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psnet.ahrq.gov/issue/surgeons-dont-know-what-they-dont-know-about-safe-use-energy-surgery
April 05, 2017 - room safety. … March 23, 2016
Practice advisory for the prevention and management of operating room … rooms. … room. … Room
Physicians
Quality and Safety Professionals
Surgery
Intraoperative Complications
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www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-slides.html
December 01, 2017 - Slide 29: Briefings in the Operating Room
Before surgeon leaves the operating room–
How could … Impact of pre-operative briefings on operating room delays: A preliminary report. … Photograph of operating room team debriefing after case. … Image: Photographs of operating room team debriefing after case. … Carts and operating rooms not well stocked.
Housekeeping not available to turn over room.
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psnet.ahrq.gov/issue/patient-safety-surgery-non-technical-aspects-safe-surgical-performance
June 12, 2008 - room. … May 29, 2014
Team communication during patient handover from the operating room: more … January 22, 2014
Towards a model of surgeons' leadership in the operating room. … July 21, 2011
Human factors in surgery: from Three Mile Island to the operating room. … April 28, 2010
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Operating Room
Health
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
December 01, 2017 - room
Collect data on participation in operating room briefings and debriefings
Provide feedback to operating … Operating rooms are grouped around a clean core used for sterile supply storage. … The operating room nurse takes this form to the operating room and uses the second side for the debriefing … room clerical staff enters debriefing comments into a spreadsheet
Operating room charge nurse reviews … operating room management of any urgent safety matters
Weekly
Operating room charge nurse and operating
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psnet.ahrq.gov/node/45918/psn-pdf
May 24, 2017 - reviews how hospitals have applied design thinking to develop new processes to enhance safety in
operating … rooms. … psnet.ahrq.gov/issue/applying-human-centered-design-thinking-enhance-safety-or
https://psnet.ahrq.gov/issue/operating-room-icu-patient-handovers-multidisciplinary-human-centered-design-approach … https://psnet.ahrq.gov/issue/innovation-safety-and-safety-innovation
https://psnet.ahrq.gov/issue/operating-room-hazards-and-approaches-improve-patient-safety
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psnet.ahrq.gov/issue/barbers-civility
October 07, 2015 - room. … room? … January 22, 2014
Operating room teamwork among physicians and nurses: teamwork in the … room team. … September 16, 2009
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Operating Room
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psnet.ahrq.gov/issue/use-personal-electronic-devices-nurse-anesthetists-and-effects-patient-safety
June 16, 2021 - room. … February 26, 2025
Fire safety in the operating room. … March 20, 2024
Surgeons' leadership style and team behavior in the hybrid operating room … May 31, 2023
Distractions in the operating room: a survey of the healthcare team. … December 22, 2010
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Operating Room
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psnet.ahrq.gov/issue/observational-teamwork-assessment-surgery-feasibility-clinical-and-nonclinical-assessor
January 19, 2016 - room using a standardized observational tool. … room? … room. … room team conflict. … October 15, 2008
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Operating Room
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psnet.ahrq.gov/issue/use-briefings-and-debriefings-tool-improving-team-work-efficiency-and-communication-operating
September 07, 2011 - room. … August 25, 2011
Operating room teamwork among physicians and nurses: teamwork in the … November 18, 2009
Teamwork in the operating room: frontline perspectives among hospitals … and operating room personnel. … May 3, 2006
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Operating Room
Health
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psnet.ahrq.gov/node/866347/psn-pdf
July 24, 2024 - Clinical decision support as a prevention tool for
medication errors in the operating room: a retrospective … Clinical decision support as a prevention tool for medication errors in
the operating room: a retrospective … https://psnet.ahrq.gov/issue/clinical-decision-support-prevention-tool-medication-errors-operating-room … This study evaluated self-reported medication errors in the operating room to establish if CDS
could … https://psnet.ahrq.gov/issue/clinical-decision-support-prevention-tool-medication-errors-operating-room-retrospective
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psnet.ahrq.gov/issue/discovering-healthcare-cognition-use-cognitive-artifacts-reveal-cognitive-work
October 10, 2010 - The authors studied the use of cognitive artifacts (eg, schedules) in the operating room in order to … June 16, 2011
Operating room teamwork among physicians and nurses: teamwork in the eye … September 27, 2010
Teamwork in the operating room: frontline perspectives among hospitals … and operating room personnel. … May 1, 2006
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Operating Room
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psnet.ahrq.gov/node/867092/psn-pdf
November 06, 2024 - Surgical intraoperative handoff initiative: standardizing
operating room communication using SHRIMPS … Surgical intraoperative handoff initiative: standardizing
operating room communication using SHRIMPS … https://psnet.ahrq.gov/issue/surgical-intraoperative-handoff-initiative-standardizing-operating-room- … This article describes the
development and implementation of an operating room handoff report called … https://psnet.ahrq.gov/issue/surgical-intraoperative-handoff-initiative-standardizing-operating-room-communication-using
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psnet.ahrq.gov/issue/surgical-team-training-promoting-high-reliability-nontechnical-skills
May 01, 2019 - January 22, 2016
High-fidelity, simulation-based, interdisciplinary operating room team … September 5, 2009
From the flight deck to the operating room: an initial pilot study … May 20, 2009
Attitudinal changes resulting from repetitive training of operating room … December 22, 2018
Does teamwork improve performance in the operating room? … September 16, 2009
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Operating Room
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psnet.ahrq.gov/issue/anesthesia-workspaces-safe-medication-practices-design-guidelines
November 29, 2017 - November 29, 2017
Improving safety in the operating room: medication icon labels increase … June 16, 2021
Patient safety in the cardiac operating room: human factors and teamwork … June 10, 2020
Medication safety in the operating room: literature and expert-based recommendations … November 23, 2024
Safety and Human Performance in the Operating Room and Other Extreme … September 21, 2022
Distraction in the operating room: a narrative review of environmental
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psnet.ahrq.gov/node/847051/psn-pdf
April 05, 2023 - Distractions in the operating room: a survey of the
healthcare team. … Distractions in the operating room: a survey of the healthcare
team. … https://psnet.ahrq.gov/issue/distractions-operating-room-survey-healthcare-team
Distractions in the … operating room can contribute to errors. … /issue/are-operating-room-distractions-interruptions-and-disruptions-associated-performance-and
https
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psnet.ahrq.gov/node/61111/psn-pdf
January 01, 2021 - Absence or presence: silent discourse in the operating
room and impact on surgical team action. … Absence or presence: silent discourse in the operating room and
impact on surgical team action. … https://psnet.ahrq.gov/issue/absence-or-presence-silent-discourse-operating-room-and-impact-surgical- … team-action
Silence in the operating room (OR) can have implications on surgical team function and … /associations-workflow-disruptions-operating-room-surgical-outcomes-systematic-review-and
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psnet.ahrq.gov/node/49719/psn-pdf
September 01, 2014 - Reviewing the case revealed that certain safety checks that are routine in the operating room (OR) do … rooms. … room and
core operating room settings. … Risk and safety of anesthesia outside the
operating room. Minerva Anestesiol. 2009;75:345-348. … Implementing checklists in the operating room. Paediatr
Anaesth. 2012;22:1025-1031.
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psnet.ahrq.gov/issue/incidence-nature-and-impact-error-surgery
December 16, 2020 - and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating … rooms. … May 17, 2012
Equipment-related incidents in the operating room: an analysis of occurrence … January 4, 2010
Bridging the communication gap in the operating room with medical team … January 15, 2009
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Operating Room
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psnet.ahrq.gov/node/36703/psn-pdf
March 28, 2011 - Assessing system failures in operating rooms and
intensive care units. … Assessing system failures in operating rooms and intensive care
units. … https://psnet.ahrq.gov/issue/assessing-system-failures-operating-rooms-and-intensive-care-units
The … room to help organizations gain insight into system failures in those high-risk environments. … https://psnet.ahrq.gov/issue/assessing-system-failures-operating-rooms-and-intensive-care-units
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psnet.ahrq.gov/issue/getting-teams-talk-development-and-pilot-implementation-checklist-promote-interprofessional
April 06, 2011 - The authors observed operating room teams using a checklist to promote team discussion prior to surgery … June 8, 2011
Silence, power and communication in the operating room. … December 22, 2010
Operating room briefings and wrong-site surgery. … May 27, 2010
Preoperative briefing in the operating room: shared cognition, teamwork, … January 13, 2010
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Operating Room