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psnet.ahrq.gov/node/857059/psn-pdf
November 29, 2023 - tube in the intensive care unit (ICU) using the “pull technique” (i.e., via the mouth) because an operating … room was not available, and her computed tomography (CT) scan showed no interposed bowel between
the … Risk Factors and Alternative Approaches
In many locations, operating room access is limited, so bedside
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psnet.ahrq.gov/node/33754/psn-pdf
September 01, 2013 - things, who has perhaps a completely different overview of the social order of
what happened in that operating … room, is probably invaluable to contextualize the behavior that is now at
issue.
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psnet.ahrq.gov/web-mm/privacy-or-safety
December 01, 2011 - April 29, 2015
WebM&M Cases
Good Catch in the Operating … Room
May 1, 2019
WebM&M Cases
Turn the Other
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psnet.ahrq.gov/node/49792/psn-pdf
May 01, 2017 - He was taken to the operating room for repair of his dissection.
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psnet.ahrq.gov/issue/hospital-board-and-management-practices-are-strongly-related-hospital-performance-clinical
October 27, 2021 - Study
Classic
Hospital board and management practices are strongly related to hospital performance on clinical quality metrics.
Citation Text:
Tsai TC, Jha AK, Gawande AA, et al. Hospital board and management practices are strongly related to hospital performanc…
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psnet.ahrq.gov/web-mm/lot-pain-medications
September 23, 2020 - SPOTLIGHT CASE
A Lot of Pain (Medications)
Citation Text:
Herzig SJ. A Lot of Pain (Medications). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XM…
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psnet.ahrq.gov/perspective/workplace-safety-health-care
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
-
psnet.ahrq.gov/node/49741/psn-pdf
September 01, 2015 - The patient was taken
immediately to the operating room and was found to have diffuse peritonitis secondary
-
psnet.ahrq.gov/node/33842/psn-pdf
January 01, 2018 - Assessing the Safety of Electronic Health Records: What
Have We Learned?
September 1, 2017
Sittig DF, Singh H. Assessing the Safety of Electronic Health Records: What Have We Learned? PSNet
[internet]. 2017.
https://psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
Perspec…
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psnet.ahrq.gov/node/49608/psn-pdf
August 01, 2010 - Emergent Triage Miss
August 1, 2010
Travers D. Emergent Triage Miss. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/emergent-triage-miss
The Case
A 42-year-old woman presented to a busy urban emergency department (ED) and approached the triage
nurse. The patient told the triage nurse that she had "3 days o…
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psnet.ahrq.gov/node/49644/psn-pdf
December 01, 2011 - She was taken to the operating room for repair and
found to have a 4 mm cut in the cornea that extended
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psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
November 01, 2006 - In the operating room, where a lot of these issues come up, a steady background noise might actually
-
psnet.ahrq.gov/innovations
February 26, 2025 - Departments
(8)
Intensive Care Units
(8)
Labor and Delivery
(1)
Operating … Room
(5)
Long-Term Care
(2)
Outpatient Surgery
(3)
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psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
February 10, 2010 - 2009
A systematic review of simulation for multidisciplinary team training in operating … rooms.
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psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
January 29, 2020 - January 1, 2004
View More
See More About The Topic
Hospitals
Operating … Room
Health Care Providers
Allied Health Professionals
Nephrology
View More
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psnet.ahrq.gov/node/73104/psn-pdf
January 04, 2021 - AHRQ PSNet Annual Perspective: Impact of the COVID-19
Pandemic on Patient Safety
March 30, 2021
Stocking JC, Sandrock C, Fitall E, et al. AHRQ PSNet Annual Perspective: Impact of the COVID-19
Pandemic on Patient Safety. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact…
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psnet.ahrq.gov/node/851971/psn-pdf
July 31, 2023 - adverse events and relationship to Nil per Os
status in pediatric sedation/anesthesia outside the operating … room: a report of the Pediatric Sedation
Research Consortium.
-
psnet.ahrq.gov/node/854897/psn-pdf
October 31, 2023 - Weight and Height Juxtaposition in the Electronic Medical
Record Causing an Accidental Medication Overdose
October 31, 2023
Jain NP, Dakwa D. Weight and Height Juxtaposition in the Electronic Medical Record Causing an
Accidental Medication Overdose. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/weight-and-…
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psnet.ahrq.gov/web-mm/pca-overdose
April 01, 2017 - January 4, 2011
WebM&M Cases
Good Catch in the Operating … Room
May 1, 2019
View More
Related Resources
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psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
March 01, 2017 - September 18, 2024
Factors associated with the use of cognitive aids in operating room