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psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations
September 27, 2023 - elbow wounds—or at least to appreciate that more thorough evaluation of the wound was required in the operating … room—was the most obvious error in this case, the decision to close the wounds with sutures comes as … Have a low threshold for surgical exploration of a wound in an operating room if there is suspicion of
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.html
November 01, 2014 - value stream project, a daily meeting, or huddle, was called to improve communication and planning for operating … room cases and to incorporated staff from Central Supply into the meeting. … The BDO reported that, following implementation of the daily operating room huddle with Central Supply
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hcup-us.ahrq.gov/reports/natstats/his96/table2a.htm
January 01, 1996 - CNS--central nervous system; GI--gastrointestinal; LOS--length of stay in hospital (in days); and OR--operating … room.
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psnet.ahrq.gov/web-mm/monitoring-fetal-health
September 08, 2010 - busy environment, which involves patient transitions from triage to a labor room, to a delivery or operating … room, and a recovery room.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/review-form.html
March 01, 2017 - Appendix K. CAUTI Case Review Form
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Purpose
The CAUTI Case Review Form is a performance improvement look-back tool that assists long-term care (LTC) facilities with identifying possible resident care issues that might have contributed to a cathet…
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hcup-us.ahrq.gov/reports/statbriefs/sb195-Potentially-Preventable-Hospitalizations.jsp
November 01, 2015 - For each MDC, there is a list of procedure codes that qualify as operating room procedures. … If the discharge involves an operating room procedure, it is assigned to one of the surgical DRGs within … For each MDC, there is a list of procedure codes that qualify as operating room procedures. … If the discharge involves an operating room procedure, it is assigned to one of the surgical DRGs within … Room Procedures Performed in U.S.
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psnet.ahrq.gov/issue/hospitals-scramble-front-lines-drug-shortages
November 29, 2016 - Newspaper/Magazine Article
Hospitals scramble on the front lines of drug shortages.
Citation Text:
Hospitals scramble on the front lines of drug shortages. Sun LH. Washington Post. April 10, 2012.
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psnet.ahrq.gov/issue/are-new-safety-paradigms-only-about-safety-and-sufficient-ensure-it-overview-and-critical
October 26, 2022 - Commentary
Are the new safety paradigms (only) about safety and sufficient to ensure it? An overview and critical commentary.
Citation Text:
Karanikas N, Zerguine H. Are the new safety paradigms (only) about safety and sufficient to ensure it? An overview and critical commentary. Safety …
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psnet.ahrq.gov/issue/washington-hospital-center-safety-program-seeks-catch-near-misses
November 29, 2016 - Newspaper/Magazine Article
Washington Hospital Center safety program seeks to catch 'near-misses.'
Citation Text:
Washington Hospital Center safety program seeks to catch 'near-misses.' Sun LH.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_3_Pres_video_508.pdf
June 02, 2025 - Strategy 3: Bedside Shift Report (Tool 3)
Guide to Patient & Family Engagement
Insert hospital logo here
Nurse Bedside
Shift Report Training
[Hospital Name | Presenter name and title | Date of presentation]
Strategy 3: Nurse Bedside Shift Report (Tool 3)
Today’s session
• What is patient and famil…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpra.pdf
March 01, 2012 - room, internal process factors include choosing the incorrect disinfectant or not
using appropriate … room; PACU = pediatric acute care unit; pre-op = preoperative;
Technical Expert Panel (TEP) … room. … room
27
Event(s) Targeted for Intervention
The criticality analysis provided a foundation … In much the same way
that Bundles of Care have extrapolated care from the operating room to the bedside
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hcup-us.ahrq.gov/db/nation/nass/NASS_Introduction_2017.jsp
January 01, 2017 - room and regional anesthesia, general anesthesia, or sedation. … room and regional anesthesia, general anesthesia, or sedation. … These are invasive therapeutic surgical procedures that typically require the use of an operating room … room. … room.
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hcup-us.ahrq.gov/db/nation/nass/2017_NASS_Introduction.pdf
January 01, 2017 - room and regional
anesthesia, general anesthesia, or sedation. … room and regional anesthesia, general
anesthesia, or sedation. … These are invasive therapeutic surgical procedures that typically
require the use of an operating room … room. … room.
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www.ahrq.gov/news/newsroom/case-studies/cquips1303.html
April 01, 2013 - It is equipped with 11 operating rooms and provides emergency care to over 85,000 patients annually.
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www.ahrq.gov/sites/default/files/2024-01/dierks-report.pdf
January 01, 2024 - Final Progress Report: Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and Redesign
1P20HS017118-01 Meghan M. Dierks, MD Beth Israel Deaconess Medical Center
Title of Project:
Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and
Redesign
Principal Investigator and Team …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
December 01, 2017 - room
7. … room traffic, or
antibiotic redosing). … Team members
conducted observations in the operating room, preoperative units, the post-anesthesia care … It is worth exploring whether an intense identification with
preoperative, operating room, or post-anesthesia … room, PACU, and ICU or floor.
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - Departments
(149)
Intensive Care Units
(82)
Labor and Delivery
(23)
Operating … Room
(107)
Specialty Hospitals
(3)
Long-Term Care
(17) … The surgical team had difficulty controlling bleeding and the patient left the operating room (OR) with
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digital.ahrq.gov/sites/default/files/docs/page/2006Rosati_052411comp.pdf
June 05, 2006 - e-transitions: Improving the Transition to Home Health Care Using an Electronic Communication System Available to Physicians, Discharge Planners, Home Health Nurses and Patients
e-transitions: Improving the Transition to
Home Health Care Using an Electronic
Communication System Available to
Physicians, Discharge…
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psnet.ahrq.gov/node/60652/psn-pdf
June 29, 2020 - In Conversation With... Anna Legreid Dopp, Pharm. D
June 29, 2020
In Conversation With.. Anna Legreid Dopp, Pharm. D. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/conversation-anna-legreid-dopp-pharm-d
Editor’s note: Anna Legreid Dopp, Pharm. D is the Senior Director of Clinical Guidelines and Quality…
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psnet.ahrq.gov/web-mm/check-wristband
August 03, 2009 - At the end of the identification procedure, the nurse walked the patient to the operating room (OR) suite