-
psnet.ahrq.gov/issue/achieving-national-quality-forums-never-events-prevention-wrong-site-wrong-procedure-and
September 28, 2010 - September 28, 2010
Operating room briefings: working on the same page. … January 2, 2017
Operating room briefings and wrong-site surgery. … July 28, 2010
Operating room teamwork among physicians and nurses: teamwork in the eye … June 16, 2011
Impact of preoperative briefings on operating room delays. … April 17, 2013
Prevention of 3 "never events" in the operating room: fires, gossypiboma
-
psnet.ahrq.gov/node/35519/psn-pdf
July 24, 2008 - bringing-surgeons-down-earth
This article reports on several pilot initiatives designed to improve safety culture in the operating … room.
-
psnet.ahrq.gov/issue/development-rating-system-surgeons-non-technical-skills
June 12, 2008 - January 13, 2021
Operating room teamwork among physicians and nurses: teamwork in the … June 16, 2011
Human factors in surgery: from Three Mile Island to the operating room. … November 18, 2009
Teamwork in the operating room: frontline perspectives among hospitals … and operating room personnel. … January 7, 2008
View More
See More About The Topic
Operating Room
Quality
-
psnet.ahrq.gov/node/45355/psn-pdf
September 28, 2016 - Getting it right for patient safety: specimen collection
process improvement from operating room to … Getting It Right for Patient Safety: Specimen Collection Process Improvement From
Operating Room to … https://psnet.ahrq.gov/issue/getting-it-right-patient-safety-specimen-collection-process-improvement-
operating-room … https://psnet.ahrq.gov/issue/getting-it-right-patient-safety-specimen-collection-process-improvement-operating-room … https://psnet.ahrq.gov/issue/getting-it-right-patient-safety-specimen-collection-process-improvement-operating-room
-
psnet.ahrq.gov/issue/improving-patient-safety-identifying-latent-failures-successful-operations
September 15, 2010 - room does not stay in the operating room. … February 13, 2014
Briefing and debriefing in the operating room using fighter pilot crew … March 17, 2011
Bridging the communication gap in the operating room with medical team … June 22, 2009
From the flight deck to the operating room: an initial pilot study of the … January 2, 2008
View More
See More About The Topic
Operating Room
Physicians
-
psnet.ahrq.gov/issue/building-cultures-high-reliability-lessons-high-reliability-organization-paradigm
September 05, 2018 - room. … August 7, 2024
Patient falls in the operating room: why is this still a problem in 2024 … December 14, 2022
Distraction in the operating room: a narrative review of environmental … Room
June 1, 2019
Challenging authority and speaking up in the operating room … February 27, 2019
View More
See More About The Topic
Operating Room
-
psnet.ahrq.gov/issue/implementing-human-factors-clinical-practice
June 28, 2023 - 3, 2011
View More
See More About The Topic
Emergency Departments
Operating … Room
Physicians
Quality and Safety Professionals
Safety Scientists
View More
-
psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
July 01, 2004 - or longer.( 8 ) Factors attributed to delays in surgery included medical optimization, surgeon and operating … room availability, and broad organizational challenges.( 8 ) The fact that patients often don't die … Because of this, hip fracture patients are typically given lower priority with regard to operating room … Surgical specialists or operating room staff are often not available during the evening or weekend hours … Room
June 1, 2019
WebM&M Cases
Missed Diagnosis
-
psnet.ahrq.gov/node/33721/psn-pdf
November 01, 2011 - The operating room was closed to facilitate attendance. … The pivotal role
of the Operating Room Nurse Manager in the success of the briefing and debriefing process … One of our major concerns was that sites would close the
operating room, train the clinicians, and then … The role of the operating room nurse manager in the successful
implementation of preoperative briefings … High-fidelity, simulation-based, interdisciplinary operating room
team training at the point of care
-
psnet.ahrq.gov/web-mm/check-anesthesia-machine
August 01, 2006 - Once in the operating room, the resident placed an arterial line in the patient's left arm under local … In the operating room, the anesthesiologist fulfills all of these roles. … room teams. … Room
April 27, 2022
WebM&M Cases
The Forgotten … Room
Health Care Providers
Quality and Safety Professionals
Anesthesiology
Medication Errors
-
psnet.ahrq.gov/node/38410/psn-pdf
January 23, 2012 - newspaper article highlights a simple innovation one hospital is using to trigger a time out in the
operating … room.
-
psnet.ahrq.gov/node/40877/psn-pdf
February 05, 2018 - psnet.ahrq.gov/issue/fire-safety
https://psnet.ahrq.gov/issue/practice-advisory-prevention-and-management-operating-room-fires
-
psnet.ahrq.gov/node/37047/psn-pdf
September 30, 2011 - Briefing and debriefing in the operating room using
fighter pilot crew resource management. … Briefing and debriefing in the operating room using fighter pilot crew resource
management. … https://psnet.ahrq.gov/issue/briefing-and-debriefing-operating-room-using-fighter-pilot-crew-resource … https://psnet.ahrq.gov/issue/briefing-and-debriefing-operating-room-using-fighter-pilot-crew-resource-management … https://psnet.ahrq.gov/issue/briefing-and-debriefing-operating-room-using-fighter-pilot-crew-resource-management
-
psnet.ahrq.gov/node/43787/psn-pdf
June 22, 2016 - Measuring variation in use of the WHO surgical safety
checklist in the operating room: a multicenter … Measuring variation in use of the WHO surgical safety checklist in the
operating room: a multicenter … https://psnet.ahrq.gov/issue/measuring-variation-use-who-surgical-safety-checklist-operating-room-
multicenter-prospective … https://psnet.ahrq.gov/issue/measuring-variation-use-who-surgical-safety-checklist-operating-room-multicenter-prospective … https://psnet.ahrq.gov/issue/measuring-variation-use-who-surgical-safety-checklist-operating-room-multicenter-prospective
-
psnet.ahrq.gov/node/49722/psn-pdf
December 01, 2014 - top 10 contributors to this number.(1) A systematic review found that more
than 23% of errors in the operating … rooms involve device-related issues.(2) A substantial proportion of
device-related errors are use errors … Surgical technology and operating-room safety failures: a
systematic review of quantitative studies. … Technologies in the wild (TiW): human factors
implications for patient safety in the cardiovascular operating … room.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-II-SOPS-ASC-DatabaseReport.pdf
December 01, 2021 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2021 User Database Report Part II
Surveys on Patient Safety Culture™ (SOPS®)
Ambulatory Surgery Center Survey:
2021 User Database Report
Part II: Appendix A—Results by Facility Characteristics
Appendix B—Results by Respondent Characteri…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
March 27, 2008 - room and in other clinical areas where invasive procedures take place. … room or ambulatory surgery
suite … room hierarchy. … Of these, two-thirds occurred in settings other
than the operating room. … Such units might not have the experience that
operating room personnel have with systematic patient
-
psnet.ahrq.gov/node/35449/psn-pdf
November 02, 2005 - Tomorrow's operating room to harness Net, RFID.
November 2, 2005
Olsen S. CNET. … https://psnet.ahrq.gov/issue/tomorrows-operating-room-harness-net-rfid
This article describes the "OR … The project uses
advanced technology to provide patient information in the operating room. … https://psnet.ahrq.gov/issue/tomorrows-operating-room-harness-net-rfid
-
psnet.ahrq.gov/node/36067/psn-pdf
September 28, 2010 - Operating room briefings.
September 28, 2010
Makary MA, Holzmueller CG, Sexton B, et al. … Operating room debriefings. Jt Comm J Qual Patient Saf.
2006;32(7):407-410, 357. … https://psnet.ahrq.gov/issue/operating-room-briefings
The authors describe a postoperative debriefing … https://psnet.ahrq.gov/issue/operating-room-briefings
-
psnet.ahrq.gov/issue/enhancing-surgical-team-communication-sops-and-teamstepps-action
August 01, 2012 - room. … room. … February 7, 2024
Psychological safety and hierarchy in operating room debriefing: reflexive … October 26, 2022
How gender shapes interprofessional teamwork in the operating room: … November 17, 2021
View More
See More About The Topic
Operating Room