-
www.ahrq.gov/hai/tools/surgery/modules/sustainability/deep-root-data-slides.html
December 01, 2017 - Avoid flashing of instruments in operating room.
Maintenance of perioperative glycemia. … Throughput as a distraction:
Operating room delays.
Competing priorities.
-
psnet.ahrq.gov/issue/implementing-robust-process-improvement-program-neonatal-intensive-care-unit-reduce-harm
March 23, 2022 - December 15, 2021
Standardization of pediatric noncardiac operating room to intensive … November 16, 2022
A handoff protocol from the cardiovascular operating room to cardiac
-
psnet.ahrq.gov/issue/readiness-us-general-surgery-residents-independent-practice
April 24, 2018 - "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating … room. … February 14, 2017
View More
See More About The Topic
Operating Room
-
psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysis-system-action
June 22, 2022 - August 21, 2019
Assessment of incorrect surgical procedures within and outside the operating … room. … September 19, 2016
Incorrect surgical procedures within and outside of the operating … room.
-
psnet.ahrq.gov/issue/handoffs-and-transitions-care-systematic-review-meta-analysis-and-practice-management
September 23, 2020 - Related Resources
Analyzing and mitigating the risks of patient harm during operating … room to intensive care unit patient handoffs. … See More About The Topic
Hospitals
Intensive Care Units
Emergency Departments
Operating … Room
Critical Care
View More
-
psnet.ahrq.gov/issue/descriptive-study-morbidity-and-mortality-conferences-and-their-conformity-medical-incident
September 28, 2010 - RIS
Download Citation
Related Resources From the Same Author(s)
Operating … room briefings. … September 28, 2010
Operating room briefings: working on the same page.
-
psnet.ahrq.gov/node/33583/psn-pdf
March 01, 2023 - designed to
replicate the variety of clinical spaces learners work in such as ambulatory offices, operating … rooms,
and emergency rooms, as well as equipment they work with such as ultrasound machines, task … While the room may not emulate an
operating room or emergency room, part- and full-scale simulators … room or intensive care unit. … room, and obstetrics units.
-
psnet.ahrq.gov/node/37283/psn-pdf
December 23, 2011 - issue/medication-safety-just-label-away
This article reports on a project in a community hospital's operating … room to use preprinted medication
labels in the perioperative setting.
-
psnet.ahrq.gov/node/38111/psn-pdf
January 15, 2009 - learning-adverse-events-and-near-misses
This commentary explains how identifying latent conditions and system vulnerabilities in the operating … room
can help prevent future errors.
-
psnet.ahrq.gov/node/40833/psn-pdf
October 05, 2011 - By submitting to observation in the operating room, the
author—a surgeon—examines how coaching might
-
psnet.ahrq.gov/issue/use-and-implementation-standard-operating-procedures-and-checklists-prehospital-emergency
August 28, 2024 - August 28, 2024
Distraction in the operating room: a narrative review of environmental
-
psnet.ahrq.gov/issue/combining-systems-and-teamwork-approaches-enhance-effectiveness-safety-improvement
January 20, 2015 - May 3, 2006
View More
See More About The Topic
Operating Room
Health
-
psnet.ahrq.gov/node/38991/psn-pdf
September 30, 2009 - why-dont-doctors-wash-their-hands-more
The author uses personal experience to explain how sterile technique is strict in the operating … room.
-
psnet.ahrq.gov/node/40510/psn-pdf
June 08, 2011 - nurses implicated communication breakdowns within teams as the primary culprit in near
misses in the operating … room.
-
psnet.ahrq.gov/node/37821/psn-pdf
June 11, 2008 - full-work-analysis-resident-work-hours
A time-motion study of surgical residents found that improving operating … room efficiency could increase the
time available for educational activities.
-
psnet.ahrq.gov/node/41469/psn-pdf
October 19, 2012 - deconstructing-intraoperative-communication-failures
https://psnet.ahrq.gov/issue/prospective-study-patient-safety-operating-room
-
psnet.ahrq.gov/node/37967/psn-pdf
August 27, 2009 - life-after-death-aftermath-perioperative-catastrophes
This review addresses how patient death in the operating … room affects anesthesiologists and examines
strategies for how clinicians and facilities can proceed
-
psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - Due to limited operating room availability, his hip operation on hospital day 24 began at 16:00 and concluded … This patient should have been transferred directly to an intensive care unit from the operating room, … room or PACU. … room: results from the National Anesthesia Clinical Outcomes Registry. … Room
Health Care Providers
Surgery
Orthopedic Surgery
Surgical Complications
View
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle_facnotes.docx
December 01, 2017 - room. … Many hospitals have observers in the operating room. … For example, find the number of patients who come out of the operating room normothermic: YES for patients … operating room traffic, and SSIs. … In fact, the same form was used in all operating rooms.
-
www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-fac-notes.html
October 01, 2020 - room. … Many hospitals have observers in the operating room. … For example, find the number of patients who come out of the operating room normothermic: YES for patients … operating room traffic, and SSIs. … In fact, the same form was used in all operating rooms.