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psnet.ahrq.gov/primer/triggers-and-trigger-tools
September 15, 2024 - general indications that harm may have occurred such as death, readmission, or unexpected return to the operating … room.
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psnet.ahrq.gov/primer/human-factors-engineering
December 15, 2024 - to the redesign of anesthesia equipment, significantly reducing the risk of injury or death in the operating … room.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4j_combo_psi13-sepsis-bestpractices.pdf
May 20, 2016 - dieticians, and pharmacists from infection control, intensive care, and inpatient units
including operating … room; and representatives from quality improvement, radiology, and
information services to develop
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4t_combo_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/node/866261/psn-pdf
July 10, 2024 - interdisciplinary task that requires diligent cooperation among professionals from
different disciplines.2 Operating … room (OR) nurses, scrub technicians, robotic technicians,
anesthesiologists, and surgeons must all
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_3.pdf
October 01, 2016 - New Models of Primary Care Workforce and Financing - Case Example #3: Fairview Health Services
New Models of Primary Care
Workforce and Financing
Case
Example Fairview Health Services3
New Models of Primary Care Workforce
and Financing
Case Example #3: Fairview Health Services
…
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psnet.ahrq.gov/node/49501/psn-pdf
February 03, 2006 - For example, a trauma nurse
asks if anyone has informed the operating room (OR) of a patient’s pending
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.html
December 01, 2017 - unnecessary placement has to do especially in the Emergency Department, and to a certain degree the operating … room. … Unfortunately, when we’ve looked at this issue both in the Emergency Department as well as the operating … room we find that between 20-50 percent of the time when being observed, healthcare workers, and it
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.doc
November 04, 2014 - unnecessary placement has to do especially in the Emergency Department, and to a certain degree the operating … room. … Unfortunately, when we’ve looked at this issue both in the Emergency Department as well as the operating … room we find that between 20-50 percent of the time when being observed, healthcare workers, and it
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www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-preventing-cauti-transcript.html
November 01, 2015 - Next, a hip fracture who's going to the operating room, eventually.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-transcript.html
December 01, 2017 - Next, a hip fracture who's going to the operating room, eventually.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/No_More_CAUTI_Preventing_CAUTI_transcript.docx
May 05, 2015 - Next, a hip fracture who's going to the operating room, eventually.
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psnet.ahrq.gov/web-mm/code-blue-where
March 30, 2020 - December 16, 2020
Patient safety in the cardiac operating room: human factors and teamwork
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psnet.ahrq.gov/issue/enhancing-safety-system-wide-situ-simulation-program-using-no-go-considerations
June 13, 2018 - Study
Enhancing safety of a system-wide in situ simulation program using no-go considerations.
Citation Text:
Minors AM, Yusaf TC, Bentley SK, et al. Enhancing safety of a system-wide in situ simulation program using no-go considerations. Simul Healthc. 2023;18(4):226-231. doi:10.1097/si…
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psnet.ahrq.gov/issue/clinic-design-safety-during-pandemic-safety-or-teamwork-can-we-only-pick-one
November 11, 2015 - Commentary
Clinic design for safety during the pandemic: safety or teamwork, can we only pick one?
Citation Text:
Lim L, Zimring CM, DuBose JR, et al. Clinic design for safety during the pandemic: safety or teamwork, can we only pick one? HERD. 2022;15(3):28-41. doi:10.1177/1937586722109…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses2.html
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
The Theory of Distributed Cognition
Previous Page Next Page
Table of Contents
Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Introduction
The Theory of Dis…
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www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/location-release.docx
July 01, 2024 - AHRQ Publishing and Communications Guidelines
Location Release Form for Video Shoots
Instructions
This Location Release Form must be completed by the location’s administrative authority (herein called “Administrator”) to verify permission to conduct video recording at a particular location. It does not apply to recordi…
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psnet.ahrq.gov/issue/quality-and-safety-hospital-pediatrics-during-covid-19-national-qualitative-study
November 17, 2021 - Study
Quality and safety in hospital pediatrics during COVID-19: a national qualitative study.
Citation Text:
De Angulo NR, Penwill N, Pathak PR, et al. Quality and safety in hospital pediatrics during COVID-19: a national qualitative study. Hosp Pediatr. 2022;12(1):e2021006115. doi:10.1…
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psnet.ahrq.gov/issue/remote-patient-monitoring-during-covid-19-unexpected-patient-safety-benefit
July 20, 2022 - Commentary
Remote patient monitoring during COVID-19: an unexpected patient safety benefit.
Citation Text:
Pronovost PJ, Cole MD, Hughes RM. Remote patient monitoring during COVID-19: an unexpected patient safety benefit. JAMA. 2022;327(12):1125-1126. doi:10.1001/jama.2022.2040.
Copy C…
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www.ahrq.gov/sites/default/files/2025-02/kizer2-report.pdf
January 01, 2025 - Rooms. … Unlike other areas of the hospital, medication errors in the operating room
occur infrequently, but … Many
established medication safety practices have yet to be adopted in operating rooms. … rooms with the same rigor. … rooms.