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psnet.ahrq.gov/node/44851/psn-pdf
March 16, 2016 - finding-antecedents-psychological-safety-step-toward-quality-improvement
https://psnet.ahrq.gov/issue/residents-reluctance-challenge-negative-hierarchy-operating-room-qualitative-study
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psnet.ahrq.gov/node/60152/psn-pdf
March 25, 2020 - errors-during-resuscitation-impact-perceived-authority-delivery-care
https://psnet.ahrq.gov/issue/residents-reluctance-challenge-negative-hierarchy-operating-room-qualitative-study
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psnet.ahrq.gov/node/853773/psn-pdf
September 27, 2023 - Procedures performed outside the operating room
are not included, so the nationwide count of these errors … Qualitative analysis of effective teamwork in the operating
room (OR). … An
observational study of social interactions in the operating rooms of a tertiary hospital. … Assessment of incorrect surgical procedures within and outside
the operating room: a follow-up study
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psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
March 31, 2021 - room. … Serial trips to the operating room for exploration and debridement are standard; only rarely is a true … room that may be required. … : Fluid administration errors in the operating room. … Room
Physicians
Emergency Medicine
Surgery
View More
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psnet.ahrq.gov/primer/teamwork-training
September 15, 2024 - A classic study that compared perceptions of teamwork between operating room personnel and flight crews … been successfully implemented in a variety of clinical settings, including intensive care units and operating … rooms . … have been implemented in a wide variety of clinical environments, including the emergency department, operating … rooms, obstetrics units , and outpatient primary care clinics.
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psnet.ahrq.gov/node/836978/psn-pdf
May 16, 2022 - She was
scheduled for urgent laparoscopic left salpingectomy in the main operating room (OR). … department, to adjacent units (e.g., radiology), and within the
hospital (e.g., inpatient units, the operating … room, etc.) creates an environment prone to error. … Patient Identification in the Operating Room
The OR utilizes its own specialized workflows to ensure … Room
UC Davis Health
Acknowledgement: The authors would like to thank Sarina Fazio and the Center
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psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
July 02, 2011 - Neuromonitoring was included on the booking slip, and the neurosurgery resident called the Operating … Room (OR) front desk to confirm. … Direct communication between the attending surgeon and the operating room staff may have informed the … Room
April 27, 2022
WebM&M Cases
Delayed Diagnosis … Room
Health Care Providers
Physicians
Neurosurgery
Surgical Complications
View More
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/114-fvc-aspects-steps-one-pager.docx
April 01, 2025 - Randomly select two rooms in either the preoperative area, the post-anesthesia care unit (PACU), or the operating … room (OR) and three HTS within those rooms.
· Two rooms or bays per area and three HTS per room are
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/ssi_investigation.docx
January 01, 2017 - You should also share investigation results monthly or quarterly with your frontline staff and operating … room leadership (if they are not already part of your CUSP team) to raise awareness of ongoing quality … Final temperature in the operating room:
d.
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/ssi-investigation.html
December 01, 2017 - You should also share investigation results monthly or quarterly with your frontline staff and operating … room leadership (if they are not already part of your CUSP team) to raise awareness of ongoing quality …
At or just prior to time of incision:
Final temperature in the operating … room:
Arrival to recovery area:
Did you find practice variability?
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psnet.ahrq.gov/node/36900/psn-pdf
April 18, 2011 - system failure was
significantly higher when one anesthesiologist was required to cover more than two operating … rooms and
was also increased when multiple lengthy operations took place simultaneously.
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psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
January 01, 2009 - Based on the report, she took the patient to the operating room for treatment of a presumed recurrent … In the operating room, the gynecologist had difficulty finding the abscess. … She stopped the surgery and looked at the CT scan images on a computer in the operating room. … One of the advantages of PACS is that it has made images available throughout the hospital and in the operating … room (OR).
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psnet.ahrq.gov/node/73321/psn-pdf
May 26, 2021 - This
qualitative study with medical and non-medical operating room staff at five hospitals in the United
-
psnet.ahrq.gov/node/851189/psn-pdf
July 05, 2023 - psnet.ahrq.gov/primer/handoffs-and-signouts
https://psnet.ahrq.gov/issue/developing-standard-handoff-process-operating-room-icu-transitions-multidisciplinary
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psnet.ahrq.gov/node/837512/psn-pdf
January 01, 2024 - team-cognition-handoffs-relating-system-factors-team-cognition-functions-and-outcomes-two
https://psnet.ahrq.gov/issue/operating-room-intensive-care-unit-handoffs-and-risks-patient-harm
-
psnet.ahrq.gov/node/38100/psn-pdf
July 02, 2009 - Though suboptimal teamwork is a recognized problem in the operating room, this study is one of the
first
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psnet.ahrq.gov/node/74111/psn-pdf
November 24, 2021 - included studies often noted that checklist users felt the checklist
slowed down processes within the operating … room
https://psnet.ahrq.gov/issue/impact-who-surgical-safety-checklist-relative-its-design-and-intended-use-systematic-review
-
psnet.ahrq.gov/node/44713/psn-pdf
January 20, 2016 - Although limited by a low
response rate, these results raise concern about safety culture in the operating … room.
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psnet.ahrq.gov/node/40355/psn-pdf
July 09, 2012 - silence-kills-seven-crucial-conversations-healthcare
https://psnet.ahrq.gov/issue/communication-failure-operating-room
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psnet.ahrq.gov/node/47886/psn-pdf
April 24, 2019 - They found a significant association between exposure to EHR downtime and increased time in the
operating … room as well as longer postoperative length of stay.