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Total Results: 4,721 records

Showing results for "site".

321. Application of human error theory in case analysis of wrong procedures. | PSNet
     psnet.ahrq.gov/issue/application-human-error-theory-case-analysis-wrong-procedures
     November 14, 2018 - Study A standardized marking procedure for ENT operations to prevent wrong-site … February 8, 2023 Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient … June 23, 2021 Variation in surgical time-out and site marking within pediatric otolaryngology … June 11, 2014 Duplication of surgical site marking. … Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong Site

322. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41574/psn-pdf
     August 08, 2012 - On-site pharmacists in the ED improve medical errors. … On-site pharmacists in the ED improve medical errors. … https://psnet.ahrq.gov/issue/site-pharmacists-ed-improve-medical-errors The presence of a pharmacist … https://psnet.ahrq.gov/issue/site-pharmacists-ed-improve-medical-errors https://psnet.ahrq.gov/issue/

323. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836777/psn-pdf
     March 23, 2022 - The 2016 national data set of five common HAIs (surgical site infections, catheter- and line-associated … Clostridioides difficile was the most frequently reported; Clostridioides difficile and surgical site … toolkit-reduction-clostridium-difficile-infections-through-antimicrobial-stewardship https://psnet.ahrq.gov/primer/surgical-site-infections

324. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.33_slideshow.ppt
     October 01, 2003 - in OB/GYN See the full article at http://webmm.ahrq.gov CME credit is available through the Web site … surgery Understand key components of the Universal Protocol for eliminating wrong site, wrong procedure … Wrong Side Surgery: Scope of the Problem JCAHO: 114 wrong site surgeries from 1152 sentinel events ( … Incidence of wrong-site surgery among hand surgeons. … Advisory statement on wrong site surgery. http://www.aaos.org/wordhtml/papers/advistmt/1015.htm

325. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72794/psn-pdf
     March 03, 2021 - The most common adverse events reported were medication errors, wrong site/patient/procedure events, … impact-checklists-inpatient-safety-outcomes-systematic-review-randomized-controlled-trials https://psnet.ahrq.gov/issue/wrong-site-sinus-surgery-otolaryngology … https://psnet.ahrq.gov/issue/wrong-site-sinus-surgery-otolaryngology

326. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73280/psn-pdf
     May 19, 2021 - Retained foreign objects were the most commonly reported never event (66.2%), followed by wrong site … two-cases-retained-vaginal-packing-when-writing-order-not-enough https://psnet.ahrq.gov/issue/wrong-site-surgery … -1 https://psnet.ahrq.gov/issue/wrong-site-surgery-1

327. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46902/psn-pdf
     August 20, 2018 - Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about … Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about … https://psnet.ahrq.gov/issue/making-soft-intelligence-hard-multi-site-qualitative-study-challenges-relating … https://psnet.ahrq.gov/issue/making-soft-intelligence-hard-multi-site-qualitative-study-challenges-relating-voice-about … https://psnet.ahrq.gov/issue/making-soft-intelligence-hard-multi-site-qualitative-study-challenges-relating-voice-about

328. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44427/psn-pdf
     October 13, 2015 - Problem list completeness in electronic health records: a multi-site study and assessment of success … Problem list completeness in electronic health records: A multi- site study and assessment of success … https://psnet.ahrq.gov/issue/problem-list-completeness-electronic-health-records-multi-site-study-and … https://psnet.ahrq.gov/issue/problem-list-completeness-electronic-health-records-multi-site-study-and-assessment-success … https://psnet.ahrq.gov/issue/problem-list-completeness-electronic-health-records-multi-site-study-and-assessment-success

329. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41451/psn-pdf
     October 19, 2012 - Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians … Challenges of making a diagnosis in the outpatient setting: a multi- site survey of primary care physicians … https://psnet.ahrq.gov/issue/challenges-making-diagnosis-outpatient-setting-multi-site-survey-primary-care … https://psnet.ahrq.gov/issue/challenges-making-diagnosis-outpatient-setting-multi-site-survey-primary-care-physicians … https://psnet.ahrq.gov/issue/challenges-making-diagnosis-outpatient-setting-multi-site-survey-primary-care-physicians

330. Applying decision science to the prioritization of healthcare-associated infection initiatives. | PSNet
     psnet.ahrq.gov/issue/applying-decision-science-prioritization-healthcare-associated-infection-initiatives
     October 20, 2021 - March 23, 2022 Decreased incidence of cesarean surgical site infection rate with hospital-wide … 2021 Implementation of a comprehensive unit-based safety program to reduce surgical site … October 19, 2016 The preventive surgical site infection bundle in colorectal surgery: … an effective approach to surgical site infection reduction and health care cost savings. … Executives and Administrators Quality and Safety Professionals Nosocomial Infections Surgical Site

331. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46682/psn-pdf
     January 24, 2018 - The project employed models and tools to implement  surgical site infection prevention strategies. … Participants reported substantial reductions of surgical site infections in their facilities. … toolkit-promote-safe-surgery https://psnet.ahrq.gov/issue/centers-disease-control-and-prevention-guideline-prevention-surgical-site-infection … 2017 https://psnet.ahrq.gov/issue/centers-disease-control-and-prevention-guideline-prevention-surgical-site-infection

332. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46222/psn-pdf
     June 21, 2017 - enhanced-time-out-improved-communication-process The Universal Protocol requires hospitals to adopt time outs as a strategy to prevent wrong-site … enhanced-time-out-improved-communication-process https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery … https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery https://psnet.ahrq.gov … /issue/wrong-site-and-wrong-patient-procedures-universal-protocol-era-analysis-prospective-database https

333. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50804/psn-pdf
     January 15, 2020 - use-patient-digital-facial-images-confirm-patient-identity-childrens-hospitals- anesthesia The Universal Protocol was intended to prevent wrong site … use-patient-digital-facial-images-confirm-patient-identity-childrens-hospitals-anesthesia https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery … https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

334. Doctor removes ovaries from wrong patient. | PSNet
     psnet.ahrq.gov/issue/doctor-removes-ovaries-wrong-patient
     November 22, 2006 - Copy Citation Related Resources Surgical site verification: A through Z. … November 22, 2006 Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong … April 26, 2006 Doing the "right" things to correct wrong-site surgery. … Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong Site

335. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47434/psn-pdf
     January 21, 2019 - https://psnet.ahrq.gov/issue/estimating-hospital-costs-inpatient-harms Pressure ulcers, surgical site … Added cost varied from $32,000 for a surgical site infection to $9000 for a hospital-acquired urinary … psnet.ahrq.gov/issue/estimating-hospital-costs-inpatient-harms https://psnet.ahrq.gov/primer/surgical-site-infections

336. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33561/psn-pdf
     September 15, 2024 -   National Quality Forum (NQF), in reference to particularly shocking medical errors—such as wrong-site … Surgical or invasive procedural events Surgery or other invasive procedure performed on the wrong site … For example, a 2006  study estimated that a typical hospital might experience a case of wrong-site surgery … Since February 2009, CMS has not paid for any costs associated with  wrong-site surgeries. … https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery https://psnet.ahrq.gov

337. Why isn't 'time out' being implemented? An exploratory study. | PSNet
     psnet.ahrq.gov/issue/why-isnt-time-out-being-implemented-exploratory-study
     May 04, 2010 - August 11, 2021 Worldwide incidence of surgical site infections in general surgical patients … Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong Site … December 6, 2010 Operating room briefings and wrong-site surgery. … July 28, 2010 Avoiding wrong site surgery: a systematic review. … January 28, 2010 Wrong site surgery near misses and actual occurrences.

338. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44689/psn-pdf
     February 24, 2018 - A multi-site ethnographic study. February 24, 2018 Aveling E-L, Parker M, Dixon-Woods M. … A multi-site ethnographic study. … https://psnet.ahrq.gov/issue/what-role-individual-accountability-patient-safety-multi-site-ethnographic-study … https://psnet.ahrq.gov/issue/what-role-individual-accountability-patient-safety-multi-site-ethnographic-study

339. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35707/psn-pdf
     September 02, 2009 - What is Correct-Site Surgery? September 2, 2009 American College of Surgeons. … https://psnet.ahrq.gov/issue/what-correct-site-surgery This brochure provides information for patients … https://psnet.ahrq.gov/issue/what-correct-site-surgery

340. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33795/psn-pdf
     November 01, 2015 - The site has received millions of visits and nearly 70,000 hours of CME credit have been awarded. … In 2005, AHRQ asked us to launch a sister site, called Patient Safety Network (PSNet), to serve as the … As with AHRQ WebM&M, PSNet has become an immensely popular site. … Among the changes you'll notice are: Responsive design, which means that the site will look as good … You'll see many other enhancements as you explore the site—I encourage you to do just that.