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Showing results for "surgeries".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34085/psn-pdf
    February 09, 2011 - Discussion of medical errors in morbidity and mortality conferences. February 9, 2011 Pierluissi E, Fischer M, Campbell AR, et al. Discussion of medical errors in morbidity and mortality conferences. JAMA. 2003;290(21):2838-2842. https://psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-confer…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60250/psn-pdf
    April 22, 2020 - Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean delivery. April 22, 2020 Dieplinger B, Egger M, Jezek C, et al. Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean delivery. Am J Infect Control. 2020;4…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47436/psn-pdf
    December 21, 2018 - Views of nurses and other health and social care workers on the use of assistive humanoid and animal-like robots in health and social care: a scoping review. December 21, 2018 Papadopoulos I, Koulouglioti C, Ali S. Views of nurses and other health and social care workers on the use of assistive humanoid and animal…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45578/psn-pdf
    January 23, 2017 - S-TEAMS: a truly multiprofessional course focusing on nontechnical skills to improve patient safety in the operating theater. January 23, 2017 Stewart-Parker E, Galloway R, Vig S. S-TEAMS: A Truly Multiprofessional Course Focusing on Nontechnical Skills to Improve Patient Safety in the Operating Theater. J Surg Ed…

  5. How to Use the AHRQ SOPS Ambulatory Surgery Center Survey to Improve Patient Safety - INTRO (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/1-ASC_Webcast_2021-Intro.pdf
    January 01, 2021 - How to Use the AHRQ SOPS Ambulatory Surgery Center Survey to Improve Patient Safety - INTRO How to Use the AHRQ SOPS® Ambulatory Surgery Center Survey to Improve Patient Safety Webcast January 21, 2021 2:00-3:00 PM ET Need Help? • No sound from computer speakers? • Trouble with your connection or slides not m…

  6. NAC Member Biography: Peter B. Angood | Agency for Healthcare Research and Quality

    www.ahrq.gov/cpi/about/organization/nac/angood.html
    February 01, 2025 - NAC Member Biography: Peter B. Angood Peter B. Angood, M.D., FRCS(C), FACS, MCCM, FAAPL (Hon) President and Chief Executive Officer American Association for Physician Leadership Peter B. Angood, M.D., FRCS(C), FACS, MCCM, FAAPL (Hon) is chief executive officer and president of the American Association for Phys…

  7. Exhibit 2. Literature review search terms by category | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/stpra/stpraexh2.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Exhibit 2. Literature review search terms by category Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Intro…

  8. Defects (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/defects.docx
    May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Improving Communication and Teamwork in the Surgical Environment Module Learn From Defects Purpose: To identify the types of systems that contributed to the defect (an event or situation that you do not want to happen again) and to plan the followup steps needed to impro…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36604/psn-pdf
    June 04, 2024 - Adverse Health Events in Minnesota: Annual Reports. June 4, 2024 St Paul, MN: Minnesota Department of Health. https://psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report The National Quality Forum has defined 29 never events—patient safety problems that should never occur, such as wrong-…

  10. Toolkit Materials | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/materials.html
    December 01, 2017 - Toolkit Materials Toolkit To Promote Safe Surgery The products consist of two guides, supplemental tools for each guide, and 15 instructional modules to support change at the unit level. Guides Applying CUSP To Promote Safe Surgery ( PDF , 508 KB) This guide provides an overview of the Comprehensive U…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73549/psn-pdf
    July 28, 2021 - Local Anesthesia-Induced Coma During Total Knee Arthroplasty. July 28, 2021 Aldwinckle R. Local Anesthesia-Induced Coma During Total Knee Arthroplasty. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/local-anesthesia-induced-coma-during-total-knee-arthroplasty The Case A 61-year-old male patient weighing 57…

  12. Auditing Your Briefings and Debriefings Process: Slide Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
    December 01, 2017 - Auditing Your Briefings and Debriefings Process: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Implementation Auditing Your Briefings and Debriefings Process Slide 2: Learning Objectives Recap the briefings and debriefings process. Adapt a briefing a…

  13. Preventing unintended retained foreign objects. | PSNet

    psnet.ahrq.gov/issue/preventing-unintended-retained-foreign-objects
    January 25, 2023 - Sentinel Event Alerts Preventing unintended retained foreign objects. Citation Text: Preventing unintended retained foreign objects. Sentinel event alert. 2013;(51):1-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

  14. Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-and-patient-care-checklists-intrahospital-transfers-involving-pediatric
    September 23, 2020 - Study Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients. Citation Text: Nakayama DK, Lester SS, Rich DR, et al. Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients.…

  15. Use of a surgical safety checklist to improve team communication. | PSNet

    psnet.ahrq.gov/issue/use-surgical-safety-checklist-improve-team-communication
    August 08, 2018 - Commentary Use of a surgical safety checklist to improve team communication. Citation Text: Cabral RA, Eggenberger T, Keller K, et al. Use of a surgical safety checklist to improve team communication. AORN J. 2016;104(3):206-216. doi:10.1016/j.aorn.2016.06.019. Copy Citation Format…

  16. Scoring no goal—further adventures in transparency. | PSNet

    psnet.ahrq.gov/issue/scoring-no-goal-further-adventures-transparency
    August 02, 2015 - Commentary Scoring no goal—further adventures in transparency. Citation Text: Rosenbaum L. Scoring No Goal--Further Adventures in Transparency. N Engl J Med. 2015;373(15):1385-8. doi:10.1056/NEJMp1510094. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

  17. Enhancing the quality and safety of the perioperative patient. | PSNet

    psnet.ahrq.gov/issue/enhancing-quality-and-safety-perioperative-patient
    January 14, 2014 - Review Enhancing the quality and safety of the perioperative patient. Citation Text: Staender S, Smith A. Enhancing the quality and safety of the perioperative patient. Curr Opin Anaesthesiol. 2017;30(6):730-735. doi:10.1097/ACO.0000000000000517. Copy Citation Format: DOI G…

  18. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. | PSNet

    psnet.ahrq.gov/issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case
    April 24, 2018 - Commentary Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. Citation Text: Acquaviva K, Haskell H, Johnson J. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. J Prof Nurs. 2013;29(2):95-101. doi:10.1016/j.profnurs.2012.12.009.…

  19. Taking up the challenge to improve name and role recognition in the operating room. | PSNet

    psnet.ahrq.gov/issue/taking-challenge-improve-name-and-role-recognition-operating-room
    July 12, 2023 - Review Taking up the challenge to improve name and role recognition in the operating room. Citation Text: Thota B, Rabinowitz A, Guttman OT. Taking up the challenge to improve name and role recognition in the operating room. J Patient Saf. 2024;20(1):45-47. doi:10.1097/pts.00000000000011…

  20. To err is human, but what happens when surgeons err? | PSNet

    psnet.ahrq.gov/issue/err-human-what-happens-when-surgeons-err
    August 04, 2021 - Study To err is human, but what happens when surgeons err? Citation Text: Lin JS, Olutoye OO, Samora JB. To err is human, but what happens when surgeons err? J Pediatr Surg. 2023;58(3):496-502. doi:10.1016/j.jpedsurg.2022.06.019. Copy Citation Format: DOI Google Scholar Bib…
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