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psnet.ahrq.gov/node/866370/psn-pdf
July 31, 2024 - Production pressure in the
operating room should never lead clinicians to deliver suboptimal care to … wake
up time to minimize the likelihood of the patient remembering pain and paralysis while on the operating … room table.
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psnet.ahrq.gov/node/843051/psn-pdf
February 01, 2023 - She was taken emergently to the operating room for
hematoma evacuation. … However, with a stable patient, as was seen in Case #2, it
is possible to safely transport to the operating … room in order to treat in a more controlled environment. … coordinated effort to evacuate the hematoma and secure the airway in the controlled environment of
the operating … room.
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psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd
November 01, 2011 - The operating room was closed to facilitate attendance. … The pivotal role of the Operating Room Nurse Manager in the success of the briefing and debriefing process … One of our major concerns was that sites would close the operating room, train the clinicians, and then … The role of the operating room nurse manager in the successful implementation of preoperative briefings … High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care.
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psnet.ahrq.gov/web-mm/emergency-error
January 18, 2013 - Improvements have been directed at the admission of patients, ward-based care, and the operating room … 2003
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Emergency Departments
Operating … Room
Health Care Providers
Risk Managers
Quality and Safety Professionals
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psnet.ahrq.gov/issue/prospective-review-adverse-events-during-interhospital-transfers-neonates-dedicated-neonatal
March 03, 2011 - Study
A prospective review of adverse events during interhospital transfers of neonates by a dedicated neonatal transfer service.
Citation Text:
Lim MTC, Ratnavel N. A prospective review of adverse events during interhospital transfers of neonates by a dedicated neonatal transfer servi…
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psnet.ahrq.gov/issue/fmea-team-performance-health-care-qualitative-analysis-team-member-perceptions
December 31, 2014 - Study
FMEA team performance in health care: a qualitative analysis of team member perceptions.
Citation Text:
Wetterneck TB, Hundt AS, Carayon P. FMEA Team Performance in Health Care. J Patient Saf. 2009;5(2). doi:10.1097/pts.0b013e3181a852be.
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Format:
DOI Go…
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psnet.ahrq.gov/issue/meet-cancer-patient-room-52-his-name-joseph-call-him-joe
November 29, 2016 - Newspaper/Magazine Article
Meet the cancer patient in room 52: his name is Joseph, but call him Joe.
Citation Text:
Meet the cancer patient in room 52: his name is Joseph, but call him Joe. Sun LH.
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psnet.ahrq.gov/perspective/update-safety-culture
January 22, 2020 - metrics, and significantly reduced harm.( 5 ) In Michigan, bariatric surgical outcomes were better in operating … rooms whose nurses rated their safety as being "excellent … relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating … room team.
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psnet.ahrq.gov/issue/clinical-characteristics-and-short-term-outcomes-acute-kidney-injury-missed-diagnosis-older
April 20, 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/issue/high-cost-retained-surgical-items
February 22, 2023 - 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/web-mm/hypoxemia-after-emergency-intubation
March 24, 2019 - When patients are transported to radiology, the intensive care unit or the operating room, the ETT may … WebM&M Cases
Unintentional Ketamine Overdose in the Operating … Room – Mixing Up the Ampules
January 29, 2021
WebM&M Cases … : Fluid administration errors in the operating room.
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psnet.ahrq.gov/web-mm/production-pressures
November 16, 2022 - A second anesthesiologist in the group spends the day in the operating room (OR) supervising three nurse … The Case for Patient Flow Management
November 1, 2011
Operating … room teamwork among physicians and nurses: teamwork in the eye of the beholder.
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psnet.ahrq.gov/node/49654/psn-pdf
June 01, 2012 - They had taken her
to the operating room, but she developed low blood pressure before the case and the … 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/node/34082/psn-pdf
July 21, 2009 - Microsystems in health care: Part 2. Creating a rich
information environment.
July 21, 2009
Nelson EC, Batalden PB, Homa K, et al. Microsystems in health care: Part 2. Creating a rich information
environment. Jt Comm J Qual Patient Saf. 2003;29(1):5-15.
https://psnet.ahrq.gov/issue/microsystems-health-care-part-2-…
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psnet.ahrq.gov/node/33626/psn-pdf
January 01, 2006 - Conversely, in the emergency
department or operating room, normally the team is all working together
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psnet.ahrq.gov/perspective/conversation-withdavid-marx-jd
October 01, 2007 - organization would respond to a given behavior by a clinician (e.g., bringing unauthorized equipment into the operating … room [OR] for use in a surgery) if that behavior resulted in harm. … How would our organization respond to a surgeon who uses an unauthorized piece of equipment in the operating … room?
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psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
December 01, 2006 - An operating room has perhaps 15 different types of caregivers: anesthesiologists, OR nurses, surgeons … So when you compare an operating room to a cockpit, you come to an abrupt halt in the analogy when you … Yet, in the frenzy of a busy operating room, there undoubtedly needs to be some hierarchy, some leadership … impact of something, just like we've done with rapid response teams, medication reconciliation, or operating … room time outs.
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
December 01, 2006 - An operating room has perhaps 15 different types of caregivers: anesthesiologists, OR nurses, surgeons … So when you compare an operating room to a cockpit, you come to an abrupt halt in the analogy when you … Yet, in the frenzy of a busy operating room, there undoubtedly needs to be some hierarchy, some leadership … impact of something, just like we've done with rapid response teams, medication reconciliation, or operating … room time outs.
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psnet.ahrq.gov/issue/comparative-study-measuring-difference-healthcare-workers-reactions-among-those-involved
February 15, 2023 - Study
A comparative study measuring the difference of healthcare workers reactions among those involved in a patent safety incident and healthcare professionals while working during COVID-19.
Citation Text:
Seys D, De Decker E, Waelkens H, et al. A comparative study measuring the differe…
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psnet.ahrq.gov/node/33863/psn-pdf
August 01, 2018 - to practice on the actual patient anatomy and physiology before they do it on that patient in the
operating … room.