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Total Results: 8,075 records

Showing results for "surgeries".

2121. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41364/psn-pdf
      May 09, 2012 - Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery. May 9, 2012 Mattioli G, Guida E, Montobbio G, et al. Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery. Pediatr Surg Int. 2012;28(4):405-10. doi:10.100…

2122. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44531/psn-pdf
      September 30, 2015 - Never Events for Hospital Care in Canada: Safer Care for Patients. September 30, 2015 Toronto, ON: Health Quality Ontario and the Canadian Patient Safety Institute; September 2015. ISBN: 9781460666180. https://psnet.ahrq.gov/issue/never-events-hospital-care-canada-safer-care-patients The never events list was dev…

2123. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37349/psn-pdf
      January 06, 2012 - Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. January 6, 2012 Wiegmann DA, Elbardissi AW, Dearani JA, et al. Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. Surgery. 2007;142(5):658-65. https://psnet.ahrq.…

2124. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35724/psn-pdf
      May 26, 2010 - A prospective study of patient safety in the operating room. May 26, 2010 Christian CK, Gustafson ML, Roth EM, et al. A prospective study of patient safety in the operating room. Surgery. 2006;139(2):159-173. https://psnet.ahrq.gov/issue/prospective-study-patient-safety-operating-room This study used a multidisci…

2125. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41778/psn-pdf
      January 18, 2013 - An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery. January 18, 2013 Symons NRA, Almoudaris AM, Nagpal K, et al. An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective…

2126. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857260/psn-pdf
      November 30, 2023 - When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)! November 30, 2023 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]. 2023. https://psnet.ahrq.gov/web-mm/when…

2127. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49664/psn-pdf
      January 01, 2013 - Empty Handoff September 1, 2012 Goldman A, Catchpole K. Empty Handoff. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/empty-handoff The Case A 29-year-old man with "brittle diabetes" was admitted to the surgery service for incision and drainage of a leg wound. The patient's medical history included chronic…

2128. Add-on Case and the Missing Checklist | PSNet
      psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
      September 01, 2012 - Add-on Case and the Missing Checklist Citation Text: Catchpole K. Add-on Case and the Missing Checklist. 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…

2129. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42587/psn-pdf
      September 25, 2013 - Application of an engineering problem-solving methodology to address persistent problems in patient safety: a case study on retained surgical sponges after surgery. September 25, 2013 Anderson DE, Watts B. Application of an engineering problem-solving methodology to address persistent problems in patient safety: …

2130. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50671/psn-pdf
      November 20, 2019 - Critical errors in infrequently performed trauma procedures after training. November 20, 2019 Mackenzie CF, Shackelford SA, Tisherman SA, et al. Critical errors in infrequently performed trauma procedures after training. Surgery. 2019;166(5):835-843. doi:10.1016/j.surg.2019.05.031. https://psnet.ahrq.gov/issue/cri…

2131. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44221/psn-pdf
      September 27, 2016 - Reducing surgical errors: implementing a three-hinge approach to success. September 27, 2016 Landers R. Reducing surgical errors: implementing a three-hinge approach to success. AORN J. 2015;101(6):657-65. doi:10.1016/j.aorn.2015.04.013. https://psnet.ahrq.gov/issue/reducing-surgical-errors-implementing-three-hing…

2132. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41188/psn-pdf
      March 07, 2012 - Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients. March 7, 2012 Nakayama DK, Lester SS, Rich DR, et al. Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients. J Pediatr Surg. 2012;47(1):112-8. …

2133. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41424/psn-pdf
      June 27, 2012 - Practice-based learning and improvement: a two-year experience with the reporting of morbidity and mortality cases by general surgery residents. June 27, 2012 Falcone JL, Lee KKW, Billiar TR, et al. Practice-based learning and improvement: a two-year experience with the reporting of morbidity and mortality cases b…

2134. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45514/psn-pdf
      November 02, 2016 - Building a culture of safety in ophthalmology. November 2, 2016 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. https://psnet.ahrq.gov/issue/building-culture-safety-ophthalmology Efforts to reduce m…

2135. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46736/psn-pdf
      December 17, 2018 - Back to basics: the Universal Protocol. December 17, 2018 Spruce L. Back to Basics: The Universal Protocol: 1.4 www.aornjournal.org/content/cme. AORN J. 2018;107(1):116-125. doi:10.1002/aorn.12002. https://psnet.ahrq.gov/issue/back-basics-universal-protocol Wrong-site, wrong-procedure, and wrong-patient errors are…

2136. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45557/psn-pdf
      October 27, 2016 - Time-out: the professional and organizational ethics of speaking up in the OR. October 27, 2016 Berlinger N, Dietz E. Time-out: The Professional and Organizational Ethics of Speaking Up in the OR. AMA J Ethics. 2016;18(9):925-32. doi:10.1001/journalofethics.2016.18.9.stas1-1609. https://psnet.ahrq.gov/issue/time-o…

2137. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46243/psn-pdf
      June 05, 2019 - AHRQ Safety Program for Improving Surgical Care and Recovery. June 5, 2019 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/ahrq-safety-program-improving-surgical-care-and-recovery Patients are vulnerable to harm after surgery. This program used methods from the Comprehensive Unit- based S…

2138. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45019/psn-pdf
      April 27, 2016 - Effectiveness of surgical safety checklists in improving patient safety. April 27, 2016 Ragusa PS, Bitterman A, Auerbach B, et al. Effectiveness of Surgical Safety Checklists in Improving Patient Safety. Orthopedics. 2016;39(2):e307-10. doi:10.3928/01477447-20160301-02. https://psnet.ahrq.gov/issue/effectiveness-s…

2139. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36926/psn-pdf
      September 09, 2011 - Distracting communications in the operating theatre. September 9, 2011 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. https://psnet.ahrq.gov/issue/distracting-communications-operating-theatre Prior researc…

2140. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49476/psn-pdf
      March 02, 2005 - Around the Block March 1, 2005 Minichiello T. Around the Block. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/around-block The Case A 77-year-old woman with multiple medical problems was admitted to the hospital for an elective knee replacement. The orthopedic surgeon, recognizing the risk of deep vein th…