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psnet.ahrq.gov/web-mm/painful-dilemma
September 01, 2013 - September 18, 2024
Factors associated with the use of cognitive aids in operating room
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psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
June 24, 2010 - their hands, so this must be a ritual similar to the ritualistic surgical scrub prior to entering the operating
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psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
August 15, 2018 - Upon hospital arrival, the patient was rushed to the operating room for emergency C-section.
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psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
January 05, 2017 - May 19, 2019
Bridging the communication gap in the operating room with medical team training
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psnet.ahrq.gov/node/33691/psn-pdf
December 01, 2009 - perspective)
One organization was having a particularly difficult time with disruptive behavior in the operating
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psnet.ahrq.gov/node/33712/psn-pdf
June 01, 2011 - I don't doubt that in preventing
surgical errors, operating on the wrong limb, and that kind of thing
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psnet.ahrq.gov/node/49411/psn-pdf
July 01, 2003 - applicable, distinguish situations where the outcomes are better, for example
resuscitation in the operating
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psnet.ahrq.gov/node/33649/psn-pdf
May 01, 2007 - Similarly, maybe we could walk into
an operating theatre and say, there are 30 sources of risk there
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psnet.ahrq.gov/node/49432/psn-pdf
February 09, 2004 - Residents, by operating at the sharp end of care, are often the ones best positioned to identify
major
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psnet.ahrq.gov/node/49663/psn-pdf
September 01, 2012 - in infection risk.(6)
The medical center attributed this adverse event to nonadherence to standard operating
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psnet.ahrq.gov/web-mm/cyp450-drugs-expect-unexpected
October 19, 2022 - April 1, 2018
WebM&M Cases
Good Catch in the Operating
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psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
January 01, 2022 - multiple different
clinical settings, for tasks such as identifying correct surgical sites in
the operating
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psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
December 01, 2017 - August 21, 2015
WebM&M Cases
Good Catch in the Operating
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psnet.ahrq.gov/node/49795/psn-pdf
June 01, 2017 - The patient was taken emergently to the operating room and underwent aortic thrombectomy (removal of
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psnet.ahrq.gov/node/49678/psn-pdf
March 01, 2013 - pediatric care environments—especially outside of
children's hospitals—to upgrade scales and standard operating
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psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
June 01, 2005 - Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating
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psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
August 05, 2009 - Postoperative care instructions that were given before surgery changed due to an unanticipated discovery in the operating
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.110_slideshow.ppt
December 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case December 2005
Low on the Totem Pole
Source and Credits
This presentation is based on the Dec. 2005
Spotlight Case in Surgery/Anesthesia
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Robert Wachter, MD, …
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psnet.ahrq.gov/sites/default/files/2021-09/Battle%20Buddy%20Pocket%20Card%20-%20final%20(1).pdf
January 01, 2021 - COVID 19 Battle Buddy Support Program
Background: COVID-19 is a pandemic that threatens not only our patients but
ourselves and our sense of safety and control. Like soldiers on a battlefield, our
front line staff are coping with ongoing uncertainty about the scope of the
threat, concerns about adequate PPE, …
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psnet.ahrq.gov/
March 25, 2025 - This website is up to date as of March 24, 2025. You will not be able to register for an account and will no longer be able to obtain Continuing Medical Education (CME), Maintenance of Certification (MOC), or Continuing Pharmacy Education (CPE) credits. We are not taking submissions for WebM&M cases, Innovations, Train…