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Total Results: 4,722 records

Showing results for "site".

4621. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36907/psn-pdf
      September 14, 2012 - The 2011 update now consists of 29 events, organized into surgical events (e.g., wrong-site surgery) … serious-reportable-events-healthcare-2011-update https://psnet.ahrq.gov/primer/never-events https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

4622. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47207/psn-pdf
      July 19, 2018 - The program included an assessment of the quality at each site followed by an individual improvement … Each site embarked on a multimodal intervention that included leadership engagement, team training,

4623. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39123/psn-pdf
      April 30, 2014 - psnet.ahrq.gov/issue/incorrect-surgical-procedures-within-and-outside-operating-room Wrong-patient and wrong-site … incorrect-surgical-procedures-within-and-outside-operating-room https://psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery

4624. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41355/psn-pdf
      April 05, 2013 - care–associated infections, adverse drug events, retained foreign bodies after surgery, and wrong-site … https://psnet.ahrq.gov/primer/health-care-associated-infections https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

4625. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40636/psn-pdf
      November 21, 2011 - procedures in the Veterans Affairs (VA) system found an overall decline in the number of reported wrong-site … incorrect-surgical-procedures-within-and-outside-operating-room-follow-report https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

4626. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49512/psn-pdf
      May 01, 2006 - JCAHO has recommended a series of steps to prevent wrong-site, wrong-side, and wrong-person procedures … ; and (iii) a “time out” to conduct a final verification of the correct patient, procedure, and site … Sentinel Event Alert: A follow-up review of wrong site surgery. … Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. … Incidence, patterns, and prevention of wrong-site surgery. Arch Surg. 2006;141:353-358.

4627. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49582/psn-pdf
      April 01, 2009 - After 40 days of parenteral therapy, the antecubital site and the upper arm became red, swollen, and … was evidence of another complication with the line (blockage of the line, leaking at the insertion site … All catheters were fractured at or near the entrance site. … The fact that the site underwent repeated sterile dressings and had been in place for more than a month … Inspect the insertion site daily.

4628. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.278_slideshow.ppt
      September 01, 2012 - 158:151-156. http://www.ncbi.nlm.nih.gov/pubmed/9448553 9 Monitoring & Management The IV catheter site … On hospital day 6, the patient developed erythema around the IV site. … of the nursing documentation to include the date of peripheral IV insertion and a description of the site … Chlorhexidine-alcohol versus povidone-iodine for surgical-site antisepsis. … A prospective, randomized trial of gauze and two polyurethane dressings for site care of pulmonary artery

4629. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49443/psn-pdf
      May 01, 2004 - Available online at: [ go to related site ]. Accessed April 20, 2004. 2. Osler W. … American Medical Association Web site. Accessed April 20, 2004. 4. Ethics Manual, 4th ed. … American College of Physicians Web site. Available at: [ go to related site ]. … Centers for Medicare & Medicaid Services Web site. Accessed April 20, 2004. 9. Gostin LO. … Washington, DC: National Academy Press; 2001. [ go to related site ] 18. Pierson DJ.

4630. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39314/psn-pdf
      December 21, 2014 - never event was originally coined to describe rare, devastating, and preventable events like wrong-site … psnet.ahrq.gov/primer/never-events https://psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery

4631. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43711/psn-pdf
      November 26, 2014 - fractures, catheter-associated urinary tract infections, venous catheter- related infections, surgical site … Severe pressure ulcers and orthopedic surgical site infections resulted in an average increase in payments

4632. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47088/psn-pdf
      May 02, 2018 - Organizations with stronger safety culture boast lower in-hospital mortality and fewer surgical site … improved-safety-culture-and-teamwork-climate-are-associated-decreases-patient-harm-and https://psnet.ahrq.gov/issue/association-safety-culture-surgical-site-infection-outcomes

4633. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46612/psn-pdf
      February 22, 2018 - The intervention was a learning collaborative model that involved off-site and site-based training and

4634. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.158_slideshow.ppt
      September 01, 2007 - IHI Web site. 14. … Institute for Healthcare Improvement Web site. … Institute for Healthcare Improvement Web site. … Institute for Healthcare Improvement Web site. … Institute for Healthcare Improvement Web site.

4635. Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians about higher risk implantable devices. | PSNet
      psnet.ahrq.gov/issue/factors-influencing-reporting-adverse-medical-device-events-qualitative-interviews-physicians
      May 17, 2017 - July 5, 2023 The occurrence of wrong-site surgery self-reported by candidates for certification … March 3, 2010 Surgical site signing and "time out": issues of compliance or complacence … Patient safety in North America: beyond "operate through your initials" and "sign your site

4636. Deviation from a preoperative surgical and anaesthetic care plan is associated with increased risk of adverse intraoperative events in major abdominal surgery. | PSNet
      psnet.ahrq.gov/issue/deviation-preoperative-surgical-and-anaesthetic-care-plan-associated-increased-risk-adverse
      August 20, 2018 - Study A standardized marking procedure for ENT operations to prevent wrong-site … Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site … Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong Site

4637. "Disruptive behavior" in the operating room: A prospective observational study of triggers and effects of tense communication episodes in surgical teams. | PSNet
      psnet.ahrq.gov/issue/disruptive-behavior-operating-room-prospective-observational-study-triggers-and-effects-tense
      October 29, 2014 - January 15, 2020 Surgical site infections in colon surgery: the patient, the procedure … Study A standardized marking procedure for ENT operations to prevent wrong-site … Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site

4638. Effect of distractions on operative performance and ability to multitask—a case for deliberate practice. | PSNet
      psnet.ahrq.gov/issue/effect-distractions-operative-performance-and-ability-multitask-case-deliberate-practice
      September 15, 2010 - Study A standardized marking procedure for ENT operations to prevent wrong-site … February 25, 2015 Variation in surgical time-out and site marking within pediatric otolaryngology … October 31, 2012 Wrong-site sinus surgery in otolaryngology.

4639. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49713/psn-pdf
      June 01, 2014 - Place the patient in Trendelenberg position with the CVC exit site positioned below the level of the … Cover the CVC exit site with gauze and apply gentle pressure while removing the catheter in a slow, … Prevents the movement of air into the CVC tract Failing to cover the exit site and removing the CVC … Place pressure on the site for 1 to 5 minutes. … Change the dressing every 24 hours until the exit site has healed.

4640. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43917/psn-pdf
      November 03, 2015 - Surgical site infections accounted for the largest proportion of overall readmissions. … national-surgical-quality-improvement-program https://psnet.ahrq.gov/issue/readmission-after-delayed-diagnosis-surgical-site-infection-focus-prevention-using-american