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psnet.ahrq.gov/issue/successful-implementation-unit-based-quality-nurse-reduce-central-line-associated-bloodstream
September 23, 2020 - October 3, 2012
Pilot implementation of a perioperative protocol to guide operating room-to-intensive … 14, 2010
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Intensive Care Units
Operating … Room
Nurse Managers
Quality and Safety Professionals
Critical Care
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psnet.ahrq.gov/issue/racial-disparities-preventable-adverse-events-attributed-poor-care-coordination-reported
January 18, 2023 - February 19, 2020
The nature of reported safety events related to care coordination in the operating … room setting in a tertiary academic center. … March 28, 2012
Operating room to intensive care unit handoffs and the risks of patient
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psnet.ahrq.gov/issue/individual-surgeon-mortality-rates-can-outliers-be-detected-national-utility-analysis
October 27, 2021 - Related Resources
The nature of reported safety events related to care coordination in the operating … room setting in a tertiary academic center. … January 28, 2009
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Operating Room
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psnet.ahrq.gov/issue/insulin-pump-risks-and-benefits-clinical-appraisal-pump-safety-standards-adverse-event
June 03, 2020 - January 12, 2022
Crisis checklists for the operating room: development and pilot testing … September 20, 2011
Durable improvements in efficiency, safety, and satisfaction in the operating … room.
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psnet.ahrq.gov/issue/suboptimal-compliance-surgical-safety-checklists-colorado-prospective-observational-study
May 23, 2018 - February 24, 2011
Improving transfusion safety in the operating room with a barcode scanning … May 1, 2015
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Operating Room
Health
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psnet.ahrq.gov/issue/patient-misidentification-events-veterans-health-administration-comprehensive-review-context
November 24, 2021 - View More
Related Resources
Factors contributing to preventing operating … room "never events": a machine learning analysis. … May 29, 2019
Incorrect surgical procedures within and outside of the operating room.
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psnet.ahrq.gov/issue/comparison-appendectomy-outcomes-between-senior-general-surgeons-and-general-surgery
May 03, 2023 - Impact of team performance on the surgical safety checklist on patient outcomes: an operating … room black box analysis. … January 23, 2017
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Operating Room
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psnet.ahrq.gov/issue/safely-practicing-new-environment-qualitative-study-inform-physician-onboarding-practices
July 02, 2019 - February 7, 2018
Perception of safety of surgical practice among operating room personnel … Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating … room teams.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-slides.html
June 01, 2017 - Consider these business units in your ASC:
Operating room team
Preoperative team
Postoperative … Changes: Introduce short standup meeting for key units (e.g., operating room, preoperative/postoperative
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psnet.ahrq.gov/issue/risk-factors-wrong-site-surgery-study-1166-reports-informed-consent-and-schedule-errors
January 20, 2021 - April 7, 2021
Assessment of incorrect surgical procedures within and outside the operating … room. … July 10, 2008
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Outpatient Surgery
Operating … Room
Surgery
Wrong-Site Surgery
Informed Consent
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psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
February 12, 2020 - February 12, 2020
A handoff protocol from the cardiovascular operating room to cardiac … December 23, 2016
Incorrect surgical procedures within and outside of the operating room
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psnet.ahrq.gov/issue/improving-communication-and-response-clinical-deterioration-increase-patient-safety-intensive
December 09, 2020 - February 2, 2022
Standardization of pediatric noncardiac operating room to intensive … September 14, 2022
Systematic review and meta-analysis of interventions for operating … room to intensive care unit handoffs.
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digital.ahrq.gov/medical-condition/renal-kidney-disease
January 01, 2024 - A factored generalized additive model for clinical decision support in the operating room. … A factored generalized additive model for clinical decision support in the operating room.
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/index-clinical-topics.html
April 01, 2025 - Operating Room Traffic This section discusses the importance of minimizing operating room traffic to
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psnet.ahrq.gov/issue/medication-related-interventions-delivered-both-hospital-and-following-discharge-systematic
August 26, 2020 - Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating … room. … July 22, 2020
Systematic review and meta-analysis of interventions for operating room
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psnet.ahrq.gov/issue/code-debriefing-department-veterans-affairs-va-medical-team-training-program-improves
August 18, 2010 - July 16, 2015
Assessment of incorrect surgical procedures within and outside the operating … room. … July 5, 2013
Incorrect surgical procedures within and outside of the operating room:
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psnet.ahrq.gov/issue/chief-resident-indirect-supervision-training-safety-study-chief-resident-general-surgery
December 16, 2011 - "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating … room. … February 14, 2017
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Operating Room
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psnet.ahrq.gov/issue/association-overlapping-surgery-increased-risk-complications-following-hip-surgery
November 21, 2021 - August 17, 2018
Evaluating the effect of distractions in the operating room on clinical … June 21, 2006
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Operating Room
Health
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psnet.ahrq.gov/issue/adverse-event-and-complication-tracking-anaesthesiology-dependence-self-reporting-despite
March 17, 2021 - January 25, 2022
The nature of reported safety events related to care coordination in the operating … room setting in a tertiary academic center. … November 11, 2009
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Operating Room
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psnet.ahrq.gov/issue/underlying-reasons-associated-hospital-readmission-following-surgery-united-states
May 06, 2020 - March 22, 2011
Equipment-related incidents in the operating room: an analysis of occurrence … January 15, 2009
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Operating Room