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psnet.ahrq.gov/issue/effective-approaches-control-non-actionable-alarms-and-alarm-fatigue
January 15, 2025 - September 28, 2016
Distractions in the operating room.
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www.ahrq.gov/sites/default/files/2024-02/herwaldt-report.pdf
January 01, 2024 - room because
the patients’ arms were covered with sterile drapes. … IS staff created a specific online function
(available only to staff in the operating room [OR]), called … room before the start of the procedure. … room often need to give multiple units of blood in a very short period of
time. … Blood bank personnel or transfusionists in the operating room can then complete
the scans for each product
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psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
August 01, 2006 - who recommended that further attempts to remove the catheter be done under general anesthesia in the operating … room (OR) in hopes that anesthesia would relax the back muscles. … room teams. … room and postanesthesia care unit. … Room
Health Care Providers
Risk Managers
Quality and Safety Professionals
Anesthesiology
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psnet.ahrq.gov/web-mm/saved-ecmo
May 05, 2017 - collapse, a plan for initiating VA-ECMO should have been in place prior to the patient’s arrival to the operating … room. … Having both the personnel and equipment available in the operating room can save valuable time and improve … the procedure and potential complications should be discussed prior to the patient’s arrival in the operating … room.
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hcup-us.ahrq.gov/toolssoftware/surgeryflags_svcproc/SF-SvcProc-User-Guide-v2025-1.pdf
June 01, 2025 - room (i.e., is it a major
procedure)? … room, it is an invasive procedure … room under local anesthesia, it is not an invasive
percutaneous procedure. … room. … room procedures.
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psnet.ahrq.gov/node/42692/psn-pdf
April 21, 2015 - https://psnet.ahrq.gov/issue/national-surgical-quality-improvement-program
https://psnet.ahrq.gov/issue/operating-room-teamwork-among-physicians-and-nurses-teamwork-eye-beholder
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psnet.ahrq.gov/node/39210/psn-pdf
January 12, 2010 - In
this study, operating room (OR) personnel at two hospitals participated in a one-day, aviation-based
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psnet.ahrq.gov/node/39813/psn-pdf
October 11, 2010 - /psnet.ahrq.gov/primer/teamwork-training
https://psnet.ahrq.gov/issue/impact-preoperative-briefings-operating-room-delays
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psnet.ahrq.gov/node/39802/psn-pdf
November 16, 2010 - sharing,
the proverbial water cooler conversation, takes place in a staff lounge, a storeroom, and an operating … room
corridor.
-
psnet.ahrq.gov/node/37453/psn-pdf
March 03, 2011 - managing-prevention-retained-surgical-instruments-what-value-counting
https://psnet.ahrq.gov/issue/preventable-errors-operating-room-retained-foreign-bodies-after-surgery-part-i
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psnet.ahrq.gov/node/43128/psn-pdf
August 25, 2015 - comprehensive approach to identifying safety hazards in a specific clinical
environment, the cardiac surgery operating … room, which jointly involved experts in organizational science,
human factors, and clinical medicine
-
psnet.ahrq.gov/node/37396/psn-pdf
March 28, 2012 - frontline-assessments-healthcare-culture-safety-attitudes-questionnaire-norms-and
https://psnet.ahrq.gov/issue/prospective-study-patient-safety-operating-room
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-b.html
May 01, 2017 - Coaching checklist use in the operating room.
Having one-on-one conversations with peers.
-
www.ahrq.gov/hai/tools/mrsa-prevention/surgery/prevention-phases.html
April 01, 2025 - Antimicrobial Prophylaxis Optimizing Environmental Cleaning Glycemic Control Hand Hygiene Normothermia Operating … Room Traffic Skin Preparation Prior to Incision Supplemental Oxygen Post-Op Phase Antimicrobial Prophylaxis
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psnet.ahrq.gov/node/35875/psn-pdf
May 21, 2013 - wrong-site-wrong-procedure-and-wrong-patient-surgery
https://psnet.ahrq.gov/glossary-0#glossary-heading-term-73842
https://psnet.ahrq.gov/issue/operating-room-briefings-and-wrong-site-surgery
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psnet.ahrq.gov/issue/impact-declining-clinical-autopsy-need-revised-healthcare-policy
February 14, 2018 - April 27, 2010
Video technology to advance safety in the operating room and perioperative
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psnet.ahrq.gov/issue/suffering-silence-medical-error-and-its-impact-health-care-providers
December 12, 2014 - February 23, 2022
Effect of noise on auditory processing in the operating room.
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psnet.ahrq.gov/issue/anatomy-health-care-team-training-and-state-practice-critical-review
March 21, 2017 - Related Resources From the Same Author(s)
Does teamwork improve performance in the operating … room?
-
psnet.ahrq.gov/issue/smartphones-let-surgeons-know-whatsapp-analysis-communication-emergency-surgical-teams
April 06, 2015 - January 27, 2012
Factors compromising safety in surgery: stressful events in the operating … room.
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psnet.ahrq.gov/issue/introduction-surgical-safety-checklist-tertiary-referral-obstetric-centre
October 04, 2023 - May 21, 2019
Implementing standardized operating room briefings and debriefings at a