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psnet.ahrq.gov/node/60610/psn-pdf
June 24, 2020 - directed to the
emergency room, where she was admitted for an emergency appendectomy by a general surgeon … At her
postoperative appointment, the surgeon informed her that the procedure was prolonged due to … The surgeon did not call in a gynecological surgeon during the surgery or
complete a biopsy. … The surgeon referred her to a gynecologist. … It is commendable the general
surgeon recognized endometriosis might be present; however, if the diagnosis
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psnet.ahrq.gov/node/866696/psn-pdf
September 11, 2024 - am-i-safe-interpretative-phenomenological-analysis-vulnerability-experienced-patients
https://psnet.ahrq.gov/issue/potential-consequences-patient-complications-surgeon-well-being-systematic-review
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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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psnet.ahrq.gov/node/49753/psn-pdf
February 01, 2016 - 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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
May 01, 2017 - The surgeon shares the operative plan and difficulties anticipated during the operation, which lets team … Finally, the surgeon or physician sets the tone with this statement: “Does anybody have any concerns? … An example is when a surgeon keeps receiving the same pair of dull scissors. … During the briefing, the surgeon shares changes to the operative plan and the possible difficulties. … The team should include at least one—
· Administrator
· Surgeon/physician
· Anesthesia professional
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psnet.ahrq.gov/issue/how-avoid-falling-victim-hospital-mistake
April 06, 2016 - Copy Citation
Related Resources From the Same Author(s)
When a surgeon should … November 28, 2016
When a surgeon should just say 'I'm sorry'.
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psnet.ahrq.gov/node/49686/psn-pdf
May 01, 2013 - Although the patient had a chest port in place, the surgeon
refused to access the port, and instead … The surgeon believed that the port device should be exclusively used for chemotherapy, not to
provide … access nurse disagreed and advised that the port should be used for
vascular access during surgery, the surgeon … A surgeon trained in team leadership skills such as conflict resolution might have listened
more carefully … Therefore, although the surgeon certainly made a mistake, this is a clear case of a
blameless act.(15
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psnet.ahrq.gov/node/33784/psn-pdf
April 01, 2015 - 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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psnet.ahrq.gov/continuing-education
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.
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psnet.ahrq.gov/primer/systems-approach
June 15, 2024 - Instead, the surgeon performs a completely different procedure —a carpal tunnel release. … Personnel at the sharp end may literally be holding a scalpel when the error is committed (e.g., the surgeon … In the incorrect surgery case, the active, or sharp end, error was quite literally committed by the surgeon … The surgeon was distracted by competing patient care needs (an inpatient consultation) and an emotionally … Furthermore, the patient only spoke Spanish and no interpreter was available, meaning that the surgeon
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psnet.ahrq.gov/node/865337/psn-pdf
March 27, 2024 - scoping-review-second-victim-syndrome-among-surgeons-understanding-impact-responses-and
https://psnet.ahrq.gov/issue/potential-consequences-patient-complications-surgeon-well-being-systematic-review
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psnet.ahrq.gov/node/861738/psn-pdf
January 31, 2024 - She was referred to an orthopedic surgeon who referred her to a hand
specialist who surgically repaired … Most tendon injuries
should be repaired by an experienced hand surgeon; however, some tendon injuries … If repair is attempted, discussion with a hand surgeon
is advised. … Close follow-up with a hand surgeon should be arranged
for all cases of definite or suspected tendon … Specialty follow-up with a hand surgeon can ensure definitive diagnosis and
treatment.
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psnet.ahrq.gov/sites/default/files/2024-01/spotlight_case_laceration_needed_exam_not_x-ray_final.pdf
January 01, 2024 - • She was referred to an orthopedic surgeon who referred her to a hand specialist
who surgically … • Most tendon injuries should be repaired by an experienced hand surgeon;
however, some tendon injuries … patients for specialty
follow-up.8,11
• Flexor tendon lacerations should only be repaired by a hand surgeon … • Close follow-up with a hand surgeon should be arranged for all cases of definite or
suspected tendon … Specialty follow-up with a hand surgeon can ensure definitive diagnosis and
treatment.
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psnet.ahrq.gov/node/47949/psn-pdf
July 10, 2019 - Although many have reported anecdotally that disrespectful
surgeon behavior has led to patient harm,
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psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_intraoperative_awareness_during_rhinoplasty_slides_final.pptx
January 01, 2024 - 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 … It was her impression that the surgeon rushed to finish the operation while full anesthesia was restored … The surgeon seemed surprised and embarrassed that the patient remembered waking up during the operation … If the patient moves unexpectedly during the procedure, the surgeon should stop cutting or manipulating
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psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
January 07, 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/ssiapo.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/perspective/conversation-lucian-leape-md
June 12, 2019 - The surgeon does this in two different ways. … I was a surgeon for 25 years, and I was sure at some time I was going to operate on the wrong side [of … So making sure you're taking out the left kidney is the responsibility of the surgeon, the resident, … What we're talking about is not ticking off the boxes, but how the surgeon and the nurses communicate … It turns out it's more than just talking that surgeon into being nice to people.
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psnet.ahrq.gov/node/49512/psn-pdf
May 01, 2006 - treat dehydration, it is
unlikely that she was admitted directly to the service of the orthopedic surgeon … the repeat foot and ankle radiographs while the patient was in
the ED or the consulting orthopedic surgeon … By any reasonable standard of judgment, the orthopedic surgeon committed by far the most serious errors … One is forced to suspect that the surgeon may not have removed the bed covers
and visualized the right … This single error is serious enough, but the surgeon made it even worse by
recommending surgery on the
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psnet.ahrq.gov/issue/it-time-safeguards-adoption-robotic-surgery
December 04, 2019 - September 18, 2019
Transition planning for the senior surgeon: guidance and recommendations … March 3, 2019
The competent surgeon: individual accountability in the era of "systems