-
psnet.ahrq.gov/node/49560/psn-pdf
April 01, 2008 - The patient was rushed to the operating room (OR), where his AAA
was repaired. … I believe that such behavior should receive the same scrutiny as
operating on the wrong side of the
-
psnet.ahrq.gov/node/49856/psn-pdf
March 01, 2019 - The procedure was initially thought to be uncomplicated, and the patient was extubated in
the operating … The patient was taken back to the operating room and
found to have an expanding neck hematoma, which
-
psnet.ahrq.gov/node/49538/psn-pdf
June 01, 2007 - provides guidance for the ethical conduct of all human research.(14) It requires
that a committee, operating … because the regulations are sometimes ambiguous, and in part because detailed
descriptions of standard operating
-
psnet.ahrq.gov/clinical-areas
March 24, 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
-
psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
June 16, 2021 - The procedure was uneventful, and he was extubated in the operating room and brought to the postanesthesia … January 20, 2021
Handoff checklists improve the reliability of patient handoffs in the operating
-
psnet.ahrq.gov/web-mm/turn-other-cheek
October 26, 2010 - October 4, 2011
WebM&M Cases
Good Catch in the Operating … 2004
View More
See More About The Topic
Outpatient Surgery
Operating
-
psnet.ahrq.gov/web-mm/collegiality-vs-competence
August 28, 2024 - The Case A 91-year-old man with coronary artery disease was taken to the operating room (OR) for semi-elective … OR Peeping
March 1, 2004
View More
See More About The Topic
Operating
-
psnet.ahrq.gov/web-mm/routine-goes-awry
September 23, 2020 - The highest risk of return to the operating room to control hemorrhage occurs one week postoperatively … 2006
View More
See More About The Topic
Outpatient Surgery
Operating
-
psnet.ahrq.gov/web-mm/baffled-botulinum-toxin
July 17, 2024 - August 16, 2023
Patient falls in the operating room setting: an analysis of reported … April 15, 2020
The nature of reported safety events related to care coordination in the operating
-
psnet.ahrq.gov/node/837065/psn-pdf
May 11, 2022 - Fast tracking in cardiac surgery: is it safe?
May 11, 2022
MacLeod JB, D’Souza K, Aguiar C, et al. Fast tracking in cardiac surgery: is it safe? J Cardiothorac Surg.
2022;17(1):69. doi:10.1186/s13019-022-01815-9.
https://psnet.ahrq.gov/issue/fast-tracking-cardiac-surgery-it-safe
Post-operative complications can le…
-
psnet.ahrq.gov/node/865702/psn-pdf
May 01, 2024 - Judgment errors in surgical care.
May 1, 2024
Marsh KM, Turrentine FE, Jin R, et al. Judgment errors in surgical care. J Am Coll Surg. 2024;238(5):874-
879. doi:10.1097/xcs.0000000000001011.
https://psnet.ahrq.gov/issue/judgment-errors-surgical-care
Knowing when judgment errors are more likely to occur can increas…
-
psnet.ahrq.gov/node/43213/psn-pdf
June 04, 2014 - Back to basics: preventing surgical site infections.
June 4, 2014
Spruce L. Back to basics: preventing surgical site infections. AORN J. 2014;99(5):600-8; quiz 609-11.
doi:10.1016/j.aorn.2014.02.002.
https://psnet.ahrq.gov/issue/back-basics-preventing-surgical-site-infections
Surgical site infections are a common …
-
psnet.ahrq.gov/issue/does-simulation-improve-patient-safety-self-efficacy-competence-operational-performance-and
May 25, 2016 - Commentary
Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety.
Citation Text:
Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety? Self-efficacy, competence, operational performance, and patient safety. A…
-
psnet.ahrq.gov/issue/health-informatics-healthcare-quality-and-safety-and-healthcare-simulation-new-triad-advance
April 28, 2021 - Special or Theme Issue
Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations
Citation Text:
Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations …
-
psnet.ahrq.gov/issue/implementation-patient-safety-initiatives-us-hospitals
December 12, 2014 - Commentary
Implementation of patient safety initiatives in US hospitals.
Citation Text:
McFadden KL, Stock GN, Gowen CR. Implementation of patient safety initiatives in US hospitals. Int J Oper Prod Manag. 2006;26(3):326-347. doi:10.1108/01443570610651052.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/high-reliability-highly-unreliable-world-preparing-code-blue-through-daily-operations
October 09, 2013 - Book/Report
High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare.
Citation Text:
High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. van Stralen D, Byrum SL, Inozu B. Nor…
-
psnet.ahrq.gov/node/843326/psn-pdf
February 01, 2023 - Surgical site infection prevention: a review.
February 1, 2023
Seidelman JL, Mantyh CR, Anderson DJ. Surgical site infection prevention: a review. JAMA.
2023;329(3):244-252. doi:10.1001/jama.2022.24075.
https://psnet.ahrq.gov/issue/surgical-site-infection-prevention-review
Surgical site infections (SSIs) remain a …
-
psnet.ahrq.gov/node/49640/psn-pdf
November 01, 2011 - The Case for Patient Flow Management
November 1, 2011
Litvak E, Bernheim SA. The Case for Patient Flow Management. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/case-patient-flow-management
The Case
A 52-year-old woman with a history of major depression, posttraumatic stress disorder, and alcohol abuse
wa…
-
psnet.ahrq.gov/node/45784/psn-pdf
April 03, 2017 - Processes for identifying and reviewing adverse events
and near misses at an academic medical center.
April 3, 2017
Martinez W, Lehmann LS, Hu Y-Y, et al. Processes for Identifying and Reviewing Adverse Events and
Near Misses at an Academic Medical Center. Jt Comm J Qual Patient Saf. 2017;43(1):5-15.
doi:10.1016/j…
-
psnet.ahrq.gov/node/73171/psn-pdf
April 21, 2021 - Patient safety and quality improvement adaptation during
the COVID-19 pandemic.
April 21, 2021
Sterling RS, Berry SA, Herzke C, et al. Patient safety and quality improvement adaptation during the
COVID-19 pandemic. Am J Med Qual. 2021;36(1):57-59. doi:10.1097/01.jmq.0000733448.50484.a8.
https://psnet.ahrq.gov/issu…