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Total Results: 8,513 records

Showing results for "surgeries".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49389/psn-pdf
    February 01, 2003 - Procedural Mishap: Learning Curve? February 1, 2003 Gibbs VC, Leape L. Procedural Mishap: Learning Curve? PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve The Case A 28-year-old multiparous obese female presented for laparoscopic tubal ligation. The patient had undesired fert…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49814/psn-pdf
    December 01, 2017 - Miscommunication in the OR Leads to Anticoagulation Mishap December 1, 2017 Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap The Case A 63-year-old man with a history of coronary…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42262/psn-pdf
    November 21, 2016 - Medical errors leave devastating impact on families, professionals. November 21, 2016 Bernhard B. https://psnet.ahrq.gov/issue/medical-errors-leave-devastating-impact-families-professionals This newspaper article relates how medical mistakes affect both patients and clinicians and offers tips for patients and fam…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39041/psn-pdf
    October 21, 2009 - The OR and a "just culture." October 21, 2009 Hamlin L. The OR and a "just culture". AORN J. 2009;90(4):495-498. doi:10.1016/j.aorn.2009.09.003. https://psnet.ahrq.gov/issue/or-and-just-culture To illustrate the value of just culture implementation, this piece describes a hypothetical scenario involving the WHO Sa…

  5. Despite Clues, Failed to Rescue | PSNet

    psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
    August 02, 2015 - SPOTLIGHT CASE Despite Clues, Failed to Rescue Citation Text: Ghaferi AA. Despite Clues, Failed to Rescue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndN…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73398/psn-pdf
    June 30, 2021 - First, cancel elective surgeries and restrict to emergency surgeries only.

  7. There is an app for that: mobile technology improves complication reporting and resident perception of their role in patient safety | PSNet

    psnet.ahrq.gov/innovation/there-app-mobile-technology-improves-complication-reporting-and-resident-perception
    November 28, 2012 - EMERGING INNOVATIONS There is an app for that: mobile technology improves complication reporting and resident perception of their role in patient safety Citation Text: Johnson CR, Noorzad A, Pujari A, et al. There is an app for that: mobile technology improves complication reporting and resident p…

  8. Inadequate Preanesthetic Evaluation, Airway Trouble | PSNet

    psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
    November 01, 2023 - Inadequate Preanesthetic Evaluation, Airway Trouble Citation Text: Blitz J. Inadequate Preanesthetic Evaluation, Airway Trouble. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar …

  9. Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. | PSNet

    psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
    January 29, 2021 - Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. Citation Text: Bohringer C. Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services.…

  10. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.113_slideshow.ppt
    January 01, 2006 - Spotlight Case [MONTH] 2003 Spotlight Case January 2006 An Ounce of Prevention Source and Credits This presentation is based on the Jan. 2006 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Nils Kucher, MD; University Ho…

  11. Reports on Hospital and ASC Performance. | PSNet

    psnet.ahrq.gov/issue/reports-hospital-and-asc-performance
    October 02, 2024 - Book/Report Reports on Hospital and ASC Performance. Citation Text: Reports On Hospital And Asc Performance. Washington DC: The Leapfrog Group; September 2024. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

  12. Inadvertent Castration | PSNet

    psnet.ahrq.gov/web-mm/inadvertent-castration
    October 27, 2010 - Inadvertent Castration Citation Text: Calland FJ. Inadvertent Castration. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

  13. Miscommunication in the OR Leads to Anticoagulation Mishap | PSNet

    psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
    May 08, 2019 - Miscommunication in the OR Leads to Anticoagulation Mishap Citation Text: Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Forma…

  14. Infection control assessment of ambulatory surgical centers. | PSNet

    psnet.ahrq.gov/issue/infection-control-assessment-ambulatory-surgical-centers
    October 19, 2012 - Study Infection control assessment of ambulatory surgical centers. Citation Text: Schaefer MK, Jhung M, Dahl M, et al. Infection control assessment of ambulatory surgical centers. JAMA. 2010;303(22):2273-9. doi:10.1001/jama.2010.744. Copy Citation Format: DOI Google Schol…

  15. Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety. | PSNet

    psnet.ahrq.gov/issue/crowd-sourced-hospital-ratings-are-correlated-patient-satisfaction-not-surgical-safety
    November 18, 2020 - Study Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety. Citation Text: Synan LT, Eid MA, Lamb CR, et al. Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety. Surgery. 2021;170(3):764-768. doi:10.10…

  16. A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement. | PSNet

    psnet.ahrq.gov/issue/paperless-wall-mounted-surgical-safety-checklist-migrated-leadership-can-improve-compliance
    January 12, 2022 - Study A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement. Citation Text: Ong APC, Devcich DA, Hannam J, et al. A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and te…

  17. Analysis of human performance deficiencies associated with surgical adverse events. | PSNet

    psnet.ahrq.gov/issue/analysis-human-performance-deficiencies-associated-surgical-adverse-events
    April 15, 2016 - Study Emerging Classic Analysis of human performance deficiencies associated with surgical adverse events. Citation Text: Suliburk JW, Buck QM, Pirko CJ, et al. Analysis of Human Performance Deficiencies Associated With Surgical Adverse Events. JAMA Netw Open. 2…

  18. Perioperative COVID-19 defense: an evidence-based approach for optimization of infection control and operating room management. | PSNet

    psnet.ahrq.gov/issue/perioperative-covid-19-defense-evidence-based-approach-optimization-infection-control-and
    November 30, 2012 - , 2021 Ethical considerations and patient safety concerns for cancelling non-urgent surgeries

  19. Global oncology pharmacy response to COVID-19 pandemic: medication access and safety. | PSNet

    psnet.ahrq.gov/issue/global-oncology-pharmacy-response-covid-19-pandemic-medication-access-and-safety
    January 23, 2017 - , 2017 Ethical considerations and patient safety concerns for cancelling non-urgent surgeries

  20. Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. | PSNet

    psnet.ahrq.gov/issue/incidence-adverse-events-and-negligence-hospitalized-patients-results-harvard-medical
    February 18, 2011 - June 1, 2022 Variation in the reporting of elective surgeries and its influence on patient
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