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psnet.ahrq.gov/node/855091/psn-pdf
November 08, 2023 - Handoff tool improves transitions from the operating
room to the neonatal intensive care unit. … Handoff tool improves transitions from the operating room to
the neonatal intensive care unit. … https://psnet.ahrq.gov/issue/handoff-tool-improves-transitions-operating-room-neonatal-intensive-care-unit … https://psnet.ahrq.gov/issue/handoff-tool-improves-transitions-operating-room-neonatal-intensive-care-unit … https://psnet.ahrq.gov/issue/standardization-pediatric-noncardiac-operating-room-intensive-care-unit-handoffs-improves
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psnet.ahrq.gov/issue/incidence-nature-and-impact-error-surgery
December 16, 2020 - and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating … rooms. … May 17, 2012
Equipment-related incidents in the operating room: an analysis of occurrence … January 4, 2010
Bridging the communication gap in the operating room with medical team … January 15, 2009
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Operating Room
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psnet.ahrq.gov/issue/intraoperative-patient-information-handover-between-anesthesia-providers
November 24, 2021 - In this survey about handoff practices between anesthesiologists in operating rooms, most respondents … June 22, 2022
The nature of reported safety events related to care coordination in the operating … room setting in a tertiary academic center. … Too Long
November 1, 2003
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Operating … Room
Health Care Providers
Quality and Safety Professionals
Anesthesiology
Discontinuities
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psnet.ahrq.gov/issue/anesthesia-workspaces-safe-medication-practices-design-guidelines
November 29, 2017 - November 29, 2017
Improving safety in the operating room: medication icon labels increase … June 16, 2021
Patient safety in the cardiac operating room: human factors and teamwork … June 10, 2020
Medication safety in the operating room: literature and expert-based recommendations … November 23, 2024
Safety and Human Performance in the Operating Room and Other Extreme … September 21, 2022
Distraction in the operating room: a narrative review of environmental
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psnet.ahrq.gov/node/36703/psn-pdf
March 28, 2011 - Assessing system failures in operating rooms and
intensive care units. … Assessing system failures in operating rooms and intensive care
units. … https://psnet.ahrq.gov/issue/assessing-system-failures-operating-rooms-and-intensive-care-units
The … room to help organizations gain insight into system failures in those high-risk environments. … https://psnet.ahrq.gov/issue/assessing-system-failures-operating-rooms-and-intensive-care-units
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psnet.ahrq.gov/node/866352/psn-pdf
July 24, 2024 - Patient falls in the operating room: why is this still a
problem in 2024? … Patient falls in the operating room: why is this still a problem in 2024? … https://psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024
Patient falls are a … https://psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024
https://psnet.ahrq.gov … /issue/patient-falls-operating-room-setting-analysis-reported-safety-events
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/issue/getting-teams-talk-development-and-pilot-implementation-checklist-promote-interprofessional
April 06, 2011 - The authors observed operating room teams using a checklist to promote team discussion prior to surgery … June 8, 2011
Silence, power and communication in the operating room. … December 22, 2010
Operating room briefings and wrong-site surgery. … May 27, 2010
Preoperative briefing in the operating room: shared cognition, teamwork, … January 13, 2010
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Operating Room
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psnet.ahrq.gov/node/867092/psn-pdf
November 06, 2024 - Surgical intraoperative handoff initiative: standardizing
operating room communication using SHRIMPS … Surgical intraoperative handoff initiative: standardizing
operating room communication using SHRIMPS … https://psnet.ahrq.gov/issue/surgical-intraoperative-handoff-initiative-standardizing-operating-room- … This article describes the
development and implementation of an operating room handoff report called … https://psnet.ahrq.gov/issue/surgical-intraoperative-handoff-initiative-standardizing-operating-room-communication-using
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psnet.ahrq.gov/issue/overlapping-surgery-arthroplasty-systematic-review-and-meta-analysis
October 19, 2022 - Overlapping surgery, where “critical” portions of surgery are performed sequentially in separate operating … rooms, is used to increase efficiency and number of procedures performed each day. … October 20, 2021
Are operating room distractions, interruptions, and disruptions associated … room policy and surgical training. … Room
Orthopedic Surgery
Discontinuities, Gaps, and Hand-Off Problems
Surgical Complications
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psnet.ahrq.gov/node/47768/psn-pdf
February 27, 2019 - Challenging authority and speaking up in the operating
room environment: a narrative synthesis. … Challenging authority and speaking up in the operating room
environment: a narrative synthesis. … https://psnet.ahrq.gov/issue/challenging-authority-and-speaking-operating-room-environment-narrative- … https://psnet.ahrq.gov/issue/challenging-authority-and-speaking-operating-room-environment-narrative-synthesis … https://psnet.ahrq.gov/issue/challenging-authority-and-speaking-operating-room-environment-narrative-synthesis
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psnet.ahrq.gov/issue/surgical-safety-checklist-and-teamwork-coaching-tools-study-inter-rater-reliability
May 11, 2016 - February 7, 2018
Perception of safety of surgical practice among operating room personnel … January 9, 2019
Relationship between operating room teamwork, contextual factors, and … November 18, 2016
Crisis checklists for the operating room: development and pilot testing … July 25, 2011
Factors associated with the use of cognitive aids in operating room crises … September 5, 2009
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Operating Room
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psnet.ahrq.gov/issue/incidence-and-characteristics-potential-and-actual-retained-foreign-object-events-surgical
January 02, 2017 - April 24, 2018
Operating room traffic as a modifiable risk factor for surgical site infection … rooms. … October 10, 2012
Prevention of 3 "never events" in the operating room: fires, gossypiboma … April 4, 2011
Improving safety in the operating room: a systematic literature review … August 18, 2010
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Operating Room
Health
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psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia-procedures-outside
March 01, 2011 - Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating … room: report from the Pediatric Sedation Research Consortium. … room: report from the Pediatric Sedation Research Consortium. … room: report from the Pediatric Sedation Research Consortium. … room: a report from the Pediatric Sedation Research Consortium.
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psnet.ahrq.gov/node/852269/psn-pdf
August 09, 2023 - Implementation of barcode medication administration
(BMCA) technology on infusion pumps in the operating … rooms. … Implementation of barcode medication administration (BMCA)
technology on infusion pumps in the operating … rooms. … room.
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psnet.ahrq.gov/node/46024/psn-pdf
June 15, 2017 - introductions-during-time-outs-do-surgical-team-members-know-one-anothers-
names
Communication failures in the operating … room are a patient safety issue, and knowing other team members'
names may help reduce hierarchies … However, this study—conducted in the
operating rooms of three teaching hospitals—suggests that team … introductions-during-time-outs-do-surgical-team-members-know-one-anothers-names
https://psnet.ahrq.gov/issue/communication-failures-operating-room-observational-classification-recurrent-types-and
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psnet.ahrq.gov/issue/hidden-costs-reconciling-surgical-sponge-counts
May 08, 2013 - a total annual cost of more than $200,000, most of which was attributable to unavailability of the operating … room. … rooms. … January 18, 2013
Prevention of 3 "never events" in the operating room: fires, gossypiboma … April 4, 2011
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See More About The Topic
Operating Room
Health
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psnet.ahrq.gov/issue/locating-errors-through-networked-surveillance-multimethod-approach-peer-assessment-hazard
May 24, 2012 - room, which jointly involved experts in organizational science , human factors , and clinical medicine … May 24, 2012
Identifying and categorising patient safety hazards in cardiovascular operating … rooms using an interdisciplinary approach: a multisite study. … room. … November 2, 2011
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Operating Room
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psnet.ahrq.gov/node/866950/psn-pdf
October 16, 2024 - Impact of team performance on the surgical safety
checklist on patient outcomes: an operating room black … Impact of team performance on the surgical safety checklist on
patient outcomes: an operating room black … https://psnet.ahrq.gov/issue/impact-team-performance-surgical-safety-checklist-patient-outcomes-
operating-room-black-box … In this
study, the Operating Room Black Box (ORBB) analyzed the performance of the OR team on the
compliance … https://psnet.ahrq.gov/issue/impact-team-performance-surgical-safety-checklist-patient-outcomes-operating-room-black-box
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psnet.ahrq.gov/node/72815/psn-pdf
March 10, 2021 - Systematic review and meta-analysis of interventions for
operating room to intensive care unit handoffs … Systematic review and meta-analysis of interventions for operating
room to intensive care unit handoffs … https://psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-interventions-operating-room-intensive … https://psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-interventions-operating-room-intensive-care-unit-handoffs … https://psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-interventions-operating-room-intensive-care-unit-handoffs
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psnet.ahrq.gov/node/44287/psn-pdf
September 21, 2023 - Patient safety in the operating room.
September 21, 2023
Wahr JA. UpToDate. September 21, 2023. … https://psnet.ahrq.gov/issue/operating-room-hazards-and-approaches-improve-patient-safety
The operating … This
review provides an overview of patient safety challenges in the operating room and highlights key … https://psnet.ahrq.gov/issue/operating-room-hazards-and-approaches-improve-patient-safety
https://psnet.ahrq.gov … /issue/patient-safety-cardiac-operating-room-human-factors-and-teamwork-scientific-statement
https://