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Showing results for "surgeries".

2401. Application of human error theory in case analysis of wrong procedures. | PSNet
      psnet.ahrq.gov/issue/application-human-error-theory-case-analysis-wrong-procedures
      November 14, 2018 - Study Application of human error theory in case analysis of wrong procedures. Citation Text: Duthie EA. Application of Human Error Theory in Case Analysis of Wrong Procedures. J Patient Saf. 2010;6(2):108-114. doi:10.1097/pts.0b013e3181de47f9. Copy Citation Format: DOI Goo…

2402. A Double “Never Event”: Wrong Patient and Wrong Side. | PSNet
      psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
      August 20, 2018 - A Double “Never Event”: Wrong Patient and Wrong Side. Citation Text: Bellini A, Salcedo ES. A Double “Never Event”: Wrong Patient and Wrong Side.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: …

2403. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49520/psn-pdf
      September 01, 2006 - DNR in the OR and Afterwards September 1, 2006 Lo B. DNR in the OR and Afterwards. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/dnr-or-and-afterwards The Case An 85-year-old woman with dementia took a mechanical fall at her skilled nursing facility (SNF) and suffered a fractured femur. After initial eval…

2404. TJR Guru--a Mobile App for Shared Informed Decisionmaking in Total Joint Replacement Surgery - Final Report | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/tjr-guru-mobile-app-shared-informed-decisionmaking-total-joint-replacement/final-report
      January 01, 2023 - TJR Guru--a Mobile App for Shared Informed Decisionmaking in Total Joint Replacement Surgery - Final Report Citation Tulu, B. TJR Guru--a Mobile App for Shared Informed Decisionmaking in Total Joint Replacement Surgery - Final Report. (Prepared by Worcester Polytechnic Institute under Grant No. R21 HS…

2405. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42907/psn-pdf
      August 02, 2015 - Innovation in safety, and safety in innovation. August 2, 2015 Eisenberg D, Wren SM. Innovation in safety, and safety in innovation. JAMA Surg. 2014;149(1):7-9. doi:10.1001/jamasurg.2013.5112. https://psnet.ahrq.gov/issue/innovation-safety-and-safety-innovation This commentary discusses systems-focused innovations…

2406. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38371/psn-pdf
      January 28, 2009 - Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in general surgery. January 28, 2009 Rebasa P, Mora L, Luna A, et al. Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in general surgery. World J Surg. 2009;33…

2407. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36132/psn-pdf
      May 27, 2011 - Motion study in surgery. May 27, 2011 Gilbreth FB. Can J Med Surg. 1916:22-31. https://psnet.ahrq.gov/issue/motion-study-surgery This study was one of the first "time-motion" studies of physicians, and pioneered the application of human factors engineering and industrial principles to medical practice. The authors…

2408. A digital communication intervention to support older adults and their care partners transitioning home after major surgery: Protocol for a qualitative research study. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/scalable-digital-communication-intervention-support-older-adults-and-care/citation/digital
      January 01, 2024 - A digital communication intervention to support older adults and their care partners transitioning home after major surgery: Protocol for a qualitative research study. Citation Campos BA, Cummins E, Sonnay Y, Brindle ME, Cauley CE. A digital communication intervention to support older adults and their…

2409. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45516/psn-pdf
      February 17, 2017 - Patient safety in otolaryngology: a descriptive review. February 17, 2017 Danino J, Muzaffar J, Metcalfe C, et al. Patient safety in otolaryngology: a descriptive review. Eur Arch Otorhinolaryngol. 2017;274(3):1317-1326. doi:10.1007/s00405-016-4291-z. https://psnet.ahrq.gov/issue/patient-safety-otolaryngology-descr…

2410. 44-Sample-Pathway-Checklist (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/44-sample-pathway-checklist.docx
      June 01, 2023 - Sample Pathway Checklist for Improving Surgical Care and Recovery Purpose of tool: Successful implementation of an enhanced recovery pathway requires coordinated care from all providers who care for surgery patients. The Sample Improving Surgical Care and Recovery (ISCR) Pathway Checklist can be used to track complianc…

2411. Understanding SOPS Surveys: A Primer for New users -Gray (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/2-SOPS_101_Webcast_2020-Gray.pdf
      January 01, 2020 - Understanding SOPS Surveys: A Primer for New users -Gray Overview of the SOPS Surveys 6 Laura Gray, MPH Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat AHRQ’s SOPS Program • Initiated and funded by AHRQ since 2001 • Develops survey measures that are validated an…

2412. Disposition of Comments Report for Comparative Effectiveness Review 128 Oral Mechanical Bowel Preparation for Colorectal Surgery (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/colorectal-surgery-preparation_disposition-comments.pdf
      April 30, 2014 - “percent of all elective colorectal surgeries.” We have rephrased as suggested. … We mention though that additional surgeries and other interventional approaches may be needed if complications

2413. Rediscovering the Power of the Surgical M&M Conference: The M M Matrix | PSNet
      psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
      September 01, 2007 - For example, bariatric surgeons do gastric bypass surgeries that in the last decade have exploded in

2414. How To Use the AHRQ SOPS Ambulatory Surgery Center Survey To Improve Patient Safety (Webcast) | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/events/webinar/asc-use-012121.html
      February 01, 2024 - How To Use the AHRQ SOPS Ambulatory Surgery Center Survey To Improve Patient Safety (Webcast) January 21, 2021 Summary Speakers and Presentation Slides Recording Summary This webcast provided information on how to use AHRQ’s Surveys on Patient Safety Culture™ (SOPS ® ) Ambulatory Surgery Center (A…

2415. Supplemental Items for the CAHPS Clinician & Group Adult Survey 3.0: Shared Decisionmaking | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/surveys-guidance/item-sets/cg/suppl-decisionmaking-cg30-adult.html
      November 01, 2017 - Supplemental Items for the CAHPS Clinician & Group Adult Survey 3.0: Shared Decisionmaking Population version: Adult Download these items: English (Word, 29 KB) Users of the CAHPS Clinician & Group Survey are free to incorporate supplemental items in order to meet the needs of their organizations, local…

2416. Slide 1 (pdf file)
      hcup-us.ahrq.gov/news/exhibit_booth/HCUPParticipationMap.pdf
      February 09, 2022 - Slide 1 HCUP Partners Providing Inpatient Data Updated 2/9/22 AK RI AZ CA UT CT FL GA IA IL KS MA MD MO NJ NY OR PA SC TN CO WA WI VA ME MN MI NC TX KY WV NE VT NV OH SD AR IN NH MT ID WY ND NM OK LA MS AL DE HI Inpatient Data Non- participating Partners Providing: D…

2417. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42166/psn-pdf
      June 10, 2018 - Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. March 21, 2013;18:1-3. https://psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy- postanesthesia-care-unit This n…

2418. Optimal Methods for Notifying Clinicians About Epilepsy Surgery Patients - Final Report | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/optimal-methods-notifying-clinicians-about-epilepsy-surgery-patients/final-report
      January 01, 2023 - Optimal Methods for Notifying Clinicians About Epilepsy Surgery Patients - Final Report Citation Dexheimer J. Optimal Methods for Notifying Clinicians About Epilepsy Surgery Patients - Final Report. (Prepared by Cincinnati Children's Hospital Medical Center under Grant No. R21 HS024977). Rockville, MD…

2419. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39227/psn-pdf
      January 13, 2010 - Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery. January 13, 2010 Erickson TB, Kirkpatrick DH, DeFrancesco MS, et al. Executive summary of the American College of …

2420. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46549/psn-pdf
      April 12, 2019 - Association of health literacy with postoperative outcomes in patients undergoing major abdominal surgery. April 12, 2019 Wright JP, Edwards GC, Goggins K, et al. Association of Health Literacy With Postoperative Outcomes in Patients Undergoing Major Abdominal Surgery. JAMA Surg. 2018;153(2):137-142. doi:10.1001/…