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psnet.ahrq.gov/issue/do-you-know-what-doses-are-being-programmed-or-make-it-expectation-use-smart-infusion-pumps
February 26, 2025 - March 27, 2024
Handbook of Perioperative and Procedural Patient Safety. … February 7, 2024
Perioperative handoff enhancement opportunities through technology and … September 21, 2022
WebM&M Cases
Perioperative Anaphylaxis
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psnet.ahrq.gov/issue/using-simulation-improve-systems-based-practices
January 22, 2016 - four key ways simulation-based techniques are used to identify factors that diminish safety in the perioperative … setting and suggests that such interventions can be applied to improve the perioperative system. … June 3, 2013
Using simulation training to improve perioperative patient safety.
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psnet.ahrq.gov/issue/guideline-implementation-team-communication
October 15, 2014 - This commentary reviews factors that contribute to poor communication behaviors among perioperative nurses … April 25, 2016
Failures in communication through documents and documentation across the perioperative … June 1, 2011
AORN Guidance Statement: Safe Medication Practices in Perioperative Settings
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/antibiotic_audit.docx
December 01, 2017 - Antibiotic Audit Tool
Antibiotic Audit Tool
Introduction
Problem Statement
Perioperative antimicrobial … There are often many opportunities to improve the use of perioperative antimicrobial prophylaxis. … safety program team understand how appropriately you are using prophylactic antibiotics throughout the perioperative … Only your team knows the approach that will work best in your perioperative area. … If the data reveal defects in perioperative antimicrobial prophylaxis, your safety program team can design
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psnet.ahrq.gov/issue/guidelines-practice
March 05, 2010 - Retained Surgical Items: Causation and Prevention
February 26, 2025
Perioperative … June 12, 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
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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/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/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/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/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/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/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/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/issue/using-good-catches-promote-just-culture-and-perioperative-patient-safety
July 18, 2018 - Commentary
Using good catches to promote a just culture and perioperative patient … Using Good Catches to Promote a Just Culture and Perioperative Patient Safety. … Using Good Catches to Promote a Just Culture and Perioperative Patient Safety.
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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/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/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/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/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.