-
psnet.ahrq.gov/node/49798/psn-pdf
July 01, 2017 - He was taken emergently to
the operating room, where he underwent resection of the perforated colon.
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psnet.ahrq.gov/node/49550/psn-pdf
December 01, 2007 - patient had an uneventful preoperative period but suffered a pulseless electrical activity arrest in the
operating … room at the time of wound closure.
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psnet.ahrq.gov/web-mm/spinal-epidural-abscess
November 13, 2019 - The patient was taken to the operating room for drainage of the abscess.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.281_slideshow.ppt
October 01, 2012 - the intensive care unit (ICU) because the patient was not stable enough to have it performed in the operating … room.
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psnet.ahrq.gov/web-mm/crossed-coverage
September 01, 2015 - : Fluid administration errors in the operating room.
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psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-indication
July 02, 2019 - WebM&M Cases
To Dilute or Not Dilute: Drug Errors and Consequences in the Operating … Room
October 27, 2021
WebM&M Cases
When the
-
psnet.ahrq.gov/web-mm/poor-prognosis
March 15, 2016 - The patient was taken to the operating room for resection under general anesthesia.
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psnet.ahrq.gov/web-mm/inflicting-confusion
August 04, 2021 - March 23, 2012
Patient safety in the cardiac operating room: human factors and teamwork
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psnet.ahrq.gov/web-mm/painful-dilemma
September 01, 2013 - September 18, 2024
Factors associated with the use of cognitive aids in operating room
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psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
June 24, 2010 - their hands, so this must be a ritual similar to the ritualistic surgical scrub prior to entering the operating … room.
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psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
January 05, 2017 - May 19, 2019
Bridging the communication gap in the operating room with medical team training
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psnet.ahrq.gov/node/33691/psn-pdf
December 01, 2009 - perspective)
One organization was having a particularly difficult time with disruptive behavior in the operating … room
(OR).
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psnet.ahrq.gov/web-mm/cyp450-drugs-expect-unexpected
October 19, 2022 - April 1, 2018
WebM&M Cases
Good Catch in the Operating … Room
May 1, 2019
Surviving Sepsis Campaign: international guidelines for management
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psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
January 01, 2022 - multiple different
clinical settings, for tasks such as identifying correct surgical sites in
the operating … room and reducing infections associated with central
lines placed in hospitalized patients
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psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
December 01, 2017 - August 21, 2015
WebM&M Cases
Good Catch in the Operating … Room
May 1, 2019
WebM&M Cases
Turn the Other
-
psnet.ahrq.gov/node/49795/psn-pdf
June 01, 2017 - The patient was taken emergently to the operating room and underwent aortic thrombectomy (removal of
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psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
June 01, 2005 - Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating … Room
April 27, 2022
Public reporting of antibiotic timing in patients with
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psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
August 05, 2009 - Postoperative care instructions that were given before surgery changed due to an unanticipated discovery in the operating … room, the patient was unable to engage with the surgeon due to the effects of anesthesia (no written
-
psnet.ahrq.gov/node/49397/psn-pdf
May 01, 2003 - The Dropped Lung
May 1, 2003
Heffner JR. The Dropped Lung. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/dropped-lung
The Case
A 79-year-old woman was admitted for hypoxia and shortness of breath. Two weeks prior she had been
hospitalized for dyspnea and was found to have multiple bilateral pulmonary nodu…
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psnet.ahrq.gov/node/837963/psn-pdf
August 31, 2022 - A definitive diagnosis for acute ischemia requires either
exploration in the operating room or, more