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Total Results: 3,415 records

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/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

143. 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.

144. 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

145. 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

146. 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

147. The Other Side | PSNet
     psnet.ahrq.gov/web-mm/other-side
     May 01, 2007 - As the trainee prepared to make an incision on the left side of the vulva, the attending surgeon stopped … Typically, guidelines require the marking and signing of the surgical site by the operative surgeon ( … The wrong site surgery occurred because the surgeon remembered, incorrectly, that he had biopsied the … The attending surgeon denied that any error had been made; he insisted that the original biopsies had … The surgeon did not inform the patient of the error.

148. Surgeons' disclosures of clinical adverse events. | PSNet
     psnet.ahrq.gov/issue/surgeons-disclosures-clinical-adverse-events
     August 18, 2021 - Study Surgeons' disclosures of clinical adverse events. Citation Text: Elwy R, Itani KMF, Bokhour BG, et al. Surgeons' Disclosures of Clinical Adverse Events. JAMA Surg. 2016;151(11):1015-1021. doi:10.1001/jamasurg.2016.1787. Copy Citation Format: DOI Google Scholar PubMed …

149. Avoiding Unconscious Bias: a Guide for Surgeons. | PSNet
     psnet.ahrq.gov/issue/avoiding-unconscious-bias-guide-surgeons
     May 29, 2019 - Book/Report Avoiding Unconscious Bias: a Guide for Surgeons. Citation Text: Avoiding Unconscious Bias: a Guide for Surgeons. London, UK: Royal College of Surgeons of England; 2016. Copy Citation Save Save to your library Print Download PDF Share …

150. When should surgeons stop operating? | PSNet
     psnet.ahrq.gov/issue/when-should-surgeons-stop-operating
     May 24, 2017 - March 9, 2022 When is the surgeon too old to operate?

151. Local Anesthesia-Induced Coma During Total Knee Arthroplasty. | PSNet
     psnet.ahrq.gov/web-mm/local-anesthesia-induced-coma-during-total-knee-arthroplasty
     October 27, 2021 - Intraoperatively, the surgeon also infiltrated the arthroplasty wound with 200 mg of 0.5% ropivacaine … The anesthesiologist who plans to do a local anesthetic block in addition to surgeon-performed wound … infiltration must advise the surgeon and other surgical team members of the safe total dose of local … The anesthesia provider must check constantly intraoperatively with the scrub nurses and the surgeon … Similarly, before infiltration by the surgeon, there should always be a discussion about how much local

152. Medication Handling and Compounding Errors in the Operating Room. | PSNet
     psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
     May 16, 2022 - When requested by the attending surgeon, the scrub technician verbally confirmed the medication (“ICG … in D50”) being handed to the surgeon. … The surgeon injected the medication to stain the eye. … The nurse correctly read the label in the presence of the surgeon, who may have been distracted, and … distract the surgeon during that time.

153. 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

154. CE/MOC Quizzes | PSNet
     psnet.ahrq.gov/cme
     February 26, 2025 - to move but recalls making a “monumental effort” to utter a small groaning noise, which alerted the surgeon … She heard the surgeon verbally acknowledge her condition and offer reassurance that the operation was … During the first follow-up visit, the surgeon did not address the situation, so the patient brought it … The surgeon seemed surprised and embarrassed that the patient remembered waking up during the operation … Each time, the surgeon ordered hetastarch for volume expansion.

155. 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

156. Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. | PSNet
     psnet.ahrq.gov/issue/surgeon-information-transfer-and-communication-factors-affecting-quality-and-efficiency
     December 21, 2014 - Study Surgeon information transfer and communication: factors affecting quality and … Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient … Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient

157. Complications: A Surgeon's Notes on an Imperfect Science. | PSNet
     psnet.ahrq.gov/issue/complications-surgeons-notes-imperfect-science
     January 13, 2010 - October 18, 2017 Surgeon, Heal Thyself: Optimising Surgical Performance by Managing Stress

158. 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.

159. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery | PSNet
     psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
     March 25, 2020 - The surgeon took the internal paddles and requested the circulating nurse to get ready for synchronized … A simple verbal report is not sufficient; the angiogram video must be available to allow the surgeon … The surgeon also needs to choose the energy to be applied with every shock. … If further shocks had not been effective in this patient, the surgeon would have had to cannulate the … The surgeon in this case could not see the screen and therefore was not in a position to correct the

160. Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals of predicted fatigue-related impairment in residents. | PSNet
     psnet.ahrq.gov/issue/surgeon-fatigue-prospective-analysis-incidence-risk-and-intervals-predicted-fatigue-related
     July 06, 2011 - Study Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals … Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals of predicted fatigue-related … Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals of predicted fatigue-related