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psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
January 01, 2024 - circulation after receiving fluids and
epinephrine.
7
Case Details (4)
• She was taken to the operating … room for an emergency exploratory
laparotomy and found to have nearly three liters of blood in her … ongoing intraabdominal bleeding is occurring, but it is not
a prerequisite to take someone back to the operating … room when there is strong
suspicion for ongoing hemorrhage, particularly when the patient is unstable
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psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
February 26, 2020 - Delayed Evaluation of Abdominal Pain in an Elderly Patient.
Citation Text:
Klimkiv L, Utter GH, Barnes DK. Delayed Evaluation of Abdominal Pain in an Elderly Patient.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
September 29, 2021 - The patient was subsequently taken to the operating room for exploration and debridement of her injuries … After stabilization, she was quickly transferred to the operating room (OR) for definitive management … patient with traumatic injuries was effectively managed both acutely in the ED and definitively in the operating … room. … Room
Health Care Providers
Physicians
Anesthesiology
Surgery
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psnet.ahrq.gov/issue/analysis-errors-dictated-clinical-documents-assisted-speech-recognition-software-and
July 06, 2022 - and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating … rooms.
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psnet.ahrq.gov/node/865570/psn-pdf
April 10, 2024 - classification
of 4 or 5 according to the American Society of Anesthesiologists (ASA), and (5) high risk for an operating … room fire.1 A risk mitigation strategy was then designed in response to the five clinical risk scenarios … Similarly, the NAPSI team noted seven total operating room fires over the study
period but also was
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psnet.ahrq.gov/web-mm/anesthesia-weighty-issue
September 01, 2006 - Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating … Room
April 27, 2022
WebM&M Cases
Local Anesthesia-Induced … Anesthesia
May 1, 2006
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See More About The Topic
Operating … Room
Health Care Providers
Risk Managers
Quality and Safety Professionals
Anesthesiology
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psnet.ahrq.gov/node/49756/psn-pdf
April 01, 2016 - The surgery team was urgently re-consulted,
and the patient was taken to the operating room. … The patient was
transferred to the intensive care unit from the operating room in septic shock.
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psnet.ahrq.gov/node/33705/psn-pdf
January 01, 2011 - analyses and in
separate studies.(10,13,14) As a result, RMF has put in place interventions in the operating … room that
address team communication and skills assessment.(15) Armed with the claims data and supporting … A prospective study of patient safety in the operating
room. Surgery. 2006;139:159-173.
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psnet.ahrq.gov/periodic-issue/periodic-issue-472
February 26, 2025 - advocate program: using quality improvement to optimize behavioral and communication disconnect in the operating … room. … article describes the development, implementation, and sustainment of a peer advocate (PA) program for operating … room staff who report unprofessional behavior in a team member.
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psnet.ahrq.gov/web-mm/comanagement-whos-charge
July 01, 2011 - The presence of a hospitalist on the surgical wards frees up the surgeon to spend more time in the operating … room or clinic. … April 1, 2003
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See More About The Topic
Hospitals
Operating … Room
Health Care Providers
Health Care Executives and Administrators
Gynecology
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psnet.ahrq.gov/periodic-issue/weekly-resource
March 25, 2025 - Commentary
Analyzing and mitigating the risks of patient harm during operating … room to intensive care unit patient handoffs. … This article describes the use of a risk management approach to improve handoffs from the operating room
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psnet.ahrq.gov/primer/systems-approach
June 15, 2024 - outpatient surgery suite had led to production pressures as well as unexpected changes in the makeup of the operating … room team. … Computer monitors in the operating room had been placed in such a way that viewing them forced nurses
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psnet.ahrq.gov/web-mm/fumbled-handoff
September 01, 2006 - verbal signouts are often conducted in interrupted environments, such as at the nurses' station, in the operating … room, amidst answering pages, etc. … 1, 2019
Handoff checklists improve the reliability of patient handoffs in the operating … room and postanesthesia care unit.
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psnet.ahrq.gov/web-mm/privacy-gone-awry
February 24, 2011 - Privacy Gone Awry
Citation Text:
Pauker SG, Pauker SP. Privacy Gone Awry. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…
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psnet.ahrq.gov/node/49591/psn-pdf
October 01, 2009 - On the late afternoon following the
cardiologist's report, the orthopedic resident called the operating … room to schedule the patient for surgery
later that evening. … The attending
then called the operating room to cancel the case. … together physicians, nurses, pharmacists, and other staff from high-risk
environments such as the operating … rooms and medicine wards—gave providers a clear message that
anyone suspecting that a patient is in
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psnet.ahrq.gov/node/49419/psn-pdf
October 01, 2003 - involvement of the patient at the time of marking, verification of a checklist of all records in the
operating … room (OR), and verbal verification of the site by all members of the surgical team. … Prevention of wrong-site surgery: sign, mark & x-ray (SMaX). [ go to
related site ]
Association of Operating … Room Nurses.
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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - December 11, 2024
Fire safety in the operating room. … 2022
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See More About The Topic
Outpatient Surgery
Operating … Room
Health Care Providers
Quality and Safety Professionals
Anesthesiology
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psnet.ahrq.gov/web-mm/danger-disruption
July 29, 2020 - of abusive interactions or a colleague's chronic bad attitude was dismissed as "she is great in the operating … room" or "he is incredibly brilliant." … WebM&M Cases
Situational (Un)Awareness
September 1, 2011
Operating … room teamwork among physicians and nurses: teamwork in the eye of the beholder.
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psnet.ahrq.gov/issue/error-rate-greatest-hospital-radiology
December 24, 2008 - and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating … rooms.
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psnet.ahrq.gov/node/50841/psn-pdf
January 29, 2020 - The blood bank then
sends a pink tube with pre-made labels to the operating room (OR) for a second blood