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Total Results: 4,722 records

Showing results for "site".

101. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable? | PSNet
     psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-procedure-and-wrong-patient-adverse-events-are-they-preventable
     February 24, 2011 - Study Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are … Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: Are they preventable? … Although instances of wrong-site, wrong-procedure, and wrong-patient adverse events (WSPEs) have been … Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: Are they preventable? … March 28, 2011 Operating room briefings and wrong-site surgery.

102. Spinal surgery and patient safety: a systems approach. | PSNet
     psnet.ahrq.gov/issue/spinal-surgery-and-patient-safety-systems-approach
     January 12, 2022 - from major epidemiologic studies and discusses the need for a systems approach to preventing wrong-site … July 25, 2011 View More Related Resources Wrong-site orthopedic … September 15, 2010 Operating room briefings and wrong-site surgery. … July 28, 2010 Avoiding wrong site surgery: a systematic review. … May 26, 2010 Surgical site signing and "time out": issues of compliance or complacence

103. "It is the left eye, right?" | PSNet
     psnet.ahrq.gov/issue/it-left-eye-right
     September 06, 2023 - Study A standardized marking procedure for ENT operations to prevent wrong-site … June 15, 2016 A multistep approach to improving biopsy site identification in dermatology … August 2, 2015 Using "near misses" analysis to prevent wrong-site surgery. … June 15, 2011 Wrong site surgery. … Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong Site

104. Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial. | PSNet
     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 … April 22, 2020 Statewide collaborative to reduce surgical site infections: results of … August 9, 2018 The preventive surgical site infection bundle in colorectal surgery: an … effective approach to surgical site infection reduction and health care cost savings. … August 2, 2015 Readmission after delayed diagnosis of surgical site infection: a focus

105. Patient Safety/Quality Improvement Primer. | PSNet
     psnet.ahrq.gov/issue/patient-safetyquality-improvement-primer
     September 13, 2017 - Otolaryngology-head and neck surgery is vulnerable to wrong site errors and other challenges present … Copy Citation Related Resources From the Same Author(s) Wrong-site surgery … May 10, 2023 A contemporary analysis of closed claims related to wrong site surgery. … March 29, 2023 Wrong Site Surgery–Wrong Tooth Extraction. … January 20, 2021 Incidence of wrong-site surgery list errors for a 2-year period in a

106. Privacy Policy | PSNet
     psnet.ahrq.gov/Information/Privacy
     The site is produced by an editorial team at the University of California, Davis under a contract from … We collect no personal information about you when you visit our Web site, unless you choose to provide … AHRQ PSNet’s site uses session cookies, so that you only have to log in once per visit. … All communications to the Web site mailbox are removed from the server. … Once you visit another site, you are subject to the privacy policy of that site.

107. Getting surgery right. | PSNet
     psnet.ahrq.gov/issue/getting-surgery-right
     February 15, 2011 - February 9, 2011 Surgical site verification: A through Z. … December 22, 2010 Operating room briefings and wrong-site surgery. … July 28, 2010 Avoiding wrong site surgery: a systematic review. … May 26, 2010 Wrong site surgery near misses and actual occurrences. … August 26, 2009 Incidence, patterns, and prevention of wrong-site surgery.

108. Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, Texas. | PSNet
     psnet.ahrq.gov/issue/deficiencies-facility-leaders-response-critical-surgical-events-michael-e-debakey-va-medical
     November 29, 2023 - Wrong-site surgery and unintentionally retained surgical items are considered never events . … This report details five wrong-site surgeries and three instances of retained surgical items at one VA … Additionally, the medical center failed to fully report the provider responsible for three of the wrong-site … June 15, 2016 Wrong-site surgery, retained surgical items, and surgical fires: a systematic … Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site

109. Washington Patient Safety Coalition. | PSNet
     psnet.ahrq.gov/issue/washington-patient-safety-coalition
     January 25, 2023 - network of patient safety professionals to facilitate dialogue, promote initiatives on eliminating wrong-site … March 17, 2011 Doing the "right" things to correct wrong-site surgery. … March 18, 2010 Insight into preventing wrong-site surgery. … December 16, 2009 Wrong site surgery near misses and actual occurrences. … See More About The Topic Quality and Safety Professionals Medication Safety Wrong-Site

110. Most surgery in wrong spot done on spine: 11 such cases found in state since 2006. | PSNet
     psnet.ahrq.gov/issue/most-surgery-wrong-spot-done-spine-11-such-cases-found-state-2006
     August 06, 2008 - This article reports on the incidence of wrong site surgeries in Massachusetts and describes complex … October 3, 2017 Wrong-site orthopedic operations on the extremities: the Pennsylvania … March 29, 2012 The pain of wrong site surgery. … February 8, 2011 Surgical site verification: A through Z. … July 23, 2010 Surgical site signing and "time out": issues of compliance or complacence

111. Patient Safety/Quality Improvement Primer: Parts I, II and III. | PSNet
     psnet.ahrq.gov/issue/patient-safetyquality-improvement-primer-parts-i-ii-and-iii
     July 26, 2017 - Otolaryngology-head and neck surgery is vulnerable to wrong site errors and other challenges present … Copy Citation Related Resources Preoperative site marking: are we adhering to … July 26, 2017 Incidence of wrong-site surgery list errors for a 2-year period in a single … September 27, 2017 Wrong Site Surgery–Wrong Tooth Extraction. … June 9, 2021 Wrong-site surgery in Pennsylvania during 2015–2019: a study of variables

112. Swiss Cheese Model | PSNet
     psnet.ahrq.gov/taxonomy/term/3460
     January 20, 2025 - For example, if the hazard were wrong-site surgery, slices of the cheese might include conventions for … identifying sidedness on radiology tests, a protocol for signing the correct site when the surgeon and … first meet, and a second protocol for reviewing the medical record and checking the previously marked site … For some serious events (e.g., operating on the wrong site or wrong person), even though the holes will … might mislabel a film (or simply hang it backwards and a hurried surgeon not notice), "signing the site

113. AORN Evaluation of the Universal Protocol. | PSNet
     psnet.ahrq.gov/issue/aorn-evaluation-universal-protocol
     April 26, 2006 - comments from the field regarding The Joint Commission's  Universal Protocol to help eliminate wrong site … Copy Citation Related Resources Universal Protocol for Preventing Wrong Site … April 26, 2006 Surgical site verification: A through Z. … September 24, 2008 Operating room briefings and wrong-site surgery. … February 7, 2007 Doing the "right" things to correct wrong-site surgery.

114. Wrong body part, wrong patient surgeries continue despite new procedures. | PSNet
     psnet.ahrq.gov/issue/wrong-body-part-wrong-patient-surgeries-continue-despite-new-procedures
     May 19, 2010 - This newspaper article discusses wrong-site surgeries and explores why the number of reported errors … October 3, 2017 Wrong-site orthopedic operations on the extremities: the Pennsylvania … January 23, 2012 The pain of wrong site surgery. … February 8, 2011 Surgical site verification: A through Z. … December 22, 2010 Doing the "right" things to correct wrong-site surgery.

115. Process changes to increase compliance with the Universal Protocol for bedside procedures. | PSNet
     psnet.ahrq.gov/issue/process-changes-increase-compliance-universal-protocol-bedside-procedures
     December 01, 2014 - April 30, 2014 A 62-year-old woman with skin cancer who experienced wrong-site surgery … February 8, 2011 Wrong-site craniotomy: analysis of 35 cases and systems for prevention … August 18, 2010 Operating room briefings and wrong-site surgery. … July 28, 2010 Avoiding wrong site surgery: a systematic review. … May 26, 2010 Wrong site surgery near misses and actual occurrences.

116. Enhanced time out: an improved communication process. | PSNet
     psnet.ahrq.gov/issue/enhanced-time-out-improved-communication-process
     October 19, 2022 - The Universal Protocol requires hospitals to adopt time outs as a strategy to prevent wrong-site surgeries … Related Resources Patient Safety Primers Wrong-Site … April 27, 2016 Wrong site surgery: a critical incident analysis of a near miss. … March 16, 2016 Surgical site verification: A through Z. … December 22, 2010 Avoiding wrong site surgery: a systematic review.

117. Medical errors in orthopaedics. Results of an AAOS member survey. | PSNet
     psnet.ahrq.gov/issue/medical-errors-orthopaedics-results-aaos-member-survey
     August 04, 2021 - this study had witnessed a medical error within the prior 6 months, with medication errors and wrong-site … Patient safety in North America: beyond "operate through your initials" and "sign your site … June 16, 2019 Variation in surgical time-out and site marking within pediatric otolaryngology … December 21, 2014 Preventing wrong site, procedure, and patient events using a common … Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong Site

118. Determining the state of knowledge for implementing the Universal Protocol recommendations: an integrative review of the literature. | PSNet
     psnet.ahrq.gov/issue/determining-state-knowledge-implementing-universal-protocol-recommendations-integrative
     March 15, 2016 - April 30, 2014 The pain of wrong site surgery. … October 20, 2010 Operating room briefings and wrong-site surgery. … July 28, 2010 Avoiding wrong site surgery: a systematic review. … May 26, 2010 Doing the "right" things to correct wrong-site surgery. … March 18, 2010 Wrong site surgery near misses and actual occurrences.

119. Factors contributing to preventing operating room "never events": a machine learning analysis. | PSNet
     psnet.ahrq.gov/issue/factors-contributing-preventing-operating-room-never-events-machine-learning-analysis
     July 26, 2023 - learning, this study identified 24 contributing factors to two types of surgical never events - wrong site … July 27, 2023 A contemporary analysis of closed claims related to wrong site surgery. … October 20, 2021 Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient … April 7, 2021 Incidence of wrong-site surgery list errors for a 2-year period in a single … April 1, 2020 Preoperative site marking: are we adhering to good surgical practice?

120. Patient safety in Taiwan: a survey on orthopedic surgeons. | PSNet
     psnet.ahrq.gov/issue/patient-safety-taiwan-survey-orthopedic-surgeons
     October 27, 2016 - Taiwanese orthopedic surgeons and found that a national campaign encouraging surgeons to mark the incision site … reduced wrong-site and wrong-procedure errors. … Assessment of the implementation of a national patient safety alert to reduce wrong site … July 23, 2010 Avoiding wrong site surgery: a systematic review. … May 26, 2010 Surgical site signing and "time out": issues of compliance or complacence