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psnet.ahrq.gov/issue/safe-operation-social-construct
August 07, 2019 - Commentary
Safe operation as a social construct. … Safe operation as a social construct. … Safe operation as a social construct. … October 26, 2022
Changes in unprofessional behaviour, teamwork, and co-operation among
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psnet.ahrq.gov/issue/factors-influence-expected-length-operation-results-prospective-study
August 11, 2021 - Study
Factors that influence the expected length of operation: results of a prospective … Factors that influence the expected length of operation: results of a prospective study. … Factors that influence the expected length of operation: results of a prospective study.
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psnet.ahrq.gov/issue/organisation-economic-co-operation-and-development-health-glance-2019
June 05, 2019 - Book/Report
Organisation for Economic Co-operation and Development: Health at a Glance
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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
August 30, 2023 - CE/MOC
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation … At operation, there was obvious fecal contamination upon entry into the peritoneal cavity. … Although the operating surgeon is generally the most experienced individual in performing the operation … When an operation is completed without any known accompanying injuries, irregularities in the patient … Therefore, inspection should have been performed at the beginning and end of the operation (as is our
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psnet.ahrq.gov/issue/changes-unprofessional-behaviour-teamwork-and-co-operation-among-hospital-staff-during-covid
January 31, 2024 - Study
Changes in unprofessional behaviour, teamwork, and co-operation among hospital … Changes in unprofessional behaviour, teamwork, and co-operation among hospital staff during the COVID … Changes in unprofessional behaviour, teamwork, and co-operation among hospital staff during the COVID
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psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
March 25, 2020 - The operation went smoothly, and the patient came off cardiopulmonary bypass on a low-dose norepinephrine … Coronary angiograms should be reviewed, and the bypass operation should be planned well ahead of the … operation to prevent delays in starting time and subsequent time constraints on staff. … Proper planning and execution of the CABG operation has been shown to prolong life by reducing rates … Operating room staff need to be familiar with the location and operation of defibrillators.
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psnet.ahrq.gov/issue/case-34-2010-65-year-old-woman-incorrect-operation-left-hand
March 13, 2013 - Commentary
Case 34-2010: a 65-year-old woman with an incorrect operation on the left … records of The Massachusetts General Hospital: Case 34-2010: a 65-year-old woman with an incorrect operation … records of The Massachusetts General Hospital: Case 34-2010: a 65-year-old woman with an incorrect operation
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psnet.ahrq.gov/sites/default/files/2022-10/trocar_injury_final.pdf
January 01, 2022 - Spotlight
Spotlight
Fecal Contamination of the Peritoneum from
Laparoscopic Trocar Injury: A Routine
Operation … 3
FECAL CONTAMINATION OF THE
PERITONEUM FROM LAPAROSCOPIC
TROCAR INJURY: A ROUTINE OPERATION … • At operation, there was obvious fecal contamination upon entry into the
peritoneal cavity. … Recognizing Injury (3)
31
• When an operation is completed without any known accompanying injuries, … Therefore, inspection should have been
performed at the beginning and end of the operation (as is our
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psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
January 01, 2024 - • Whenever possible, the angiogram should be reviewed the day before the
planned operation to prevent … – Coronary angiograms should be reviewed, and the bypass operation should be planned well
ahead of … the operation to prevent delays in starting time and subsequent time constraints on
staff … • Proper planning and execution of the CABG operation has been shown to
prolong life by reducing … • Operation of the defibrillator should be practiced regularly under controlled
conditions (e.g.,
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psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
March 29, 2023 - wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation … Expecting a relatively simple outpatient operation, the anesthesiologist opted not to use a Spanish language … After the operation, the patient was left intubated and admitted to the intensive care unit (ICU). … If an interpreter had been scheduled to be present in the preoperative area for this elective operation … The patient should be informed of what happened under anesthesia in the recent operation (with the assistance
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psnet.ahrq.gov/web-mm/which-end-which
June 01, 2004 - After the second operation, the patient’s perianal fistulae and infected anal sinuses improved as initially … During the course of an operation, key visual cues are essential to identify the proper anatomical landmarks … As with all laparoscopic procedures, this operation begins with gaining access to the abdomen laparoscopically … instillation method is only useful after the colostomy has matured or been opened at the end of the operation … Even when great care has been taken during the operation, the possibility of technical complications
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psnet.ahrq.gov/issue/economics-patient-safety-part-iii-long-term-care-valuing-safety-long-haul
September 28, 2022 - Citation Text:
de Bienassis K, Llena-Nozal A, Klazinga N for the Organisation for Economic Co-operation … October 7, 2020
de Bienassis K, Llena-Nozal A, Klazinga N for the Organisation for Economic Co-operation … Citation Text:
de Bienassis K, Llena-Nozal A, Klazinga N for the Organisation for Economic Co-operation … April 3, 2024
Organisation for Economic Co-operation and Development: Health at a Glance … March 17, 2021
Changes in unprofessional behaviour, teamwork, and co-operation among
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psnet.ahrq.gov/issue/anaesthesia-patient-safety-symposium-2023
September 06, 2023 - wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation … Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation
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psnet.ahrq.gov/issue/system-governance-towards-improved-patient-safety-key-functions-approaches-and-pathways
October 07, 2020 - Citation Text:
Auraaen A, Saar K, Klazinga N for the Organisation for Economic Co-operation and Development … October 14, 2020
Auraaen A, Saar K, Klazinga N for the Organisation for Economic Co-operation … Citation
Citation Text:
Auraaen A, Saar K, Klazinga N for the Organisation for Economic Co-operation … April 3, 2024
Organisation for Economic Co-operation and Development: Health at a Glance … March 17, 2021
Changes in unprofessional behaviour, teamwork, and co-operation among
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psnet.ahrq.gov/issue/addressing-problematic-opioid-use-oecd-countries
October 14, 2020 - Citation Text:
Organisation for Economic Co-operation and Development. … Twitter
Linkedin
Copy URL
June 5, 2019
Organisation for Economic Co-operation … Cite
Citation
Citation Text:
Organisation for Economic Co-operation … Patient Safety
September 17, 2020
Organisation for Economic Co-operation … April 3, 2024
Changes in unprofessional behaviour, teamwork, and co-operation among hospital
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psnet.ahrq.gov/issue/economics-medication-safety-improving-medication-safety-through-collective-real-time-learning
October 07, 2020 - Citation Text:
de Bienassis K, Esmail L, Lopert R, Klazinga N for the Organisation for Economic Co-operation … September 28, 2022
de Bienassis K, Esmail L, Lopert R, Klazinga N for the Organisation for Economic Co-operation … Citation Text:
de Bienassis K, Esmail L, Lopert R, Klazinga N for the Organisation for Economic Co-operation … April 3, 2024
Organisation for Economic Co-operation and Development: Health at a Glance … December 4, 2019
Changes in unprofessional behaviour, teamwork, and co-operation among
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psnet.ahrq.gov/issue/economics-patient-safety-strengthening-value-based-approach-reducing-patient-harm-national
May 02, 2018 - Organisation for Economic Co-operation and Development: Paris, France; 2017. … Organisation for Economic Co-operation and Development: Paris, France; 2017. … Organisation for Economic Co-operation and Development: Paris, France; 2017. … November 18, 2020
Changes in unprofessional behaviour, teamwork, and co-operation among … April 3, 2024
Organisation for Economic Co-operation and Development: Health at a Glance
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psnet.ahrq.gov/issue/culture-cure-assessments-patient-safety-culture-oecd-countries
October 07, 2020 - Text:
de Bienassisi K, Kristensenii S, Burtscheri M, et al for the Organisation for Economic Co-operation … 2020
de Bienassisi K, Kristensenii S, Burtscheri M, et al for the Organisation for Economic Co-operation … Text:
de Bienassisi K, Kristensenii S, Burtscheri M, et al for the Organisation for Economic Co-operation … April 3, 2024
Organisation for Economic Co-operation and Development: Health at a Glance … November 23, 2016
Changes in unprofessional behaviour, teamwork, and co-operation among
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psnet.ahrq.gov/taxonomy/term/3437
Similarly, postoperative wound infections count as adverse events even if the operation proceeded with
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psnet.ahrq.gov/issue/doctor-removes-ovaries-wrong-patient
November 22, 2006 - of mistaken identity that resulted in erroneous surgery, despite a "time out" before beginning the operation