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psnet.ahrq.gov/issue/complexity-team-training-what-we-have-learned-aviation-and-its-applications-medicine
December 09, 2009 - August 12, 2020
Developing perioperative Covid-19 testing protocols to restore surgical
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psnet.ahrq.gov/issue/team-resource-management-and-patient-safety-team-focused-approach-clinical-governance
August 26, 2015 - September 8, 2021
Performance variability in perioperative sentinel events: report on
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psnet.ahrq.gov/issue/making-journey-safe-recognising-and-responding-severe-sepsis-accident-and-emergency
April 27, 2022 - August 19, 2020
Developing perioperative Covid-19 testing protocols to restore surgical
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psnet.ahrq.gov/issue/use-computers-clinical-care-case-series-advanced-us-sites
August 04, 2021 - December 9, 2015
Evaluation of perioperative medication errors and adverse drug events
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psnet.ahrq.gov/periodic-issue/weekly-resource-0
October 30, 2024 - Commentary
Supporting perioperative safety during a disaster through clinical crisis
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psnet.ahrq.gov/periodic-issue/periodic-issue-451
August 28, 2024 - Based on the review, the authors conditionally recommend use of a standardized handoff in perioperative
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psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
May 27, 2020 - in a Closed ICU
May 1, 2017
WebM&M Cases
Perioperative
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psnet.ahrq.gov/node/49446/psn-pdf
August 30, 2021 - of any insulin therapy and is an extremely frequent
adverse event in hospitals worldwide.(5) In the perioperative
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psnet.ahrq.gov/web-mm/miscalculated-risk
March 01, 2015 - Seminars in Anesthesia, Perioperative Medicine and Pain. 2004;23:271-280. 11.
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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/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/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/sites/default/files/2023-11/spotlight_case_the_risk_of_malpositioned.pdf
January 01, 2023 - 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/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/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/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/periodic-issue/periodic-issue-386
April 26, 2023 - Study
Potential uses of AI for perioperative nursing handoffs: a qualitative study
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psnet.ahrq.gov/periodic-issue/periodic-issue-458
August 28, 2024 - Study
The impact of hindsight bias on the diagnosis of perioperative events by