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psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
August 21, 2024 - Given concerns for preeclampsia and for viability of the fetus, she was taken to the operating room for … She was given blood transfusions and taken back to the operating room out of concern for postpartum hemorrhage … In the operating room, approximately 3 liters of blood were evacuated from the uterus.
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psnet.ahrq.gov/issue/aorn-guidance-statement-safe-medication-practices-perioperative-settings-across-life-span
September 22, 2021 - October 4, 2006
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Operating Room
Nurses
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hcup-us.ahrq.gov/db/nation/nis/NISErrataSheet_091102.pdf
January 01, 1998 - 2793’,
‘1363’, ‘79571’, ‘07951’, ‘07952’, ‘07953’, or ‘V08’ or
• A DRG of 488 “HIV with Extensive Operating … Room Procedure,” 489 “HIV with Major
related condition,” or 490 “HIV with or without Other Related
-
psnet.ahrq.gov/node/40618/psn-pdf
August 27, 2012 - A past AHRQ WebM&M commentary discussed a case of "silence"
when members of the operating room team
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psnet.ahrq.gov/issue/preventing-and-managing-impact-anesthesia-awareness
May 27, 2020 - May 1, 2006
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Operating Room
-
psnet.ahrq.gov/node/38359/psn-pdf
May 27, 2010 - , timeout (immediately before skin incision), and sign out (when the patient is ready to leave the
operating … room).
-
psnet.ahrq.gov/issue/pressing-better-quality-across-healthcare
July 14, 2010 - July 14, 2010
Management of Operating Room Critical Events.
-
psnet.ahrq.gov/node/46196/psn-pdf
October 13, 2018 - -
residents
Multiple studies have linked poor teamwork and communication to adverse events in the operating … room.
-
psnet.ahrq.gov/node/47666/psn-pdf
January 01, 2020 - cohort study, researchers
implemented a handoff protocol designed to improve handoffs between the operating … room and the
intensive care unit (ICU) across two surgical ICUs at two hospitals.
-
psnet.ahrq.gov/node/40601/psn-pdf
September 29, 2017 - analysis-surgical-errors-closed-malpractice-claims-4-liability-insurers
https://psnet.ahrq.gov/issue/communication-failure-operating-room
-
psnet.ahrq.gov/node/47949/psn-pdf
July 10, 2019 - survey-impact-disruptive-behaviors-and-communication-defects-patient-safety
https://psnet.ahrq.gov/issue/communication-failures-operating-room-observational-classification-recurrent-types-and
-
psnet.ahrq.gov/node/37768/psn-pdf
April 27, 2010 - how-will-we-know-patients-are-safer-organization-wide-approach-measuring-and-improving-safety
https://psnet.ahrq.gov/issue/preventable-errors-operating-room-retained-foreign-bodies-after-surgery-part-i
-
psnet.ahrq.gov/issue/your-safer-surgery-survival-guide
November 15, 2024 - August 6, 2008
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Operating Room
Patients
-
psnet.ahrq.gov/node/38585/psn-pdf
April 30, 2014 - link below] lauds the study's efforts and points out that surgical cases
that don't make it into an operating … room must also be included in M&M conferences for the same learning
benefits.
-
psnet.ahrq.gov/node/39566/psn-pdf
January 03, 2017 - perceptions-safety-culture-vary-across-intensive-care-units-single-institution
https://psnet.ahrq.gov/issue/prospective-study-patient-safety-operating-room
-
psnet.ahrq.gov/node/38331/psn-pdf
October 20, 2010 - universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
https://psnet.ahrq.gov/issue/operating-room-briefings-and-wrong-site-surgery
-
www.ahrq.gov/hai/tools/surgery/guide-app-cusp.html
December 01, 2017 - Operating Room Briefing and Debriefing Audit Tool ( Word , 1.57 MB)
This tool helps your safety program
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/7-implementation-guide.docx
June 01, 2023 - Potential locations include:
Outpatient or physician offices
Operating rooms
Preoperative and recovery … Potential locations include:
Outpatient or physician offices
Operating rooms
Preoperative and recovery … Potential locations include:
Outpatient or physician offices
Operating rooms
Preoperative and recovery … Potential locations include:
Outpatient or physician offices
Operating rooms
Preoperative and recovery … Potential locations include:
Outpatient or physician offices
Operating rooms
Preoperative and recovery
-
psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
December 01, 2017 - Certainly, the technical maneuvers in the operating room are important, particularly in a highly complex … I would argue that even more important, and more nuanced, than the technical maneuvers in the operating … room are the decisions about whom to operate on. … room (OR) have been accompanied by an increased awareness that surgical outcomes are often determined … room safety.
-
psnet.ahrq.gov/issue/implementing-human-factors-anaesthesia-guidance-clinicians-departments-and-hospitals
February 15, 2023 - September 15, 2021
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Outpatient Surgery
Operating … Room
Facility and Group Administrators
Quality and Safety Professionals
Anesthesiology