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Showing results for "surgeon".

141. Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administration Oversight Failures. | PSNet
     psnet.ahrq.gov/issue/deficiencies-community-care-network-credentialing-process-former-va-surgeon-and-veterans
     November 29, 2023 - Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon … Citation Text: Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon … Citation Text: Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon

142. Psn-Pdf (pdf file)
     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.

143. Assessing the STOPS framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and a bridge to abridging burnout. | PSNet
     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

144. Association of overlapping surgery with increased risk for complications following hip surgery. | PSNet
     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

145. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest | PSNet
     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

146. Psn-Pdf (pdf file)
     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

147. Six things every plastic surgeon needs to know about teamwork training and checklists. | PSNet
     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.

148. Good Catch in the Operating Room | PSNet
     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.

149. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49423/psn-pdf
     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. … If so, this error may actually have resulted from actions taken by a single individual (the surgeon) … Perhaps the surgeon doubted the nurse’s suggestion that the tip was in the chest cavity, and thus at

150. Psn-Pdf (pdf file)
     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.

151. Psn-Pdf (pdf file)
     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.

152. Inadvertent Castration | PSNet
     psnet.ahrq.gov/web-mm/inadvertent-castration
     October 27, 2010 - 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

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837347/psn-pdf
     June 08, 2022 - Surgeon General’s Advisory on Building a Thriving Health Workforce. … Washington DC: Office of the Surgeon General; May 2022.

154. Swiss Cheese Model | PSNet
     psnet.ahrq.gov/glossary/swiss-cheese-model
     September 13, 2021 - conventions for identifying sidedness on radiology tests, a protocol for signing the correct site when the surgeon … The surgeon may meet the patient for the first time in the operating room. … A hurried x-ray technologist might mislabel a film (or simply hang it backwards and a hurried surgeon

155. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.33_slideshow.ppt
     October 01, 2003 - As the trainee prepared to make an incision on the left side of the vulva, the attending surgeon stopped … by senior staff members Responses differed by profession (% “yes”): Airline pilot response: 97% Surgeon … The surgeon denied that any error had been made; he insisted that the original biopsies had been mislabeled … The surgeon did not inform the patient of the error. … .): Wrong Side Surgery When the patient returned for routine follow-up, the surgeon performed a vulvar

156. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74251/psn-pdf
     January 26, 2022 - health records but without seeing the patient, who was in another hospital, the anesthetist asked the surgeon … 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 … Additionally, in this case, the surgeon damaged an intercostal artery while inserting the chest tube … A preoperative discussion between the attending surgeon and the trainee regarding anticipated risks

157. Two Wrongs Don't Make a Right (Kidney) | PSNet
     psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
     April 01, 2010 - The day following the surgery, the pathologist contacted the surgeon to report no evidence of cancer. … The surgeon then reviewed the initial CT scan and realized his mistake. … Once the surgeon decided he did not need the imaging to proceed with surgical treatment, the proverbial … Either way, the surgeon would have been given the opportunity to review the imaging and identify the … The surgeon moves down one level and completes the procedure appropriately. Table 2.

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852805/psn-pdf
     August 23, 2023 - This news feature reports on  systemic flaws  that enabled a vascular surgeon with questionable business … unstoppable-doctor-has-been-investigated-every-level-government-how-he-still-practicing https://psnet.ahrq.gov/issue/surgeon-so-bad-it-was-criminal

159. Discharge Instructions in the PACU: Who Remembers? | PSNet
     psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
     August 05, 2009 - Upon examination of the knee under anesthesia and with visualization from the arthroscope, the surgeon … After the surgery, the surgeon briefed the patient in the post-anesthesia care unit (PACU) on his findings … When the husband picked up the patient, the written discharge instructions from the surgeon were generic … The confusion was never discovered at two subsequent postop visits, in part because the surgeon never … When she experienced significant pain, she called the surgeon who then chastised her for not following

160. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50925/psn-pdf
     February 19, 2020 - This analysis discusses a criminal case involving one surgeon in the National Health Service. … report-independent-inquiry-issues-raised-paterson https://psnet.ahrq.gov/issue/report-morecambe-bay-investigation https://psnet.ahrq.gov/issue/surgeon-so-bad-it-was-criminal