Results

Total Results: over 10,000 records

Showing results for "operation".

101. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860015/psn-pdf
     September 01, 2024 - around a surgical or procedural site, wound, or incision that are used to aid in the performance of an operation … corresponds to the period after “out of OR,” NOT the period after incisional closure, because the operation … most frequently reported surgical item to cause patient harm because these cases require a second operation … meta-analysis of three studies, include intraoperative blood loss greater than 500 mL; duration of operation … Obesity may be a risk factor specifically among patients who have an abdominopelvic operation.

102. Registries for Evaluating Patient Outcomes: A User's Guide, 3rd Edition | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/products/registries-guide-3rd-edition/overview
     March 01, 2022 - MB) was published in 2007 by AHRQ as a reference handbook with practical information on the design, operation … also includes real-world contemporary case examples to illustrate key principles of registry design, operation

103. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867497/psn-pdf
     February 26, 2025 - In this case, the sponge was used during a heart operation and because of multiple errors, it wasn’t … However, when a second package of 4x4 surgical sponges was added in the middle of the operation, which … Correct Final Count At the end of the operation, the number of items counted into the case equals … At the end of the operation, everyone thinks that all sponges have been accounted for, but in truth, … , which is considered a “harm,” no matter the duration or complexity of that operation.

104. Table 2. Key features of ideal consumer reporting systems from stakeholder interviews | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/consumer-exp/reporting/table2.html
     October 01, 2014 - Levels of Operation Most stakeholders favor a multilevel system in which reports "roll up" from the … Opinions about levels of operation linked to goals of system.

105. Pc2015
     hcup-us.ahrq.gov/toolssoftware/procedure/pc2015.csv
     January 01, 2012 - ADRENAL VESSEL LIGATION 4 '0744' ADRENAL REPAIR 4 '0745' ADRENAL REIMPLANTATION 4 '0749' ADRENAL OPERATION … ON ORBIT NEC 4 '1699' OPERATION ON EYEBALL NEC 4 '1711' LAP DIR ING HERN-GRAFT (begin 2008) 4 '1712 … 4 '3199' OTHER TRACHEAL OPERATION 4 '320 ' LOCAL EXCIS DESTR BRONC LES (End 1989) 4 '3201' ENDOSC … NEC 4 '3399' LUNG OPERATION NEC 4 '3401' INCISION OF CHEST WALL 2 '3402' EXPLORATORY THORACOTOMY … NEC 4 '7092' CULDESAC OPERATION NEC 4 '7093' CUL-DE-SAC GRF/PROS NEC (Begin 2007) 4 '7094' INSERT

106. Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. | PSNet
     psnet.ahrq.gov/issue/intraoperative-code-blue-improving-teamwork-and-code-response-through-interprofessional-situ
     April 28, 2021 - 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

107. The perianesthesia nurse's role in the prevention of opioid-related sentinel events. | PSNet
     psnet.ahrq.gov/issue/perianesthesia-nurses-role-prevention-opioid-related-sentinel-events
     November 25, 2020 - 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

108. Surgical Skin Preparation Audit Tool | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/surgical-skinprep-audit.html
     September 01, 2024 - Date of Operation.   Time of Operation.  

109. Don’t Bite Your Tongue. | PSNet
     psnet.ahrq.gov/web-mm/dont-bite-your-tongue
     September 18, 2024 - The operation proceeded uneventfully and intraoperative neuromonitoring (somatosensory and motor evoked … anesthesia care providers should periodically check the integrity of the bite block throughout the operation … 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

110. Nominate a New U.S. Preventive Services Task Force Member | Agency for Healthcare Research and Quality
     www.ahrq.gov/cpi/about/otherwebsites/uspstf/nominate.html
     March 01, 2025 - to provide ongoing research, technical, administrative, and dissemination support for the USPSTF's operation … to provide ongoing research, technical, administrative, and dissemination support for the USPSTF's operation

111. "Recurrent" Appendicitis | PSNet
     psnet.ahrq.gov/web-mm/recurrent-appendicitis
     January 15, 2020 - in the United States.( 1 ) Although appendectomy (either open or laparoscopic) is a relatively safe operation … In addition, if the operation was performed open, future physicians might be confused when a patient … residual" appendicitis can occur when the appendix is not completely removed at the time of the first operation … Proctoring is one approach that has been adopted in which an experienced surgeon supervises the operation … as a newly minted surgeon is performing his or her first operation might be a more effective approach

112. Sensemaking and Learn From Defects for Perinatal Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/learn-from-defects-slides.html
     May 01, 2017 - Patient safety analysis training. [ Columbia University's Digital Knowledge Ventures is no longer in operation … Patient safety analysis training. [ Columbia University's Digital Knowledge Ventures is no longer in operation … Patient safety analysis training. [ Columbia University's Digital Knowledge Ventures is no longer in operation

113. Appendix Q. Surgeon Focus Group Content Analysis | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssiapq.html
     April 01, 2018 - recommendations versus risks for non-compliant patients; and whether in some cases scheduling considerations, operation … timing, or the risk to a patient that might result from a delayed operation outweighed the risk of infection … resulting from the operation itself.

114. Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review. | PSNet
     psnet.ahrq.gov/issue/factors-causing-variation-world-health-organization-surgical-safety-checklist-effectiveness
     January 12, 2022 - 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

115. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49610/psn-pdf
     October 01, 2010 - in the United States.(1) Although appendectomy (either open or laparoscopic) is a relatively safe operation … In addition, if the operation was performed open, future physicians might be confused when a patient … residual" appendicitis can occur when the appendix is not completely removed at the time of the first operation … Proctoring is one approach that has been adopted in which an experienced surgeon supervises the operation … as a newly minted surgeon is performing his or her first operation might be a more effective approach

116. Appendix I. Initial Risk Factors | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssiapi.html
     April 01, 2018 - vascular disease   N Y     Prior site irradiation   N Y     Recent operation … Emergent Procedure   N Y     ASA Score I N Y     Revision/Re-do Operation

117. “Safeware”: Safety-Critical Computing and Health Care Information Technology (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Wears_75.pdf
     May 27, 2008 - developed a conceptual approach and set of techniques for use in settings where incorrect or aberrant operation … (or results from correct operation that are aberrant in context) might endanger users, the public, … informaticians to what has been called “safeware,” a comprehensive approach to hazard analysis, design, operation … sociotechnical system (including its operators) over its entire lifecycle, from conception through operation … The development, operation, and maintenance of such systems differ in important ways from common IT

118. Use of professional interpreters for patients with limited English proficiency undergoing surgery. | PSNet
     psnet.ahrq.gov/issue/use-professional-interpreters-patients-limited-english-proficiency-undergoing-surgery
     October 19, 2022 - 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

119. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. | PSNet
     psnet.ahrq.gov/issue/leading-causes-anesthesia-related-liability-claims-ambulatory-surgery-centers
     December 16, 2020 - 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

120. Proactive patient safety: focusing on what goes right in the perioperative environment. | PSNet
     psnet.ahrq.gov/issue/proactive-patient-safety-focusing-what-goes-right-perioperative-environment
     April 26, 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