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psnet.ahrq.gov/issue/so-many-ways-be-wrong-completeness-and-accuracy-prospective-study-or-icu-handoff
April 28, 2021 - November 19, 2018
The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative … August 14, 2024
Workplace violence pervasiveness in the perioperative environment: a … September 13, 2023
Improving handoffs in the perioperative environment: a conceptual … February 16, 2022
Pilot implementation of a perioperative protocol to guide operating
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psnet.ahrq.gov/issue/complications-associated-anesthesia-transport-pediatric-patients-analysis-wake-safe-database
February 12, 2020 - This study used perioperative adverse event data reported to a patient safety organization to identify … A previous WebM&M discussed a perioperative respiratory event in a pediatric patient during intrahospital … March 11, 2020
Reporting of perioperative adverse events by pediatric anesthesiologists
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psnet.ahrq.gov/issue/guideline-summary-medication-safety
July 05, 2023 - Perioperative medication errors can result in patient harm as well as emotional distress among clinical … August 2, 2010
AORN Guidance Statement: Safe Medication Practices in Perioperative Settings
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psnet.ahrq.gov/node/862620/psn-pdf
February 14, 2024 - /ismp-medication-safety-alertr-nurse-advise-err
https://psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication-incidents-and-risk … https://psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication-incidents-and-risk
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psnet.ahrq.gov/node/841482/psn-pdf
December 14, 2022 - https://psnet.ahrq.gov/issue/errors-surgery-case-control-study
The perioperative period represents a … https://psnet.ahrq.gov/issue/errors-surgery-case-control-study
https://psnet.ahrq.gov/issue/influence-perioperative-handoffs-complications-and-outcomes
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psnet.ahrq.gov/node/39302/psn-pdf
February 17, 2010 - issue/preoperative-briefing-operating-room-shared-cognition-teamwork-and-patient-
safety
Improving perioperative … Checklists have been remarkably
successful at reducing perioperative adverse events, and this protocol … incorporated some elements of
previously published perioperative checklists and The Joint Commission's
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psnet.ahrq.gov/issue/intraoperative-surgical-performance-measurement-and-outcomes-choose-your-tools-carefully
June 17, 2015 - September 18, 2019
AORN Position Statement on Criminalization of Human Errors in the Perioperative … July 23, 2018
Advances in perioperative quality and safety. … June 13, 2018
Reporting of perioperative adverse events by pediatric anesthesiologists … April 13, 2016
Perioperative patient safety: a multisite qualitative analysis.
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psnet.ahrq.gov/node/47275/psn-pdf
November 19, 2018 - The authors found
the innovation to be widely accepted by perioperative teams, demonstrating its potential … universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
https://psnet.ahrq.gov/issue/innovation-perioperative-patient-safety
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psnet.ahrq.gov/node/73189/psn-pdf
April 28, 2021 - This editorial
discusses the limitations of checklists for perioperative safety (i.e., when used in … safety initiatives taking a systems-oriented approach and organizational buy-
in can lead to both perioperative
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psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklist-high-standard-care-environment
July 06, 2012 - resulted in only marginal additional safety benefits at a hospital with a longstanding multidisciplinary perioperative … February 10, 2021
How does the WHO Surgical Safety Checklist fit with existing perioperative … July 24, 2013
Long-term effects of a perioperative safety checklist from the viewpoint
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psnet.ahrq.gov/issue/safety-stop-valuable-addition-pediatric-universal-protocol
June 21, 2015 - The authors found the innovation to be widely accepted by perioperative teams, demonstrating its potential … December 12, 2014
Quality improvement project to reduce perioperative opioid oversedation … April 11, 2018
Enhancing pediatric perioperative patient safety.
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psnet.ahrq.gov/node/46931/psn-pdf
January 15, 2019 - https://psnet.ahrq.gov/issue/strategies-optimizing-or-drug-safety
Perioperative adverse drug events … //psnet.ahrq.gov/issue/strategies-optimizing-or-drug-safety
https://psnet.ahrq.gov/issue/evaluation-perioperative-medication-errors-and-adverse-drug-events
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psnet.ahrq.gov/node/853970/psn-pdf
September 27, 2023 - In this study, 60 anesthesiologists
participating in a simulated perioperative anaphylaxis crisis scenario … optimizing-crisis-resource-management-improve-patient-safety-and-team-performance-handbook
https://psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy
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psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_latex_allergies-slides.pdf
January 01, 2022 - Spotlight
Spotlight
Perioperative Anaphylaxis After Insertion of
a Latex Drain in a Patient with Known … Kelly, MD
9
BACKGROUND
10
Background (1) – Perioperative Anaphylaxis
• Perioperative anaphylaxis … Perioperative anaphylaxis. … Perioperative Anaphylaxis after insertion of a latex drain in a patient with known latex allergy
Case … drain in a patient with known latex allergy
Background
Background (1) – Perioperative Anaphylaxis
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psnet.ahrq.gov/web-mm/if-you-say-so-taking-syringe-face-value-operating-room
January 01, 2015 - Yet, anesthesia is also uniquely vulnerable to medication errors—in that perioperative medications are … Take-Home Points Improper labeling and misreading of vials remain leading sources of perioperative … Prefilled, prelabeled syringes from the manufacturer or pharmacy can reduce perioperative errors. … Opportunities remain for improved point-of-care technological support for the perioperative medication … Evaluation of perioperative medication errors and adverse drug events. Anesthesiology.
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psnet.ahrq.gov/node/837070/psn-pdf
May 11, 2022 - This study used
hospital safety reporting system data to characterize falls in perioperative settings … for falls, improve fall-related training for
healthcare personnel, and optimize equipment design in perioperative
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psnet.ahrq.gov/node/73657/psn-pdf
September 01, 2021 - Through analysis of perioperative
malpractice claims using the Anesthesia Closed Claims Project database … Methods to improve perioperative communication are
discussed.
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psnet.ahrq.gov/node/43357/psn-pdf
July 16, 2014 - information about a Patient Safety Organization initiative to develop an adverse
event registry in perioperative … psnet.ahrq.gov/issue/patient-safety-organization-pso-program
https://psnet.ahrq.gov/issue/innovation-perioperative-patient-safety
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psnet.ahrq.gov/issue/adherence-medication-safety-protocol-current-practice-labeling-medications-and-solutions
July 19, 2023 - September 12, 2012
Communication in the perioperative setting. … September 14, 2011
Causes of near misses: perceptions of perioperative nurses. … October 20, 2010
AORN Guidance Statement: Safe Medication Practices in Perioperative
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psnet.ahrq.gov/issue/preoperative-briefing-operating-room-shared-cognition-teamwork-and-patient-safety
May 02, 2012 - Improving perioperative safety requires optimal communication within the surgical team; however, classic … Checklists have been remarkably successful at reducing perioperative adverse events, and this protocol … incorporated some elements of previously published perioperative checklists and The Joint Commission's