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AHRQ: Agency for Healthcare Research and Quality

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Total Results: 8,075 records

Showing results for "surgeries".

  1. Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences for the clinical process. | PSNet

    psnet.ahrq.gov/issue/equipment-related-incidents-operating-room-analysis-occurrence-underlying-causes-and
    February 14, 2024 - Faulty or missing equipment resulted in operating room delays in nearly 16% of scheduled surgeries, in

  2. Risks are high at low-volume hospitals. | PSNet

    psnet.ahrq.gov/issue/risks-are-high-low-volume-hospitals
    September 12, 2012 - This news article reports an independent analysis of patient risk at hospitals that provide surgeries

  3. A lost voice. | PSNet

    psnet.ahrq.gov/issue/lost-voice
    March 21, 2007 - surgery, this news article discusses potential contributing factors in the incident such as concurrent surgeries

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39404/psn-pdf
    March 31, 2010 - incidence-and-root-cause-analysis-wrong-site-pain-management-procedures- multicenter-study Wrong-site surgeries

  5. Eight-year experience with a neurosurgical checklist. | PSNet

    psnet.ahrq.gov/issue/eight-year-experience-neurosurgical-checklist
    September 27, 2023 - The institution did not experience any wrong-site surgeries during that time.

  6. Two Wrongs Don't Make a Right (Kidney) | PSNet

    psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
    April 01, 2010 - The Universal Protocol was designed to engage institutions in implementing a standardized approach to surgeries … In fact, The Joint Commission sentinel event statistics database reported 1072 wrong-site surgeries among … widely when examining the literature and accessible databases, ranging from 0.09 to 4.5 per 10,000 surgeries … Definitions and Examples of Wrong-Site Surgeries.( 2 ) Type Definition Example

  7. Plan aims to cut hospital deaths. | PSNet

    psnet.ahrq.gov/issue/plan-aims-cut-hospital-deaths
    August 28, 2019 - July 10, 2019 Surgeons must tell patients of double-booked surgeries, new guidelines

  8. A guide for HCAs on safe patient transfers. | PSNet

    psnet.ahrq.gov/issue/guide-hcas-safe-patient-transfers
    March 03, 2019 - August 17, 2016 5 cataract surgeries, 5 people blinded: what went wrong?

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47471/psn-pdf
    January 27, 2019 - This secondary data analysis of all single-eye cataract surgeries performed in Ontario between 2009

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39016/psn-pdf
    April 04, 2011 - variation-hospital-mortality-associated-inpatient-surgery Significant variation in mortality rates between hospitals after certain surgeries

  11. UTMC nurse tossed out kidney, ruined it. National experts say error is rare. | PSNet

    psnet.ahrq.gov/issue/utmc-nurse-tossed-out-kidney-ruined-it-national-experts-say-error-rare
    August 07, 2024 - August 21, 2013 Doctors perform thousands of unnecessary surgeries.

  12. Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program. | PSNet

    psnet.ahrq.gov/issue/impact-resident-participation-surgical-operations-postoperative-outcomes-national-surgical
    November 16, 2022 - superficial surgical site infections; operative time was approximately 25 minutes longer for resident surgeries

  13. The impact of RVU-based compensation on patient safety outcomes in outpatient otolaryngology procedures. | PSNet

    psnet.ahrq.gov/issue/impact-rvu-based-compensation-patient-safety-outcomes-outpatient-otolaryngology-procedures
    October 19, 2022 - incidence of adverse outcomes, including postoperative hospitalizations, infections , unplanned return surgeries

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40963/psn-pdf
    November 30, 2011 - CPOE), physician staffing in intensive care units (ICU), evidence-based referrals for high-mortality surgeries

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40013/psn-pdf
    July 24, 2011 - patient-participation-surgical-site-marking-can-be-additional-tool-help-avoid- wrong-site Wrong-site surgeries

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45279/psn-pdf
    September 27, 2016 - At minimum, this meta-analysis argues for continued clinical supervision of surgeries and invasive procedures

  17. Some hospitals call 911 to save their patients. | PSNet

    psnet.ahrq.gov/issue/some-hospitals-call-911-save-their-patients
    January 18, 2023 - May 16, 2007 Surgeons must tell patients of double-booked surgeries, new guidelines say

  18. Shelhigh, Inc. implantable medical devices. | PSNet

    psnet.ahrq.gov/issue/shelhigh-inc-implantable-medical-devices
    April 08, 2020 - August 11, 2010 Quality of Care in Cranial Implant Surgeries at James A.

  19. Frederick mother's burning inspires daughter's activism. | PSNet

    psnet.ahrq.gov/issue/frederick-mothers-burning-inspires-daughters-activism
    June 24, 2020 - July 8, 2009 Fires during surgeries a bigger risk than thought.

  20. Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. | PSNet

    psnet.ahrq.gov/issue/investigation-urology-intraoperative-events-leading-root-cause-analysis-national-va-medical
    June 02, 2021 - events were improperly functioning equipment (e.g., broken scopes or smoking light cords), wrong site surgeries
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