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psnet.ahrq.gov/node/50949/psn-pdf
February 26, 2020 - and placing high priority “STAT”
tests in central laboratories located near emergency departments, operating … intensive care unit setting14 with pre-analytic error
costs representing 0.23 to 1.2% of a total hospital operating
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psnet.ahrq.gov/web-mm/techno-trip
May 01, 2005 - Adapting to new technology in the operating room. … January 16, 2017
Adapting to new technologies in the operating room.
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psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
January 12, 2011 - 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.
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psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training
October 01, 2004 - A comprehensive anesthesia simulation environment: re-creating the operating room for research and training … June 16, 2011
How does patient safety culture in the operating room and post-anesthesia
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psnet.ahrq.gov/node/49403/psn-pdf
June 01, 2003 - The
patient was seen by general surgery and it was decided not to take her to the operating room immediately … The patient went to the operating room the next
day for lysis of adhesions and appendectomy.
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psnet.ahrq.gov/node/49638/psn-pdf
January 01, 2012 - The surgeon must be the captain in the operating
room (OR) and, as all good captains, solicits and listens … However, with this style, at all times operating room decisions belong to the surgeon.
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psnet.ahrq.gov/node/49829/psn-pdf
May 01, 2018 - A suitable donor was identified, and the patient was taken to the operating room for the
procedure. … The
transplant surgeon was furious about the error and complained angrily to the operating room staff
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psnet.ahrq.gov/node/49495/psn-pdf
December 01, 2005 - invited to observe
the operative repair of a congenital heart lesion in the pediatric cardiac surgery operating … Sexton and colleagues surveyed operating room personnel, asking whether they perceived teamwork as
being
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psnet.ahrq.gov/web-mm/danger-disruption
July 29, 2020 - of abusive interactions or a colleague's chronic bad attitude was dismissed as "she is great in the operating … WebM&M Cases
Situational (Un)Awareness
September 1, 2011
Operating
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psnet.ahrq.gov/node/33626/psn-pdf
January 01, 2006 - it wasn't necessarily true, in large part because the fixed teams actually start to ignore
standard operating … Conversely, in the emergency
department or operating room, normally the team is all working together
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psnet.ahrq.gov/web-mm/abnormal-volunteer-results
July 18, 2016 - 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
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psnet.ahrq.gov/web-mm/around-block
March 04, 2020 - : Fluid administration errors in the operating room. … Wristband
July 1, 2003
View More
See More About The Topic
Operating
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psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
January 31, 2020 - Several articles recommended barcoding in perioperative care and the operating room settings as risk … an electronic auditing system, was safer than a manual verification system for transfusions in the operating
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psnet.ahrq.gov/web-mm/premature-extubation
May 25, 2011 - 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
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psnet.ahrq.gov/node/49677/psn-pdf
February 01, 2013 - CVC Placement: Speak Now or Do Not Use the Line
February 1, 2013
Ault M, Rosen B. CVC Placement: Speak Now or Do Not Use the Line. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
The Case
A 48-year-old woman with a history of hypertension, psychiatric illness, and a…
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psnet.ahrq.gov/node/49654/psn-pdf
June 01, 2012 - 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
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psnet.ahrq.gov/node/49409/psn-pdf
July 01, 2003 - Feeling No Pain
July 1, 2003
Bogner MS. Feeling No Pain. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/feeling-no-pain
The Case
A 33-year-old female underwent hysterectomy for refractory endometriosis. For pain post-operatively, the
patient was placed on a Patient-Controlled Analgesia (PCA) pump containin…
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psnet.ahrq.gov/innovation/battle-buddies-rapid-deployment-psychological-resilience-intervention-health-care
September 09, 2020 - May 5, 2021
Latent safety threats and countermeasures in the operating theater: a national
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psnet.ahrq.gov/node/33572/psn-pdf
December 15, 2024 - specific steps during induction of anesthesia,
surgical timeout, and transfer of the patient out of the operating
-
psnet.ahrq.gov/node/33591/psn-pdf
March 15, 2025 - general indications
that harm may have occurred such as death, readmission, or unexpected return to the operating