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Total Results: 4,722 records

Showing results for "site".

141. Standardization Projects. | PSNet
     psnet.ahrq.gov/issue/standardization-projects
     April 29, 2022 - URL February 25, 2009 Washington State Hospital Association; WSHA This Web site … Related Web site Available at Related news article Save Save to your library

142. The wrong foot, and other tales of surgical error. | PSNet
     psnet.ahrq.gov/issue/wrong-foot-and-other-tales-surgical-error
     January 18, 2023 - This news piece reports on wrong-site and wrong-patient surgery and describes efforts to prevent surgical … April 24, 2015 The pain of wrong site surgery. … August 13, 2008 Incidence, patterns, and prevention of wrong-site surgery.

143. Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers. | PSNet
     psnet.ahrq.gov/issue/assessment-incorrect-surgical-procedures-within-and-outside-operating-room-follow-study-us
     October 24, 2018 - The Joint Commission and National Quality Forum both consider wrong-site, wrong-procedure, and wrong-patient … April 30, 2014 Prevention of wrong-site tooth extraction: clinical guidelines. … September 20, 2011 Operating room briefings and wrong-site surgery. … July 28, 2010 Incidence and root cause analysis of wrong-site pain management procedures

144. Side errors in neurosurgery. | PSNet
     psnet.ahrq.gov/issue/side-errors-neurosurgery
     November 17, 2010 - The authors interviewed surgeons involved in wrong-site incidents and found that the errors of omission … November 14, 2012 Experience of wrong site surgery and surgical marking practices among … March 28, 2011 Wrong-site craniotomy: analysis of 35 cases and systems for prevention … More About The Topic Operating Room Physicians Risk Managers Neurosurgery Wrong-Site

145. Priority patient safety issues identified by perioperative nurses. | PSNet
     psnet.ahrq.gov/issue/priority-patient-safety-issues-identified-perioperative-nurses
     June 19, 2013 - Perioperative nurses identified wrong-site surgery and medication errors as the most pressing patient … 2023 Using performance improvement to enhance time-out compliance and prevent wrong-site … October 14, 2020 Wrong site surgery: a critical incident analysis of a near miss. … March 16, 2016 Concept analysis: wrong-site surgery.

146. Toolkit to Promote Safe Surgery. | PSNet
     psnet.ahrq.gov/issue/toolkit-promote-safe-surgery
     May 01, 2017 - Preventing surgical complications including surgical site infections are a worldwide target for improvement … 2022 Implementation of a comprehensive unit-based safety program to reduce surgical site … May 17, 2017 Improving the Measurement of Surgical Site Infection Risk Stratification … See More About The Topic Operating Room Health Care Providers Surgery Surgical Site

147. Surgical never events in the United States. | PSNet
     psnet.ahrq.gov/issue/surgical-never-events-united-states
     September 10, 2014 - More than a decade ago, stories of wrong site surgeries and retained surgical objects galvanized … An incident of wrong-site surgery is discussed in an AHRQ WebM&M commentary . … April 8, 2020 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

148. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33576/psn-pdf
     December 15, 2024 - Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Wrong-Site, Wrong-Procedure … https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery PSNet primers are … These "wrong-site, wrong-procedure, wrong-patient errors" (WSPEs) are rightly termed never events—errors … side of her vulva removed when the cancerous lesion was on the left, or the incorrect body site. … "sign your site" initiatives, that instructed surgeons to mark the https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

149. “I’m concerned”: a multi-site assessment of emergency medicine resident speaking up behaviors. | PSNet
     psnet.ahrq.gov/issue/im-concerned-multi-site-assessment-emergency-medicine-resident-speaking-behaviors
     December 02, 2020 - Study “I’m concerned”: a multi-site assessment of emergency medicine resident speaking … “I’m concerned”: A multi-site assessment of emergency medicine resident speaking up behaviors. … “I’m concerned”: A multi-site assessment of emergency medicine resident speaking up behaviors.

150. What is the role of individual accountability in patient safety? A multi-site ethnographic study. | PSNet
     psnet.ahrq.gov/issue/what-role-individual-accountability-patient-safety-multi-site-ethnographic-study
     June 16, 2021 - A multi-site ethnographic study. Citation Text: Aveling E-L, Parker M, Dixon-Woods M. … A multi-site ethnographic study. … A multi-site ethnographic study. … April 17, 2019 Making soft intelligence hard: a multi-site qualitative study of challenges

151. What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study. | PSNet
     psnet.ahrq.gov/issue/what-works-medication-reconciliation-treatment-and-site-analysis-marquis2-study
     May 19, 2021 - Study What works in medication reconciliation: an on-treatment and site analysis … What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study. … What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study.

152. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851454/psn-pdf
     July 19, 2023 - Preventing surgical site infections: implementing strategies throughout the perioperative continuum. … Preventing surgical site infections: implementing strategies throughout the perioperative continuum. … https://psnet.ahrq.gov/issue/preventing-surgical-site-infections-implementing-strategies-throughout- … perioperative Preventing surgical site infections remains a persistent challenge to patient safety. … https://psnet.ahrq.gov/primer/surgical-site-infections https://psnet.ahrq.gov/issue/consensus-bundle-prevention-surgical-site-infections-after-major-gynecologic-surgery

153. Dental patient safety in the military health system: joining medicine in the journey to high reliability. | PSNet
     psnet.ahrq.gov/issue/dental-patient-safety-military-health-system-joining-medicine-journey-high-reliability
     October 19, 2022 - Wrong-site surgery was the most common adverse event, suggesting the need to enhance safety practices … Implementation of a surgical comprehensive unit-based safety program to reduce surgical site … July 27, 2022 Wrong Site Surgery–Wrong Tooth Extraction.

154. Misdiagnosis is more common than drug errors or wrong-site surgery. | PSNet
     psnet.ahrq.gov/issue/misdiagnosis-more-common-drug-errors-or-wrong-site-surgery
     March 13, 2013 - Newspaper/Magazine Article Misdiagnosis is more common than drug errors or wrong-site … Citation Text: Misdiagnosis is more common than drug errors or wrong-site surgery. Boodman SG. … Citation Citation Text: Misdiagnosis is more common than drug errors or wrong-site … March 7, 2007 The pain of wrong site surgery.

155. PSO Privacy Protection Center. | PSNet
     psnet.ahrq.gov/issue/pso-privacy-protection-center
     December 24, 2008 - This Web site supports AHRQ implementation of the Patient Safety and Quality Improvement Act of 2005 … The site includes updates on the latest definitions and common formats. … Available at Related Web site Save Save to your library Print Download PDF

156. Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. | PSNet
     psnet.ahrq.gov/issue/using-performance-improvement-enhance-time-out-compliance-and-prevent-wrong-site-surgery
     October 06, 2021 - Using performance improvement to enhance time-out compliance and prevent wrong-site … Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. … Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. … February 26, 2025 Patient Safety Primers Wrong-Site

157. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. | PSNet
     psnet.ahrq.gov/issue/prevention-3-never-events-operating-room-fires-gossypiboma-and-wrong-site-surgery
     February 10, 2012 - Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site … Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. … Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. … May 25, 2022 Wrong-site surgery in California, 2007–2014. … June 15, 2016 Wrong-site surgery, retained surgical items, and surgical fires: a systematic

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/843326/psn-pdf
     February 01, 2023 - Surgical site infection prevention: a review. … Surgical site infection prevention: a review. … https://psnet.ahrq.gov/issue/surgical-site-infection-prevention-review Surgical site infections (SSIs … It also evaluates modifiable operation-related factors associated with surgical site infections, and … surgical-site-infections https://psnet.ahrq.gov/issue/back-basics-preventing-surgical-site-infections

159. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. | PSNet
     psnet.ahrq.gov/issue/surgical-case-listing-accuracy-failure-analysis-high-volume-academic-medical-center
     September 25, 2011 - Wrong-site surgeries are a rare yet devastating complication for patients. … This study explored a less understood risk for wrong-site surgery by focusing on the documentation transition … While no wrong-site surgeries occurred, there were nearly 800 cases where this potential was noted and … Past AHRQ WebM&M commentaries have discussed the factors contributing to a near-miss wrong-site surgery

160. Chemotherapy Extravasation | PSNet
     psnet.ahrq.gov/web-mm/chemotherapy-extravasation
     September 24, 2010 - The patient immediately began complaining of pain at the infusion site. … The nurse removed the IV catheter and placed an ice pack on the site. … The extravasation site should be assessed and measured, and findings documented. … Do not administer a vesicant in a vein below a recent venipuncture site. … of the site.