March 01, 2004 - At the end of the procedure, the operating
physician reported excessive bleeding from the catheter site
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psnet.ahrq.gov/issue/participating-multisite-study-exploring-operational-failures-encountered-frontline-nurses
July 05, 2017 - Commentary
Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned.
Citation Text:
Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures Encountered by Frontline Nurses: Lessons Lea…
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psnet.ahrq.gov/node/866205/psn-pdf
July 10, 2024 - are unclear, but
there was difficulty achieving intraoperative hemostasis, and the patient left the operating
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psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd
November 01, 2011 - The operating room was closed to facilitate attendance. … The pivotal role of the Operating Room Nurse Manager in the success of the briefing and debriefing process … One of our major concerns was that sites would close the operating room, train the clinicians, and then … The role of the operating room nurse manager in the successful implementation of preoperative briefings … High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care.
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psnet.ahrq.gov/perspective/conversation-kathleen-sutcliffe-mn-phd
April 26, 2023 - 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
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psnet.ahrq.gov/web-mm/informed-or-misled
April 24, 2018 - For example, "you will be taken to operating theatre awake, you will have an intravenous cannula (or
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psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
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/sites/default/files/import/webmm.ahrq.gov.221_slideshow.ppt
July 01, 2010 - *
Case: Surgical Safety (4)
In the operating suite, the patient was placed in a supine position
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psnet.ahrq.gov/issue/should-operations-be-regionalized-empirical-relation-between-surgical-volume-and-mortality
August 04, 2021 - Study
Classic
Should operations be regionalized? The empirical relation between surgical volume and mortality.
Citation Text:
Luft HS, Bunker JP, Enthoven AC. Should operations be regionalized? The empirical relation between surgical volume and mortality. N En…
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psnet.ahrq.gov/issue/impact-leadership-walkarounds-operational-cultural-and-clinical-outcomes-systematic-review
October 12, 2022 - Review
Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review.
Citation Text:
Foster M, MHA BS, Mazur L. Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review. BMJ Open Qual. 2023;12(4):e002284. …
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psnet.ahrq.gov/issue/simulation-operational-readiness-new-freestanding-emergency-department-strategy-and-tactics
August 20, 2018 - Study
Simulation for operational readiness in a new freestanding emergency department: strategy and tactics.
Citation Text:
Kerner RL, Gallo K, Cassara M, et al. Simulation for Operational Readiness in a New Freestanding Emergency Department. Simul Healthc. 2016;11(5). doi:10.1097/sih.00…
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psnet.ahrq.gov/node/33758/psn-pdf
December 01, 2013 - In Conversation With… Hardeep Singh, MD, MPH
December 1, 2013
In Conversation With… Hardeep Singh, MD, MPH. PSNet [internet]. 2013.
https://psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
Editor's note: Hardeep Singh, MD, MPH, is Chief of the Health Policy, Quality and Informatics Program at
the Hous…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
June 01, 2012 - They had taken her to the operating room, but she developed low blood pressure before the case and the … following morning.
5
6
Case: Transfer Troubles (3)
Early the next day, the patient was taken to the operating
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psnet.ahrq.gov/node/857258/psn-pdf
November 30, 2023 - effective treatment for this condition.4
Avoid or carefully titrate the dose of NMBAs
NMBAs can improve operating … For laryngeal and mandibular surgery, dense
neuromuscular blockade has been shown to improve operating … Clinicians should have a low threshold for administering additional doses of sugammadex in the
operating
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psnet.ahrq.gov/node/49591/psn-pdf
October 01, 2009 - On the late afternoon following the
cardiologist's report, the orthopedic resident called the operating … The attending
then called the operating room to cancel the case. … together physicians, nurses, pharmacists, and other staff from high-risk
environments such as the operating
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psnet.ahrq.gov/node/33754/psn-pdf
September 01, 2013 - That is, if there is a particular
decision to be made about a surgeon, I would certainly have an operating … that perspective involved, that viewpoint for whom the world looks quite differently inside of an operating … things, who has perhaps a completely different overview of the social order of
what happened in that operating
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psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 2024 - Auditors review at least 20 operating room procedures per month. … pacemakers, and require surgical teams to bring in additional radiologists and add accessories in busy operating … Auditors review at least 20 operating room procedures per month.
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psnet.ahrq.gov/node/866826/psn-pdf
September 25, 2024 - In some operating rooms, anesthesia machines receive their gas supply from cylinders that are mounted … failures continue to occur.6 Many new hospitals no longer have nitrous oxide
pipelines as part of their operating … Many recently built operating room suites therefore no
longer have a pipeline for nitrous oxide.