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psnet.ahrq.gov/node/49495/psn-pdf
December 01, 2005 - invited to observe
the operative repair of a congenital heart lesion in the pediatric cardiac surgery operating … room (OR). … Sexton and colleagues surveyed operating room personnel, asking whether they perceived teamwork as
being
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psnet.ahrq.gov/web-mm/around-block
March 04, 2020 - : Fluid administration errors in the operating room. … Wristband
July 1, 2003
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See More About The Topic
Operating … Room
Physicians
Nurses
Anesthesiology
Surgery
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psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
January 31, 2020 - Several articles recommended barcoding in perioperative care and the operating room settings as risk … an electronic auditing system, was safer than a manual verification system for transfusions in the operating … room .
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psnet.ahrq.gov/node/33783/psn-pdf
April 01, 2015 - 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.
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psnet.ahrq.gov/issue/leapfrog-hospital-safety-score-magnet-designation-and-healthcare-associated-infections-united
July 27, 2022 - Study
Leapfrog Hospital Safety Score, Magnet designation, and healthcare-associated infections in United States hospitals.
Citation Text:
Pakyz AL, Wang H, Ozcan YA, et al. Leapfrog Hospital Safety Score, Magnet Designation, and Healthcare-Associated Infections in United States Hospitals…
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psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
September 01, 2006 - recording or "black box" systems in commercial aircraft, which have recently been experimented with in operating … rooms.( 8 ) These approaches are complex and challenging to implement effectively. … aviation black box principle in pediatric cardiac surgery: tracking all failures in the pediatric cardiac operating … room. … I can remember being in the operating room and watching surgeons do things that made no real sense rationally
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psnet.ahrq.gov/node/33572/psn-pdf
December 15, 2024 - specific steps during induction of anesthesia,
surgical timeout, and transfer of the patient out of the operating … room.
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psnet.ahrq.gov/node/33591/psn-pdf
March 15, 2025 - general indications
that harm may have occurred such as death, readmission, or unexpected return to the operating … room.
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psnet.ahrq.gov/node/49390/psn-pdf
February 01, 2003 - Flying Object Hits MRI
February 1, 2003
Gosbee JW, Gosbee LL. Flying Object Hits MRI. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/flying-object-hits-mri
The Case
A child was brought to the Magnetic Resonance Imaging (MRI) room for a brain scan. Accompanied by an
anesthesiologist, the child was receiving…
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psnet.ahrq.gov/node/50613/psn-pdf
October 30, 2019 - The only difference between the labor and
delivery unit and the cardiac ICU is that our operating rooms
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psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_intraoperative_awareness_during_rhinoplasty_slides_final.pptx
January 01, 2024 - Production pressure in the operating room should never lead clinicians to deliver suboptimal care to
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psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
August 01, 2018 - In studying high-risk areas of the operating room, intensive care unit, emergency department, and the … surgeons to practice on the actual patient anatomy and physiology before they do it on that patient in the operating … room.
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psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
July 31, 2023 - April 1, 2003
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See More About The Topic
Hospitals
Operating … Room
Health Care Providers
Quality and Safety Professionals
Gastroenterology
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psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
March 15, 2023 - WebM&M Cases
Medication Handling and Compounding Errors in the Operating … Room.
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psnet.ahrq.gov/issue/overcoming-covid-19-what-can-human-factors-and-ergonomics-offer
September 02, 2020 - August 21, 2024
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/improving-allergy-documentation-retrospective-electronic-health-record-system-wide-patient
June 15, 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/risk-analysis-method-evaluate-impact-computerized-provider-order-entry-system-patient-safety
September 15, 2021 - An observational study of social interactions in the operating rooms of a tertiary hospital.
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psnet.ahrq.gov/issue/clinical-data-sharing-improves-quality-measurement-and-patient-safety
April 21, 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/hand-hygiene-putting-nonsterile-gloves-intensive-care-unit-waste-health-care-worker-time
November 30, 2016 - June 10, 2013
Assessing system failures in operating rooms and intensive care units.
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psnet.ahrq.gov/issue/associations-between-stopping-prescriptions-opioids-length-opioid-treatment-and-overdose-or
April 05, 2017 - and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating … rooms.