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161. Medication-related FDA patient safety videos provided in cooperation with ISMP. | PSNet
     psnet.ahrq.gov/issue/medication-related-fda-patient-safety-videos-provided-cooperation-ismp
     March 14, 2007 - Facebook Twitter Linkedin Copy URL September 20, 2006 This Web site …  site provides links to selections from the FDA's Patient Safety News  segments regarding medication

162. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72649/psn-pdf
     January 20, 2021 - Wrong-site surgery in Pennsylvania during 2015–2019: a study of variables associated with 368 events … Wrong-Site Surgery in Pennsylvania During 2015–2019: A Study of Variables Associated With 368 Events … -368-events-178 Wrong-site surgeries can lead to  serious patient harm and are considered  never events … The authors present several evidence-based strategies to reduce the likelihood of wrong-site surgery … , including preoperative and intraoperative verification,  site marking, and timeouts.  

163. Peripheral IV in Too Long | PSNet
     psnet.ahrq.gov/web-mm/peripheral-iv-too-long
     September 15, 2011 - In the case above, if the IV were functioning and the site lacked evidence of inflammation, it seems … On hospital day 6, the patient developed erythema around the IV site. … , but by 144 hours, cellulitis had developed at the catheter site. … In adults, upper extremities are the preferred site for catheter insertion.( 6 ) Using an insertion site … Chlorhexidine-alcohol versus povidone-iodine for surgical-site antisepsis.

164. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846759/psn-pdf
     March 29, 2023 - A contemporary analysis of closed claims related to wrong site surgery. … A contemporary analysis of closed claims related to wrong site surgery. … https://psnet.ahrq.gov/issue/contemporary-analysis-closed-claims-related-wrong-site-surgery Wrong-site … that the risk of wrong-site surgery increases with spinal surgeries (e.g., spinal fusion, excision … The primary contributing factors to wrong-site surgery was failure to follow policy or protocols (such

165. Estimating the hospital costs of inpatient harms. | PSNet
     psnet.ahrq.gov/issue/estimating-hospital-costs-inpatient-harms
     February 07, 2024 - Pressure ulcers, surgical site infections , and other hospital-acquired conditions are common preventable … Added cost varied from $32,000 for a surgical site infection to $9000 for a hospital-acquired urinary … Hospitals Health Care Executives and Administrators Medical Complications Surgical Site

166. A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. | PSNet
     psnet.ahrq.gov/issue/multi-site-assessment-inpatient-safety-event-rates-during-coronavirus-disease-2019-pandemic
     May 25, 2022 - Commentary A multi-site assessment of inpatient safety event rates during the coronavirus … A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. … A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. … July 20, 2022 The perception of patient safety in an alternate site of care for elective

167. High reliability of care in orthopedic surgery: are we there yet? | PSNet
     psnet.ahrq.gov/issue/high-reliability-care-orthopedic-surgery-are-we-there-yet
     November 23, 2011 - applying high reliability principles in orthopedic practice to standardize approaches and prevent wrong-site … December 2, 2015 Wrong-site orthopedic operations on the extremities: the Pennsylvania … March 25, 2015 The occurrence of wrong-site surgery self-reported by candidates for certification … Health Care Executives and Administrators Orthopedic Surgery Surgical Complications Wrong-Site

168. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867045/psn-pdf
     October 30, 2024 - The burden of healthcare utilization, cost, and mortality associated with select surgical site infections … The burden of healthcare utilization, cost, and mortality associated with select surgical site infections … ://psnet.ahrq.gov/issue/burden-healthcare-utilization-cost-and-mortality-associated-select-surgical-site … - infections Surgical site infections (SSIs) are a common source of preventable harm following surgery … ://psnet.ahrq.gov/issue/burden-healthcare-utilization-cost-and-mortality-associated-select-surgical-site-infections

169. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850350/psn-pdf
     June 14, 2023 - Preventing surgical site infections: are safety climate level and its strength associated with self-reported … Preventing surgical site infections: are safety climate level and its strength associated with self-reported … https://psnet.ahrq.gov/issue/preventing-surgical-site-infections-are-safety-climate-level-and-its-strength … - associated-self Surgical site infections (SSI) are a common, but preventable, complication following … https://psnet.ahrq.gov/primer/surgical-site-infections https://psnet.ahrq.gov/issue/association-safety-culture-surgical-site-infection-outcomes

170. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45948/psn-pdf
     January 01, 2021 - Preoperative site marking: are we adhering to good surgical practice? … Preoperative Site Marking. J Patient Saf. 2021;17(6):e503-e508. doi:10.1097/pts.0000000000000398. … https://psnet.ahrq.gov/issue/preoperative-site-marking-are-we-adhering-good-surgical-practice Wrong-site … In the United States, The Joint Commission requires marking of the surgical site prior to surgery as … https://psnet.ahrq.gov/issue/preoperative-site-marking-are-we-adhering-good-surgical-practice https:/

171. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46058/psn-pdf
     October 23, 2018 - Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, … Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, … https://psnet.ahrq.gov/issue/centers-disease-control-and-prevention-guideline-prevention-surgical-site … - infection-2017 Surgical site infections are a common hospital-acquired condition. … https://psnet.ahrq.gov/issue/global-guidelines-prevention-surgical-site-infection

172. Nora Institute for Surgical Patient Safety. | PSNet
     psnet.ahrq.gov/issue/nora-institute-surgical-patient-safety
     March 25, 2009 - This Web site assists efforts of the American College of Surgeons by providing resources and information … October 26, 2011 Reducing Colorectal Surgical Site Infections.

173. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60250/psn-pdf
     April 22, 2020 - Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean … Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean … https://psnet.ahrq.gov/issue/implementation-comprehensive-unit-based-safety-program-reduce-surgical- site-infections … care hospital over a five-year period to evaluate the impact of an evidence-based bundle on surgical site … Implementation of the bundle resulted in a 60% reduction in the risk of surgical site infections, from

174. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60180/psn-pdf
     April 01, 2020 - Incidence of wrong-site surgery list errors for a 2-year period in a single national health service … Incidence of wrong-site surgery list errors for a 2-year period in a single national health service … - service-board Operating room list errors are often cited as leading to wrong-side, wrong-site or … Tracking and reducing operating room list errors may help to prevent wrong-side, -site, or -procedure … https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845361/psn-pdf
     March 29, 2023 - A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment … A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment … https://psnet.ahrq.gov/innovation/standardized-marking-procedure-ent-operations-prevent-wrong-site- … surgery-development Although wrong-site surgeries are rare, the consequences can be very serious. … Despite being classified as a never event, wrong site surgery continues to be an issue in otolaryngology

176. The National Report Card on the State of Emergency Medicine. | PSNet
     psnet.ahrq.gov/issue/national-report-card-state-emergency-medicine
     February 18, 2011 - December 16, 2008 American College of Emergency Physicians; ACEP This Web site … The site also offers an interactive map of the nation, with detailed information and a "grade" for each … Interactive Web site Save Save to your library Print Download PDF Share

177. Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns. | PSNet
     psnet.ahrq.gov/issue/making-soft-intelligence-hard-multi-site-qualitative-study-challenges-relating-voice-about
     June 16, 2021 - Emerging Classic Making soft intelligence hard: a multi-site … Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety … Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety … A multi-site ethnographic study.

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47927/psn-pdf
     July 31, 2019 - In-hospital mortality associated with the misdiagnosis or unidentified site of infection at admission … In-hospital mortality associated with the misdiagnosis or unidentified site of infection at admission … https://psnet.ahrq.gov/issue/hospital-mortality-associated-misdiagnosis-or-unidentified-site-infection … - admission This retrospective study sought to determine whether timely diagnosis of the site of infection … greater odds of dying in the hospital compared to those with the correct infection site diagnosed on

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74150/psn-pdf
     December 08, 2021 - Worldwide incidence of surgical site infections in general surgical patients: a systematic review and … Worldwide incidence of surgical site infections in general surgical patients: a systematic review and … https://psnet.ahrq.gov/issue/worldwide-incidence-surgical-site-infections-general-surgical-patients- … systematic-review-and Surgical site infections (SSI) are a common, yet largely preventable, complication … https://psnet.ahrq.gov/primer/surgical-site-infections https://psnet.ahrq.gov/issue/readmission-after-delayed-diagnosis-surgical-site-infection-focus-prevention-using-american

180. Impact of preoperative briefings on operating room delays. | PSNet
     psnet.ahrq.gov/issue/impact-preoperative-briefings-operating-room-delays
     July 28, 2010 - reported that implementation of time outs also improved teamwork and reduced the overall risk for wrong-site … Related Resources From the Same Author(s) Operating room briefings and wrong-site … 2, 2017 Achieving the National Quality Forum's "Never Events": prevention of wrong site … January 13, 2010 Wrong site surgery near misses and actual occurrences.