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Total Results: 4,899 records

Showing results for "operating room".

  1. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations | PSNet

    psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
    September 27, 2023 - The patient was taken to the operating room for lysis of adhesions but died 3 days later.

  2. In Conversation with...James P. Bagian, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
    September 01, 2006 - I can remember being in the operating room and watching surgeons do things that made no real sense rationally … 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.

  3. Failure of crisis leadership in a global pandemic: some reflections on COVID-19 and future recommendations. | PSNet

    psnet.ahrq.gov/issue/failure-crisis-leadership-global-pandemic-some-reflections-covid-19-and-future
    September 16, 2020 - Commentary Failure of crisis leadership in a global pandemic: some reflections on COVID-19 and future recommendations. Citation Text: Okoli J, Arroteia NP, Ogunsade AI. Failure of crisis leadership in a global pandemic: some reflections on COVID-19 and future recommendations. Leadersh He…

  4. We're all in this together: how COVID-19 revealed the co-construction of mindful organising and organisational reliability. | PSNet

    psnet.ahrq.gov/issue/were-all-together-how-covid-19-revealed-co-construction-mindful-organising-and-organisational
    February 16, 2022 - Commentary We're all in this together: how COVID-19 revealed the co-construction of mindful organising and organisational reliability. Citation Text: Vogus TJ, Wilson AD, Randall KH, et al. We’re all in this together: how COVID-19 revealed the co-construction of mindful organising and or…

  5. Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical settings. | PSNet

    psnet.ahrq.gov/issue/estimating-economic-cost-nurse-sensitive-adverse-events-amongst-patients-medical-and-surgical
    July 11, 2018 - Study Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical settings. Citation Text: Murphy A, Griffiths P, Duffield C, et al. Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical setting…

  6. Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool. | PSNet

    psnet.ahrq.gov/issue/exploring-nursing-sensitive-events-home-healthcare-national-multicenter-cohort-study-using
    August 05, 2020 - Study Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool. Citation Text: Nilsson L, Lindblad M, Johansson N, et al. Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool…

  7. Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting. | PSNet

    psnet.ahrq.gov/issue/safety-and-efficiency-new-generic-package-labelling-and-after-study-simulated-setting
    January 08, 2025 - Study Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting. Citation Text: Garcia BH, Elenjord R, Bjornstad C, et al. Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting. BMJ Qual S…

  8. Risk reduction strategy to decrease incidence of retained surgical items. | PSNet

    psnet.ahrq.gov/issue/risk-reduction-strategy-decrease-incidence-retained-surgical-items
    July 06, 2022 - Study Risk reduction strategy to decrease incidence of retained surgical items. Citation Text: Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264. Copy …

  9. Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. | PSNet

    psnet.ahrq.gov/issue/systems-engineering-and-human-factors-support-system-novel-ehr-integrated-tools-prevent-harm
    January 15, 2020 - Study Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. Citation Text: Dalal A, Fuller T, Garabedian P, et al. Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in…

  10. Recommendations of individualized medical treatment and common adverse events management for lung cancer patients during the outbreak of COVID-19 epidemic. | PSNet

    psnet.ahrq.gov/issue/recommendations-individualized-medical-treatment-and-common-adverse-events-management-lung
    March 24, 2019 - Commentary Recommendations of individualized medical treatment and common adverse events management for lung cancer patients during the outbreak of COVID-19 epidemic. Citation Text: Zhao Z, Bai H, Duan J, et al. Recommendations of individualized medical treatment and common adverse event…

  11. Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service. | PSNet

    psnet.ahrq.gov/issue/explaining-organisational-responses-board-level-quality-improvement-intervention-findings
    November 21, 2017 - Study Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service. Citation Text: Jones L, Pomeroy L, Robert G, et al. Explaining organisational responses to a board-level quali…

  12. 2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission. | PSNet

    psnet.ahrq.gov/issue/2019-novel-coronavirus-covid-19-pandemic-built-environment-considerations-reduce-transmission
    January 12, 2022 - Commentary 2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission. Citation Text: Dietz L, Horve PF, Coil DA, et al. 2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission. mSystems. 2020;5(2):e0024…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33594/psn-pdf
    November 18, 2021 - https://psnet.ahrq.gov//#3 https://psnet.ahrq.gov/issue/debriefing-improve-interprofessional-teamwork-operating-room-systematic-review

  14. What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? | PSNet

    psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
    September 01, 2006 - I can remember being in the operating room and watching surgeons do things that made no real sense rationally … April 26, 2012 Incorrect surgical procedures within and outside of the operating room

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50949/psn-pdf
    February 26, 2020 - and placing high priority “STAT” tests in central laboratories located near emergency departments, operating … rooms, and intensive care units, while slower or more esoteric tests may be based in more distant satellite

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867672/psn-pdf
    February 26, 2025 - The patient was taken to the operating room for lysis of adhesions but died 3 days later.

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49545/psn-pdf
    September 01, 2007 - He was taken to the operating room, and it was discovered the angio-seal closure device had failed and

  18. In Conversation with…Albert Wu, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
    March 24, 2025 - The patient began to bleed, and bled out in the operating room.

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33647/psn-pdf
    March 01, 2007 - The Role of the Patient in Improving Patient Safety March 1, 2007 Gibson R. The Role of the Patient in Improving Patient Safety. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/role-patient-improving-patient-safety Perspective Patients have three roles in improving patient safety: helping to ensure thei…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49721/psn-pdf
    December 01, 2014 - Ebola: Are We Ready? December 1, 2014 Barsuk JH, Barnard C. Ebola: Are We Ready? PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/ebola-are-we-ready The Case A 28-year-old man, well-appearing but pale, walked into the emergency department (ED) on a Wednesday afternoon at 3 PM complaining of nausea, vomiting,…
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