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psnet.ahrq.gov/node/49638/psn-pdf
January 01, 2012 - fellow who
performed the echocardiogram communicated results to the surgeon, the child's attending … The resident assumed the ICU attending was communicating
with the surgeon, and did not contact the surgeon … The surgeon and cardiologist arrived in the ICU for rounds just minutes before
the arrest. … The attending surgeon
and cardiologist were only briefed on the initial respiratory distress and did … However, with this style, at all times operating room decisions belong to the surgeon.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.122_slideshow.ppt
April 01, 2006 - During this time, the surgeon began to yell at members of the operating room (OR) team for a variety … This behavior did not surprise the OR team as this surgeon had a reputation for being “old school” and … The Surgeon and the Scope. Ithaca, NY: Cornell University Press; 2004. … The surgeon then injected multiple boluses of saline and Hypaque dye and the child became tachycardic … Instead, the surgeon insisted on removing the portacath and closing the skin incision.
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psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
November 11, 2020 - He was seen shortly after arrival by a cardiac surgeon, who was concerned about the earlier CT findings … The cardiac surgeon discussed the problem with the patient and his wife, including the numerous risks … The surgeon did not realize at the time that the bypass time was so long, leading to a short delay in … The surgeon briefly discussed the situation by telephone with his cardiac surgery colleagues and then … The surgeon did not follow up with the patient’s wife at that time, having spoken to her earlier.
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psnet.ahrq.gov/issue/lawrence-d-dorr-surgical-techniques-technologies-award-running-two-rooms-does-not-compromise
July 29, 2020 - surgeries—separate procedures performed at overlapping times in different operating rooms by the same surgeon—has … January 18, 2013
The role of surgeon error in withdrawal of postoperative life support … August 26, 2011
Surgeon age and operative mortality in the United States.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.37_slideshow.ppt
November 01, 2003 - He notified the surgeon. … The surgeon replied, “You’ll find it on your table somewhere,” and continued to attain hemostasis and … The nurse notified the surgeon that he believed the suction tip catheter was inside the patient. … However, the surgeon felt that the risk of the tip being in the chest was low and decided to defer the … doubted RN assessment
Did not believe tip was in the body cavity
Surgeon not listening
Preoccupied
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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
April 01, 2008 - After induction of general anesthesia, the assistant surgeon tried 10 times to cannulate either subclavian … Unfortunately, the surgeon had damaged an intercostal artery when he inserted the chest tube emergently … The next issue the surgeon had to address was choosing a surgical approach that would be most appropriate … Additionally, in this case, the surgeon damaged an intercostal artery while inserting the chest tube … At such a pre-procedure pause, the surgeon has an opportunity to communicate anticipated risks of the
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psnet.ahrq.gov/node/33785/psn-pdf
May 01, 2015 - A practicing
general surgeon, he has served in advisory roles for the Center for Medicare and Medicaid … RW: Tell us how being a surgeon influenced you. Have you seen marked variations in technique? … JB: Well, no surgeon believes that he or she is below average. … an average practicing surgeon. … B rather than Surgeon A.
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psnet.ahrq.gov/issue/assessing-stops-framework-coping-intraoperative-errors-evidence-efficacy-hints-hubris-and
June 14, 2023 - evidence-based STOPS framework (Stop, Talk to your team, Obtain help, Plan, Succeed) to improve resident surgeon … From the Same Author(s)
The good, the bad, and the ugly: operative staff perspectives of surgeon … Related Resources
The good, the bad, and the ugly: operative staff perspectives of surgeon
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psnet.ahrq.gov/node/44475/psn-pdf
October 03, 2017 - scoring-no-goal-further-adventures-transparency
This commentary explores challenges to monitoring and rating surgeon … transparency on surgical care quality, such as the National Surgical Quality
Improvement Program, the Surgeon … https://psnet.ahrq.gov/issue/national-surgical-quality-improvement-program
https://psnet.ahrq.gov/issue/surgeon-scorecard
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psnet.ahrq.gov/web-mm/good-catch-operating-room
August 27, 2017 - The procedure initially started well and the surgeon followed his expected operative plan. … Since the surgeon did not notice excessive bleeding, he initially continued with the procedure. … Although the surgeon was surprised by the anesthesiologist's forcefulness, he recognized her concern, … A vascular surgeon was urgently consulted. … Critical role of the surgeon–anesthesiologist relationship for patient safety.
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psnet.ahrq.gov/node/49505/psn-pdf
March 01, 2006 - As the fascia was being closed, the surgeon noted pooling of blood in
the surgical field. … The surgeon mechanically reinforced the anastomosis sites, but they continued to bleed. … At this
time, the attending surgeon left the hospital, and the patient was managed primarily by the … The attending surgeon opted to bring the patient back to the OR for a second look. … The attending surgeon was known to have had multiple surgical complications in previous cases, and had
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psnet.ahrq.gov/issue/association-overlapping-surgery-increased-risk-complications-following-hip-surgery
November 21, 2021 - After adjustment for factors known to predict surgical outcomes, such as hospital and surgeon case volume … September 23, 2020
Association of surgeon-patient sex concordance with postoperative … September 21, 2022
Association of surgeon-patient sex concordance with postoperative
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psnet.ahrq.gov/issue/surgeon-perception-and-attitude-towards-moral-imperative-institutionally-addressing-second
March 24, 2019 - Study
Surgeon perception and attitude towards the moral imperative of institutionally … Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim … Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim
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psnet.ahrq.gov/issue/potential-consequences-patient-complications-surgeon-well-being-systematic-review
May 23, 2018 - Review
Potential consequences of patient complications for surgeon well-being: a … Potential Consequences of Patient Complications for Surgeon Well-being: A Systematic Review. … Potential Consequences of Patient Complications for Surgeon Well-being: A Systematic Review.
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psnet.ahrq.gov/node/49507/psn-pdf
April 01, 2006 - The surgeon
utilized a supraclavicular approach for the guidewire placement and was having significant … During this period, the surgeon began to yell at the members of the operating
room (OR) team for a variety … This behavior did not surprise the OR team, as this surgeon had a reputation for being “old school” … Instead, the surgeon
insisted on removing the portacath and closing the skin incision. … The Surgeon and the Scope. Ithaca, NY: Cornell University Press; 2004.
3.
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psnet.ahrq.gov/node/866579/psn-pdf
August 28, 2024 - Before discharge, the surgeon instructed her to return in 10 days for suture removal. … The surgeon also
told the patient not to soak her hand in water, which would reduce the risk of infection … The MA did not document each call but reportedly discussed each
call with the surgeon. … One day later, the patient
called and asked to see the surgeon, but she was denied because the MA said … At that appointment, the surgeon
recommended immediate surgery to treat the infection.
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psnet.ahrq.gov/node/49863/psn-pdf
May 01, 2019 - The procedure initially started well and the surgeon followed his
expected operative plan. … Since the surgeon did not notice
excessive bleeding, he initially continued with the procedure. … The anesthesiologist was very concerned about the patient and said to the surgeon, "I think we have an … A vascular surgeon was urgently
consulted. … Critical role of the surgeon–anesthesiologist relationship for patient safety.
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psnet.ahrq.gov/node/44979/psn-pdf
April 06, 2016 - When a surgeon should just say 'I'm sorry'.
April 6, 2016
Cohen E. CNN. March 24, 2016. … https://psnet.ahrq.gov/issue/when-surgeon-should-just-say-im-sorry
Poor communication regarding medical … https://psnet.ahrq.gov/issue/when-surgeon-should-just-say-im-sorry
https://psnet.ahrq.gov/issue/standards-audits-and-saying-im-sorry-engineers-family-proposes-solutions
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psnet.ahrq.gov/issue/six-things-every-plastic-surgeon-needs-know-about-teamwork-training-and-checklists
September 07, 2016 - Image/Poster
Six things every plastic surgeon needs to know about teamwork training … Six things every plastic surgeon needs to know about teamwork training and checklists. … Six things every plastic surgeon needs to know about teamwork training and checklists.
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psnet.ahrq.gov/node/49427/psn-pdf
January 01, 2004 - In the recovery room, the surgeon discussed the changes to the planned procedure with the patient's wife … ,
who informed the surgeon that the patient's right testicle had been removed after a traumatic injury … Likewise, it would
be helpful to have information about the extent to which the operating surgeon was … Wrong-site Surgery and Other Cognitive Errors
In this case, the surgeon almost certainly never considered … In this anachronistic model, the non-surgeon
physician, resident, nurse, and technician team members