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Showing results for "surgeries".

  1. Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure. | PSNet

    psnet.ahrq.gov/issue/error-or-act-god-study-patients-and-operating-room-team-members-perceptions-error-definition
    August 10, 2011 - Study Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure. Citation Text: Espin S, Levinson W, Regehr G, et al. Error or "act of God"? A study of patients' and operating room team members' perceptions o…

  2. Compliance with a time-out procedure intended to prevent wrong surgery in hospitals: results of a national patient safety programme in the Netherlands. | PSNet

    psnet.ahrq.gov/issue/compliance-time-out-procedure-intended-prevent-wrong-surgery-hospitals-results-national
    December 29, 2014 - Study Compliance with a time-out procedure intended to prevent wrong surgery in hospitals: results of a national patient safety programme in the Netherlands. Citation Text: van Schoten SM, Kop V, de Blok C, et al. Compliance with a time-out procedure intended to prevent wrong surgery in …

  3. First-year analysis of the Operating Room Black Box study. | PSNet

    psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study
    October 16, 2019 - Study Emerging Classic First-year analysis of the Operating Room Black Box study. Citation Text: Jung JJ, Jüni P, Lebovic G, et al. First-year Analysis of the Operating Room Black Box Study. Ann Surg. 2020;271(1):122-127. doi:10.1097/SLA.0000000000002863. Copy…

  4. Detection of adverse events in surgical patients using the Trigger Tool approach. | PSNet

    psnet.ahrq.gov/issue/detection-adverse-events-surgical-patients-using-trigger-tool-approach
    February 15, 2011 - Study Detection of adverse events in surgical patients using the Trigger Tool approach. Citation Text: Griffin FA, Classen DC. Detection of adverse events in surgical patients using the Trigger Tool approach. Qual Saf Health Care. 2008;17(4):253-258. doi:10.1136/qshc.2007.025080. Cop…

  5. The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system. | PSNet

    psnet.ahrq.gov/issue/use-patient-digital-facial-images-confirm-patient-identity-childrens-hospitals-anesthesia
    May 06, 2009 - Study The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system. Citation Text: Thomas JJ, Yaster M, Guffey P. The Use of Patient Digital Facial Images to Confirm Patient Identity in a Children's Hospital's An…

  6. Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. | PSNet

    psnet.ahrq.gov/issue/surgeon-information-transfer-and-communication-factors-affecting-quality-and-efficiency
    December 21, 2014 - Study Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. Citation Text: Williams RG, Silverman R, Schwind C, et al. Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. Ann S…

  7. The collapse of sensemaking in organizations: the Mann Gulch disaster. | PSNet

    psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster
    May 21, 2019 - Commentary Classic The collapse of sensemaking in organizations: the Mann Gulch disaster. Citation Text: Weick KE. The Collapse of Sensemaking in Organizations: The Mann Gulch Disaster. Admin Sci Q. 2006;38(4):628-652. doi:10.2307/2393339. Copy Citation Fo…

  8. Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success. | PSNet

    psnet.ahrq.gov/issue/improving-handoffs-perioperative-environment-conceptual-framework-key-theories-system-factors
    November 16, 2022 - Commentary Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success. Citation Text: Starmer AJ, Michael MM, Spector ND, et al. Improving handoffs in the perioperative environment: a conc…

  9. Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study. | PSNet

    psnet.ahrq.gov/issue/moving-towards-core-measures-set-patient-safety-perioperative-care-e-delphi-consensus-study
    January 15, 2025 - Study Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study. Citation Text: Dinis-Teixeira JP, Nunes AB, Leite A, et al. Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study. PLoS ONE. …

  10. Sharing lessons learned to prevent adverse events in anesthesiology nationwide. | PSNet

    psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide
    April 12, 2019 - Study Sharing lessons learned to prevent adverse events in anesthesiology nationwide. Citation Text: Soncrant C, Neily J, Sum-Ping SJT, et al. Sharing Lessons Learned to Prevent Adverse Events in Anesthesiology Nationwide. J Patient Saf. 2021;17(4):e343-e349. doi:10.1097/PTS.000000000000…

  11. Patterns of communication breakdowns resulting in injury to surgical patients. | PSNet

    psnet.ahrq.gov/issue/patterns-communication-breakdowns-resulting-injury-surgical-patients
    March 03, 2011 - Study Classic Patterns of communication breakdowns resulting in injury to surgical patients. Citation Text: Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007;204…

  12. Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. | PSNet

    psnet.ahrq.gov/issue/intensive-care-unit-nurse-staffing-and-risk-complications-after-abdominal-aortic-surgery
    December 02, 2020 - Study Classic Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. Citation Text: Pronovost PJ, Dang D, Dorman T, et al. Intensive care unit nurse staffing and the risk for complications after abdominal aortic surge…

  13. Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation improvement matrix. | PSNet

    psnet.ahrq.gov/issue/grading-recommendations-enhanced-patient-safety-sentinel-event-analysis-recommendation
    April 15, 2020 - Study Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation improvement matrix. Citation Text: Bos K, van der Laan MJ, Groeneweg J, et al. Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation impro…

  14. Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review. | PSNet

    psnet.ahrq.gov/issue/facilitators-and-barriers-implementation-surgical-safety-checklist-ssc-integrative-review
    September 07, 2016 - Review Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review. Citation Text: Lim PJH, Chen L, Siow S, et al. Facilitators and barriers to the implementation of surgical safety checklist: an integrative review. Int J Qual Health Care. 20…

  15. Often overlooked problems with handoffs: from the intensive care unit to the operating room. | PSNet

    psnet.ahrq.gov/issue/often-overlooked-problems-handoffs-intensive-care-unit-operating-room
    May 25, 2016 - Review Often overlooked problems with handoffs: from the intensive care unit to the operating room. Citation Text: Evans AS, Yee M-S, Hogue CW. Often overlooked problems with handoffs: from the intensive care unit to the operating room. Anesth Analg. 2014;118(3):687-9. doi:10.1213/ANE.00…

  16. The impact of video games on training surgeons in the 21st century.   | PSNet

    psnet.ahrq.gov/issue/impact-video-games-training-surgeons-21st-century
    October 19, 2022 - Study The impact of video games on training surgeons in the 21st century.   Citation Text: Rosser JC, Lynch PJ, Cuddihy L, et al. The impact of video games on training surgeons in the 21st century. Arch Surg. 2007;142(2):181-6; discusssion 186. Copy Citation Format: Googl…

  17. Resident participation does not affect surgical outcomes, despite introduction of new techniques. | PSNet

    psnet.ahrq.gov/issue/resident-participation-does-not-affect-surgical-outcomes-despite-introduction-new-techniques
    September 23, 2020 - Study Resident participation does not affect surgical outcomes, despite introduction of new techniques. Citation Text: Patel SP, Gauger PG, Brown DL, et al. Resident participation does not affect surgical outcomes, despite introduction of new techniques. J Am Coll Surg. 2010;211(4):540…

  18. Defining and studying errors in surgical care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/defining-and-studying-errors-surgical-care-systematic-review
    July 20, 2022 - Review Defining and studying errors in surgical care: a systematic review. Citation Text: Marsh KM, Turrentine FE, Knight K, et al. Defining and studying errors in surgical care: a systematic review. Ann Surg. 2022;275(6):1067-1073. doi:10.1097/sla.0000000000005351. Copy Citation F…

  19. Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies. | PSNet

    psnet.ahrq.gov/issue/failure-rescue-deteriorating-patients-systematic-review-root-causes-and-improvement
    January 18, 2013 - Review Emerging Classic Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies. Citation Text: Burke JR, Downey C, Almoudaris AM. Failure to rescue deteriorating patients: a systematic review of root causes and im…

  20. The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. | PSNet

    psnet.ahrq.gov/issue/nature-reported-safety-events-related-care-coordination-operating-room-setting-tertiary
    May 11, 2022 - Study The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. Citation Text: Krishnan S, Wheeler KK, Pimentel MP, et al. The nature of reported safety events related to care coordination in the operating room setting …
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