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psnet.ahrq.gov/node/867656/psn-pdf
February 26, 2025 - Then we found another system where their time for wheels-in to wheels-out of the operating room
for
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psnet.ahrq.gov/node/33726/psn-pdf
March 01, 2012 - here 6 months, at only 6 months I could give you a short list of people I never wanted to be in an
operating … room with."
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
July 01, 2011 - Becoming a Patient Safety Organization
Rory Jaffe, MD, MBA | July 1, 2011
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Jaffe R. Becoming a Patient Safety Organization. PSNet [internet]. Rockville (MD): Agency for Healthcare …
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psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
November 13, 2024 - are 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
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psnet.ahrq.gov/web-mm/weighty-mistake
September 01, 2016 - SPOTLIGHT CASE
A Weighty Mistake
Citation Text:
Bokser SJ. A Weighty Mistake. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…
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psnet.ahrq.gov/node/33732/psn-pdf
July 01, 2012 - In Conversation With… David Blumenthal, MD, MPP
July 1, 2012
In Conversation With… David Blumenthal, MD, MPP. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
Editor's note: David Blumenthal, MD, MPP, is Chief Health Information and Innovation Officer, Partners
Healt…
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psnet.ahrq.gov/node/49738/psn-pdf
August 21, 2015 - Privacy or Safety?
August 21, 2015
Halamka JD, McGraw D. Privacy or Safety? PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/privacy-or-safety
Case Objectives
Understand that the HIPAA Omnibus Rule is an enabler of data sharing, not a barrier.
Review common misconceptions about privacy rules.
Understand the…
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psnet.ahrq.gov/node/49666/psn-pdf
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/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - evaluated by physicians using the focused assessment of sonography in trauma, patients are taken to the operating … room faster.( 16 )
The literature offers relatively few descriptions of typical errors or pitfalls
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psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
January 01, 2023 - This huddle includes at least one provider
from obstetrics, anesthesia, nursing, and the operating room
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psnet.ahrq.gov/node/849679/psn-pdf
June 28, 2023 - can be performed at the bedside without the resources and
potential delay of scheduling time in an operating … room.
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psnet.ahrq.gov/node/867357/psn-pdf
December 18, 2024 - When patients are transported to radiology, the intensive care unit or the operating room, the ETT may
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psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_delayed_symptomatic_subdural_hematoma_slides.pptx
January 01, 2024 - He was taken urgently to the operating room, where craniotomy was performed and the hematoma was evacuated
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psnet.ahrq.gov/web-mm/inpatient-stroke-management-adolescent-type-1-diabetes-and-home-insulin-pump
February 01, 2023 - WebM&M Cases
If You Say So: Taking a Syringe at Face Value in the Operating … Room
June 1, 2019
WebM&M Cases
Hip Fractures
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psnet.ahrq.gov/node/853080/psn-pdf
August 30, 2023 - Virtual Nursing: Improving Patient Care and Meeting
Workforce Challenges
August 30, 2023
Sanford K, Schuelke S, Lee M, et al. Virtual Nursing: Improving Patient Care and Meeting Workforce
Challenges. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workf…
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psnet.ahrq.gov/node/863641/psn-pdf
February 28, 2024 - Revising TeamSTEPPS: The Evolution of Patient Safety
Teamwork Training
February 28, 2024
Haugstetter M, Hines S, Sousane Z, et al. Revising TeamSTEPPS: The Evolution of Patient Safety
Teamwork Training. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork…
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psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
December 15, 2024 - Improving Patient Safety and Team Communication through Daily Huddles
Citation Text:
Shaikh U. Improving Patient Safety and Team Communication through Daily Huddles. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
August 30, 2023 - Strategies to Improve Organizational Health Literacy.
Citation Text:
Seidel E, Cortes T, Chong C. Strategies to Improve Organizational Health Literacy.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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Format:…
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psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
March 09, 2022 - May 20, 2019
Infection prevention in the operating room anesthesia work area.
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psnet.ahrq.gov/node/49714/psn-pdf
August 21, 2014 - He was
urgently taken to the operating room, where he required debridement of 7300 cm/sq (an area roughly