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Total Results: 4,899 records

Showing results for "operating room".

4241. Preventing patient harms through systems of care. | PSNet
      psnet.ahrq.gov/issue/preventing-patient-harms-through-systems-care
      February 27, 2014 - January 15, 2014 Identifying and categorising patient safety hazards in cardiovascular operating … rooms using an interdisciplinary approach: a multisite study.

4242. Apology laws and malpractice liability: what have we learned? | PSNet
      psnet.ahrq.gov/issue/apology-laws-and-malpractice-liability-what-have-we-learned
      March 18, 2020 - and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating … rooms.

4243. Voluntarily reported emergency department errors. | PSNet
      psnet.ahrq.gov/issue/voluntarily-reported-emergency-department-errors
      June 20, 2011 - and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating … rooms.

4244. Preventable mortality after common urological surgery: failing to rescue? | PSNet
      psnet.ahrq.gov/issue/preventable-mortality-after-common-urological-surgery-failing-rescue
      July 17, 2013 - and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating … rooms.

4245. A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. | PSNet
      psnet.ahrq.gov/issue/method-prioritizing-interventions-following-root-cause-analysis-rca-lessons-philosophy
      March 11, 2015 - March 12, 2017 A systematic review of simulation for multidisciplinary team training in operating … rooms.

4246. Radio frequency identification applications in hospital environments. | PSNet
      psnet.ahrq.gov/issue/radio-frequency-identification-applications-hospital-environments
      March 24, 2021 - and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating … rooms.

4247. Effects of the implementation of a preventive interventions program on the reduction of medication errors in critically ill adult patients. | PSNet
      psnet.ahrq.gov/issue/effects-implementation-preventive-interventions-program-reduction-medication-errors
      March 09, 2022 - June 9, 2011 Assessing system failures in operating rooms and intensive care units.

4248. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49415/psn-pdf
      September 01, 2003 - patient safety research in San Diego, CA, communication failures contributed to 16% (20 of 98) of operating … room events reported by the primary clinicians when directly queried by a researcher (nearly 90% were … , unpublished work), communication or coordination issues played a role in about 11% of 118 actual operating … room events captured during more than 700 hours of direct observation and videotaping. … room, may find her skills lacking when trying to manage a difficult airway in a remote location with

4249. Misconnection Leading to Arterial Thrombosis | PSNet
      psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
      January 29, 2021 - especially in high-stake environments such as the critical care unit, the emergency department and the operating … room. … ) 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.

4250. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery | PSNet
      psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
      September 27, 2023 - This huddle includes at least one provider from obstetrics, anesthesia, nursing, and the operating room … 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 Two Cases … Too Long November 1, 2003 View More See More About The Topic Operating … Room Labor and Delivery Health Care Providers Anesthesiology Obstetrics View More

4251. In Conversation With… Karl Bilimoria, MD, MS | PSNet
      psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms
      April 19, 2023 - In the operating room, certainly they can do certain portions of the operation with the attending surgeon … Nasca, MD February 1, 2010 View More See More About The Topic Operating … Room Health Care Providers Surgery Fatigue and Sleep Deprivation Epidemiology of Errors

4252. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49812/psn-pdf
      November 01, 2017 - minute Multiple transport handoffs Lack of specimen reconciliation VIP patient (SOP not followed) OR: operating … room; SOP: standard operating procedure; LIS: laboratory information systems; EHR: electronic health

4253. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853774/psn-pdf
      September 27, 2023 - Delayed Evaluation of Abdominal Pain in an Elderly Patient. September 27, 2023 Klimkiv L, Utter GH, Barnes DK. Delayed Evaluation of Abdominal Pain in an Elderly Patient. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient The Case An 85-year-old woman presente…

4254. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49512/psn-pdf
      May 01, 2006 - The next morning, the patient was taken to the operating room (OR), and spinal anesthesia was administered

4255. In Conversation With… Matthew Weinger, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
      August 01, 2018 - surgeons to practice on the actual patient anatomy and physiology before they do it on that patient in the operating … room. … In studying high-risk areas of the operating room, intensive care unit, emergency department, and the

4256. Design and reliability of a specific instrument to evaluate patient safety for patients with acute myocardial infarction treated in a predefined care track: a retrospective patient record review study in a single tertiary hospital in the Netherlands. | PSNet
      psnet.ahrq.gov/issue/design-and-reliability-specific-instrument-evaluate-patient-safety-patients-acute-myocardial
      October 18, 2023 - Study Design and reliability of a specific instrument to evaluate patient safety for patients with acute myocardial infarction treated in a predefined care track: a retrospective patient record review study in a single tertiary hospital in the Netherlands. Citation Text: Eindhoven DC, Bo…

4257. In Conversation With… Kathleen Sutcliffe, MN, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-kathleen-sutcliffe-mn-phd
      April 26, 2023 - In Conversation With… Kathleen Sutcliffe, MN, PhD April 1, 2017  Citation Text: In Conversation With… Kathleen Sutcliffe, MN, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy C…

4258. Making Just Culture a Reality: One Organization's Approach | PSNet
      psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
      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?

4259. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865411/psn-pdf
      March 27, 2024 - She was taken to the operating room for an emergency exploratory laparotomy and found to have nearly … 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 appears unstable

4260. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33823/psn-pdf
      January 01, 2017 - hazards, including less obvious ones: sharps injuries that occur when passing a suture needle in the operating … room (OR), musculoskeletal injuries from lifting heavy instrument kits in Central Processing and the