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Total Results: 8,075 records

Showing results for "surgeries".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41698/psn-pdf
    November 27, 2012 - Duplication of surgical site marking. November 27, 2012 Davis JS, Karmacharya J, Schulman C. Duplication of surgical site marking. J Patient Saf. 2012;8(4):151-2. doi:10.1097/PTS.0b013e3182699a01. https://psnet.ahrq.gov/issue/duplication-surgical-site-marking Describing a case of duplicate surgical site markings o…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37066/psn-pdf
    October 03, 2011 - Improving patient safety by identifying latent failures in successful operations. October 3, 2011 Catchpole K, Giddings AEB, Wilkinson M, et al. Improving patient safety by identifying latent failures in successful operations. Surgery. 2007;142(1):102-10. https://psnet.ahrq.gov/issue/improving-patient-safety-ident…

  3. International Conference on Emerging Surgery Trends 2025: Redefining Surgical Excellence Conference | PSNet

    psnet.ahrq.gov/training-catalog/international-conference-emerging-surgery-trends-2025-redefining-surgical
    January 01, 2025 - International Conference on Emerging Surgery Trends 2025: Redefining Surgical Excellence Conference Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization The Research Ga…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38234/psn-pdf
    June 09, 2011 - Cutting out human error. June 9, 2011 Feinmann J. Cutting out human error. BMJ. 2008;337:a2370. doi:10.1136/bmj.a2370. https://psnet.ahrq.gov/issue/cutting-out-human-error This article discusses how human factors contribute to error and highlights the WHO World Alliance for Patient Safety Safe Surgery Checklist as…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49464/psn-pdf
    December 27, 2020 - Lap Burn October 1, 2004 Ball K. Lap Burn. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/lap-burn The Case A woman was scheduled for an elective diagnostic laparoscopy for dysfunctional uterine bleeding. After accessing the abdomen with the trocar without complication, the surgeon inserted the laparoscope…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37931/psn-pdf
    September 25, 2008 - Can a structured checklist prevent problems with laparoscopic equipment? September 25, 2008 Verdaasdonk EGG, Stassen LPS, Hoffmann WF, et al. Can a structured checklist prevent problems with laparoscopic equipment? Surg Endosc. 2008;22(10):2238-43. doi:10.1007/s00464-008-0029-3. https://psnet.ahrq.gov/issue/can-st…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50633/psn-pdf
    November 06, 2019 - Findings of Two Inaugural Leapfrog Surveys 2019. November 6, 2019 Washington DC: Leapfrog Group; 2019. https://psnet.ahrq.gov/issue/findings-two-inaugural-leapfrog-surveys-2019 Ambulatory surgery centers (ASC) are established venues for surgical care despite engagement in assessment to ensure their safety. This re…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60169/psn-pdf
    March 25, 2020 - Is that solution for IV or irrigation?: Fluid administration errors in the operating room. March 25, 2020 Bohringer C. Is that solution for IV or irrigation?: Fluid administration errors in the operating room. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-erro…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37956/psn-pdf
    July 30, 2008 - Hospital mortality: when failure is not a good measure of success. July 30, 2008 Shojania KG, Forster AJ. Hospital mortality: when failure is not a good measure of success. CMAJ. 2008;179(2):153-7. doi:10.1503/cmaj.080010. https://psnet.ahrq.gov/issue/hospital-mortality-when-failure-not-good-measure-success This …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33634/psn-pdf
    May 04, 2006 - The Wild West: Patient Safety in Office-Based Anesthesia May 1, 2006 Kaushal R, Upadhyayula S, Gaba DM, et al. The Wild West: Patient Safety in Office-Based Anesthesia. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia Perspective Over the last decade, sur…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49763/psn-pdf
    June 01, 2016 - July Syndrome June 1, 2016 Young JQ. July Syndrome. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/july-syndrome The Case A 64-year-old man was seen in the thoracic surgery clinic in June after being diagnosed with a right lower lobe lung cancer. The attending surgeon saw the patient along with his fellow,…

  12. Local Anesthesia-Induced Coma During Total Knee Arthroplasty. | PSNet

    psnet.ahrq.gov/web-mm/local-anesthesia-induced-coma-during-total-knee-arthroplasty
    October 27, 2021 - Local Anesthesia-Induced Coma During Total Knee Arthroplasty. Citation Text: Aldwinckle R. Local Anesthesia-Induced Coma During Total Knee Arthroplasty.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42193/psn-pdf
    May 08, 2013 - Priority patient safety issues identified by perioperative nurses. May 8, 2013 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. https://psnet.ahrq.gov/issue/priority-patient-safety-issues-identifie…

  14. When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)! | PSNet

    psnet.ahrq.gov/web-mm/when-taking-sglt2-inhibitor-remember-sstop-stop-sglt2-inhibitor-three-days-bef-o-re
    February 01, 2023 - When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)! Citation Text: Bagley B, Tan CL, Plante D. When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)!. PSNet [internet]. Rockville (MD): Agency for Healthcar…

  15. Communication Error in a Closed ICU | PSNet

    psnet.ahrq.gov/web-mm/communication-error-closed-icu
    July 01, 2016 - Communication Error in a Closed ICU Citation Text: Haas B, Conn LG. Communication Error in a Closed ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33784/psn-pdf
    April 01, 2015 - In Conversation With… David Urbach, MD, MSc April 1, 2015 In Conversation With… David Urbach, MD, MSc. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc Editor's note: Dr. David Urbach is Professor of Surgery and Health Policy, Management, and Evaluation at the University…

  17. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. | PSNet

    psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
    January 29, 2021 - Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. Citation Text: Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.. PSNet [internet]. Rockville (MD): Ag…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39222/psn-pdf
    January 13, 2010 - Surgical site signing and "time out": issues of compliance or complacence. January 13, 2010 Johnston G, Ekert L, Pally E. Surgical site signing and "time out": issues of compliance or complacence. J Bone Joint Surg Am. 2009;91(11):2577-80. doi:10.2106/JBJS.H.01615. https://psnet.ahrq.gov/issue/surgical-site-signin…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38453/psn-pdf
    January 02, 2017 - A multidisciplinary team approach to retained foreign objects. January 2, 2017 Cima RR, Kollengode A, Storsveen AS, et al. A multidisciplinary team approach to retained foreign objects. Jt Comm J Qual Saf. 2009;35(3):123-132. https://psnet.ahrq.gov/issue/multidisciplinary-team-approach-retained-foreign-objects Th…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45512/psn-pdf
    October 05, 2016 - When doctors get the wrong patient. October 5, 2016 Whitman E. Mod Healthc. September 25, 2016. https://psnet.ahrq.gov/issue/when-doctors-get-wrong-patient Misidentification of patients can result in problems such as medication administration delays, blood transfusion mismatches, and wrong-patient surgery. This ma…
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