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Total Results: 2,089 records

Showing results for "postoperative".

301. Intraoperative adverse events in abdominal surgery: what happens in the operating room does not stay in the operating room. | PSNet
     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.

302. Spotlight
     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. 

303. 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. 

304. Association of overlapping surgery with perioperative outcomes. | PSNet
     psnet.ahrq.gov/issue/association-overlapping-surgery-perioperative-outcomes
     June 08, 2022 - retrospective cohort study, researchers examined the relationship between overlapping surgery and mortality, postoperative … Intubation and Severe Hypoxemia June 30, 2021 Effects of night surgery on postoperative

305. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. | PSNet
     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.

306. Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. | PSNet
     psnet.ahrq.gov/issue/respectful-trusting-relationships-are-essential-patient-safety-especially-surgeon
     December 08, 2024 - May 27, 2020 Lack of association between intraoperative handoff of care and postoperative … November 23, 2011 Postoperative video debriefing reduces technical errors in laparoscopic

307. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49688/psn-pdf
     August 21, 2013 - Before arthroscopic surgery, she had been given postoperative instructions for ACL repair, which included … surgeon briefed the patient in the post-anesthesia care unit (PACU) on his findings and the revised postoperative … Confused, the patient followed the original, now incorrect, postoperative instructions. … experienced significant pain, she called the surgeon who then chastised her for not following the postoperative … Postoperative care instructions that were given before surgery changed due to an unanticipated discovery

308. Antimicrobial stewardship and patient safety. | PSNet
     psnet.ahrq.gov/issue/antimicrobial-stewardship-and-patient-safety
     May 15, 2024 - May 15, 2024 Addressing bias in acute postoperative pain management. … Use of unsolicited patient observations to identify surgeons with increased risk for postoperative

309. DNR in the OR and Afterwards | PSNet
     psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
     July 01, 2003 - 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 … reconsider this order at specified times, such as at a preoperative anesthesia visit, on transfer from the postoperative

310. Patient handovers within the hospital: translating knowledge from motor racing to healthcare. | PSNet
     psnet.ahrq.gov/issue/patient-handovers-within-hospital-translating-knowledge-motor-racing-healthcare
     April 01, 2015 - to determine the key elements of racing "pit stops" and draw lessons for improving the safety of the postoperative … learning by data monitoring and analysis—have subsequently been applied to standardize and improve the postoperative

311. Crisis management on surgical wards: a simulation-based approach to enhancing technical, teamwork, and patient interaction skills. | PSNet
     psnet.ahrq.gov/issue/crisis-management-surgical-wards-simulation-based-approach-enhancing-technical-teamwork-and
     January 27, 2012 - This simulation study examined how residents respond to postoperative deterioration in the surgical … View More See More About The Topic Operating Room Educators Surgery Postoperative

312. The American College of Surgeons' closed claims study: new insights for improving care. | PSNet
     psnet.ahrq.gov/issue/american-college-surgeons-closed-claims-study-new-insights-improving-care
     March 02, 2011 - in the categories of diagnosis and treatment that occurred more frequently in the preoperative and postoperative … October 3, 2017 Impact of resident participation in surgical operations on postoperative

313. Improvement in patient safety may precede policy changes: trends in patient safety indicators in the United States, 2000-2013. | PSNet
     psnet.ahrq.gov/issue/improvement-patient-safety-may-precede-policy-changes-trends-patient-safety-indicators-united
     November 01, 2017 - rates for ten of thirteen PSIs and an increase in the rate of three PSIs (iatrogenic pneumothorax, postoperative … sepsis, and postoperative physiologic or metabolic derangement).

314. Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. | PSNet
     psnet.ahrq.gov/issue/skin-deep-diagnosis-affective-bias-and-zebra-retreat-complicating-diagnosis-systemic
     July 29, 2020 - April 18, 2019 Association of state opioid duration limits with postoperative opioid … August 16, 2017 Postoperative opioid prescribing and the pain scores on Hospital Consumer

315. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49816/psn-pdf
     January 01, 2018 - million surgeries take place annually in the United States; more than 80% of surgical patients report postoperative … reduce the risk of progression to chronic pain.(3) However, studies have shown that fewer than half of postoperative … In patients undergoing elective surgery who are likely to require postoperative opioid therapy, oral … Postoperative pain experience: results from a national survey suggest postoperative pain continues to … Management of postoperative pain: a clinical practice guideline from the American Pain Society, the

316. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. | PSNet
     psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
     March 03, 2021 - The negative pressure dressing was changed on postoperative days 3 and 5, and was removed on postoperative … The patient was discharged home on postoperative day 15. … Patients in the postoperative recovery unit exhibiting any of these symptoms should not be discharged … This complication not only added considerable morbidity to the patient’s postoperative course, but also … July 28, 2023 Impact of resident participation in surgical operations on postoperative

317. Association between hospital safety culture and surgical outcomes in a statewide surgical quality improvement collaborative. | PSNet
     psnet.ahrq.gov/issue/association-between-hospital-safety-culture-and-surgical-outcomes-statewide-surgical-quality
     February 14, 2017 - significant association between improved safety culture as measured by the SAQ and reduced risk of postoperative … April 17, 2019 Association between state medical malpractice environment and postoperative

318. Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety? | PSNet
     psnet.ahrq.gov/issue/variation-17-obstetric-care-pathways-potential-danger-health-professionals-and-patient-safety
     September 21, 2016 - evidence-based practices, and a surgical pathway was recently shown to markedly reduce both complications and postoperative … WebM&M Cases Failure to Rescue the Mother July 2, 2019 Postoperative

319. Role of intraoperative cholangiography in avoiding bile duct injury. | PSNet
     psnet.ahrq.gov/issue/role-intraoperative-cholangiography-avoiding-bile-duct-injury
     December 13, 2023 - November 13, 2019 Lack of association between intraoperative handoff of care and postoperative … August 8, 2012 Postoperative video debriefing reduces technical errors in laparoscopic

320. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49661/psn-pdf
     August 01, 2012 - emergence and awakening, (ii) prevention of nausea and vomiting (PONV), and (iii) control of early postoperative … Postoperative pain is often controlled pre-emptively with a combination of agents administered before … Additionally, regional anesthesia provides excellent control of early postoperative pain, and patients … Patients are often discharged with at least some part of the regional block still working to maximize postoperative … Such follow-up would allow monitoring of compliance with postoperative instructions to prevent unintended