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psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
September 15, 2024 - The concept of the surgical timeout—a planned pause before beginning the procedure in order to review
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psnet.ahrq.gov/web-mm/aspergillus-mediastinitis-endocarditis-pediatric-patient-complicating-cardiac-surgery-and
November 16, 2022 - sepsis rates. 10-12 The safety of procedures performed in the ICU has been demonstrated particularly for planned … Planned cardiac reexploration in the intensive care unit is a safe procedure.
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psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
July 31, 2023 - the literature, from 0.03% to 17% depending on risk factors inherent to the patient and the procedure planned … 2,3 and increased mortality in the event of esophageal perforation. 8
Both the operator and the planned
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psnet.ahrq.gov/web-mm/failure-rescue-mother
September 23, 2020 - as per guidelines.( 5 ) It is not clear when the patient's last hemoglobin was checked prior to her planned … risk factors (previous transfusions, continued bleeding, and suspected PAS disorder) as well as her planned
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psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
September 01, 2012 - The gastroenterologist planned to perform an esophagogastroduodenoscopy (EGD) with biopsy the following … patient is made, and the timing for cessation and recommencement of antithromboembolic precautions are planned
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psnet.ahrq.gov/node/49562/psn-pdf
May 01, 2008 - the day of surgery, a
different anesthesiologist expressed concern about the reported allergy and planned … consistently initiated by a designated member of the team, conducted in a 'fail-
safe' mode," so that the planned
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psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
September 27, 2023 - stomach, emergent upper gastrointestinal (GI) endoscopy within 2 to 6 hours, with anesthesia support, was planned … case did not communicate directly via a face-to-face interaction with the nurse that an endoscopy was planned … is prudent for the physician to confirm that the new team member is also aware that a procedure is planned
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psnet.ahrq.gov/web-mm/inside-time-out
March 01, 2004 - On the day of surgery, a different anesthesiologist expressed concern about the reported allergy and planned … consistently initiated by a designated member of the team, conducted in a 'fail-safe' mode," so that the planned
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psnet.ahrq.gov/web-mm/transitions-adolescent-medicine
August 04, 2021 - adult-focused care.( 4 ) This health care transition is formally defined by Blum as "the purposeful, planned … This patient needed her transfer of care planned and coordinated with the receiving adult provider in
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psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
January 01, 2023 - reviewed in the presence of the patient, confirming her name,
medical record number, date of birth, planned … procedure, need for prophylactic
antibiotics, and planned route of anesthesia
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psnet.ahrq.gov/issue/plans-are-worthless-planning-everything-advancing-patient-safety-better-managing-paradox
September 23, 2020 - Commentary
"Plans are worthless, but planning is everything": advancing patient safety by better managing the paradox of planning versus adaptation.
Citation Text:
Call RC, Espiritu SG, Barrows DA. “Plans are worthless, but planning is everything”: advancing patient safety by better mana…
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psnet.ahrq.gov/node/49733/psn-pdf
May 01, 2015 - adult-focused care.(4) This health care transition is formally defined by Blum as "the purposeful, planned … This patient needed her transfer of care planned and coordinated with the
receiving adult provider in
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.221_slideshow.ppt
July 01, 2010 - Prevention
Untreated chronic OSA
increases operative risk
Recommend 4-6 weeks of CPAP therapy prior to planned
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psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
July 22, 2020 - DNAP, MHS, CRNA, and Maria Cristina Gutierrez, MD In this case, a series of events unfolded during a planned
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psnet.ahrq.gov/node/33601/psn-pdf
December 15, 2024 - communicated
Reliability
Maturity, availability, fault tolerance, recoverability
System unavailability Planned
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psnet.ahrq.gov/node/49539/psn-pdf
June 01, 2007 - Regardless, the consent process should provide information about what is planned for the patient, why
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psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
January 01, 2024 - • Whenever possible, the angiogram should be reviewed the day before the
planned operation to prevent … – Coronary angiograms should be reviewed, and the bypass operation should be planned well
ahead of
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psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
May 16, 2022 - assist the surgeon with procedural medications by assessing each surgeon’s preference card for the planned … provided to all perioperative staff to ensure that these compounded sterile products are ordered before planned
-
psnet.ahrq.gov/node/849661/psn-pdf
June 28, 2023 - reviewed in the presence of the
patient, confirming her name, medical record number, date of birth, planned … procedure, need for
prophylactic antibiotics, and planned route of anesthesia.
-
psnet.ahrq.gov/node/846126/psn-pdf
March 09, 2023 - assist the surgeon with
procedural medications by assessing each surgeon’s preference card for the planned … provided to
all perioperative staff to ensure that these compounded sterile products are ordered before planned