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psnet.ahrq.gov/issue/managing-can-improve-teamwork-or
September 23, 2020 - This commentary explains that all members of a perioperative unit are responsible for ensuring a culture … November 13, 2013
Communication in the perioperative setting. … June 16, 2011
The normalization of deviance: what are the perioperative risks? … June 15, 2011
Causes of near misses: perceptions of perioperative nurses.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/030-review-ssi-prevention.pptx
April 01, 2025 - To Guide SSI and MRSA Prevention
Staff Safety Assessment
MRSA & SSI Prevention Strategies Worksheet
Perioperative … Roadmap Checklist
Checklist to guide care in the perioperative setting
Provides details for SSI prevention … in each area along the continuum of
care for surgical patients
Click here to access the Perioperative … Jones
Access the Perioperative Roadmap Checklist. … Tools
Staff Safety Assessment
MRSA & SSI Prevention Strategies Workbook
Perioperative Roadmap Checklist
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psnet.ahrq.gov/issue/increased-adherence-perioperative-safety-guidelines-associated-improved-patient-safety
April 05, 2023 - Study
Increased adherence to perioperative safety guidelines associated with improved … Increased adherence to perioperative safety guidelines associated with improved patient safety outcomes … Increased adherence to perioperative safety guidelines associated with improved patient safety outcomes … RIS
Download Citation
Related Resources From the Same Author(s)
Perioperative … Retained Surgical Items: Causation and Prevention
February 26, 2025
Perioperative
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4l_combo_psi15-accidentalpuncturelaceration-bestpractices.pdf
May 31, 2016 - Association of periOperative Registered Nurses (AORN). … Guideline statement for the implementation of the neutral zone in the perioperative
environment. … Recommended practices for prevention of transmissible infections in the perioperative
setting. … In: Perioperative standards and recommended practices. … Denver, CO: Association of
periOperative Registered Nurses; December 2012. p. e91-123.
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psnet.ahrq.gov/node/45232/psn-pdf
August 10, 2016 - Promoting patient safety with perioperative hand-off
communication.
August 10, 2016
Robinson NL. … Promoting Patient Safety With Perioperative Hand-off Communication. … https://psnet.ahrq.gov/issue/promoting-patient-safety-perioperative-hand-communication
Handoffs are … established a concrete method for nurses to apply
safe communication and data sharing principles in the perioperative … https://psnet.ahrq.gov/issue/promoting-patient-safety-perioperative-hand-communication
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/wake-safe
April 22, 2020 - information about a Patient Safety Organization initiative to develop an adverse event registry in perioperative … December 22, 2018
Reporting of perioperative adverse events by pediatric anesthesiologists … June 11, 2014
Quality improvement project to reduce perioperative opioid oversedation … October 5, 2011
Council on Surgical and Perioperative Safety.
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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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psnet.ahrq.gov/node/44930/psn-pdf
June 01, 2016 - How well is quality improvement described in the
perioperative care literature? … How Well Is Quality Improvement Described in the Perioperative Care
Literature? … https://psnet.ahrq.gov/issue/how-well-quality-improvement-described-perioperative-care-literature-
systematic-review … Quality improvement activities are often conducted to enhance patient safety in the perioperative setting … This systematic review found that
published reports of perioperative quality improvement often lack
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psnet.ahrq.gov/node/35300/psn-pdf
March 04, 2011 - How strong is the evidence for the use of perioperative
beta blockers in non-cardiac surgery? … How strong is the evidence for the use of perioperative ?
blockers in non-cardiac surgery? … https://psnet.ahrq.gov/issue/how-strong-evidence-use-perioperative-beta-blockers-non-cardiac-surgery- … systematic-review-and
Based on prior review articles, the use of perioperative beta blockers in non-cardiac … The authors recommend that enthusiasm for the use of perioperative beta
blockers be tempered, and that
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psnet.ahrq.gov/node/46285/psn-pdf
August 02, 2017 - A hospital is not just a factory, but a complex adaptive
system—implications for perioperative care. … A Hospital Is Not Just a Factory, but a Complex Adaptive
System-Implications for Perioperative Care. … https://psnet.ahrq.gov/issue/hospital-not-just-factory-complex-adaptive-system-implications-perioperative … This
commentary explores the application of factory approaches and complex adaptive systems in perioperative … https://psnet.ahrq.gov/issue/hospital-not-just-factory-complex-adaptive-system-implications-perioperative-care
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psnet.ahrq.gov/node/41172/psn-pdf
February 29, 2012 - Pilot implementation of a perioperative protocol to guide
operating room-to-intensive care unit patient … Pilot implementation of a perioperative protocol to
guide operating room-to-intensive care unit patient … https://psnet.ahrq.gov/issue/pilot-implementation-perioperative-protocol-guide-operating-room-intensive … implemented a standardized handoff protocol, which improved information transfer and
satisfaction among perioperative … https://psnet.ahrq.gov/issue/pilot-implementation-perioperative-protocol-guide-operating-room-intensive-care-unit-patient
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psnet.ahrq.gov/issue/impact-hindsight-bias-diagnosis-perioperative-events-anesthesia-providers-multicenter
December 16, 2020 - Study
The impact of hindsight bias on the diagnosis of perioperative events by anesthesia … The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter … The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter … 2018
View More
Related Resources
Perspectives on anesthesia and perioperative … January 24, 2024
Perioperative team-based morbidity and mortality conferences: a systematic
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psnet.ahrq.gov/issue/fire-safety
March 18, 2020 - Council on Surgical & Perioperative Safety. … Twitter
Linkedin
Copy URL
February 5, 2018
Council on Surgical & Perioperative … Council on Surgical & Perioperative Safety. … July 14, 2021
Increased adherence to perioperative safety guidelines associated with … November 14, 2011
Council on Surgical and Perioperative Safety.
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psnet.ahrq.gov/node/60709/psn-pdf
July 22, 2020 - Developing perioperative Covid-19 testing protocols to
restore surgical services. … Developing perioperative Covid-19 testing protocols to restore
surgical services. … https://psnet.ahrq.gov/issue/developing-perioperative-covid-19-testing-protocols-restore-surgical-services … https://psnet.ahrq.gov/issue/developing-perioperative-covid-19-testing-protocols-restore-surgical-services
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digital.ahrq.gov/sites/default/files/docs/citation/k08hs24764-nanji-final-report-2022.pdf
January 01, 2022 - Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision … While perioperative medication error rates (4%–9% of medication
mailto:linda.franklin@ahrq.hhs.gov … Results: The perioperative CDS software platform outperformed the standard medication
administration … Perioperative medication error rates (4–11%)1,2 are consistent with medication error rates in … Evaluation of Perioperative Medication
Errors and Adverse Drug Events.
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psnet.ahrq.gov/issue/role-practice-guidelines-and-evidence-based-medicine-perioperative-patient-safety
June 26, 2024 - Review
The role of practice guidelines and evidence-based medicine in perioperative … Review article: the role of practice guidelines and evidence-based medicine in perioperative patient … Review article: the role of practice guidelines and evidence-based medicine in perioperative patient … June 19, 2019
The impact of hindsight bias on the diagnosis of perioperative events by
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psnet.ahrq.gov/node/46698/psn-pdf
February 07, 2018 - Enhancing the quality and safety of the perioperative
patient. … Enhancing the quality and safety of the perioperative patient. … https://psnet.ahrq.gov/issue/enhancing-quality-and-safety-perioperative-patient
Perioperative management … https://psnet.ahrq.gov/issue/enhancing-quality-and-safety-perioperative-patient
https://psnet.ahrq.gov … /issue/evaluation-perioperative-medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/40620/psn-pdf
July 22, 2011 - The role of documents and documentation in
communication failure across the perioperative pathway. … The role of documents and documentation in communication failure across the
perioperative pathway. … https://psnet.ahrq.gov/issue/role-documents-and-documentation-communication-failure-across-
perioperative-pathway … https://psnet.ahrq.gov/issue/role-documents-and-documentation-communication-failure-across-perioperative-pathway … https://psnet.ahrq.gov/issue/role-documents-and-documentation-communication-failure-across-perioperative-pathway
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psnet.ahrq.gov/node/44141/psn-pdf
November 06, 2015 - Failures in communication through documents and
documentation across the perioperative pathway. … Failures in communication through documents and documentation across the
perioperative pathway. … https://psnet.ahrq.gov/issue/failures-communication-through-documents-and-documentation-across-
perioperative-pathway … This qualitative study of communication among providers in perioperative care revealed a reliance on … https://psnet.ahrq.gov/issue/failures-communication-through-documents-and-documentation-across-perioperative-pathway
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psnet.ahrq.gov/node/46374/psn-pdf
August 30, 2017 - Structured patient handoffs: the movement toward
adverse event reduction in the perioperative unit. … https://psnet.ahrq.gov/issue/structured-patient-handoffs-movement-toward-adverse-event-reduction-
perioperative-unit … The authors emphasize the importance of standardizing the process of perioperative
data collection. … https://psnet.ahrq.gov/issue/structured-patient-handoffs-movement-toward-adverse-event-reduction-perioperative-unit … https://psnet.ahrq.gov/issue/structured-patient-handoffs-movement-toward-adverse-event-reduction-perioperative-unit