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psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
January 01, 2024 - are unclear, but there was difficulty achieving intraoperative hemostasis, and the patient left the operating … room (OR) with the bone graft donor site open and oozing blood.
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psnet.ahrq.gov/cme
February 26, 2025 - The surgical team had difficulty controlling bleeding and the patient left the operating room (OR) with
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psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-intensive-care
October 30, 2024 - The University of Michigan Emergency Critical Care Center (EC3) Provides Timely Intensive Care to Critically Ill Patients in the Emergency Department
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psnet.ahrq.gov/issue/nursing-home-residents-dementia-association-between-place-death-and-patient-safety-culture
November 04, 2020 - 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/measuring-hospital-acquired-complications-associated-low-value-care
August 11, 2021 - 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/effect-critical-access-hospital-conversion-patient-safety
October 19, 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/time-accelerate-integration-human-factors-and-ergonomics-patient-safety
October 03, 2013 - May 25, 2011
Identifying and categorising patient safety hazards in cardiovascular operating … rooms using an interdisciplinary approach: a multisite study.
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psnet.ahrq.gov/issue/bare-minimum-reality-global-anaesthesia-and-patient-safety
April 22, 2015 - 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/flawed-self-assessment-hand-hygiene-major-contributor-infections-clinical-practice
September 02, 2020 - Identification and interference of intraoperative distractions and interruptions in operating … rooms.
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psnet.ahrq.gov/node/60295/psn-pdf
May 06, 2020 - 2019 Novel Coronavirus (COVID-19) pandemic: built
environment considerations to reduce transmission.
May 6, 2020
Dietz L, Horve PF, Coil DA, et al. 2019 Novel Coronavirus (COVID-19) pandemic: built environment
considerations to reduce transmission. mSystems. 2020;5(2):e00245-20. doi:10.1128/msystems.00245-20.
http…
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psnet.ahrq.gov/web-mm/premature-extubation
May 25, 2011 - The procedure was initially thought to be uncomplicated, and the patient was extubated in the operating … room. … The patient was taken back to the operating room and found to have an expanding neck hematoma, which
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.122_slideshow.ppt
April 01, 2006 - During this time, the surgeon began to yell at members of the operating room (OR) team for a variety
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psnet.ahrq.gov/node/33584/psn-pdf
March 15, 2025 - In the operating room, poor communication has been directly linked to surgical complications
and has
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psnet.ahrq.gov/issue/creating-just-culture-perioperative-setting
July 13, 2009 - 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/patient-safety-assurance-age-defensive-medicine-review
March 09, 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/medically-induced-trauma-support-services-mitss
December 07, 2016 - Newspaper/Magazine Article
Medically Induced Trauma Support Services (MITSS).
Citation Text:
Medically Induced Trauma Support Services (MITSS). Tobin WN. Patient Safety Quality Healthcare. May/June 2013.
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psnet.ahrq.gov/node/33835/psn-pdf
June 01, 2017 - We
looked at 3 years of data and all operating room procedures carried out in English public hospitals
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psnet.ahrq.gov/issue/assisting-beginners-root-cause-analysis-operations-analysis-and-recommendations-regarding
June 08, 2022 - Commentary
Assisting beginners in root cause analysis operations: analysis and recommendations regarding the spread of COVID-19 in nursing facilities for the elderly.
Citation Text:
Tsuchiya H. Assisting beginners in root cause analysis operations: analysis and recommendations regarding …
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psnet.ahrq.gov/perspective/risk-management-and-patient-safety
December 01, 2010 - 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. … Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating … room teams. … April 21, 2015
Crisis checklists for the operating room: development and pilot testing
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psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
May 26, 2021 - 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
To Dilute … or Not Dilute: Drug Errors and Consequences in the Operating Room
October 27, 2021 … View More
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