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Total Results: 8,075 records

Showing results for "surgeries".

1581. The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited. | PSNet
      psnet.ahrq.gov/issue/5th-anniversary-universal-protocol-pitfalls-and-pearls-revisited
      December 21, 2014 - Commentary The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited. Citation Text: Stahel PF, Mehler PS, Clarke TJ, et al. The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited. Patient Saf Surg. 2009;3(1):14. doi:10.1186/1754-9493-3-14. …

1582. Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams. | PSNet
      psnet.ahrq.gov/issue/errors-and-burden-errors-attitudes-perceptions-and-culture-safety-pediatric-cardiac-surgical
      June 16, 2019 - Study Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams. Citation Text: Bognár A, Barach P, Johnson J, et al. Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac sur…

1583. Role of intraoperative cholangiography in avoiding bile duct injury. | PSNet
      psnet.ahrq.gov/issue/role-intraoperative-cholangiography-avoiding-bile-duct-injury
      December 13, 2023 - Review Role of intraoperative cholangiography in avoiding bile duct injury. Citation Text: Massarweh NN, Flum DR. Role of intraoperative cholangiography in avoiding bile duct injury. J Am Coll Surg. 2007;204(4):656-64. Copy Citation Format: Google Scholar PubMed BibTeX En…

1584. Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement. | PSNet
      psnet.ahrq.gov/issue/disclosure-adverse-events-and-errors-surgical-care-challenges-and-strategies-improvement
      December 01, 2021 - Review Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement. Citation Text: Lipira LE, Gallagher TH. Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement. World J Surg. 2014;38(7):1614-21. doi:1…

1585. Investigating the causes of adverse events. | PSNet
      psnet.ahrq.gov/issue/investigating-causes-adverse-events
      October 03, 2017 - Commentary Investigating the causes of adverse events. Citation Text: Sanchez JA, Lobdell KW, Moffatt-Bruce SD, et al. Investigating the Causes of Adverse Events. Ann Thorac Surg. 2017;103(6):1693-1699. doi:10.1016/j.athoracsur.2017.04.001. Copy Citation Format: DOI Google …

1586. Discussing harm-causing errors with patients: an ethics primer for plastic surgeons. | PSNet
      psnet.ahrq.gov/issue/discussing-harm-causing-errors-patients-ethics-primer-plastic-surgeons
      February 28, 2018 - Review Discussing harm-causing errors with patients: an ethics primer for plastic surgeons. Citation Text: Vercler CJ, Buchman SR, Chung KC. Discussing harm-causing errors with patients: an ethics primer for plastic surgeons. Ann Plast Surg. 2015;74(2):140-144. doi:10.1097/SAP.0000000000…

1587. Standardized postoperative handover process improves outcomes in the intensive care unit: a model for operational sustainability and improved team performance. | PSNet
      psnet.ahrq.gov/issue/standardized-postoperative-handover-process-improves-outcomes-intensive-care-unit-model
      June 21, 2015 - Study Standardized postoperative handover process improves outcomes in the intensive care unit: a model for operational sustainability and improved team performance. Citation Text: Bhakta RT, Stockwell DC. Transitions of care in the pediatric cardiac intensive care unit*. Crit Care Med…

1588. Surgical ward round quality and impact on variable patient outcomes. | PSNet
      psnet.ahrq.gov/issue/surgical-ward-round-quality-and-impact-variable-patient-outcomes
      June 17, 2015 - Study Surgical ward round quality and impact on variable patient outcomes. Citation Text: Pucher PH, Aggarwal R, Darzi A. Surgical ward round quality and impact on variable patient outcomes. Ann Surg. 2014;259(2):222-6. doi:10.1097/SLA.0000000000000376. Copy Citation Format: …

1589. Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events. | PSNet
      psnet.ahrq.gov/issue/duke-surgery-patient-safety-open-source-application-anonymous-reporting-adverse-and-near-miss
      February 15, 2011 - Commentary Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events. Citation Text: Pietrobon R, Lima R, Shah A, et al. Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-mi…

1590. Building a culture of safety in ophthalmology. | PSNet
      psnet.ahrq.gov/issue/building-culture-safety-ophthalmology
      March 14, 2022 - Commentary Building a culture of safety in ophthalmology. Citation Text: Custer PL, Fitzgerald ME, Herman DC, et al. Building a Culture of Safety in Ophthalmology. Ophthalmology. 2016;123(9 Suppl):S40-5. doi:10.1016/j.ophtha.2016.06.019. Copy Citation Format: DOI Google Sch…

1591. Microanalysis of video from the operating room: an underused approach to patient safety research. | PSNet
      psnet.ahrq.gov/issue/microanalysis-video-operating-room-underused-approach-patient-safety-research
      January 22, 2014 - Study Microanalysis of video from the operating room: an underused approach to patient safety research. Citation Text: Bezemer J, Cope A, Korkiakangas T, et al. Microanalysis of video from the operating room: an underused approach to patient safety research. BMJ Qual Saf. 2017;26(7):583-…

1592. A strategic approach to quality improvement and patient safety education and resident integration in a general surgery residency. | PSNet
      psnet.ahrq.gov/issue/strategic-approach-quality-improvement-and-patient-safety-education-and-resident-integration
      November 17, 2010 - Commentary A strategic approach to quality improvement and patient safety education and resident integration in a general surgery residency. Citation Text: O'Heron CT, Jarman BT. A strategic approach to quality improvement and patient safety education and resident integration in a gener…

1593. Distracting communications in the operating theatre. | PSNet
      psnet.ahrq.gov/issue/distracting-communications-operating-theatre
      August 18, 2017 - Study Distracting communications in the operating theatre. Citation Text: Sevdalis N, Healey AN, Vincent CA. Distracting communications in the operating theatre. J Eval Clin Pract. 2007;13(3). doi:10.1111/j.1365-2753.2006.00712.x. Copy Citation Format: DOI Google Scholar …

1594. Priority patient safety issues identified by perioperative nurses. | PSNet
      psnet.ahrq.gov/issue/priority-patient-safety-issues-identified-perioperative-nurses
      June 19, 2013 - Study Priority patient safety issues identified by perioperative nurses. Citation Text: Steelman VM, Graling PR, Perkhounkova Y. Priority patient safety issues identified by perioperative nurses. AORN J. 2013;97(4):402-18. doi:10.1016/j.aorn.2012.06.016. Copy Citation Format: …

1595. Application of human error theory in case analysis of wrong procedures. | PSNet
      psnet.ahrq.gov/issue/application-human-error-theory-case-analysis-wrong-procedures
      November 14, 2018 - Study Application of human error theory in case analysis of wrong procedures. Citation Text: Duthie EA. Application of Human Error Theory in Case Analysis of Wrong Procedures. J Patient Saf. 2010;6(2):108-114. doi:10.1097/pts.0b013e3181de47f9. Copy Citation Format: DOI Goo…

1596. A Double “Never Event”: Wrong Patient and Wrong Side. | PSNet
      psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
      August 20, 2018 - A Double “Never Event”: Wrong Patient and Wrong Side. Citation Text: Bellini A, Salcedo ES. A Double “Never Event”: Wrong Patient and Wrong Side.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: …

1597. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49520/psn-pdf
      September 01, 2006 - DNR in the OR and Afterwards September 1, 2006 Lo B. DNR in the OR and Afterwards. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/dnr-or-and-afterwards The Case An 85-year-old woman with dementia took a mechanical fall at her skilled nursing facility (SNF) and suffered a fractured femur. After initial eval…

1598. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42907/psn-pdf
      August 02, 2015 - Innovation in safety, and safety in innovation. August 2, 2015 Eisenberg D, Wren SM. Innovation in safety, and safety in innovation. JAMA Surg. 2014;149(1):7-9. doi:10.1001/jamasurg.2013.5112. https://psnet.ahrq.gov/issue/innovation-safety-and-safety-innovation This commentary discusses systems-focused innovations…

1599. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38371/psn-pdf
      January 28, 2009 - Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in general surgery. January 28, 2009 Rebasa P, Mora L, Luna A, et al. Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in general surgery. World J Surg. 2009;33…

1600. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36132/psn-pdf
      May 27, 2011 - Motion study in surgery. May 27, 2011 Gilbreth FB. Can J Med Surg. 1916:22-31. https://psnet.ahrq.gov/issue/motion-study-surgery This study was one of the first "time-motion" studies of physicians, and pioneered the application of human factors engineering and industrial principles to medical practice. The authors…