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Total Results: 5,058 records

Showing results for "surgeon".

221. 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

222. Auditing Your Briefings and Debriefings Process: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-fac-notes.html
     December 01, 2017 - The best way to build engagement and surgeon buy-in is to add value for them. … Ask: Do you want to observe five briefings from each surgeon? … As an example, we evaluated a few cases for each surgeon. … Regardless of surgeon, each common procedure pulled from this core list. … Then each individual surgeon could add specialty items if requested.

223. Facilitator Guide: Auditing Your Briefings and Debriefings (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing_facnotes.docx
     December 01, 2017 - The best way to build engagement and surgeon buy-in is to add value for them. … ASK: Do you want to observe five briefings from each surgeon? … As an example, we evaluated a few cases for each surgeon. … Regardless of surgeon, each common procedure pulled from this core list. … Then each individual surgeon could add specialty items if requested.

224. 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

225. 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

226. Exhibits 29 to 31 | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssiexh29-31.html
     April 01, 2018 - Assessing Surgeon Acceptance of Risk Adjustment Models Chapter 5. Project Expansion Chapter 6. … Surgeon Focus Group Guide Appendix O. Nursing Focus Group Guides Appendix P. … Surgeon Focus Group Content Analysis Appendix R. Infection Prevention Support Tool Appendix S.

227. Exhibits 8 to 10 | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssiexh8-10.html
     April 01, 2018 - Assessing Surgeon Acceptance of Risk Adjustment Models Chapter 5. Project Expansion Chapter 6. … Surgeon Focus Group Guide Appendix O. Nursing Focus Group Guides Appendix P. … Surgeon Focus Group Content Analysis Appendix R. Infection Prevention Support Tool Appendix S.

228. 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

229. 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 …

230. 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 …

231. 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.

232. 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?

233. 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

234. 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.

235. 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.

236. 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.

237. 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.

238. Transcript-Speaking-Up (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/transcript-speaking-up.doc
     May 01, 2017 - Transcript of Speaking Up Audio Narrator: The patient’s undergoing a laparoscopic cholecystectomy, and the surgeon … The nurse notices that the surgeon has contaminated the sleeve of his gown.

239. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866583/psn-pdf
     August 28, 2024 - evidence-based STOPS framework (Stop, Talk to your team, Obtain help, Plan, Succeed) to improve resident surgeon … surgical-errors-happen-are-learners-trained-recover-them-survey-north-american-surgical https://psnet.ahrq.gov/issue/good-bad-and-ugly-operative-staff-perspectives-surgeon-coping-intraoperative-errors

240. American College of Surgeons | Digital Healthcare Research
     digital.ahrq.gov/organization/american-college-surgeons
     January 01, 2023 - American College of Surgeons Scaling and Spreading Electronic Capture of Patient-Reported Outcomes Leveraging a National Surgical Quality Improvement Program Description This project demonstrated that the large-scale electronic collection of patient-reported outcome measures i…