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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
January 20, 2008 - relate more specifically to the department of surgery, to issues
of procedures and communication in the operating … room, or a theme related to those issues might
emerge.
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psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed
June 01, 2017 - We looked at 3 years of data and all operating room procedures carried out in English public hospitals
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psnet.ahrq.gov/node/33875/psn-pdf
March 01, 2019 - In Conversation With… Susan Haas, MD, MSc
March 1, 2019
In Conversation With… Susan Haas, MD, MSc. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
Editor's note: Dr. Haas is an obstetrician–gynecologist and co-Principal Investigator for Ariadne Labs'
work focused on health…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion-notes.docx
April 01, 2022 - Industry Survey reported that 88.8 percent of quality leaders use checklists to prevent errors in hospital operating … rooms.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/lifecycle-assessment-protocol.pdf
August 23, 2023 - Sustainability in the Operating Room: Reducing Our Impact on the Planet.
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psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
February 23, 2011 - Mitigating distractions in healthcare settings and implementing pre-test pauses, as operating rooms and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
July 01, 2003 - Other educational efforts focused on nurses and ancillary personnel (i.e.,
operating room technicians … Each operating room (OR) at the participating hospitals was equipped with a
bound series of laminated
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www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
January 01, 2024 - Nardi
et al (1997) showed how video was used to examine collaborative work in a
hospital operating … room, and they noted the central role of video as data in
coordinating teamwork and educating medical
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www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
January 01, 2025 - A prospective study of patient safety in the operating
room. Surgery 2006;139:159-73.
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psnet.ahrq.gov/node/865778/psn-pdf
May 29, 2024 - Navigating Complications: The Unintended Journey of a
Guidewire During Dialysis Catheter Placement
May 29, 2024
Vuyyuru S, Kapa N. Navigating Complications: The Unintended Journey of a Guidewire During Dialysis
Catheter Placement. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/navigating-complications-unint…
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psnet.ahrq.gov/web-mm/navigating-complications-unintended-journey-guidewire-during-dialysis-catheter-placement
February 23, 2022 - Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement
Citation Text:
Vuyyuru S, Kapa N. Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qualit…
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hcup-us.ahrq.gov/reports/factsandfigures/2007/exhibit3_1.jsp
January 01, 2007 - C-section was the most frequent major operating room procedure—performed on 1.5 million women in 2007
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hcup-us.ahrq.gov/db/nation/nrd/stats/FileSpecifications_NRD_2014_Core.TXT
January 01, 2014 - NRD_VisitLink 7 Char NRD visitlink
NRD 2014 Core 94 ORPROC 2 Num Major operating … room procedure indicator
NRD 2014 Core 95 PAY1 2 Num Primary expected payer
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-facnotes.docx
May 01, 2017 - have problems that involve methods, such as a gap between the standard way to conduct timeouts in the operating … room and a direct observation of the timeout.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-fac-notes.html
June 01, 2017 - have problems that involve methods, such as a gap between the standard way to conduct timeouts in the operating … room and a direct observation of the timeout.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a4_pdi_casestudy.pdf
December 01, 2015 - order PICC lines than permanent lines in part
because of communication and scheduling issues with the operating … room, where permanent
lines are placed.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4f_pdi08-postophemorrhage-bestpractices.pdf
May 16, 2016 - Interventions include applying pressure to the site and being prepared to return the pediatric
patient to the operating … room:
o Consider developing a standard set of criteria or early warning signs (see below) that are
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psnet.ahrq.gov/primer/surgical-site-infections
December 15, 2024 - 2009
View More
See More About The Topic
Surgical Site Infections
Operating … Room
Physicians
Surgery
Surgical Site Infections
View More
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hcup-us.ahrq.gov/db/nation/kid/KIDChangesBeginningDataYr2016.pdf
October 01, 2021 - for ICD-
10-PCS procedures
Diagnosis and
Procedure Groups
2019
PCLASS_ORPROC
ICD-10-PCS major operating … room
procedure indicator
Core 2019
PCLASS_VERSION
Version of the Procedure Classes
Refined
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hcup-us.ahrq.gov/db/nation/nrd/NRDChangesBeginningDataYear2016.pdf
November 17, 2022 - for ICD-
10-PCS procedures
Diagnosis and
Procedure Groups 2019
PCLASS_ORPROC ICD-10-PCS major operating … room
procedure indicator Core 2019
PCLASS_VERSION Version of the Procedure Classes
Ref ined for