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Showing results for "operating room".

  1. Assisting beginners in root cause analysis operations: analysis and recommendations regarding the spread of COVID-19 in nursing facilities for the elderly. | PSNet

    psnet.ahrq.gov/issue/assisting-beginners-root-cause-analysis-operations-analysis-and-recommendations-regarding
    June 08, 2022 - Commentary Assisting beginners in root cause analysis operations: analysis and recommendations regarding the spread of COVID-19 in nursing facilities for the elderly. Citation Text: Tsuchiya H. Assisting beginners in root cause analysis operations: analysis and recommendations regarding …

  2. The University of Michigan Emergency Critical Care Center (EC3) Provides Timely Intensive Care to Critically Ill Patients in the Emergency Department | PSNet

    psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-intensive-care
    October 30, 2024 - The University of Michigan Emergency Critical Care Center (EC3) Provides Timely Intensive Care to Critically Ill Patients in the Emergency Department Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  3. In Conversation With… Matthew Weinger, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
    August 01, 2018 - surgeons to practice on the actual patient anatomy and physiology before they do it on that patient in the operating … room. … In studying high-risk areas of the operating room, intensive care unit, emergency department, and the

  4. Creating a just culture in the perioperative setting. | PSNet

    psnet.ahrq.gov/issue/creating-just-culture-perioperative-setting
    July 13, 2009 - and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating … rooms.

  5. Patient safety assurance in the age of defensive medicine: a review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-assurance-age-defensive-medicine-review
    March 09, 2022 - and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating … rooms.

  6. PSO Quiz--Answer Sheet (pdf file)

    pso.ahrq.gov/sites/default/files/quiz/pso-quiz-answer-sheet.pdf
    January 01, 2020 - Question 11 of 12 An operating room nurse observes a mistake by a physician during an operation that

  7. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery | PSNet

    psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
    September 27, 2023 - This huddle includes at least one provider from obstetrics, anesthesia, nursing, and the operating room … Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating … Room April 27, 2022 WebM&M Cases Two Cases … Too Long November 1, 2003 View More See More About The Topic Operating … Room Labor and Delivery Health Care Providers Anesthesiology Obstetrics View More

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49415/psn-pdf
    September 01, 2003 - patient safety research in San Diego, CA, communication failures contributed to 16% (20 of 98) of operating … room events reported by the primary clinicians when directly queried by a researcher (nearly 90% were … , unpublished work), communication or coordination issues played a role in about 11% of 118 actual operating … room events captured during more than 700 hours of direct observation and videotaping. … room, may find her skills lacking when trying to manage a difficult airway in a remote location with

  9. Misconnection Leading to Arterial Thrombosis | PSNet

    psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
    January 29, 2021 - especially in high-stake environments such as the critical care unit, the emergency department and the operating … room. … ) WebM&M Cases Unintentional Ketamine Overdose in the Operating … Room – Mixing Up the Ampules January 29, 2021 WebM&M Cases … : Fluid administration errors in the operating room.

  10. Background for AHRQ Quality Indicators

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pptx
    October 01, 2015 - an ICD-10-CM procedure code for debridement or pedicle graft before or on the same day as the major operating … room procedure (surgical cases only) With an ICD-10-CM procedure code for debridement or pedicle graft … as the only major operating room procedure (surgical cases only) With any diagnosis of Stage I or Stage … an ICD-10-CM procedure code for debridement or pedicle graft before or on the same day as the major operating … room procedure (surgical cases only) With any diagnosis of Stage I or Stage II pressure ulcer Transfer

  11. AHRQ Safety Program for Perinatal Care: Establishing a Program of In Situ Simulations (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.pdf
    May 01, 2017 - fine-tune new processes and protocols—for example, the use of safe cesarean section checklist in the L&D operating … room. … might have to do with transitioning a patient from one care venue to the other, such as L&D to the operating … room or intensive care unit. … room technicians/assistants • Administrative support personnel (unit clerks) • Lab and pharmacy staff

  12. Making Just Culture a Reality: One Organization's Approach | PSNet

    psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
    October 01, 2007 - organization would respond to a given behavior by a clinician (e.g., bringing unauthorized equipment into the operating … room [OR] for use in a surgery) if that behavior resulted in harm. … How would our organization respond to a surgeon who uses an unauthorized piece of equipment in the operating … room?

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33823/psn-pdf
    January 01, 2017 - hazards, including less obvious ones: sharps injuries that occur when passing a suture needle in the operating … room (OR), musculoskeletal injuries from lifting heavy instrument kits in Central Processing and the

  14. Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
    January 01, 2024 - room (OR) teams and its association with non-routine events (NREs) during perioperative care. … room environment. … Novel use of electronic whiteboard in the operating room increases surgical team compliance with pre-incision … Briefing and debriefing in the cardiac operating room. … Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33835/psn-pdf
    June 01, 2017 - We looked at 3 years of data and all operating room procedures carried out in English public hospitals

  16. Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - ISyE and Health Care Report Out (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/ISyE%20and%20Health%20Care%20Report%20Out.pdf
    June 16, 2021 - Pick a problem e.g. cancer, operating room, eg; five centers that will work  with industry and partners

  17. PS Grantee | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/index.html?page=5
    January 01, 2024 - Measure Development, Measure Implementation Publication Date: June 2019 Systematic Evaluation of Operating … Room Scheduling Across the Perioperative Process ( application/pdf 227192 ) Principal Investigators

  18. Nationwide Ambulatory Surgery Sample (NASS)

    hcup-us.ahrq.gov/news/exhibit_booth/nass_brochure.jsp
    March 01, 2020 - defined as selected invasive, therapeutic surgical procedures that typically require the use of an operating … room and regional anesthesia, general anesthesia, or sedation.

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33584/psn-pdf
    March 15, 2025 - In the operating room, poor communication has been directly linked to surgical complications and has

  20. Sample “Plan-Do-Study-Act” Form | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-pdsa-form.html
    June 01, 2017 - (a) Operating room (OR) staff is first group?
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