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Showing results for "surgeries".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45517/psn-pdf
    March 01, 2017 - surgery, this news article discusses potential contributing factors in the incident such as concurrent surgeries … https://psnet.ahrq.gov/issue/lost-voice https://psnet.ahrq.gov/issue/managing-risks-concurrent-surgeries

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47717/psn-pdf
    June 27, 2019 - Researchers noted a small increase in length of procedure for overlapping surgeries. … safety-overlapping-surgery-high-volume-referral-center https://psnet.ahrq.gov/issue/surgeons-must-tell-patients-double-booked-surgeries-new-guidelines-say

  3. What surgeons leave behind costs some patients dearly. | PSNet

    psnet.ahrq.gov/issue/what-surgeons-leave-behind-costs-some-patients-dearly
    August 29, 2012 - August 29, 2012 Doctors perform thousands of unnecessary surgeries. … August 21, 2013 Doctors perform thousands of unnecessary surgeries. … May 27, 2009 Sponges, surgical instruments miscounted in 13% of surgeries.

  4. Hospital trustees shift their focus to medical safety. | PSNet

    psnet.ahrq.gov/issue/hospital-trustees-shift-their-focus-medical-safety
    July 30, 2014 - May 16, 2007 Fires during surgeries a bigger risk than thought. … January 29, 2020 5 cataract surgeries, 5 people blinded: what went wrong? … August 24, 2016 Surgeons must tell patients of double-booked surgeries, new guidelines

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848363/psn-pdf
    May 03, 2023 - This retrospective cohort study including over 87,000 surgical cases found that overlapping surgeries … association-overlapping-surgery-perioperative-outcomes https://psnet.ahrq.gov/issue/concurrent-and-overlapping-surgeries-additional-measures-warranted

  6. Patient alarms often unheard, unheeded. | PSNet

    psnet.ahrq.gov/issue/patient-alarms-often-unheard-unheeded
    August 24, 2016 - Copy Citation Related Resources From the Same Author(s) 5 cataract surgeries … August 9, 2017 Fires during surgeries a bigger risk than thought. … January 29, 2020 Surgeons must tell patients of double-booked surgeries, new guidelines

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46274/psn-pdf
    September 13, 2017 - 2007-2014 Despite adoption of the Universal Protocol and widespread prevention efforts, wrong-site surgeries … This study found that between 2007 and 2014, there were 95 cases involving wrong-site surgeries, wrong-site

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46257/psn-pdf
    October 11, 2017 - outcomes-concurrent-operations-results-american-college-surgeons-national- surgical-quality The practice of scheduling concurrent surgeries … Program study used propensity score matching to compare outcomes of concurrent versus nonoverlapping surgeries

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47605/psn-pdf
    January 17, 2019 - Commission and National Quality Forum both consider wrong-site, wrong-procedure, and wrong- patient surgeries … This study measured the incidence of incorrect surgeries in Veterans Health Administration medical centers

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44165/psn-pdf
    May 27, 2015 - studies of delayed diagnosis, researchers examined a retrospective case series of orthopedic and trauma surgeries … The authors advocate for a registry of unplanned return surgeries as a patient safety improvement strategy

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36632/psn-pdf
    July 28, 2010 - https://psnet.ahrq.gov/issue/operating-room-briefings-and-wrong-site-surgery Although wrong-site surgeries … The Joint Commission's Universal Protocol for prevention of wrong-site surgeries requires performing

  12. Most surgery in wrong spot done on spine: 11 such cases found in state since 2006. | PSNet

    psnet.ahrq.gov/issue/most-surgery-wrong-spot-done-spine-11-such-cases-found-state-2006
    August 06, 2008 - This article reports on the incidence of wrong site surgeries in Massachusetts and describes complex … July 6, 2011 Wrong body part, wrong patient surgeries continue despite new procedures

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45415/psn-pdf
    June 25, 2018 - The majority of surgeries were overlapping, and rates of morbidity and mortality did not differ between … https://psnet.ahrq.gov/issue/clash-name-care https://psnet.ahrq.gov/issue/concurrent-and-overlapping-surgeries-additional-measures-warranted

  14. Dual surgeon operating to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/dual-surgeon-operating-improve-patient-safety
    July 22, 2020 - Many non-urgent, non-cancer surgeries were postponed or canceled during COVID-19 surges resulting in … the benefits of, and barriers to, dual surgeon operating as a way to increase currency as elective surgeries

  15. Association of overlapping surgery with increased risk for complications following hip surgery. | PSNet

    psnet.ahrq.gov/issue/association-overlapping-surgery-increased-risk-complications-following-hip-surgery
    November 21, 2021 - large population-based retrospective study examined outcomes for nonoverlapping versus overlapping hip surgeries … An accompanying editorial acknowledges the mixed results of safety studies for overlapping surgeries

  16. Medical culture about errors may be changing. | PSNet

    psnet.ahrq.gov/issue/medical-culture-about-errors-may-be-changing
    September 19, 2018 - July 6, 2011 Wrong body part, wrong patient surgeries continue despite new procedures … August 6, 2008 'Wrong site' surgeries on the rise.

  17. Wrong-site orthopedic operations on the extremities: the Pennsylvania experience. | PSNet

    psnet.ahrq.gov/issue/wrong-site-orthopedic-operations-extremities-pennsylvania-experience
    July 18, 2018 - Wrong-site surgeries are considered never events by the National Quality Forum and sentinel events … July 6, 2011 Wrong body part, wrong patient surgeries continue despite new procedures

  18. Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, Texas. | PSNet

    psnet.ahrq.gov/issue/deficiencies-facility-leaders-response-critical-surgical-events-michael-e-debakey-va-medical
    November 29, 2023 - This report details five wrong-site surgeries and three instances of retained surgical items at one VA … Additionally, the medical center failed to fully report the provider responsible for three of the wrong-site surgeries

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39730/psn-pdf
    December 21, 2014 - issue/surgical-case-listing-accuracy-failure-analysis-high-volume-academic-medical- center Wrong-site surgeries … While no wrong-site surgeries occurred, there were nearly 800 cases where this potential was noted and

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40024/psn-pdf
    December 21, 2014 - prior studies in adults have defined risk factors for retained instruments, which include emergency surgeries … Gynecologic surgeries emerged as the only type of surgery significantly associated with an increased
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