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Total Results: 8,075 records

Showing results for "surgeries".

2001. 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…

2002. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
      January 01, 2024 - Spotlight Spotlight Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns 1 Source and Credits This presentation is based on the July 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary …

2003. The Missing Suction Tip | PSNet
      psnet.ahrq.gov/web-mm/missing-suction-tip
      January 01, 2006 - SPOTLIGHT CASE The Missing Suction Tip Citation Text: Thomas EJ, Moore FA. The Missing Suction Tip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 …

2004. Fire in the Hole!—An OR Fire | PSNet
      psnet.ahrq.gov/web-mm/fire-hole-or-fire
      August 03, 2017 - Fire in the Hole!—An OR Fire Citation Text: Mehta SP, Domino KM. Fire in the Hole!—An OR Fire. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…

2005. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49848/psn-pdf
      January 01, 2019 - Inadequate Preanesthetic Evaluation, Airway Trouble November 1, 2018 Blitz J. Inadequate Preanesthetic Evaluation, Airway Trouble. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble The Case Case #1: A 34-year-old woman was scheduled for a hysteroscopy under g…

2006. Around the Block | PSNet
      psnet.ahrq.gov/web-mm/around-block
      March 04, 2020 - Around the Block Citation Text: Minichiello T. Around the Block. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

2007. Influence of external assessment on quality and safety in surgery: a qualitative study of surgeons' perspectives. | PSNet
      psnet.ahrq.gov/issue/influence-external-assessment-quality-and-safety-surgery-qualitative-study-surgeons
      June 28, 2023 - Study Influence of external assessment on quality and safety in surgery: a qualitative study of surgeons' perspectives. Citation Text: Øyri SF, Wiig S, Tjomsland O. Influence of external assessment on quality and safety in surgery: a qualitative study of surgeons’ perspectives. BMJ Open …

2008. Rates of surgical consultations after emergency department admission in Black and White Medicare patients. | PSNet
      psnet.ahrq.gov/issue/rates-surgical-consultations-after-emergency-department-admission-black-and-white-medicare
      February 10, 2021 - Study Rates of surgical consultations after emergency department admission in Black and White Medicare patients. Citation Text: Roberts SE, Rosen CB, Keele LJ, et al. Rates of surgical consultations after emergency department admission in Black and White Medicare patients. JAMA Surg. 202…

2009. Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe care. | PSNet
      psnet.ahrq.gov/issue/agency-healthcare-research-and-quality-ahrq-patient-safety-indicator-postoperative
      January 10, 2018 - Study Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe care. Citation Text: Nguyen MC, Moffatt-Bruce SD, Strosberg DS, et al. Agency for Healthcare Research …

2010. Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study. | PSNet
      psnet.ahrq.gov/issue/potentially-inappropriate-medication-administration-associated-adverse-postoperative-outcomes
      October 07, 2020 - Study Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study. Citation Text: Burfeind KG, Zarnegarnia Y, Tekkali P, et al. Potentially inappropriate medication administration is associ…

2011. Effect of a 19-item surgical safety checklist during urgent operations in a global patient population. | PSNet
      psnet.ahrq.gov/issue/effect-19-item-surgical-safety-checklist-during-urgent-operations-global-patient-population
      December 29, 2014 - Study Classic Effect of a 19-item surgical safety checklist during urgent operations in a global patient population. Citation Text: Weiser TG, Haynes AB, Dziekan G, et al. Effect of A 19-Item Surgical Safety Checklist During Urgent Operations in A Global Patie…

2012. Surgical checklists: a systematic review of impacts and implementation. | PSNet
      psnet.ahrq.gov/issue/surgical-checklists-systematic-review-impacts-and-implementation
      January 06, 2018 - Review Surgical checklists: a systematic review of impacts and implementation. Citation Text: Treadwell JR, Lucas S, Tsou AY. Surgical checklists: a systematic review of impacts and implementation. BMJ Qual Saf. 2014;23(4):299-318. doi:10.1136/bmjqs-2012-001797. Copy Citation F…

2013. Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. | PSNet
      psnet.ahrq.gov/issue/changes-safety-attitude-and-relationship-decreased-postoperative-morbidity-and-mortality
      May 27, 2010 - Study Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. Citation Text: Haynes AB, Weiser TG, Berry WR, et al. Changes in safety attitude and relationship to decrease…

2014. Surgical technology and operating-room safety failures: a systematic review of quantitative studies. | PSNet
      psnet.ahrq.gov/issue/surgical-technology-and-operating-room-safety-failures-systematic-review-quantitative-studies
      May 06, 2015 - Review Surgical technology and operating-room safety failures: a systematic review of quantitative studies. Citation Text: Weerakkody RA, Cheshire NJ, Riga C, et al. Surgical technology and operating-room safety failures: a systematic review of quantitative studies. BMJ Qual Saf. 2013;…

2015. Association between hospital safety culture and surgical outcomes in a statewide surgical quality improvement collaborative. | PSNet
      psnet.ahrq.gov/issue/association-between-hospital-safety-culture-and-surgical-outcomes-statewide-surgical-quality
      February 14, 2017 - Study Association between hospital safety culture and surgical outcomes in a statewide surgical quality improvement collaborative. Citation Text: Odell DD, Quinn CM, Matulewicz RS, et al. Association Between Hospital Safety Culture and Surgical Outcomes in a Statewide Surgical Quality Im…

2016. Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study. | PSNet
      psnet.ahrq.gov/issue/surgical-checklist-implementation-project-impact-variable-who-checklist-compliance-risk
      June 22, 2016 - Study Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study. Citation Text: Mayer EK, Sevdalis N, Rout S, et al. Surgical Checklist Implementation Project: The Impa…

2017. Hospital-Acquired Condition Reduction Program is not associated with additional patient safety improvement. | PSNet
      psnet.ahrq.gov/issue/hospital-acquired-condition-reduction-program-not-associated-additional-patient-safety
      May 29, 2019 - Study Hospital-Acquired Condition Reduction Program is not associated with additional patient safety improvement. Citation Text: Sheetz KH, Dimick JB, Englesbe MJ, et al. Hospital-Acquired Condition Reduction Program Is Not Associated With Additional Patient Safety Improvement. Health Af…

2018. Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians about higher risk implantable devices. | PSNet
      psnet.ahrq.gov/issue/factors-influencing-reporting-adverse-medical-device-events-qualitative-interviews-physicians
      May 17, 2017 - Study Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians about higher risk implantable devices. Citation Text: Gagliardi AR, Ducey A, Lehoux P, et al. Factors influencing the reporting of adverse medical device events: qualitative i…

2019. Using AHRQ Patient Safety Indicators to detect postdischarge adverse events in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/using-ahrq-patient-safety-indicators-detect-postdischarge-adverse-events-veterans-health
      June 04, 2014 - Study Using AHRQ Patient Safety Indicators to detect postdischarge adverse events in the Veterans Health Administration. Citation Text: Mull HJ, Borzecki A, Chen Q, et al. Using AHRQ patient safety indicators to detect postdischarge adverse events in the Veterans Health Administration. A…

2020. Relationship between occurrence of surgical complications and hospital finances. | PSNet
      psnet.ahrq.gov/issue/relationship-between-occurrence-surgical-complications-and-hospital-finances
      April 21, 2015 - Study Classic Relationship between occurrence of surgical complications and hospital finances. Citation Text: Eappen S, Lane BH, Rosenberg B, et al. Relationship between occurrence of surgical complications and hospital finances. JAMA. 2013;309(15):1599-606. doi…