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www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
December 01, 2017 - By surgeon?
Define process roles and responsibilities:
Schedule observations. … Attending surgeon - 20% NP, 0% FP, 80% POT.
Not Present = NP.
Fails to Pause = FP. … Attending surgeon - 0% NP, 40% DNC, 60% C. … Excessive delays upset surgeon and surgical team. … Revised card system to standardize core needs by procedure with individual surgeon special requests.
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psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 2024 - Surgical STOP for wound exploration is initiated by the surgeon prior to the first stitch to close the … activity while the surgeon proceeds with wound exploration. … The surgeon concludes by announcing “wound explored.” … If the surgeon does not initiate, another team member should initiate the Surgical STOP by utilizing … Imaging consists of X-ray or computed tomography used at the discretion of the surgeon.
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psnet.ahrq.gov/node/846752/psn-pdf
March 29, 2023 - commentary
responds to that study, proposing system and organizational factors, not just the individual surgeon
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psnet.ahrq.gov/node/865429/psn-pdf
April 24, 2024 - 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
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psnet.ahrq.gov/node/49725/psn-pdf
January 01, 2015 - The surgery was proceeding uneventfully when the surgeon requested that
the PA catheter be pulled back … At that point, the surgeon was informed that another patient in the cardiac intensive care
unit (ICU … The surgeon was the only cardiac surgeon available that
day, and there was also only one cardiac anesthesia … The surgeon and attending anesthesiologist
decided to begin the emergency CABG as soon as possible after … The surgeon was anxious to start the second case as soon as possible, so
in order to speed up the transfer
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapc.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.
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psnet.ahrq.gov/node/49560/psn-pdf
April 01, 2008 - Although his DNR form was with him, neither the ED staff nor
the consulting surgeon looked at it. … The internist wrote a DNR order in the chart, but the
surgeon—having just completed major surgery on … Ultimately, the internist consulted with the hospital ethicist, who convinced the surgeon to
honor the … While case reports of physicians unilaterally trumping patient preferences exist, as the surgeon did … This leads to a very important question
regarding the actions of the surgeon.
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psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
June 12, 2019 - He is a staff surgeon at the University Health Network and scientist at the Institute for Clinical Evaluative … RW : As a surgeon and a researcher, was your take on the Gawande study that it was not credible or that … A surgeon could believe that it is a good tool; it might improve communication. … The studies focused on clinical outcomes, and a practicing surgeon would probably wonder how exactly … These are the factors that I tell people are important when choosing a surgeon.
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www.ahrq.gov/research/findings/final-reports/ssi/ssi6.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. … There is documented need for enhanced risk factor assessment (surgeon focus group) and receptivity toward
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psnet.ahrq.gov/node/72724/psn-pdf
February 10, 2021 - various medical
specialties.This systematic review did not identify any differences in patient or surgeon
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psnet.ahrq.gov/issue/patients-should-know-whos-operating-surgeons-say
May 15, 2024 - Newspaper/Magazine Article
Patients should know who's operating, surgeons say.
Citation Text:
Patients should know who's operating, surgeons say. Laber-Warren E. MedPage Today. April 5, 2022.
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psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
August 01, 2017 - Such data will prompt improvement and help patients make more informed choices about which surgeon to … When I read Birkmeyer's study, I thought: if I needed a surgeon for my dad I would want to know his or … Then, we have a more robust comprehensive package by which to evaluate surgeon performance. … If there really is some phenomenal failure of your potential to be a surgeon, it would come out in your … But beyond that, it's also likely that we can train most people to be a competent surgeon.
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psnet.ahrq.gov/web-mm/comanagement-whos-charge
July 01, 2011 - Another risk arising from shared responsibility is disengagement of the surgeon.( 8 ) The presence of … a hospitalist on the surgical wards frees up the surgeon to spend more time in the operating room or … non-teaching hospitals, where surgical patients are often admitted to the hospitalist rather than the surgeon … What problems and complications will the medicine physician, as opposed to the surgeon, take responsibility … The surgeon and medicine physician should determine whom nurses would call when they have specific questions
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-debrief.pptx
June 01, 2015 - Nurse Anesthetist
- Circulating Nurse
- Scrub Technician
- Surgeon … 17
Intervention:
Example: The surgeon … role to initiate the debrief (circulator) as well as a specific trigger to prompt debrief initiation (surgeon … safety checklist will be explored
Completion of preop briefing
Completion of the timeout
Completion of surgeon
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psnet.ahrq.gov/node/49724/psn-pdf
January 01, 2015 - Bowel that has been handled by the surgeon
during procedures associated with the lysis of adhesions … However, a surgeon encountering
this complication and lacking in experience in laparoscopic suturing … Although every surgeon wants to prevent surgical complications, the vagaries of individual patients mean … Krishna Moorthy, MD, MS Senior Lecturer, Consultant Surgeon Upper Gastrointestinal and Bariatric
Surgery … Surgeon information transfer and communication: factors
affecting quality and efficiency of inpatient
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ludwick.pdf
June 21, 2004 - RN
Anesthesia
Provider Surgeon
Verify patient using 2 Identifiers. … The Surgeon will mark the surgical site
with an indelible marking pen, over or as
close as possible … of correct implants, special
equipment or other special requirements
is verbally confirmed by the Surgeon … Signatures: Date:
Surgeon: _____________________________________________________________________ … The
stamped area can then be checked off and signed at the bottom by the surgeon and
staff member(s
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psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
October 31, 2023 - The robotic surgery, he explained, would involve a few small incisions, performed by a surgeon seated … In the case of RAS, though, the surgeon, seated at a computer console in the operating room, uses robot … and light source, which is transmitted to monitors in the operating suite and sends the image to the surgeon … The console, at which the surgeon sits to operate; there are two binocular lenses that magnify and create … a three-dimensional image for the surgeon.
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psnet.ahrq.gov/sites/default/files/2023-11/spotlight_case_the_risk_of_malpositioned.pdf
January 01, 2023 - • The surgeon placed the PEG tube in the ICU using the “pull technique”
(i.e., via the mouth) because … • Unaware that the PEG tube was malpositioned through the liver, the
surgeon attending clinic that … • The surgeon removed the tube uneventfully via the abdominal wall tract
using the common traction … • A few hours later, the clinic surgeon further reviewed the prior hospital
record and noted the … nor the
clinic surgeon was aware of this plan
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psnet.ahrq.gov/issue/special-report-suicidal-ideation-among-american-surgeons
June 28, 2010 - September 27, 2017
Surgeon-reported conflict with intensivists about postoperative goals
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psnet.ahrq.gov/issue/opioid-epidemic-what-can-surgeons-do-about-it
March 27, 2019 - 5, 2015
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