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psnet.ahrq.gov/issue/evaluation-perioperative-medication-errors-and-adverse-drug-events
July 16, 2019 - Study
Classic
Evaluation of perioperative medication errors … Evaluation of Perioperative Medication Errors and Adverse Drug Events. … A notable exception is the perioperative setting, where medications given by anesthesiologists often … Approximately 1 in 20 perioperative medication administrations resulted in a medication error or adverse … Evaluation of Perioperative Medication Errors and Adverse Drug Events.
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www.ahrq.gov/hai/tools/enhanced-recovery/index.html
June 01, 2023 - are evidence-based processes that are supported by multidisciplinary teams and span the continuum of perioperative … such as surgical site infections, venous thromboembolism, and urinary tract infection, and improve perioperative … Who Should Use This Toolkit
This toolkit should be used by perioperative staff, surgical quality improvement … and hospital leadership who are ready to learn more about the importance and impact of standardizing perioperative … Use This Toolkit
The toolkit is organized into an overview and four sections that your hospital’s perioperative
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psnet.ahrq.gov/issue/surgical-safety-does-not-happen-accident-learning-perioperative-near-miss-case-studies
August 04, 2021 - Commentary
Surgical safety does not happen by accident: learning from perioperative … Surgical safety does not happen by accident: learning from perioperative near miss case studies. … In this article, the authors present 15 perioperative near-miss events (e.g., medication administration … Surgical safety does not happen by accident: learning from perioperative near miss case studies. … June 12, 2024
Handbook of Perioperative and Procedural Patient Safety.
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/applying-cusp/perioperative-asst.html
December 01, 2017 - The Safety Program for Surgery has modified that tool for the surgical setting into the Perioperative … How To Use This Tool
The Safety Program for Surgery team leader (or designee) should hand out the Perioperative … It is strongly recommended that you administer the Perioperative Staff Safety Assessment tool at the … Perioperative Staff Safety Assessment
NAME (OPTIONAL)
JOB TITLE
DATE
CLINICAL AREA … https://www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/perioperative-asst.html
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psnet.ahrq.gov/issue/impact-perioperative-catastrophes-anesthesiologists-results-national-survey
August 27, 2009 - Study
The impact of perioperative catastrophes on anesthesiologists: results of a … The impact of perioperative catastrophes on anesthesiologists: results of a national survey. … The impact of perioperative catastrophes on anesthesiologists: results of a national survey. … June 21, 2023
Proactive patient safety: focusing on what goes right in the perioperative … November 6, 2019
Quality and Safety in Anesthesia and Perioperative Care.
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psnet.ahrq.gov/issue/error-traps-pediatric-patient-blood-management-perioperative-period
January 12, 2022 - Commentary
Error traps in pediatric patient blood management in the perioperative … Error traps in pediatric patient blood management in the perioperative period. … This article highlights five patient safety risks during pediatric perioperative blood management (failure … to recognize and treat preoperative anemia, failure to obtain informed consent regarding perioperative … Error traps in pediatric patient blood management in the perioperative period.
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psnet.ahrq.gov/issue/impact-standardized-incident-reporting-system-perioperative-setting-single-center-experience
February 09, 2022 - Study
The impact of a standardized incident reporting system in the perioperative … The impact of a standardized incident reporting system in the perioperative setting: a single center … The impact of a standardized incident reporting system in the perioperative setting: a single center … January 15, 2025
Perioperative safety determinants in ethnic patient groups. … April 5, 2023
Development and measurement of perioperative patient safety indicators.
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psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-stoelting-conference-2019-perioperative-deterioration
October 19, 2022 - Proceedings
The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative … The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early … The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early … February 6, 2019
Workplace violence pervasiveness in the perioperative environment: a … June 28, 2023
Perioperative handoff enhancement opportunities through technology and
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psnet.ahrq.gov/issue/ismp-guidelines-safe-medication-use-perioperative-and-procedural-settings
November 16, 2022 - Organizational Policy/Guidelines
ISMP Guidelines for Safe Medication Use in Perioperative … Citation Text:
ISMP Guidelines for Safe Medication Use in Perioperative and Procedural Settings. … This 10-element guidance suggests effective practices to address identified weaknesses in perioperative … Cite
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Citation Text:
ISMP Guidelines for Safe Medication Use in Perioperative … June 20, 2019
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Related Resources
Handbook of Perioperative
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psnet.ahrq.gov/issue/perception-feeling-safe-perioperatively-concept-analysis
December 21, 2022 - concept analysis describes defining attributes (participation, control, presence) of patients in the perioperative … none of the safety attributes, the authors illustrate the concept of patients "feeling safe" in the perioperative … July 28, 2021
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Related Resources
Perioperative team-based … July 5, 2023
Managing safety in perioperative settings: strategies of meso-level nurse … March 15, 2023
An examination of factors that predict the perioperative culture of safety
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psnet.ahrq.gov/issue/risk-adjusted-cumulative-sum-early-detection-hospitals-excess-perioperative-mortality
August 14, 2019 - Study
Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative … Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. … Results show excess perioperative mortality can be detected a median of 49 days before traditional end-of-quarter … reporting, suggesting more frequent data collection can reduce perioperative mortality. … Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality.
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psnet.ahrq.gov/issue/safety-culture-operating-room-variability-among-perioperative-healthcare-workers
November 17, 2021 - Study
Safety culture in the operating room: variability among perioperative healthcare … Safety culture in the operating room: variability among perioperative healthcare workers. … They found that among the 431 respondents working in the perioperative setting, there was significant … Safety culture in the operating room: variability among perioperative healthcare workers. … June 28, 2023
Proactive patient safety: focusing on what goes right in the perioperative
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/glucose-control-audit.html
December 01, 2017 - Perioperative blood glucose management is a complex process that requires the coordination and responsiveness … A 2017 guideline from the Centers for Disease Control and Prevention recommends perioperative glycemic … Only your team knows the approach that will work best in your perioperative area. … Question 9: Indicate whether a hyperglycemia management regimen was initiated in the perioperative period … Question 10: If insulin or an antihyperglycemic was given, specify at which point during the perioperative
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psnet.ahrq.gov/issue/perspectives-perioperative-team-based-morbidity-and-mortality-conferences-mixed-methods-study
October 11, 2023 - Study
Perspectives on perioperative team-based morbidity and mortality conferences … Perspectives on Perioperative Team-Based Morbidity and Mortality Conferences: A Mixed Methods Study. … This survey of 1,466 perioperative health care professionals found positive perceptions of TBMMs and … Perspectives on Perioperative Team-Based Morbidity and Mortality Conferences: A Mixed Methods Study. … January 31, 2024
Perioperative team-based morbidity and mortality conferences: a systematic
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www.ahrq.gov/sites/default/files/2024-10/li-chang-report.pdf
January 01, 2024 - Final Progress Report: Systematic Evaluation of Operating Room Scheduling Across the Perioperative Process … Systematic Evaluation of Operating Room Scheduling Across the Perioperative Process
Principal Investigator … Trade-off balancing in scheduling for flow shop production
and perioperative process. … Balancing trade-off across
a perioperative process with variation in processing times. … (Under review)
Systematic Evaluation of Operating Room Scheduling Across the Perioperative Process
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psnet.ahrq.gov/issue/how-well-quality-improvement-described-perioperative-care-literature-systematic-review
January 19, 2022 - Review
How well is quality improvement described in the perioperative care literature … How Well Is Quality Improvement Described in the Perioperative Care Literature? … 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 necessary … How Well Is Quality Improvement Described in the Perioperative Care Literature?
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psnet.ahrq.gov/issue/using-simulation-training-improve-perioperative-patient-safety
August 20, 2018 - Study
Using simulation training to improve perioperative patient safety. … Using simulation training to improve perioperative patient safety. … Using simulation training to improve perioperative patient safety. … June 8, 2011
Causes of near misses: perceptions of perioperative nurses.
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psnet.ahrq.gov/issue/time-out-impact-physician-burnout-patient-care-quality-and-safety-perioperative-medicine
November 03, 2021 - Time out: the impact of physician burnout on patient care quality and safety in perioperative … Time out: the impact of physician burnout on patient care quality and safety in perioperative medicine … This article summarizes the individual, organizational, and culture factors contributing to perioperative … physician burnout, how burnout impacts surgical patient care, and strategies to mitigate perioperative … Time out: the impact of physician burnout on patient care quality and safety in perioperative medicine
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psnet.ahrq.gov/issue/implementing-perioperative-handoff-tool-improve-postprocedural-patient-transfers
February 29, 2012 - Commentary
Implementing a perioperative handoff tool to improve postprocedural patient … Implementing a perioperative handoff tool to improve postprocedural patient transfers. … This commentary describes how to implement a perioperative handoff tool to improve interdisciplinary … Implementing a perioperative handoff tool to improve postprocedural patient transfers. … Citation
Related Resources From the Same Author(s)
Pilot implementation of a perioperative
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psnet.ahrq.gov/issue/perioperative-safety-culture-principles-practices-and-pragmatic-approaches
January 23, 2013 - Special or Theme Issue
Perioperative Safety Culture: Principles, Practices, and Pragmatic … Citation Text:
Perioperative Safety Culture: Principles, Practices, and Pragmatic Approaches. … special issue examines overarching principles, common practices, and practical actions that support safe perioperative … Linkedin
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Perioperative … December 15, 2021
Safety and Quality in Perioperative Anesthesia Care.