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Showing results for "operations".

41. Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1,946,831 operations in children. | PSNet
    psnet.ahrq.gov/issue/risk-factors-and-outcomes-foreign-body-left-during-procedure-analysis-413-incidents-after
    December 04, 2016 - factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1,946,831 operations … factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1 946 831 operations … factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1 946 831 operations

42. Spotlight
    psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
    January 01, 2025 - Spotlight Spotlight Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations … should be able to: Identify characteristics of “high-risk” abdominal pain, including prior abdominal operations … Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal OPERATIONs  The commentary … Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal operations  The Commentary … Overview (3) Given a history of previous abdominal operations, severe abdominal pain not responsive to

43. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866261/psn-pdf
    July 10, 2024 - Compartment syndrome is a rare but severe complication of operations performed in the lithotomy position … The incidence is higher with operations lasting more than three hours. … steep Trendelenburg positions, especially long operations and laparoscopic procedures. … The Prevention of Positioning Injuries during Gynecologic Operations. … Compartment syndrome after gynecologic operations: evidence from case reports and reviews.

44. A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment and subsequent evaluation among patients and medical personnel. | PSNet
    psnet.ahrq.gov/innovation/standardized-marking-procedure-ent-operations-prevent-wrong-site-surgery-development
    February 01, 2013 - EMERGING INNOVATIONS A standardized marking procedure for ENT operations to prevent wrong-site surgery … A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment … A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment

45. Fostering ethical conduct through psychological safety. | PSNet
    psnet.ahrq.gov/issue/fostering-ethical-conduct-through-psychological-safety
    March 30, 2022 - psychological safety required to encourage speaking up when ethical or other issues are identified in operations … Executives and Administrators Psychological and Social Complications Culture of Safety Policies and Operations

46. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/43213/psn-pdf
    June 04, 2014 - improving-measurement-surgical-site-infection-risk-stratificationoutcome-detection-final https://psnet.ahrq.gov/issue/effect-19-item-surgical-safety-checklist-during-urgent-operations-global-patient-population … https://psnet.ahrq.gov/issue/effect-19-item-surgical-safety-checklist-during-urgent-operations-global-patient-population

47. Patient safety and quality improvement adaptation during the COVID-19 pandemic. | PSNet
    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-adaptation-during-covid-19-pandemic
    February 12, 2020 - The COVID-19 pandemic has necessitated rapid adjustments in hospital operations to address patient … pandemic , and how that experience informed the responsiveness of system-wide quality improvement operations

48. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867849/psn-pdf
    February 26, 2025 - dynamic and that underlying causes must be found, as opposed to surface explanations Sensitivity to operations … improvements in patient quality and safety to further achieve efficiency, by applying HRO principles in operations … study, this hospital’s application of HRO principles first to patient safety and quality and then to operations … can be realized either in specific cases, such as medication safety, or more broadly, as in hospital operations … principles can vary in extent, from a limited goal such as medication safety to a broad goal like hospital operations

49. Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery | PSNet
    psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
    January 29, 2021 - The incidence is higher with operations lasting more than three hours. … It is more common after long operations and laparoscopy. 29 Staff therefore need to be particularly … steep Trendelenburg positions, especially long operations and laparoscopic procedures. … The Prevention of Positioning Injuries during Gynecologic Operations. … Compartment syndrome after gynecologic operations: evidence from case reports and reviews.

50. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47313/psn-pdf
    September 12, 2018 - psnet.ahrq.gov/issue/managing-risks-concurrent-surgeries https://psnet.ahrq.gov/issue/outcomes-concurrent-operations-results-american-college-surgeons-national-surgical-quality … https://psnet.ahrq.gov/issue/outcomes-concurrent-operations-results-american-college-surgeons-national-surgical-quality

51. Managing the risks of concurrent surgeries. | PSNet
    psnet.ahrq.gov/issue/managing-risks-concurrent-surgeries
    September 24, 2017 - This perspective describes strategies to decrease risks associated with concurrent operations, including … October 29, 2017 Outcomes of concurrent operations: results from the American College

52. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations | PSNet
    psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations
    September 27, 2023 - CASE Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations … Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations. … Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations. … The patient eventually developed osteomyelitis requiring multiple operations and a prolonged hospital … Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations.

53. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37908/psn-pdf
    June 10, 2010 - This study examined more than 190,000 operations performed and found an actual RFO rate of 1 per 5,500 … operations.

54. Underlying reasons associated with hospital readmission following surgery in the United States. | PSNet
    psnet.ahrq.gov/issue/underlying-reasons-associated-hospital-readmission-following-surgery-united-states
    May 06, 2020 - Nearly half a million operations were included, with an overall readmission rate of 5.7%. … May 25, 2011 Outcomes of concurrent operations: results from the American College of

55. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/40024/psn-pdf
    December 21, 2014 - and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1,946,831 operations … factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1 946 831 operations

56. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37327/psn-pdf
    March 03, 2011 - study evaluated claims associated with a technical error and determined that most occurred in routine operations … analysis-surgical-errors-closed-malpractice-claims-4-liability-insurers https://psnet.ahrq.gov/issue/should-operations-be-regionalized-empirical-relation-between-surgical-volume-and-mortality

57. "Disruptive behavior" in the operating room: A prospective observational study of triggers and effects of tense communication episodes in surgical teams. | PSNet
    psnet.ahrq.gov/issue/disruptive-behavior-operating-room-prospective-observational-study-triggers-and-effects-tense
    October 29, 2014 - trained observers assessed communication and triggers of tense communication during elective abdominal operations … Journal Article Study A standardized marking procedure for ENT operations

58. Nearly all hospital pharmacists say drug shortages are negatively impacting care; a third say impacts are ‘critical.’ | PSNet
    psnet.ahrq.gov/issue/nearly-all-hospital-pharmacists-say-drug-shortages-are-negatively-impacting-care-third-say
    September 15, 2021 - September 8, 2016 Cause for concern: drug shortages disrupt operations, tax hospitalists … Hospitals Hospital Pharmacy Drug shortages Legal and Policy Approaches Policies and Operations

59. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33835/psn-pdf
    June 01, 2017 - So you would get the same kinds of operations on a Monday as you would expect on a Friday. … And we looked at the kinds of operations that were carried out from day to day, and there was no difference … the first 48 hours of care following a procedure, then you might expect the patients who have their operations … on a Sunday would have a lower risk of death than those who have their operations on a Saturday. … suggestion was that maybe it's just that on a Friday you get a different mix of doctors doing the operations

60. Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. | PSNet
    psnet.ahrq.gov/issue/patterns-technical-error-among-surgical-malpractice-claims-analysis-strategies-prevent-injury
    August 26, 2011 - study evaluated claims associated with a technical error and determined that most occurred in routine operations … July 3, 2014 Impact of resident participation in surgical operations on postoperative