-
psnet.ahrq.gov/node/41541/psn-pdf
September 26, 2012 - failures-communication-and-information-transfer-across-surgical-care-pathway-interview-study
https://psnet.ahrq.gov/issue/communication-failure-operating-room
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psnet.ahrq.gov/node/73429/psn-pdf
June 23, 2021 - wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settings
https://psnet.ahrq.gov/issue/assessment-incorrect-surgical-procedures-within-and-outside-operating-room-follow-study-us
-
psnet.ahrq.gov/node/45251/psn-pdf
August 24, 2016 - /psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
-
psnet.ahrq.gov/node/45082/psn-pdf
April 27, 2016 - surgeons-must-tell-patients-double-booked-surgeries-new-guidelines-say
Although scheduling overlapping surgeries may improve operating … room efficiency, the practice can
diminish patient safety.
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psnet.ahrq.gov/node/854252/psn-pdf
October 04, 2023 - Study, Act project of developing
and implementing a white board time out checklist to encourage all operating … room personnel to participate.
-
psnet.ahrq.gov/node/43753/psn-pdf
December 10, 2014 - focus-society-cardiovascular-anesthesiologists-initiative-improve-quality-and-safety
https://psnet.ahrq.gov/issue/patient-safety-cardiac-operating-room-human-factors-and-teamwork-scientific-statement
-
psnet.ahrq.gov/node/45756/psn-pdf
December 21, 2016 - This
newsletter article reviews factors that contribute to these incidents in the operating room, such
-
psnet.ahrq.gov/node/864352/psn-pdf
March 13, 2024 - hierarchy-and-medical-error-speaking-when-witnessing-error
https://psnet.ahrq.gov/web-mm/good-catch-operating-room
-
psnet.ahrq.gov/node/41534/psn-pdf
July 25, 2012 - protecting-patients-unsafe-system-etiology-and-recovery-intraoperative-deviations-care
https://psnet.ahrq.gov/issue/communication-failure-operating-room
-
psnet.ahrq.gov/node/46326/psn-pdf
October 18, 2017 - of safe surgical practice, a collection of case studies that illustrate technical
challenges in the operating … room, and insights regarding other elements of health care that can affect the
safety of surgical care
-
psnet.ahrq.gov/node/42920/psn-pdf
February 05, 2014 - how-well-do-we-communicate-comparison-intraoperative-diagnoses-listed-pathology-reports-and
https://psnet.ahrq.gov/issue/communication-failure-operating-room
-
psnet.ahrq.gov/node/45019/psn-pdf
April 27, 2016 - tool and associated time out have reduced
some adverse events and helped to manage hierarchy in the operating … room.
-
psnet.ahrq.gov/node/44862/psn-pdf
March 16, 2016 - https://psnet.ahrq.gov/primer/high-reliability
https://psnet.ahrq.gov/issue/patient-safety-cardiac-operating-room-human-factors-and-teamwork-scientific-statement
-
psnet.ahrq.gov/node/44787/psn-pdf
January 20, 2016 - overrides-medication-related-clinical-decision-support-alerts-outpatients
https://psnet.ahrq.gov/issue/wolf-crying-operating-room-patient-monitor-and-anesthesia-workstation-alarming-patterns
-
psnet.ahrq.gov/node/46854/psn-pdf
June 20, 2018 - A WebM&M commentary discussed
common sources of operating room fires and how to reduce risks.
-
psnet.ahrq.gov/node/60020/psn-pdf
March 04, 2020 - enhancing-surgical-performance-primer-non-technical-skills
https://psnet.ahrq.gov/issue/surgeons-non-technical-skills-operating-room-reliability-testing-notss-behavior-rating-system
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-a.docx
January 01, 2016 - anesthesia technicians, nurses, scrub technicians, gastroenterologists, and all others who work in the operating … room or procedural areas of your facility.
-
psnet.ahrq.gov/node/41715/psn-pdf
October 03, 2017 - unaccountable-what-hospitals-wont-tell-you-and-how-transparency-can-revolutionize-health-care
https://psnet.ahrq.gov/issue/operating-room-teamwork-among-physicians-and-nurses-teamwork-eye-beholder
-
psnet.ahrq.gov/node/49664/psn-pdf
January 01, 2013 - Due to workload, the nurse did not
accompany the patient during transport to the operating room (OR) … option as to ask the transportation
assistant to pass on one bit of vital patient information to the operating … room team. … Pilot implementation of a perioperative protocol to
guide operating room-to-intensive care unit patient
-
psnet.ahrq.gov/issue/quest-safe-surgical-care-are-we-missing-obvious
September 12, 2018 - May 1, 2006
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Operating Room