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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43402/psn-pdf
    October 20, 2014 - The World Health Organization's surgical safety checklist has been associated with reductions in postoperative … In this study conducted in the United Kingdom, postoperative patients strongly supported use of the
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46820/psn-pdf
    August 20, 2018 - In this retrospective cohort study, investigators examined the effect of postoperative opioid prescribing … Longer duration of postoperative opioid prescription was also associated with higher odds of future
  3. psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
    January 01, 2024 - educational activity, participants should be able to: Explain the management of ongoing intraoperative and postoperative … Rescue after Limited Response to Nursing Concerns A case describing management of intraoperative and postoperative … This approach was not adequate and led to continued postoperative bleeding and eventual death from untreated … This problem was compounded when they continued to ignore signs of ongoing postoperative bleeding. … Improving postoperative rescue through a multifaceted approach. 
  4. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.113_slideshow.ppt
    January 01, 2006 - On postoperative day 2, she suffered a sudden cardiopulmonary arrest. … 959958 Case (cont.): An Ounce of Prevention Review of the patient's chart revealed no pre- or postoperative … plus GCS Craniotomy for Brain Tumor Enoxaparin 40 mg daily or UFH 5,000 units BID, 1st dose on 1st postoperative
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60856/psn-pdf
    August 26, 2020 - approaches to help minimize the risk of such error  Describe the role of decision-support alerts in postoperative … It is obvious that a major miscommunication occurred in the postoperative care of this patient.  … Both postoperative fluid shifts after a major surgery and the ongoing need for analgesia and heart rate … For frail patients undergoing high-risk procedures, postoperative high-intensity care is required to … Intraoperative Care Transitions Are Not Associated with Postoperative Adverse Outcomes. 
  6. psnet.ahrq.gov/issue/hospital-acquired-condition-reduction-program-not-associated-additional-patient-safety
    May 29, 2019 - outcomes targeted by the program to concurrent trends for other hospital-acquired conditions, such as postoperative … cardiac arrest and postoperative pneumonia.
  7. psnet.ahrq.gov/issue/supplemental-perioperative-oxygen-and-risk-surgical-wound-infection-randomized-controlled
    March 09, 2022 - This study addresses the benefits of a low-risk intervention to reduce postoperative surgical site infections … demonstrated that 80% fraction of inspired oxygen (FiO 2 ) perioperatively reduced the incidence of postoperative
  8. psnet.ahrq.gov/issue/incorporating-harms-weighting-revised-ahrq-patient-safety-selected-indicators-composite-psi
    June 29, 2022 - original frequency-based weighting, some component indicators in the reweighted composite – including postoperative … respiratory failure, postoperative sepsis, and perioperative pulmonary embolism or deep vein thrombosis
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46615/psn-pdf
    January 23, 2019 - Mortality declined after checklist implementation, but the rate of postoperative complications remained … surgical checklist studies (excluding those that paired the checklist with other interventions) on postoperative
  10. psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
    October 31, 2023 - This approach was not adequate and led to continued postoperative bleeding and eventual death from untreated … patient continued to bleed, the case describes a system and team that “ failed to rescue .” 6,7 The postoperative … care and stated, “team members should be empowered to express safety concerns.” 8 In this case, the postoperative … This problem was compounded when they continued to ignore signs of ongoing postoperative bleeding. … Improving postoperative rescue through a multifaceted approach.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49520/psn-pdf
    September 01, 2006 - The patient’s operative course was uneventful and she returned to the surgical unit for routine postoperative … clinical situations, many patients accept resuscitative measures in the operating room and the immediate postoperative … Hence, it often makes sense to reinstitute the DNR order when the patient leaves the postoperative recovery … suspend the DNR order, but transfer primary responsibility when the patient is discharged from the postoperative … for specific life-sustaining interventions within a DNR order may be particularly valuable in the postoperative
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42423/psn-pdf
    July 17, 2013 - The authors propose that policy changes are required to prevent specific adverse events, such as postoperative … psnet.ahrq.gov/issue/variation-hospital-mortality-associated-inpatient-surgery https://psnet.ahrq.gov/issue/postoperative-sepsis-united-states
  13. psnet.ahrq.gov/issue/effect-19-item-surgical-safety-checklist-during-urgent-operations-global-patient-population
    December 29, 2014 - surgical practice among operating room personnel from survey data is associated with all-cause 30-day postoperative … September 24, 2017 Changes in safety attitude and relationship to decreased postoperative … November 18, 2013 Postoperative sepsis in the United States.
  14. psnet.ahrq.gov/issue/hospital-characteristics-associated-penalties-centers-medicare-medicaid-services-hospital
    November 18, 2016 - August 2, 2015 Association of the 2011 ACGME resident duty hour reform with postoperative … September 9, 2015 Association between state medical malpractice environment and postoperative … March 4, 2011 How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative
  15. psnet.ahrq.gov/issue/impact-automated-alerts-discharge-opioid-overprescribing-after-general-surgery
    September 29, 2017 - Depression May 27, 2020 Association of state opioid duration limits with postoperative … A mixed methods evaluation October 9, 2019 Association of health literacy with postoperative … See More About The Topic Operating Room General Surgery Ordering/Prescribing Errors Postoperative
  16. psnet.ahrq.gov/issue/interprofessional-handover-and-patient-safety-anaesthesia-observational-study-handovers
    April 18, 2011 - April 6, 2022 An observational study of postoperative handoff standardization failures … 2021 Interprofessional training and communication practices among clinicians in the postoperative … 2021 Association between paediatric intraoperative anaesthesia handover and adverse postoperative
  17. psnet.ahrq.gov/issue/development-trigger-tools-surveillance-adverse-events-ambulatory-surgery
    October 01, 2014 - This article proposes a novel trigger tool for detecting postoperative adverse events after ambulatory … December 15, 2011 Association of postoperative readmissions with surgical quality using
  18. psnet.ahrq.gov/issue/timing-surgical-antimicrobial-prophylaxis
    June 24, 2009 - antibiotic prophylaxis 30 to 59 minutes before incision appeared to be more effective in preventing postoperative … April 22, 2020 Evaluation of wound photography for remote postoperative assessment of
  19. psnet.ahrq.gov/issue/intraoperative-adverse-events-abdominal-surgery-what-happens-operating-room-does-not-stay
    January 23, 2017 - investigators found that intraoperative adverse events during abdominal surgery were associated with increased postoperative … April 3, 2013 The role of surgeon error in withdrawal of postoperative life support.
  20. psnet.ahrq.gov/issue/resident-work-hour-limits-and-patient-safety
    July 03, 2014 - Results revealed increased rates over time of accidental puncture or laceration and postoperative thromboembolic … July 10, 2008 Evaluation of wound photography for remote postoperative assessment of

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