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psnet.ahrq.gov/node/47544/psn-pdf
December 12, 2018 - Using good catches to promote a just culture and
perioperative patient safety. … Using Good Catches to Promote a Just Culture and Perioperative Patient Safety. … https://psnet.ahrq.gov/issue/using-good-catches-promote-just-culture-and-perioperative-patient-safety … https://psnet.ahrq.gov/issue/using-good-catches-promote-just-culture-and-perioperative-patient-safety … promote-culture-safety-good-catch-reports
https://psnet.ahrq.gov/issue/good-catch-campaign-improving-perioperative-culture-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/44635/psn-pdf
June 21, 2016 - Evaluation of perioperative medication errors and adverse
drug events. … Evaluation of Perioperative Medication Errors and Adverse Drug Events. … https://psnet.ahrq.gov/issue/evaluation-perioperative-medication-errors-and-adverse-drug-events
Medication … A notable exception is the perioperative setting, where medications given by anesthesiologists
often … https://psnet.ahrq.gov/issue/evaluation-perioperative-medication-errors-and-adverse-drug-events
https
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/gastric-cancers-supplementary-app-e.xlsx
June 25, 2025 - Grade 3 to 5 anemia league table (perioperative sub-network)
Pre-op Fluoro+Plat+Taxane . 0.83 [0.30; … Grade 3 to 5 leukopenia league table (perioperative sub-network)
Periop Fluoro+Plat+Immuno 0.20 [0.02 … Grade 3 to 5 fatigue league table (perioperative sub-network)
Periop Fluoro+Plat 0.34 [0.07; 1.52] … Grade 3 to 5 neuropathy league table (perioperative sub-network)
Periop Fluoro+Plat 0.33 [0.01; 8.15 … Grade 3 to 5 nausea league table (perioperative sub-network)
Pre-op Fluoro+Plat 1.03 [0.14; 7.65] .
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psnet.ahrq.gov/issue/handling-injectable-medications-anaesthesia-guidelines-association-anaesthetists
March 14, 2022 - This guidance provides practical steps to ensure perioperative medication delivery is as safe as possible … February 15, 2023
Long-term effects of a perioperative safety checklist from the viewpoint … April 3, 2013
The implementation of a perioperative checklist increases patients' perioperative
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psnet.ahrq.gov/issue/support-strategies-health-care-professionals-who-are-second-victims
December 22, 2021 - can deter individuals from seeking help, this commentary emphasizes the importance of assisting perioperative … The author reviews second victim support initiatives and tools and suggests involving perioperative … January 19, 2022
How does the WHO Surgical Safety Checklist fit with existing perioperative … November 3, 2021
Maintaining perioperative safety in uncertain times: COVID-19 pandemic
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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/node/43855/psn-pdf
April 15, 2016 - Perioperative safety in plastic surgery: is the World
Health Organization checklist useful in a broad … Perioperative Safety in Plastic Surgery: Is the World Health
Organization Checklist Useful in a Broad … https://psnet.ahrq.gov/issue/perioperative-safety-plastic-surgery-world-health-organization-checklist-useful … https://psnet.ahrq.gov/issue/perioperative-safety-plastic-surgery-world-health-organization-checklist-useful-broad … https://psnet.ahrq.gov/issue/perioperative-safety-plastic-surgery-world-health-organization-checklist-useful-broad
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psnet.ahrq.gov/node/47698/psn-pdf
April 03, 2019 - Bringing perioperative emergency manuals to your
institution: a "How To" from concept to implementation … Bringing Perioperative Emergency Manuals to Your Institution: A
"How To" from Concept to Implementation … https://psnet.ahrq.gov/issue/bringing-perioperative-emergency-manuals-your-institution-how-concept- … https://psnet.ahrq.gov/issue/bringing-perioperative-emergency-manuals-your-institution-how-concept-implementation … -10-steps
https://psnet.ahrq.gov/issue/bringing-perioperative-emergency-manuals-your-institution-how-concept-implementation
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psnet.ahrq.gov/node/60745/psn-pdf
October 01, 2020 - Medication management in the perioperative setting is
uniquely challenging, and while some aspects of … Evaluation of Perioperative Medication Errors and Adverse Drug
Events. … Association of periOperative Registered Nurses. … AORN guidance statement: safe medication
practices in perioperative settings across the life span. … Perioperative pharmacology: a framework for perioperative
medication safety.
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psnet.ahrq.gov/issue/improving-operating-room-and-perioperative-safety-background-and-specific-recommendations
August 29, 2011 - Commentary
Improving operating room and perioperative safety: background and specific … Improving operating room and perioperative safety: background and specific recommendations. … Improving operating room and perioperative safety: background and specific recommendations. … From the Same Author(s)
Video technology to advance safety in the operating room and perioperative
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psnet.ahrq.gov/issue/video-technology-advance-safety-operating-room-and-perioperative-environment
April 27, 2010 - Commentary
Video technology to advance safety in the operating room and perioperative … Video technology to advance safety in the operating room and perioperative environment. … Video technology to advance safety in the operating room and perioperative environment. … March 29, 2023
The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative
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psnet.ahrq.gov/issue/shortage-perioperative-drugs-implications-anesthesia-practice-and-patient-safety
April 11, 2018 - Commentary
Shortage of perioperative drugs: implications for anesthesia practice … Shortage of perioperative drugs: implications for anesthesia practice and patient safety. … Shortage of perioperative drugs: implications for anesthesia practice and patient safety. … September 12, 2016
Quality improvement project to reduce perioperative opioid oversedation
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psnet.ahrq.gov/issue/medicines-safety-anaesthetic-practice
February 02, 2022 - August 9, 2023
Perioperative handoff enhancement opportunities through technology and … June 14, 2023
An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical … March 1, 2023
Influence of perioperative handoffs on complications and outcomes. … April 1, 2020
Perioperative medication errors: uncovering risk from behind the drapes … January 16, 2019
Quality improvement project to reduce perioperative opioid oversedation
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psnet.ahrq.gov/node/37640/psn-pdf
April 02, 2008 - An observational analysis of surgical team compliance
with perioperative safety practices after crew … An observational analysis of surgical team compliance with
perioperative safety practices after crew … https://psnet.ahrq.gov/issue/observational-analysis-surgical-team-compliance-perioperative-safety-
practices-after-crew … https://psnet.ahrq.gov/issue/observational-analysis-surgical-team-compliance-perioperative-safety-practices-after-crew … https://psnet.ahrq.gov/issue/observational-analysis-surgical-team-compliance-perioperative-safety-practices-after-crew
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psnet.ahrq.gov/node/44614/psn-pdf
November 04, 2015 - Components of hospital perioperative infrastructure can
overcome the weekend effect in urgent general … Components of Hospital Perioperative Infrastructure Can
Overcome the Weekend Effect in Urgent General … https://psnet.ahrq.gov/issue/components-hospital-perioperative-infrastructure-can-overcome-weekend- … https://psnet.ahrq.gov/issue/components-hospital-perioperative-infrastructure-can-overcome-weekend-effect-urgent-general … https://psnet.ahrq.gov/issue/components-hospital-perioperative-infrastructure-can-overcome-weekend-effect-urgent-general
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psnet.ahrq.gov/issue/special-focus-issue-patient-safety
November 06, 2015 - including coaching to improve team briefing and debriefing discussions, a guideline to confirm safe perioperative … March 13, 2013
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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psnet.ahrq.gov/node/40780/psn-pdf
September 14, 2011 - Communication in the perioperative setting.
September 14, 2011
Cvetic E. … Communication in the perioperative setting. AORN J. 2011;94(3):261-70. … https://psnet.ahrq.gov/issue/communication-perioperative-setting
This commentary explains how standardizing … https://psnet.ahrq.gov/issue/communication-perioperative-setting
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psnet.ahrq.gov/issue/quality-improvement-project-reduce-perioperative-opioid-oversedation-events-paediatric
April 13, 2011 - Study
Quality improvement project to reduce perioperative opioid oversedation events … Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital … Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital … 2015
View More
Related Resources
Perspectives on anesthesia and perioperative … June 15, 2022
Pediatric medication errors and reduction strategies in the perioperative
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psnet.ahrq.gov/node/36088/psn-pdf
September 28, 2010 - Impact and implications of disruptive behavior in the
perioperative arena. … Impact and implications of disruptive behavior in the perioperative arena. … https://psnet.ahrq.gov/issue/impact-and-implications-disruptive-behavior-perioperative-arena
The investigators … surveyed nearly 250 providers of perioperative care (eg, physicians, nurses, anesthetists,
and others … https://psnet.ahrq.gov/issue/impact-and-implications-disruptive-behavior-perioperative-arena
https://