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Total Results: 4,899 records

Showing results for "operating room".

  1. COVID-19: Team and Human Factors to Improve Safety | PSNet

    psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
    September 15, 2024 - January 9, 2019 Perception of safety of surgical practice among operating room personnel

  2. Medication Mix-Up Leads to Patient Death | PSNet

    psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
    July 08, 2022 - WebM&M Cases To Dilute or Not Dilute: Drug Errors and Consequences in the Operating … Room October 27, 2021 WebM&M Cases When the

  3. Perils in Diagnosing a Stroke | PSNet

    psnet.ahrq.gov/web-mm/perils-diagnosing-stroke
    August 15, 2017 - , 2017 Foundations for teaching surgeons to address the contributions of systems to operating … room team conflict.

  4. Pseudo-obstruction But a Real Perforation | PSNet

    psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation
    April 01, 2015 - He was taken emergently to the operating room, where he underwent resection of the perforated colon.

  5. A Painful Medication Reconciliation Mishap | PSNet

    psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
    May 01, 2008 - WebM&M Cases Medication Handling and Compounding Errors in the Operating … Room.

  6. Near Miss with Bedside Medications | PSNet

    psnet.ahrq.gov/web-mm/near-miss-bedside-medications
    February 01, 2006 - One example is the charting of vital signs by anesthesiologists in the operating room.

  7. New Insights on Safety and Health IT | PSNet

    psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
    August 01, 2015 - New Insights on Safety and Health IT A. Zach Hettinger, MD, MS; Raj Ratwani, PhD; Rollin J. (Terry) Fairbanks, MD, MS | August 1, 2015  Also Read a Conversation View more articles from the same authors. Citation Text: Hettinger ZA, Ratwani RM, Fairbanks RJ. New …

  8. In Conversation With… Robert M. Wachter, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-robert-m-wachter-md
    August 01, 2015 - In Conversation With… Robert M. Wachter, MD August 1, 2015  Also Read an Essay Citation Text: In Conversation With… Robert M. Wachter, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 201…

  9. Assessing the Safety of Electronic Health Records: What Have We Learned? | PSNet

    psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
    September 01, 2017 - Assessing the Safety of Electronic Health Records: What Have We Learned? Dean F. Sittig, PhD, and Hardeep Singh, MD, MPH | September 1, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Sittig DF, Singh H. Assessing the Safe…

  10. In Conversation With… Andrew Gettinger, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
    September 01, 2017 - In Conversation With… Andrew Gettinger, MD September 1, 2017  Also Read an Essay Citation Text: In Conversation With… Andrew Gettinger, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…

  11. Delay in Malignancy Diagnosis Reflects Systemic Failures | PSNet

    psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
    September 25, 2019 - The next day, the patient was taken to the operating room and an open biopsy specimen was submitted to

  12. Endometriosis: A Common and Commonly Missed and Delayed Diagnosis | PSNet

    psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
    May 26, 2021 - may have assumed a young person would rather not have surgical scars or be physically exposed in the operating … room, due to a potentially “unnecessary” surgery.

  13. A Loss of Trust and a Missed Diagnosis | PSNet

    psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
    October 31, 2023 - March 23, 2012 WebM&M Cases Good Catch in the Operating … Room May 1, 2019 Older patients' engagement in hospital medication safety

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33740/psn-pdf
    November 01, 2012 - In Conversation With… Abraham Verghese, MD November 1, 2012 In Conversation With… Abraham Verghese, MD. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/conversation-abraham-verghese-md Editor's note: Abraham Verghese, MD, is Professor for the Theory and Practice of Medicine at the Stanford University S…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49584/psn-pdf
    April 01, 2009 - EMR Entry Error: Not So Benign April 1, 2009 Koppel R. EMR Entry Error: Not So Benign. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign The Case A 47-year-old man with advanced AIDS was admitted to an academic medical center with a chief complaint of shortness of breath. He was …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33711/psn-pdf
    May 01, 2011 - purposefully embedded on every shift in high-risk clinical areas (such as intensive care units or operating … rooms) as well as on high-risk clinical teams (such as rapid response teams, code blue teams, and palliative

  17. Medication Safety in Nursing Homes: What's Wrong and How to Fix It | PSNet

    psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
    August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and How to Fix It Jerry Gurwitz, MD | August 1, 2012  Also Read a Conversation View more articles from the same authors. Citation Text: Gurwitz JH. Medication Safety in Nursing Homes: What's Wrong and How to Fix I…

  18. Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings. | PSNet

    psnet.ahrq.gov/innovation/catching-those-who-fall-through-cracks-integrating-follow-process-emergency-department
    September 09, 2020 - EMERGING INNOVATIONS Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings. Citation Text: Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33714/psn-pdf
    July 01, 2011 - In Conversation with…William B. Munier, MD, MBA July 1, 2011 In Conversation with…William B. Munier, MD, MBA. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba Editor's note: William B. Munier, MD, MBA, is the Director of the Center for Quality Improvement and Pati…

  20. Missed Nursing Care: A Key Measure for Patient Safety | PSNet

    psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
    March 01, 2018 - Missed Nursing Care: A Key Measure for Patient Safety Jane Ball, PhD, and Peter Griffiths, PhD | March 1, 2018  Also Read a Conversation View more articles from the same authors. Citation Text: Ball JE, Griffiths P. Missed Nursing Care: A Key Measure for Patient…
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