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Showing results for "perioperative".

  1. The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. | PSNet

    psnet.ahrq.gov/issue/nature-reported-safety-events-related-care-coordination-operating-room-setting-tertiary
    May 11, 2022 - In the perioperative setting of one hospital, insufficient handoffs were  the most common event type … June 1, 2022 Safety culture in the operating room: variability among perioperative healthcare … January 15, 2025 Handoff mnemonics used in perioperative handoff intervention studies … January 8, 2025 Moving towards a core measures set for patient safety in perioperative … June 12, 2024 Perioperative handoff enhancement opportunities through technology and

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867442/psn-pdf
    January 08, 2025 - Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study … Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study … https://psnet.ahrq.gov/issue/moving-towards-core-measures-set-patient-safety-perioperative-care-e-delphi … Improving quality and patient SAFEty in surgical care through STandardisation and harmonization of perioperative … https://psnet.ahrq.gov/issue/moving-towards-core-measures-set-patient-safety-perioperative-care-e-delphi-consensus-study

  3. Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. | PSNet

    psnet.ahrq.gov/issue/medmarx-data-report-chartbook-medication-error-findings-perioperative-settings-1998-2005
    August 24, 2015 - Book/Report Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative … Citation Text: Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative … Advancement of Patient Safety; 2006 This report shares findings from analysis of more than 11,000 perioperative … Citation Citation Text: Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative … Room October 27, 2021 Improved medication management with introduction of a perioperative

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61125/psn-pdf
    November 11, 2020 - The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early … The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early … https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-stoelting-conference-2019-perioperative … related to the conference theme of “preventing, detecting, and mitigating clinical deterioration in the perioperative … https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-stoelting-conference-2019-perioperative-deterioration

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47680/psn-pdf
    January 16, 2019 - Perioperative medication errors: uncovering risk from behind the drapes. … https://psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes The operating … Drawing from 1137 perioperative medication error reports submitted over a 1-year period, this analysis … https://psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes https://psnet.ahrq.gov … https://psnet.ahrq.gov/issue/prevention-perioperative-medication-errors https://psnet.ahrq.gov/issue

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848042/psn-pdf
    April 26, 2023 - Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. … Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. … https://psnet.ahrq.gov/issue/clinicians-perspectives-proactive-patient-safety-behaviors-perioperative … https://psnet.ahrq.gov/issue/clinicians-perspectives-proactive-patient-safety-behaviors-perioperative-environment … https://psnet.ahrq.gov/issue/clinicians-perspectives-proactive-patient-safety-behaviors-perioperative-environment

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855435/psn-pdf
    November 15, 2023 - issue/technology-education-and-safety-2 Adoption of new ideas is necessary to create safety in the perioperative … Topics covered include artificial intelligence, decision making and perioperative deterioration. … https://psnet.ahrq.gov/issue/technology-education-and-safety-2 https://psnet.ahrq.gov/issue/perioperative-safety-learning-not-taking-aviation … https://psnet.ahrq.gov/issue/evidence-synthesis-perioperative-handoffs-call-balanced-sociotechnical-solutions … https://psnet.ahrq.gov/issue/perioperative-handoff-enhancement-opportunities-through-technology-and-artificial

  8. Toolkit for Improving Surgical Care and Recovery. | PSNet

    psnet.ahrq.gov/issue/toolkit-improving-surgical-care-and-recovery
    September 18, 2024 - Unit-based Safety Program (CUSP) framework , this AHRQ toolkit helps hospital staff and leadership improve perioperative … March 13, 2024 Handbook of Perioperative and Procedural Patient Safety. … February 7, 2024 Perioperative team-based morbidity and mortality conferences: a systematic … October 11, 2023 Perioperative handoff enhancement opportunities through technology and

  9. AORN Position Statement on Patient Safety. | PSNet

    psnet.ahrq.gov/issue/aorn-position-statement-patient-safety
    May 20, 2020 - This position statement outlines recommendations from the Association of periOperative Registered Nurses … on core components of safe perioperative nursing and its role in strengthening patient safety . … May 20, 2020 AORN Position Statement on Criminalization of Human Errors in the Perioperative … February 13, 2008 AORN Guidance Statement: Safe Medication Practices in Perioperative

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864352/psn-pdf
    March 13, 2024 - Creating a just culture in the perioperative setting. March 13, 2024 Hooven K, Altmiller G. … Creating a just culture in the perioperative setting. AORN J. 2024;119(2):152-160. … https://psnet.ahrq.gov/issue/creating-just-culture-perioperative-setting Fear of retaliation by leaders … This article presents strategies to improve just culture in the perioperative environment, which is … https://psnet.ahrq.gov/issue/creating-just-culture-perioperative-setting https://psnet.ahrq.gov/issue

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41200/psn-pdf
    January 03, 2017 - Implementing a perioperative handoff tool to improve postprocedural patient transfers. … Implementing a perioperative handoff tool to improve postprocedural patient transfers. … https://psnet.ahrq.gov/issue/implementing-perioperative-handoff-tool-improve-postprocedural-patient- … transfers This commentary describes how to implement a perioperative handoff tool to improve interdisciplinary … https://psnet.ahrq.gov/issue/implementing-perioperative-handoff-tool-improve-postprocedural-patient-transfers

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36211/psn-pdf
    February 13, 2008 - AORN Guidance Statement: Safe Medication Practices in Perioperative Settings Across the Life Span. … February 13, 2008 AORN guidance statement: safe medication practices in perioperative settings across … https://psnet.ahrq.gov/issue/aorn-guidance-statement-safe-medication-practices-perioperative-settings … - across-life-span This guidance statement outlines recommendations from the Association of periOperative … Registered Nurses (AORN) for developing, implementing, and evaluating safe medication practices in the perioperative

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836966/psn-pdf
    April 20, 2022 - Performance variability in perioperative sentinel events: report on a nationwide data set. … Performance variability in perioperative sentinel events: report on a nationwide data set. … https://psnet.ahrq.gov/issue/performance-variability-perioperative-sentinel-events-report-nationwide-data … This study examined perioperative sentinel events reported to a Dutch database over a one-year period … https://psnet.ahrq.gov/issue/performance-variability-perioperative-sentinel-events-report-nationwide-data-set

  14. PSI 12 Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate (xls file)

    qualityindicators.ahrq.gov/Downloads/ICD10/PSI%2012%20Perioperative%20Pulmonary%20Embolism%20or%20Deep%20Vein%20Thrombosis%20Rate.xlsx
    January 01, 2012 - PSI 12 Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate Cover Sheet AHRQ Quality Indicators … AHRQ QI™) Proposed Coding for ICD-10-CM/PCS Specification Patient Safety Indicators #12 (PSI #12) Perioperative … 20Perioperative%20Pulmonary%20Embolism%20or%20Deep%20Vein%20Thrombosis%20Rate.pdf Numerator PSI #12 Perioperative … Vein Thrombosis Rate www.qualityindicators.ahrq.gov &P of &N November 2013 Denominator PSI #12 Perioperative … Codes AHRQ QI™ Proposed Coding for ICD-10-CM/PCS Specification PSI #12 Perioperative

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851927/psn-pdf
    August 02, 2023 - Perioperative Handoffs. August 2, 2023 Abraham J, Rosen M, Greilich PE eds. … https://psnet.ahrq.gov/issue/perioperative-handoffs Handoffs occur several times during a surgical procedure … This special issue explores perioperative handoffs and strategies to improve them. … https://psnet.ahrq.gov/issue/perioperative-handoffs https://psnet.ahrq.gov/issue/so-many-ways-be-wrong-completeness-and-accuracy-prospective-study-or-icu-handoff … leveraging-science-teamwork-sustain-handoff-improvements-cardiovascular-surgery https://psnet.ahrq.gov/issue/perioperative-handoff-enhancement-opportunities-through-technology-and-artificial

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855000/psn-pdf
    November 01, 2023 - Perioperative Safety Culture: Principles, Practices, and Pragmatic Approaches. … https://psnet.ahrq.gov/issue/perioperative-safety-culture-principles-practices-and-pragmatic-approaches … special issue examines overarching principles, common practices, and practical actions that support safe perioperative … https://psnet.ahrq.gov/issue/perioperative-safety-culture-principles-practices-and-pragmatic-approaches … safety-culture-cardiac-surgical-teams-data-five-programs-and-national-surgical-comparison https://psnet.ahrq.gov/issue/just-culture-foundation-staff-safety-perioperative-environment

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47594/psn-pdf
    March 17, 2023 - Prevention of perioperative medication errors. March 17, 2023 Nanji K. UpToDate. March 7, 2023. … https://psnet.ahrq.gov/issue/prevention-perioperative-medication-errors Perioperative adverse drug events … https://psnet.ahrq.gov/issue/prevention-perioperative-medication-errors https://psnet.ahrq.gov/issue/ … evaluation-perioperative-medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/issue/strategies-optimizing-or-drug-safety

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867015/psn-pdf
    October 23, 2024 - Supporting perioperative safety during a disaster through clinical crisis education. … Supporting perioperative safety during a disaster through clinical crisis education. … https://psnet.ahrq.gov/issue/supporting-perioperative-safety-during-disaster-through-clinical-crisis- … https://psnet.ahrq.gov/issue/supporting-perioperative-safety-during-disaster-through-clinical-crisis-education … https://psnet.ahrq.gov/issue/supporting-perioperative-safety-during-disaster-through-clinical-crisis-education

  19. Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/supplemental-perioperative-oxygen-and-risk-surgical-wound-infection-randomized-controlled
    March 09, 2022 - Study Supplemental perioperative oxygen and the risk of surgical wound infection: … Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial … Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial … November 8, 2023 Perioperative patient safety recommendations: systematic review of clinical … 2023 Decreased incidence of cesarean surgical site infection rate with hospital-wide perioperative

  20. Learn From Defects Tool—Perioperative Setting | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
    December 01, 2017 - Learn From Defects Tool—Perioperative Setting AHRQ Safety Program for Surgery What … Problem statement:  If a patient is harmed in the perioperative area, a typical first response is to … Too few perioperative teams take the opportunity to learn how the defect happened at a systems level, … Too few perioperative teams take the opportunity to learn how the defect happened at a systems level, … How this can play out: We knew from our Perioperative Patient Safety Assessment and normothermia
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