-
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
-
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
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/module2-obtaining-organizational-buy-in-support.pptx
August 14, 2015 - may include the Director of Nursing, the Chief Medical Officer, the Chief Executive Officer, or Chief Operating
-
psnet.ahrq.gov/web-mm/cyp450-drugs-expect-unexpected
October 19, 2022 - April 1, 2018
WebM&M Cases
Good Catch in the Operating
-
www.ahrq.gov/talkingquality/assess/evaluation-plan.html
January 01, 2023 - Something else that fits into your organization's "standard operating procedures?"
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-slides.pptx
January 01, 2017 - Start with the anticipated return on investment
Focus on revenue first, then share operating or investment
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-facguide.docx
January 01, 2017 - Focus on revenue first, then share operating or investment costs.
-
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
-
psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
December 01, 2017 - August 21, 2015
WebM&M Cases
Good Catch in the Operating
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
May 01, 2017 - include a maternity care provider, an L&D nurse, and an anesthesiology provider; and
· alerting the operating
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_postpart-hemorrhage.docx
May 01, 2017 - .
· Team mobilizes additional help (e.g., obstetric physician, interventional radiologist, operating
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-postpart-hemorrhage.html
July 01, 2023 - Team mobilizes additional help (e.g., obstetric physician, interventional radiologist, operating room
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
July 01, 2023 - Other responders may include an anesthesiology provider, an L&D or operating room technician, additional
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_antepart-hemorrhage.docx
May 01, 2017 - Team mobilizes additional help (e.g., anesthesiologist, operating room [OR] staff, laboratory, blood
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-antepart-hemorrhage.html
July 01, 2023 - Team mobilizes additional help (e.g., anesthesiologist, operating room [OR] staff, laboratory, blood
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.docx
May 01, 2017 - Other responders may include an anesthesiology provider, an L&D or operating room technician, additional
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
October 01, 2014 - These include the operating room, recovery room, intensive care unit, emergency room, or other units
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications.pptx
April 01, 2022 - inappropriate catheters from being inserted
Develop programs and education for the emergency department and operating
-
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