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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/workplace-bullying-or-results-descriptive-study
December 21, 2017 - Although this survey of perioperative nurses, technologists, and unlicensed staff in two academic medical … July 5, 2023
An examination of factors that predict the perioperative culture of safety … September 12, 2012
Communication in the perioperative setting. … September 14, 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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digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use/citation/global
January 01, 2020 - Global PRoMiSe (Perioperative Recommendations for Medication Safety): protocol for a mixed-methods study … Global PRoMiSe (Perioperative Recommendations for Medication Safety): protocol for a mixed-methods study … Project Name: Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of
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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/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/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/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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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/improved-perioperative
July 01, 1989 - Improved perioperative antibiotic use and reduced surgical wound infections through use of computer decision … Purpose of Study: Determine whether computer-generated reminders of perioperative antibiotic use could … Intervention: Computer-generated reminders regarding perioperative antibiotic use following recommended … Description: A computer system with guidelines and an application to monitor perioperative antibiotic … Healthcare Utilization: Perioperative antibiotic use was considered advisable for 1,621 (50%) patients
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digital.ahrq.gov/ahrq-funded-projects/automated-adverse-drug-event-detection-and-intervention/citation/computerized
January 01, 2023 - Computerized surveillance of opioid-related adverse drug events in perioperative care: a cross-sectional … Computerized surveillance of opioid-related adverse drug events in perioperative care: a cross-sectional
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www.ahrq.gov/news/newsroom/case-studies/cquips1001.html
October 01, 2014 - Case Studies
January 2010
As part of its "Patient Safety First" program, the Association of periOperative … AORN customized the TeamSTEPPS materials for the perioperative environment to improve communications … The perioperative Patient Hand-Off Tool Kit includes a summary of the evidence-based research on patient … events, we included the TeamSTEPPS resource to specifically improve transitions in care within the perioperative … Safety
Geographic Location:
National
Implementer:
Association of periOperative
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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/issue/multi-team-shared-expectations-tool-mt-set-exercise-improve-teamwork-across-health-care-teams
May 22, 2019 - A pilot evaluation of the MT-SET in perioperative and inpatient care units at Johns Hopkins University … March 6, 2024
Handbook of Perioperative and Procedural Patient Safety. … Safety in Office-Based Care Settings
January 31, 2024
An evidence synthesis on perioperative … October 26, 2022
Influence of perioperative handoffs on complications and outcomes. … November 17, 2021
Developing perioperative Covid-19 testing protocols to restore surgical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
December 01, 2017 - Learn From Defects Tool
AHRQ Safety Program for Surgery
Learn From Defects Tool – Perioperative Setting … 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, … AHRQ Safety Program for Surgery Learn From Defects—Perioperative 2
II. … 14
AHRQ Safety Program for Surgery Learn From Defects—Perioperative 12
IV.
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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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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
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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/47341/psn-pdf
August 29, 2018 - AORN Position Statement on Criminalization of Human
Errors in the Perioperative Setting. … August 29, 2018
AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting … https://psnet.ahrq.gov/issue/aorn-position-statement-criminalization-human-errors-perioperative-setting … This position statement articulates the importance of avoiding this approach for unintentional
perioperative … https://psnet.ahrq.gov/issue/aorn-position-statement-criminalization-human-errors-perioperative-setting
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psnet.ahrq.gov/node/44735/psn-pdf
January 06, 2016 - Quality and patient safety teams in the perioperative
setting.
January 6, 2016
Serino MF. … Quality and Patient Safety Teams in the Perioperative Setting. AORN J. 2015;102(6):617-28. … https://psnet.ahrq.gov/issue/quality-and-patient-safety-teams-perioperative-setting
Team effectiveness … commentary describes how one organization
designed and implemented a team-focused plan to enhance safe perioperative … https://psnet.ahrq.gov/issue/quality-and-patient-safety-teams-perioperative-setting
https://psnet.ahrq.gov
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2019/TechSpecs/PSI_12_Perioperative_Pulmonary_Embolism_or_Deep_Vein_Thrombosis_Rate.pdf
July 01, 2019 - Provider-Level Indicator
Type of Score: Rate
Patient Safety Indicator 12 (PSI 12) Perioperative Pulmonary … Embolism or Deep Vein Thrombosis Rate
July 2019
DESCRIPTION
Perioperative pulmonary embolism or … Modules/PSI/V2019/TechSpecs/PSI_Appendix_A.pdf
AHRQ QI™ ICD-10-CM/PCS Specification v2019
PSI 12 Perioperative … July 2019 2 of 20
AHRQ QI™ ICD-10-CM/PCS Specification v2019
PSI 12 Perioperative Pulmonary Embolism … Diagnosis Codes: (DEEPVIB)
July 2019 3 of 20
AHRQ QI™ ICD-10-CM/PCS Specification v2019
PSI 12 Perioperative