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psnet.ahrq.gov/issue/real-time-debriefing-after-critical-events-exploring-gap-between-principle-and-reality
December 15, 2021 - wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation
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psnet.ahrq.gov/issue/interruptions-and-miscommunications-surgery-observational-study
August 11, 2021 - August 27, 2014
Factors that influence the expected length of operation: results of a
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psnet.ahrq.gov/issue/patient-engagement-patient-safety-why-what-and-how-patient-engagement-improving-patient
July 15, 2020 - June 5, 2019
Organisation for Economic Co-operation and Development: Health at a Glance
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psnet.ahrq.gov/issue/time-out-analysis
October 19, 2022 - January 17, 2019
Case 34-2010: a 65-year-old woman with an incorrect operation on the
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www.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
May 01, 2011 - Recommendation 2.2: Level of Operation. … Opinions about levels of operation linked to goals of system. … Levels of operation. … Level of operation. … Ownership/operation of consumer reporting systems.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/consumer-experience/reporting/11-0060-EF.pdf
May 01, 2011 - Recommendation 2.2: Level of Operation. … Opinions about levels of operation linked to goals of system. … Levels of operation. … Level of operation. … Ownership/operation of consumer reporting systems.
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psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
March 25, 2020 - times the intended dose of intravenous ketamine and he was therefore probably tachycardic during the operation … and did not wake up from anesthesia at the end of the operation. … wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/lepevidencesum.pdf
January 01, 2012 - records of the Massachusetts General Hospital: Case 34-2010: a 65-
year-old woman with an incorrect operation
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www.ahrq.gov/talkingquality/translate/labels/measures.html
July 01, 2016 - leaks out of the patient's lung because someone accidentally punctured it during a medical procedure or operation
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www.ahrq.gov/sites/default/files/publications/files/implementation-guide-making-informed-consent-informed-choice.pdf
January 01, 2017 - Who was the main person who spoke with you about having a test, treatment, or
operation? … Explanations about the Main Test, Treatment or Operation. … Think about the main test, treatment, or operation you talked about.
2. … or having no test, treatment, or operation? … Did you find the decision aid helpful in deciding whether to have a test, treatment, or
operation?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/implementation-guide-making-informed-consent-informed-choice.pdf
January 01, 2017 - Who was the main person who spoke with you about having a test, treatment, or
operation? … Explanations about the Main Test, Treatment or Operation. … Think about the main test, treatment, or operation you talked about.
2. … or having no test, treatment, or operation? … Did you find the decision aid helpful in deciding whether to have a test, treatment, or
operation?
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psnet.ahrq.gov/issue/commentary-sentinel-serious-events-reported-district-health-boards-200607
March 05, 2008 - July 22, 2020
Organisation for Economic Co-operation and Development: Health at a Glance
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digital.ahrq.gov/ahrq-funded-projects/advancing-health-services-through-system-modeling-research/annual-summary/2012
January 01, 2012 - the University of Michigan-Ann Arbor will develop a scientific foundation for new business rules and operation
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effectivehealthcare-admin.ahrq.gov/health-topics/hip-replacement
June 22, 2017 - During a hip replacement operation, the surgeon removes damaged cartilage and bone from your hip joint
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ce.effectivehealthcare.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit3.html
July 01, 2018 - Team leader acts as liaison between vendors and entity leading the surge facility operation. … This important information should be captured so that surge facility readiness and operation plans can … Action Checklist
Opening Day and First Days of Operation
Portable medical records and instructions
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psnet.ahrq.gov/issue/defending-never-event
February 14, 2017 - November 3, 2015
Case 34-2010: a 65-year-old woman with an incorrect operation on the
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/asc-checklist-template.docx
January 01, 2009 - in the operating room
· Correct type and size
· Essential imaging available
· Risk of hypothermia – operation
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/asc-checklist-template.docx
January 01, 2009 - in the operating room
· Correct type and size
· Essential imaging available
· Risk of hypothermia – operation
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/asc-checklist-template.docx
January 01, 2009 - in the operating room
· Correct type and size
· Essential imaging available
· Risk of hypothermia – operation
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/peripheral-artery-disease-in-adults-screening-with-the-ankle-brachial-index
June 16, 2016 - Economically developed countries, defined as member countries of the Organisation for Economic Co-operation … to those of the United States
Countries that are not a member of the Organisation for Economic Co-operation