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psnet.ahrq.gov/issue/crisis-management-surgical-teams-and-their-leaders-lessons-covid-19-pandemic-structured
February 12, 2020 - June 3, 2020
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Operating Room
Health
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psnet.ahrq.gov/issue/effects-introduction-who-surgical-safety-checklist-hospital-mortality-cohort-study
April 24, 2018 - December 17, 2008
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Operating Room
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psnet.ahrq.gov/issue/care-left-undone-during-nursing-shifts-associations-workload-and-perceived-quality-care
July 19, 2019 - July 11, 2012
Associations of workflow disruptions in the operating room with surgical
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psnet.ahrq.gov/issue/surgical-residents-work-hours-and-well-being-year-2-first-trial
March 15, 2017 - April 1, 2009
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Operating Room
Educators
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psnet.ahrq.gov/issue/use-unsolicited-patient-observations-identify-surgeons-increased-risk-postoperative
July 10, 2019 - December 23, 2012
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Operating Room
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psnet.ahrq.gov/issue/routine-multidisciplinary-review-severe-maternal-morbidity-associated-reduction-preventable
September 02, 2020 - September 2, 2020
A handoff protocol from the cardiovascular operating room to cardiac
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psnet.ahrq.gov/issue/what-medication-iatrogenic-risk-elderly-outpatients-chronic-pain
February 12, 2020 - November 1, 2023
A handoff protocol from the cardiovascular operating room to cardiac
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psnet.ahrq.gov/issue/predictors-gaps-patient-safety-and-quality-us-hospitals
December 23, 2020 - July 29, 2020
Infection prevention in the operating room anesthesia work area.
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psnet.ahrq.gov/issue/are-teaching-hospitals-treated-fairly-hospital-acquired-condition-reduction-program
July 11, 2018 - May 27, 2020
Operating room traffic as a modifiable risk factor for surgical site infection
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psnet.ahrq.gov/issue/association-2011-acgme-resident-duty-hour-reform-general-surgery-patient-outcomes-and
September 09, 2015 - October 1, 2008
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Operating Room
Health
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psnet.ahrq.gov/issue/association-2011-acgme-resident-duty-hour-reforms-mortality-and-readmissions-among
November 26, 2014 - 15, 2009
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Intensive Care Units
Operating … Room
Quality and Safety Professionals
Critical Care
Surgical Complications
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psnet.ahrq.gov/issue/association-hydrocodone-schedule-change-opioid-prescriptions-following-surgery
June 07, 2017 - February 6, 2019
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Operating Room
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psnet.ahrq.gov/issue/differences-safety-climate-among-hospital-anesthesia-departments-and-effect-realistic
October 19, 2022 - Related Resources
Debriefing to improve interprofessional teamwork in the operating … room: a systematic review.
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psnet.ahrq.gov/issue/monitoring-harm-associated-use-anticoagulants-pediatric-populations-through-trigger-based
November 11, 2015 - February 1, 2023
A handoff protocol from the cardiovascular operating room to cardiac
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psnet.ahrq.gov/issue/national-incidence-medication-error-surgical-patients-and-after-accreditation-council
September 23, 2020 - April 1, 2009
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Operating Room
Health
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psnet.ahrq.gov/issue/national-cluster-randomized-trial-duty-hour-flexibility-surgical-training
September 09, 2015 - April 1, 2009
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Operating Room
Health
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psnet.ahrq.gov/perspective/conversation-lucian-leape-md
June 12, 2019 - this in the most hierarchical, tradition-bound, ritualized, entrenched environment in medicine—the operating … room—where everybody says the surgeon is the captain of the ship and holds him responsible for everything … The checklist is a tool for getting you to think about how to create a safe environment in an operating … room, and that turns out to be difficult and doesn't just happen. … March 1, 2011
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Operating Room
Physicians
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psnet.ahrq.gov/node/33848/psn-pdf
December 01, 2017 - determine how best to structure system changes.(8)
Improvements in the processes and culture in the operating … room (OR) have been accompanied by an
increased awareness that surgical outcomes are often determined
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
June 01, 2012 - They had taken her to the operating room, but she developed low blood pressure before the case and the … following morning.
5
6
Case: Transfer Troubles (3)
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/web-mm/round-trip-service
April 26, 2023 - Tacit Handover, Overt Mishap
June 1, 2010
Preoperative briefing in the operating … room: shared cognition, teamwork, and patient safety. … Man With Gun
May 1, 2003
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Operating … Room
Health Care Providers
Risk Managers
Orthopedic Surgery
Discontinuities, Gaps, and Hand-Off