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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/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/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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qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2019/TechSpecs/PSI_05_Retained_Surgical_Item_or_Unretrieved_Device_Fragment_Count.pdf
July 01, 2019 - T81500A Unspecified complication of foreign
body accidentally left in body following
surgical operation … encounter
T81530A Perforation due to foreign body
accidentally left in body following
surgical operation … encounter
T81510A Adhesions due to foreign body
accidentally left in body following
surgical operation … encounter
T81590A Other complications of foreign body
accidentally left in body following
surgical operation … encounter
T81520A Obstruction due to foreign body
accidentally left in body following
surgical operation
-
qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2020/TechSpecs/PSI_05_Retained_Surgical_Item_or_Unretrieved_Device_Fragment_Count.pdf
March 01, 2021 - T81500A Unspecified complication of foreign body
accidentally left in body following surgical
operation … encounter
T81530A Perforation due to foreign body accidentally
left in body following surgical operation … initial encounter
T81510A Adhesions due to foreign body accidentally
left in body following surgical operation … encounter
T81590A Other complications of foreign body
accidentally left in body following surgical
operation … encounter
T81520A Obstruction due to foreign body accidentally
left in body following surgical operation
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qualityindicators.ahrq.gov/Downloads/ICD10/PSI%2005%20Retained%20Surgical%20Item%20or%20Unretrieved%20Device%20Fragment%20Count.xlsx
January 01, 2005 - procedure T81.500A Unspecified complication of foreign body accidentally left in body following surgical operation … following infusion or transfusion, initial encounter
E871.0 Foreign object left in body during surgical operation … specified procedures T81.510A Adhesions due to foreign body accidentally left in body following surgical operation … encounter
T81.520A Obstruction due to foreign body accidentally left in body following surgical operation … encounter
T81.530A Perforation due to foreign body accidentally left in body following surgical operation
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qualityindicators.ahrq.gov/Downloads/ICD10/PDI%2003%20Retained%20Surgical%20Item%20or%20Unretrieved%20Device%20Fragment%20Count.xlsx
January 01, 2003 - procedure T81.500A Unspecified complication of foreign body accidentally left in body following surgical operation … following infusion or transfusion, initial encounter
E871.0 Foreign object left in body during surgical operation … specified procedures T81.510A Adhesions due to foreign body accidentally left in body following surgical operation … encounter
T81.520A Obstruction due to foreign body accidentally left in body following surgical operation … encounter
T81.530A Perforation due to foreign body accidentally left in body following surgical operation
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srdr.ahrq.gov/projects/1622/studies/192778
Study Preview
Study Title and Description
Hospital emergency preparedness: Push-POD operation … Post/View
Title Data
Title
Hospital emergency preparedness: Push-POD operation
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effectivehealthcare.ahrq.gov/products/bariatric-surgery-trends/research
November 30, 2012 - The most common operation for weight loss performed in the United States, the Roux-en-Y gastric bypass … (RYGB), is both a restrictive and a malabsorptive operation. … Finally, biliopancreatic diversion with duodenal switch (DS), the most malabsorptive operation, bypasses … Each operation provides different but significant degrees of weight loss.
-
www.ahrq.gov/research/shuttered/toolkitchecklist/supplint.html
July 01, 2018 - this section, focus on identification of necessary equipment and supplies for a reception and intake operation
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meps.ahrq.gov/data_files/publications/mr34/mr34.shtml
August 01, 2021 - This operation occurs
from April through June. … This operation
occurs from June through August. … mail operation begins with the mailing out of survey materials. … This operation occurs from June through October. … This operation occurs from September
through February.
-
meps.ahrq.gov/data_files/publications/mr34/mr34.pdf
August 01, 2021 - This
operation occurs from April through June. … This
operation occurs from June through August. … Mail
After the survey cases leave the prescreening operation, the mail operation begins
with the mailing … This operation occurs from June through
October. … This operation occurs from August through December.
-
qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2021/TechSpecs/PSI_05_Retained_Surgical_Item_or_Unretrieved_Device_Fragment_Count.pdf
July 01, 2021 - T81500A Unspecified complication of foreign body
accidentally left in body following surgical
operation … initial encounter
T81530A Perforation due to foreign body accidentally
left in body following surgical operation … initial encounter
T81510A Adhesions due to foreign body accidentally
left in body following surgical operation … encounter
T81590A Other complications of foreign body
accidentally left in body following surgical
operation … initial encounter
T81520A Obstruction due to foreign body accidentally
left in body following surgical operation
-
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.,
-
www.ahrq.gov/research/shuttered/toolkitchecklist/supplancil.html
July 01, 2018 - Ancillary Services
Availability of supplies and equipment for ancillary services and possibility of operation
-
www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
April 01, 2018 - Duration of operation longer than 120 minutes was a strong predictor (OR 2.25, 95% CL 0.48-10.16). … Other risk factors were male sex (OR 2.01, 95% CL 0.44-10.45), injury-operation interval less than … Results
Assessment of 277 patients after operation revealed surgical site infection in 63 patients. … and postpone operation until the infection has resolved
Do not remove hair preoperatively unless the … and antibiotic treatment and a subsequent third operation.
-
ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
April 01, 2018 - Duration of operation longer than 120 minutes was a strong predictor (OR 2.25, 95% CL 0.48-10.16). … Other risk factors were male sex (OR 2.01, 95% CL 0.44-10.45), injury-operation interval less than … Results
Assessment of 277 patients after operation revealed surgical site infection in 63 patients. … and postpone operation until the infection has resolved
Do not remove hair preoperatively unless the … and antibiotic treatment and a subsequent third operation.
-
www.ahrq.gov/research/shuttered/toolkitchecklist/medancillary.html
July 01, 2018 - Information on existence of ancillary service areas and, very generally, possibility of operation when
-
effectivehealthcare.ahrq.gov/sites/default/files/vte-protocol-8-4-10.pdf
February 01, 2008 - are considered risk factors for the development of early-onset prosthetic joint
infections.3,4 Re-operation … 2010
VTE-related mortality)], post-thrombotic syndrome; bleeding (major, major leading to re-
operation … bleeding leading
to transfusion), heparin-induced thrombocytopenia, discomfort, re-admission, re-
operation … Bleeding (major, major leading to re-operation, minor, bleeding leading to
infection, bleeding leading … Re-operation
5. Re-admission
6.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/blood-clots-hip-knee-surgery_research-protocol.pdf
February 01, 2008 - are considered risk factors for the development of early-onset prosthetic joint
infections.3,4 Re-operation … 2010
VTE-related mortality)], post-thrombotic syndrome; bleeding (major, major leading to re-
operation … bleeding leading
to transfusion), heparin-induced thrombocytopenia, discomfort, re-admission, re-
operation … Bleeding (major, major leading to re-operation, minor, bleeding leading to
infection, bleeding leading … Re-operation
5. Re-admission
6.