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www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
January 01, 2014 - Evaluation of perioperative medication errors and adverse drug events.
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psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
April 27, 2022 - February 28, 2024
Proactive patient safety: focusing on what goes right in the perioperative
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psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
March 25, 2020 - Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules
Citation Text:
Bohringer C. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…
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hcup-us.ahrq.gov/reports/methods/2011_01.pdf
January 01, 2011 - Perioperative outcomes of bariatric surgery in
adolescents compared with adults at academic medical … In-hospital mortality, perioperative complications,
readmissions, and the association between these … The perioperative complication rates associated with the three procedures were 0.68%,
1.36%, and 1.08%
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psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
January 01, 2020 - Factors for Opioid-Induced Respiratory Depression
Patient Characteristics Comorbidities Surgical & Perioperative
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www.ahrq.gov/hai/cusp/toolkit/content-calls/framework-slides/slides.html
October 01, 2014 - Perioperative use in selected surgeries = 2.
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hcup-us.ahrq.gov/toolssoftware/ccs/ccs.jsp
March 01, 2017 - Perioperative complications and mortality after spinal fusions: analysis of trends and risk factors.
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psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
July 08, 2022 - Hollie Porras, PharmD, BCPS, and Cathy Lammers, MD
Background
Opioids are routinely used in the perioperative
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psnet.ahrq.gov/web-mm/isolated-clot-real-error
December 01, 2013 - Perioperative bridging anticoagulation in patients with atrial fibrillation.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/obesity-in-children-and-adolescents-screening-2010
January 15, 2010 - Incidence and risk factors for perioperative adverse respiratory events in children who are obese.
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psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
April 04, 2018 - Director, Pain Management Center of Paducah, Paducah, Kentucky Clinical Professor, Anesthesiology and Perioperative
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psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - Related Resources From the Same Author(s)
WebM&M Cases
Perioperative
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide1.html
February 01, 2016 - Operating room and perioperative committees.
Chief residents and residency program directors.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership.pdf
March 01, 2024 - Tennessee
R03 HS26069
[Grant]
The Role of Collective
Mindfulness
in Delivering
Reliable and Safe
Perioperative … skilled observers as a deviation from optimal care based on the clinical situation—
during neonatal perioperative … For example,
their findings may lend weight to the argument that highly reliable, safe perioperative
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014882-ferranti-final-report-2008.pdf
January 01, 2008 - Patient Safety in
Perioperative Care: Computerized Detection of Opioid
Related Adverse Drug Events
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/implementation.pdf
May 01, 2017 - #app-k
AHRQ Safety Program for Ambulatory Surgery
• Joint Commission Standards
• Association of periOperative … Registered Nurses (AORN) Guidelines for Perioperative
Practice
• Infectious Diseases Society of America
-
psnet.ahrq.gov/perspective/equity-patient-safety
September 24, 2024 - However, on some indicators (e.g., postoperative sepsis infections, perioperative hemorrhage), these
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs024581-avidan-final-report-2020.pdf
January 01, 2020 - the feasibility of using such
a command center to implement evidence-based approaches to modifiable perioperative
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psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - November 16, 2022
WebM&M Cases
Perioperative Anaphylaxis
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psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
January 31, 2024 - Perioperative use in selected surgical procedures.