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Total Results: 1,877 records

Showing results for "surgeries".

361. Fatal flaws in clinical decision making. | PSNet
     psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making
     March 03, 2011 - Study Fatal flaws in clinical decision making. Citation Text: Davis SS, Babidge WJ, McCulloch GAJ, et al. Fatal flaws in clinical decision making. ANZ J Surg. 2019;89(6):764-768. doi:10.1111/ans.14955. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

362. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49801/psn-pdf
     August 01, 2017 - Despite Clues, Failed to Rescue August 1, 2017 Ghaferi AA. Despite Clues, Failed to Rescue. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/despite-clues-failed-rescue Case Objectives Define failure to rescue. Identify the main contributors to failure-to-rescue events. Appreciate the ongoing areas of scien…

363. Inadvertent Castration | PSNet
     psnet.ahrq.gov/web-mm/inadvertent-castration
     October 27, 2010 - Inadvertent Castration Citation Text: Calland FJ. Inadvertent Castration. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

364. Five Steps to Safer Health Care. | PSNet
     psnet.ahrq.gov/issue/five-steps-safer-health-care
     July 21, 2021 - Fact Sheet/FAQs Five Steps to Safer Health Care. Citation Text: Five Steps to Safer Health Care. American Hospital Association; American Medical Association; U.S. Department of Health and Human Services. Copy Citation Save Save to your library Print Down…

365. Haste Makes Care Unsafe | PSNet
     psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
     January 07, 2015 - Haste Makes Care Unsafe Citation Text: Eichhorn JH. Haste Makes Care Unsafe. 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 XML Endnote tagged P…

366. Perfusion safety: new initiatives and enduring principles. | PSNet
     psnet.ahrq.gov/issue/perfusion-safety-new-initiatives-and-enduring-principles
     July 19, 2023 - Commentary Perfusion safety: new initiatives and enduring principles. Citation Text: Kurusz M. Perfusion safety: new initiatives and enduring principles. Perfusion. 2011;26 Suppl 1:6-14. doi:10.1177/0267659110393389. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

367. Understanding complaints made about surgical departments in a UK district general hospital. | PSNet
     psnet.ahrq.gov/issue/understanding-complaints-made-about-surgical-departments-uk-district-general-hospital
     September 23, 2020 - Study Understanding complaints made about surgical departments in a UK district general hospital. Citation Text: Claydon O, Keeler B, Khanna A. Understanding complaints made about surgical departments in a UK district general hospital. Int J Qual Health Care. 2021;33(3). doi:10.1093/intq…

368. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression | PSNet
     psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
     May 26, 2021 - SPOTLIGHT CASE Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression Citation Text: Fazio S, Firestone R. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depar…

369. Disparities in racial, ethnic, and payer groups for pediatric safety events in US hospitals. | PSNet
     psnet.ahrq.gov/issue/disparities-racial-ethnic-and-payer-groups-pediatric-safety-events-us-hospitals
     February 21, 2024 - Study Disparities in racial, ethnic, and payer groups for pediatric safety events in US hospitals. Citation Text: Parikh K, Hall M, Tieder JS, et al. Disparities in racial, ethnic, and payer groups for pediatric safety events in US hospitals. Pediatrics. 2024;153(3):e2023063714. doi:10.1…

370. The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. | PSNet
     psnet.ahrq.gov/issue/rise-human-factors-optimising-performance-individuals-and-teams-improve-patients-outcomes
     July 10, 2024 - Commentary The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. Citation Text: Casali G, Cullen W, Lock G. The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. J Thorac Dis. 2019;11(…

371. Standardization and visualization of the surgical time-out. | PSNet
     psnet.ahrq.gov/issue/standardization-and-visualization-surgical-time-out
     November 06, 2024 - Study Standardization and visualization of the surgical time-out. Citation Text: Levy BE, Wilt WS, Lantz S, et al. Standardization and visualization of the surgical time-out. J Patient Saf. 2023;19(7):453-459. doi:10.1097/pts.0000000000001156. Copy Citation Format: DOI Goog…

372. Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety. | PSNet
     psnet.ahrq.gov/issue/patient-safety-advisory-fentanyl-counterfeit-prescription-medications-contain-fentanyl-and
     September 18, 2024 - Organizational Policy/Guidelines Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety. Citation Text: Jewell ML, Jewell HL, Singer R, et al. Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fent…

373. Debriefing to improve interprofessional teamwork in the operating room: a systematic review. | PSNet
     psnet.ahrq.gov/issue/debriefing-improve-interprofessional-teamwork-operating-room-systematic-review
     January 31, 2024 - Review Debriefing to improve interprofessional teamwork in the operating room: a systematic review. Citation Text: Skegg E, McElroy C, Mudgway M, et al. Debriefing to improve interprofessional teamwork in the operating room: a systematic review. J Nurs Scholarsh. 2023;55(6):1179-1188. do…

374. Patient falls in the operating room: why is this still a problem in 2024? | PSNet
     psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024
     May 08, 2024 - Commentary Patient falls in the operating room: why is this still a problem in 2024? Citation Text: Pellegrino A, Brook K. Patient falls in the operating room: why is this still a problem in 2024? J Patient Saf. 2024;20(6):e87-e90. doi:10.1097/pts.0000000000001248. Copy Citation Fo…

375. Fake it 'til you make it: pressures to measure up in surgical training. | PSNet
     psnet.ahrq.gov/issue/fake-it-til-you-make-it-pressures-measure-surgical-training
     October 25, 2023 - Study Emerging Classic Fake it 'til you make it: pressures to measure up in surgical training. Citation Text: Patel P, Martimianakis MA, Zilbert NR, et al. Fake It 'Til You Make It: Pressures to Measure Up in Surgical Training. Acad Med. 2018;93(5):769-774. doi:…

376. Check Your Medicines: Tips for Taking Medicines Safely. | PSNet
     psnet.ahrq.gov/issue/check-your-medicines-tips-taking-medicines-safely
     September 04, 2018 - Government Resource Check Your Medicines: Tips for Taking Medicines Safely. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL April 23, 2012 This 5-point checklist provides consu…

377. Surgeon and surgical trainee experiences after adverse patient events. | PSNet
     psnet.ahrq.gov/issue/surgeon-and-surgical-trainee-experiences-after-adverse-patient-events
     January 09, 2019 - Study Surgeon and surgical trainee experiences after adverse patient events. Citation Text: Ginzberg SP, Gasior JA, Passman JE, et al. Surgeon and surgical trainee experiences after adverse patient events. JAMA Netw Open. 2024;7(6):e2414329. doi:10.1001/jamanetworkopen.2024.14329. Copy…

378. A human factors intervention in a hospital--evaluating the outcome of a TeamSTEPPS program in a surgical ward. | PSNet
     psnet.ahrq.gov/issue/human-factors-intervention-hospital-evaluating-outcome-teamstepps-program-surgical-ward
     November 03, 2021 - Study A human factors intervention in a hospital--evaluating the outcome of a TeamSTEPPS program in a surgical ward. Citation Text: Aaberg OR, Hall-Lord ML, Husebø SIE, et al. A human factors intervention in a hospital - evaluating the outcome of a TeamSTEPPS program in a surgical ward. …

379. Communication failures contributing to patient injury in anaesthesia malpractice claims. | PSNet
     psnet.ahrq.gov/issue/communication-failures-contributing-patient-injury-anaesthesia-malpractice-claims
     August 04, 2021 - Study Communication failures contributing to patient injury in anaesthesia malpractice claims. Citation Text: Douglas RN, Stephens LS, Posner KL, et al. Communication failures contributing to patient injury in anaesthesia malpractice claims. Br J Anaesth. 2021;127(3):470-478. doi:10.1016…

380. Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results. | PSNet
     psnet.ahrq.gov/issue/integration-formalized-handoff-system-surgical-curriculum-resident-perspectives-and-early
     May 25, 2016 - Study Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results. Citation Text: Telem DA. Integration of a Formalized Handoff System Into the Surgical Curriculum. Archives of Surgery. 2011;146(1). doi:10.1001/archsurg.2010.294. Cop…