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psnet.ahrq.gov/node/49763/psn-pdf
June 01, 2016 - Perioperative characteristics and outcomes of
patients undergoing anterior cervical fusion in July:
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psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
February 01, 2014 - Some hospitals may not require prospective pharmacist verification of orders written in the perioperative
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psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
July 01, 2004 - In the case described above, surgical delay and immobility, combined with inadequate perioperative management
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psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
June 01, 2018 - Stroke of Error
December 1, 2014
WebM&M Cases
Perioperative
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psnet.ahrq.gov/node/860015/psn-pdf
September 01, 2024 - This definition is not accepted by the
Association of periOperative Registered Nurses (AORN) or the
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psnet.ahrq.gov/node/49562/psn-pdf
May 01, 2008 - Feldman, MD, MBA Vice President Perioperative Services Vice Chairman Department of Surgery
Maimonides
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psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
May 11, 2014 - MEDMARX Data Report: A Chartbook of Medication Error Findings from the Perioperative Settings from 1998
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psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
August 01, 2012 - nutrition support team” which assesses patients for endoscopically placed feeding tubes and can standardize perioperative … Perioperative guidelines on antiplatelet and anticoagulant agents: 2022 update.
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psnet.ahrq.gov/perspective/workplace-safety-health-care
January 01, 2017 - Canacari, RN Associate Chief Nurse, Perioperative Services Beth Israel Deaconess Medical Center, Boston
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psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
January 01, 2017 - Canacari, RN Associate Chief Nurse, Perioperative Services Beth Israel Deaconess Medical Center, Boston
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psnet.ahrq.gov/node/49614/psn-pdf
November 01, 2010 - Reconciling Records
November 1, 2010
Singh H, Sittig DF, Layden M. Reconciling Records. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/reconciling-records
The Cases
Case 1. A patient receiving care at a Veterans Affairs (VA) outpatient clinic was admitted to a local
teaching hospital. When discharged, h…
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psnet.ahrq.gov/web-mm/round-trip-service
April 26, 2023 - surgical team familiar with the patient, the type of implant used, technical aspects of the operation, perioperative
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psnet.ahrq.gov/web-mm/poorly-advanced-directives
August 01, 2018 - An improved patient safety reporting system increases reports of disruptive behavior in the perioperative
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psnet.ahrq.gov/web-mm/pocket-syringe-swap
July 01, 2006 - Kulli, MD Medical Director Perioperative Services University of California, San Francisco
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psnet.ahrq.gov/node/49687/psn-pdf
August 21, 2013 - The World Health Organization (WHO) perioperative checklist (Figure) is now in wide use and
has been
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psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
July 28, 2021 - Approach to Improving Safety
Medication administration in the perioperative environment possesses a
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psnet.ahrq.gov/web-mm/missing-suction-tip
January 01, 2006 - Association of perioperative registered nurses. AORN J. 1999;70:1083-9.[ go to PubMed ] 5.
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psnet.ahrq.gov/node/49869/psn-pdf
July 02, 2019 - Prefilled, prelabeled syringes from the manufacturer or pharmacy can reduce perioperative errors.
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psnet.ahrq.gov/web-mm/danger-disruption
July 29, 2020 - Impact and implications of disruptive behavior in the perioperative arena.
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psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
January 01, 2022 - BIOPSY
This case highlights the complications associated with
bronchoscopy and strategies to improve perioperative