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Showing results for "surgeries".

  1. ISMP Guidelines for Safe Medication Use in Perioperative and Procedural Settings. | PSNet

    psnet.ahrq.gov/issue/ismp-guidelines-safe-medication-use-perioperative-and-procedural-settings
    November 16, 2022 - Organizational Policy/Guidelines ISMP Guidelines for Safe Medication Use in Perioperative and Procedural Settings. Citation Text: ISMP Guidelines for Safe Medication Use in Perioperative and Procedural Settings. Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022. Copy …

  2. Sentinel Event Data Summary. | PSNet

    psnet.ahrq.gov/issue/sentinel-event-statistics-1995-2019
    February 28, 2018 - Measurement Tool/Indicator Sentinel Event Data Summary. Citation Text: Sentinel Event Data Summary. Joint Commission. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  3. Disclosure of errors in surgical procedures. | PSNet

    psnet.ahrq.gov/issue/disclosure-errors-surgical-procedures
    April 13, 2022 - Review Disclosure of errors in surgical procedures. Citation Text: Disclosure of errors in surgical procedures. Ryan M, Mekel M, Sinha MS. UptoDate. November 20, 2023. Copy Citation Save Save to your library Print Download PDF Share Faceboo…

  4. Inadvertent Administration of an Oral Liquid Medicine into a Vein. | PSNet

    psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein
    January 22, 2020 - Book/Report Inadvertent Administration of an Oral Liquid Medicine into a Vein. Citation Text: Inadvertent Administration of an Oral Liquid Medicine into a Vein. Farnborough, UK; Healthcare Safety Investigation Branch: April 2019. Copy Citation Save Save to your …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49791/psn-pdf
    April 01, 2017 - Wrong-side Bedside Paravertebral Block: Preventing the Preventable April 1, 2017 Barrington MJ, Uda Y. Wrong-side Bedside Paravertebral Block: Preventing the Preventable. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable The Case An 84-year-old wo…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49507/psn-pdf
    April 01, 2006 - Is the "Surgical Personality" a Threat to Patient Safety? April 1, 2006 Bosk CL. Is the "Surgical Personality" a Threat to Patient Safety? PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety Case Objectives Describe the myth of the "surgical personality" Identify featu…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50615/psn-pdf
    October 30, 2019 - Misidentifying the Unidentified – John Doe and the EHR October 30, 2019 Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr The Case  Two male patients of similar age arrived at the same …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867686/psn-pdf
    March 05, 2025 - Association between surgeon stress and major surgical complications. March 5, 2025 Awtry J, Skinner S, Polazzi S, et al. Association between surgeon stress and major surgical complications. JAMA Surg. 2025;160(3):332-340. doi:10.1001/jamasurg.2024.6072. https://psnet.ahrq.gov/issue/association-between-surgeon-stre…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45717/psn-pdf
    July 21, 2017 - What have we learnt after 15 years of research into the 'weekend effect'? July 21, 2017 Bray BD, Steventon A. What have we learnt after 15 years of research into the 'weekend effect'? BMJ Qual Saf. 2017;26(8):607-610. doi:10.1136/bmjqs-2016-005793. https://psnet.ahrq.gov/issue/what-have-we-learnt-after-15-years-re…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46352/psn-pdf
    October 15, 2018 - Optimal Resources for Surgical Quality and Safety. October 15, 2018 Hoyt DB, Ko CY, eds. Chicago, IL: American College of Surgeons; 2017. ISBN: 9780996826242. https://psnet.ahrq.gov/issue/optimal-resources-surgical-quality-and-safety Surgery is complex and involves a wide range of possibilities for error that can r…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39840/psn-pdf
    September 15, 2010 - Wrong-site craniotomy: analysis of 35 cases and systems for prevention. September 15, 2010 Cohen FL, Mendelsohn D, Bernstein M. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. J Neurosurg. 2010;113(3):461-73. doi:10.3171/2009.10.JNS091282. https://psnet.ahrq.gov/issue/wrong-site-craniotomy-…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41804/psn-pdf
    October 31, 2012 - Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES). October 31, 2012 Eikermann M, Siegel R, Broeders I, et al. Prevention and treatment of bile duct injuries during laparoscopic cholecystect…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38720/psn-pdf
    June 24, 2009 - Patient safety in North America: beyond "operate through your initials" and "sign your site." June 24, 2009 Wong DA, Lewis B, Herndon JH, et al. Patient Safety in North America: Beyond “Operate Through Your Initials” and “Sign Your Site”*. doi:10.2106/jbjs.h.01462. https://psnet.ahrq.gov/issue/patient-safety-north…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39990/psn-pdf
    June 08, 2011 - The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac surgery. June 8, 2011 Schmid F, Goepfert MS, Kuhnt D, et al. The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac surgery. Anesth An…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40470/psn-pdf
    December 21, 2014 - Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures. December 21, 2014 Chu MWA, Stitt LW, Fox SA, et al. Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical proce…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44979/psn-pdf
    April 06, 2016 - When a surgeon should just say 'I'm sorry'. April 6, 2016 Cohen E. CNN. March 24, 2016. https://psnet.ahrq.gov/issue/when-surgeon-should-just-say-im-sorry Poor communication regarding medical errors can contribute to patient and family frustration and fear. Reporting on a case involving disclosure of a wrong-site …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46430/psn-pdf
    September 27, 2017 - Can residents detect errors in technique while observing central line insertions? September 27, 2017 Pei K, Merola J, Davis KA, et al. Can residents detect errors in technique while observing central line insertions? Am J Surg. 2017;213(6):1166-1170.e1. doi:10.1016/j.amjsurg.2016.08.026. https://psnet.ahrq.gov/iss…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42048/psn-pdf
    July 01, 2013 - Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project. July 1, 2013 Low DK, Reed MA, Geiduschek JM, et al. Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and respon…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43143/psn-pdf
    April 25, 2016 - Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team training. April 25, 2016 West P, Neily J, Warner L, et al. Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team training. Jt Comm J Qual Patient…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46865/psn-pdf
    March 07, 2018 - Chasing the 6-sigma: drawing lessons from the cockpit culture. March 7, 2018 Hickey EJ, Halvorsen F, Laussen PC, et al. Chasing the 6-sigma: Drawing lessons from the cockpit culture. J Thorac Cardiovasc Surg. 2017;155(2). doi:10.1016/j.jtcvs.2017.09.097. https://psnet.ahrq.gov/issue/chasing-6-sigma-drawing-lessons…
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