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psnet.ahrq.gov/node/46732/psn-pdf
June 07, 2018 - fires-during-surgeries-bigger-risk-thought
https://psnet.ahrq.gov/issue/fundamental-use-surgical-energy-fuse-essential-educational-program-operating-room-safety
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psnet.ahrq.gov/node/47587/psn-pdf
February 13, 2019 - snowball-blizzard-physicians-notes-uncertainty-medicine
https://psnet.ahrq.gov/issue/resident-hesitation-operating-room-does-uncertainty-equal-incompetence
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psnet.ahrq.gov/node/854384/psn-pdf
January 01, 2024 - case-report-medication-error-look-alike-packaging-classic-surrogate-marker-unsafe-system
https://psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
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psnet.ahrq.gov/node/861765/psn-pdf
January 31, 2024 - learning-overcome-hierarchical-pressures-achieve-safer-patient-care-interprofessional
https://psnet.ahrq.gov/issue/residents-reluctance-challenge-negative-hierarchy-operating-room-qualitative-study
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psnet.ahrq.gov/node/38270/psn-pdf
December 01, 2010 - psnet.ahrq.gov/issue/ismp-and-fda-campaign-eliminate-use-error-prone-abbreviations
https://psnet.ahrq.gov/issue/operating-room-briefings-and-wrong-site-surgery
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www.ahrq.gov/research/findings/final-reports/stpra/stpraexh4.html
April 01, 2018 - Note : ASC = ambulatory surgery center; OR = operating room; PACU = pediatric acute care unit; pre-op
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psnet.ahrq.gov/node/35565/psn-pdf
June 16, 2011 - error-stress-and-teamwork-medicine-and-aviation-cross-sectional-surveys
This study describes self-reported perceptions of teamwork among operating … room and intensive care unit
staff as well as those of an airline cockpit crew.
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psnet.ahrq.gov/node/73153/psn-pdf
April 28, 2021 - Design a set of “best practices” in the operating room and postoperative care units to minimize the … In the nursing
intraoperative record, the operating room (OR) nurse documented the surgical counts as … room and the
PACU. … The radiopaque packing would be first documented by the nurse circulator in the operating room
(primary … Orifice packing is considered a dressing, so it is not a counted item in the operating room and it is
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psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
January 29, 2021 - Production pressure in the operating room should never lead clinicians to deliver suboptimal care to … room table. … Room – Mixing Up the Ampules
January 29, 2021
WebM&M Cases … : Fluid administration errors in the operating room. … Surgery
Operating Room
Anesthesiology
Anesthesia Nursing
Administration Errors
View
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psnet.ahrq.gov/issue/laparoscopic-bile-duct-injury-understanding-psychology-and-heuristics-error
May 29, 2014 - Competence
March 1, 2006
View More
See More About The Topic
Operating … Room
Physicians
Organizational Behaviorists
General Surgery
Intraoperative Complications
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psnet.ahrq.gov/issue/aorn-guidance-statement-creating-patient-safety-culture
March 14, 2018 - February 13, 2008
View More
See More About The Topic
Operating Room
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psnet.ahrq.gov/issue/disclosure-unanticipated-outcomes-care-and-medical-errors-what-does-mean-anesthesiologists
August 21, 2024 - February 11, 2009
View More
See More About The Topic
Operating Room
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psnet.ahrq.gov/issue/medication-errors-anaesthesia-and-critical-care
January 18, 2011 - May 22, 2019
Infection prevention in the operating room anesthesia work area.
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psnet.ahrq.gov/issue/anesthesiologist-group-says-hospitals-can-prevent-fatal-errors-vanderbilts
June 01, 2022 - View More
Related Resources
Safety and Human Performance in the Operating … Room and Other Extreme Environments.
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psnet.ahrq.gov/issue/patient-safety-anesthetic-practice
June 15, 2011 - December 23, 2020
Management of Operating Room Critical Events.
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psnet.ahrq.gov/perspective/physical-environment-often-unconsidered-patient-safety-tool
November 21, 2018 - November 15, 2023
Improving safety in the operating room: medication icon labels increase … Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating … room. … April 3, 2019
Safety, performance, and satisfaction outcomes in the operating room: a
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdf
January 01, 2003 - room has focused historically
on the numerous supportive functions involving devices, medications, … Cadaver dissection may be performed, but
most training is conducted in the operating room under the … room (OR) environment is kept as risk-
free as possible. … ESS techniques on
cadaver heads prior to their initial operating room experience, none of the
institutions … Virtual
reality training improves operating room performance:
results of a randomized, double-blinded
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/vGpPzqpTfEzP42Woby59Ds
Microsoft Word - 5As_selfmanagement.doc
© 2002 Glasgow et al, Whitlock et al
5 A’s Behavior Change Model
Adapted for Self-Management Support Improvement
Improvement Goal: All chronic illness patients will have a Self-Management (SM) Action
Plan informed by and including all the 5 A’s elements (Assess, …
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psnet.ahrq.gov/node/45146/psn-pdf
July 18, 2016 - This commentary describes how utilizing videos in operating rooms can
enhance patient safety and clinician
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psnet.ahrq.gov/node/49504/psn-pdf
March 01, 2006 - He was taken to the operating room, where he was
found to have a laceration of the external jugular … Operating Room Environment
Is the operating room distinct and separate?