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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/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/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/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/issue/protecting-patients-unsafe-system-etiology-and-recovery-intraoperative-deviations-care
October 19, 2012 - Association between night-time surgery and occurrence of intraoperative adverse events and postoperative … September 26, 2012
The role of surgeon error in withdrawal of postoperative life support
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psnet.ahrq.gov/issue/engineering-system-communication-safer-surgery
January 18, 2013 - Author(s)
An observational study of the frequency, severity, and etiology of failures in postoperative … December 21, 2014
Postoperative handover: problems, pitfalls, and prevention of error
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psnet.ahrq.gov/issue/applying-trigger-tools-detect-adverse-events-associated-outpatient-surgery
November 10, 2015 - July 13, 2009
Association of postoperative readmissions with surgical quality using a … December 21, 2014
Automated identification of postoperative complications within an electronic
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psnet.ahrq.gov/issue/analysis-major-errors-and-equipment-failures-anesthesia-management-considerations-prevention
May 27, 2011 - Use of unsolicited patient observations to identify surgeons with increased risk for postoperative … 10, 2011
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An observational study of postoperative
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psnet.ahrq.gov/issue/perioperative-patient-safety-correct-patient-correct-surgery-correct-side-multifaceted-cross
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The role of surgeon error in withdrawal of postoperative life support … July 25, 2012
Postoperative complications due to a retained surgical sponge.
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psnet.ahrq.gov/issue/listening-and-question-asking-behaviors-resident-and-nurse-handoff-conversations-prospective
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psnet.ahrq.gov/issue/when-should-multicampus-hospital-be-considered-single-entity-public-reporting-patient-safety
June 28, 2011 - AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative … 2011
Adherence to Surgical Care Improvement Project measures and the association with postoperative
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psnet.ahrq.gov/issue/accidental-iatrogenic-pneumothorax-hospitalized-patients
April 03, 2005 - Association between night-time surgery and occurrence of intraoperative adverse events and postoperative … 2016
Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative
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psnet.ahrq.gov/issue/crisis-checklists-operating-room-development-and-pilot-testing
April 21, 2015 - surgical practice among operating room personnel from survey data is associated with all-cause 30-day postoperative … March 3, 2011
Changes in safety attitude and relationship to decreased postoperative
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psnet.ahrq.gov/issue/mortality-rate-after-nonelective-hospital-admission
January 22, 2016 - Use of unsolicited patient observations to identify surgeons with increased risk for postoperative … December 13, 2013
The effect of hospital organizational characteristics on postoperative
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psnet.ahrq.gov/issue/surgical-safety-checklist-and-teamwork-coaching-tools-study-inter-rater-reliability
May 11, 2016 - surgical practice among operating room personnel from survey data is associated with all-cause 30-day postoperative … March 23, 2011
Changes in safety attitude and relationship to decreased postoperative
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psnet.ahrq.gov/issue/impact-electronic-medical-records-data-sources-adverse-drug-event-quality-measure
July 31, 2013 - cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative … June 21, 2015
Automated identification of postoperative complications within an electronic
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psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-incorrect-surgery
July 16, 2015 - August 21, 2013
Predictors of successful implementation of preoperative briefings and postoperative … August 18, 2010
Predictors of successful implementation of preoperative briefings and postoperative
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psnet.ahrq.gov/issue/anaesthetists-management-oxygen-pipeline-failure-room-improvement
January 28, 2009 - February 25, 2009
A retrospective audit of postoperative days alive and out of hospital … February 2, 2022
Changes in safety attitude and relationship to decreased postoperative
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psnet.ahrq.gov/issue/perspectives-quality-designing-who-surgical-safety-checklist
September 20, 2011 - May 27, 2010
Changes in safety attitude and relationship to decreased postoperative morbidity … surgical practice among operating room personnel from survey data is associated with all-cause 30-day postoperative
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psnet.ahrq.gov/issue/first-do-no-harm-balancing-competing-priorities-surgical-practice
December 12, 2012 - Association between night-time surgery and occurrence of intraoperative adverse events and postoperative … September 26, 2012
The role of surgeon error in withdrawal of postoperative life support