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psnet.ahrq.gov/issue/preventing-patient-harm-adverse-event-review-apsa-survey-regarding-role-morbidity-and
May 22, 2019 - Association between paediatric intraoperative anaesthesia handover and adverse postoperative … See More About The Topic
Hospitals
Health Care Providers
Pediatric Surgery
Postoperative
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psnet.ahrq.gov/issue/surgical-teams-attitudes-about-surgical-safety-and-surgical-safety-checklist-10-years
March 17, 2021 - November 24, 2021
A retrospective audit of postoperative days alive and out of hospital … January 19, 2022
A partially structured postoperative handoff protocol improves communication
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psnet.ahrq.gov/issue/day-discharge-does-not-impact-hospital-readmission-after-major-cardiac-surgery
October 16, 2019 - classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative … cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative
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psnet.ahrq.gov/issue/introduction-novel-patient-safety-advisory-evaluation-perceived-information-modified-qpp
April 05, 2023 - clinic and subsequent information retention among receivers: a prospective interventional study of postoperative … WebM&M Cases
Respiratory Distress after Neck Surgery: Two Cases of Postoperative
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psnet.ahrq.gov/issue/show-me-money-ill-show-you-my-complications-impacts-incentivized-incident-self-reporting
March 09, 2022 - March 9, 2022
Cognitive bias impact on management of postoperative complications, medical … intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative
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psnet.ahrq.gov/node/866205/psn-pdf
July 10, 2024 - This approach was not adequate and led to continued
postoperative bleeding and eventual death from untreated … the 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.
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psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes
March 27, 2018 - November 17, 2021
An observational study of postoperative handoff standardization failures … 2021
Interprofessional training and communication practices among clinicians in the postoperative
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psnet.ahrq.gov/issue/handoff-checklists-improve-reliability-patient-handoffs-operating-room-and-postanesthesia
December 29, 2014 - April 6, 2022
An observational study of postoperative handoff standardization failures … Intrahospital Transport
February 1, 2019
Factors influencing patient safety during postoperative
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psnet.ahrq.gov/issue/sages-fuse-program-bridging-patient-safety-gap
April 05, 2017 - Association between night-time surgery and occurrence of intraoperative adverse events and postoperative … October 19, 2012
The role of surgeon error in withdrawal of postoperative life support
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psnet.ahrq.gov/issue/effective-surgical-safety-checklist-implementation
July 30, 2014 - surgical practice among operating room personnel from survey data is associated with all-cause 30-day postoperative … February 23, 2011
Changes in safety attitude and relationship to decreased postoperative
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psnet.ahrq.gov/issue/excess-mortality-caused-medical-injury
June 29, 2011 - March 4, 2015
Surgeon-reported conflict with intensivists about postoperative goals of … July 14, 2010
The role of surgeon error in withdrawal of postoperative life support.
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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - sessions, which focus on breakdowns
in communication, problem recognition, management of pre- and postoperative … breakdown of an anastomosis, patient fall risk and staff injury, deterioration following issues with
postoperative … accessed via QR code post-RIC
Other clinical pathways developed alongside the RIC included an expected postoperative … course (EPOC)
tool to give clinicians postoperative milestones for their patients and an interactive
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psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
August 21, 2024 - A postoperative hemoglobin level was 9.6 g/dL. … Women complaining of increased postoperative abdominal pain are just "overly sensitive." … In the recovery room or the immediate postoperative period, hypotension or tachycardia (which may actually … concealed hemorrhage has to be high on the list when either hypotension or tachycardia appears in the postoperative … WebM&M Cases
Respiratory Distress after Neck Surgery: Two Cases of Postoperative
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psnet.ahrq.gov/web-mm/july-syndrome
July 01, 2011 - By that point in the year, the attending had supervised the fellow's operative and postoperative care … The initial postoperative orders were written by the new thoracic surgery fellow, who had just started … He wrote brief orders for postoperative care, assuming (as had been the case at the hospital where he … Although the standard postoperative order set in the electronic medical record included a prompt for … Young, MD, MPP This patient's postoperative care occurred during the annual tsunami that disrupts
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psnet.ahrq.gov/node/48179/psn-pdf
August 21, 2019 - reducing-surgical-mortality-scotland-use-who-surgical-safety-checklist
https://psnet.ahrq.gov/issue/postoperative-adverse-events-inconsistently-improved-world-health-organization-surgical
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psnet.ahrq.gov/node/47049/psn-pdf
July 10, 2019 - other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors
https://psnet.ahrq.gov/issue/postoperative-opioid-prescribing-getting-it-rightt
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psnet.ahrq.gov/issue/clinical-diagnoses-and-autopsy-findings-discrepancies-critically-ill-patients
March 09, 2022 - Use of unsolicited patient observations to identify surgeons with increased risk for postoperative … Association between night-time surgery and occurrence of intraoperative adverse events and postoperative
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psnet.ahrq.gov/issue/so-many-ways-be-wrong-completeness-and-accuracy-prospective-study-or-icu-handoff
April 28, 2021 - Author(s)
Interprofessional training and communication practices among clinicians in the postoperative … April 28, 2021
A partially structured postoperative handoff protocol improves communication
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psnet.ahrq.gov/issue/complications-associated-anesthesia-transport-pediatric-patients-analysis-wake-safe-database
February 12, 2020 - 2018
Potentially inappropriate medication administration is associated with adverse postoperative … April 6, 2022
An observational study of postoperative handoff standardization failures
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psnet.ahrq.gov/issue/how-timely-diagnosis-lung-cancer-cohort-study-individuals-lung-cancer-presenting-ambulatory
September 14, 2022 - Author(s)
Potentially inappropriate medication administration is associated with adverse postoperative … cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative