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psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
February 01, 2012 - shown to improve compliance with practice guidelines, decrease complications and mortality rates in the operating … Resident supervision in the operating room: does this impact on outcome?
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psnet.ahrq.gov/web-mm/check-wristband
August 03, 2009 - In this institution, standard practice was that ambulatory surgery patients walked to the operating suite … At the end of the identification procedure, the nurse walked the patient to the operating room (OR) suite
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psnet.ahrq.gov/node/73642/psn-pdf
August 25, 2021 - proceduralist and anesthesiologist (if
applicable) is recommended to discuss the optimal location (i.e., main operating … Prevalence and Predictors of Adverse Events during
Procedural Sedation Anesthesia-Outside the Operating
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psnet.ahrq.gov/sites/default/files/2020-03/final_spotlight_case_delays_in_the_ed_powerpoint_for_cme_review_03.09.2020.pdf
January 01, 2020 - Vascular Surgery
• 7:30am: Vascular Surgery evaluated patient and agreed to take the patient to
the operating … Delays in the operating room: signs of an imperfect system. Can J Surg. 2010;53(3):189-195.
16.
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psnet.ahrq.gov/node/49741/psn-pdf
September 01, 2015 - The patient was taken
immediately to the operating room and was found to have diffuse peritonitis secondary … and mortality, enhanced communication, decreased adverse
events, and improved adherence to hospital operating
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psnet.ahrq.gov/node/49864/psn-pdf
June 01, 2019 - Every work setting in health care, from operating rooms to the office practice and visiting nurse group … Operating room teamwork among physicians and nurses: teamwork in the eye
of the beholder.
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psnet.ahrq.gov/node/49408/psn-pdf
July 01, 2003 - In this institution, standard practice was that ambulatory surgery patients walked to the operating suite … At the end of the identification procedure, the nurse walked the patient to the operating room (OR) suite
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psnet.ahrq.gov/node/33656/psn-pdf
September 01, 2007 - The nurses describe the fact that in the operating room they never witness from
my generation of surgeons … But when I'm in the operating room or seeing a patient in the clinic or heading
down to the ED, at that
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psnet.ahrq.gov/web-mm/low-totem-pole
October 01, 2003 - 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/communication-failure-whos-charge
April 01, 2018 - 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/web-mm/missed-appendicitis
March 13, 2013 - 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/837958/psn-pdf
December 01, 2021 - The patient was admitted to the orthopedic inpatient service and taken to the operating room on hospital … citing an increase in ED visits from 95 million
in 1997 to 108 million in 2000.6 When hospitals are operating
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psnet.ahrq.gov/issue/organizational-learning-experience-high-hazard-industries-problem-investigations-line
May 24, 2016 - Book/Report
Organizational Learning from Experience in High-Hazard Industries: Problem Investigations as Off-line Reflective Practice.
Citation Text:
Organizational Learning from Experience in High-Hazard Industries: Problem Investigations as Off-line Reflective Practice. Carroll JS, R…
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psnet.ahrq.gov/issue/nearly-all-hospital-pharmacists-say-drug-shortages-are-negatively-impacting-care-third-say
September 15, 2021 - Newspaper/Magazine Article
Nearly all hospital pharmacists say drug shortages are negatively impacting care; a third say impacts are ‘critical.’
Citation Text:
Nearly all hospital pharmacists say drug shortages are negatively impacting care; a third say impacts are ‘critical.’ McPhillips…
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psnet.ahrq.gov/issue/roadmap-health-care-safety-massachusetts
June 15, 2016 - Book/Report
Roadmap to Health Care Safety for Massachusetts.
Citation Text:
Roadmap to Health Care Safety for Massachusetts. Massachusetts Healthcare Safety and Quality Consortium. Boston, MA: Betsy Lehman Center for Patient Safety; April 2023.
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psnet.ahrq.gov/issue/burnout-primary-care-assessing-and-addressing-it-your-practice
August 16, 2023 - Book/Report
Burnout in Primary Care: Assessing and Addressing It in Your Practice.
Citation Text:
Burnout in Primary Care: Assessing and Addressing It in Your Practice. Gerteis J, Booker C, Brach C, et al. Rockville, MD: Agency for Healthcare Research and Quality; February 2023. AH…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.72_slideshow.ppt
September 01, 2004 - The patient was taken to the operating room for resection under general anesthesia.
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psnet.ahrq.gov/primer/checklists
September 15, 2024 - specific steps during induction of anesthesia, surgical timeout, and transfer of the patient out of the operating
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psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
August 01, 2018 - Here you take the actual CT scan of the patient you're operating on and that is then overlaid on the … surgeons to practice on the actual patient anatomy and physiology before they do it on that patient in the operating … In studying high-risk areas of the operating room, intensive care unit, emergency department, and the
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psnet.ahrq.gov/node/854897/psn-pdf
October 31, 2023 - Weight and Height Juxtaposition in the Electronic Medical
Record Causing an Accidental Medication Overdose
October 31, 2023
Jain NP, Dakwa D. Weight and Height Juxtaposition in the Electronic Medical Record Causing an
Accidental Medication Overdose. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/weight-and-…