Results

Total Results: 8,074 records

Showing results for "surgery".
Users also searched for: cahps survey

7621. Accountability in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/accountability-patient-safety
      January 01, 2018 - Perspective The Evolution of Patient Safety in Surgery

7622. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33715/psn-pdf
      July 01, 2011 - With rare events (such as wrong-site surgery), aggregation and review across many institutions can provide

7623. National Patient Safety Goals | PSNet
      psnet.ahrq.gov/primer/national-patient-safety-goals
      January 16, 2025 - implemented by marking the accurate surgical site prior to the procedure and taking a pause before surgery

7624. In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring | PSNet
      psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
      April 26, 2023 - For example, as an anesthesiologist, during surgery, even if the patient’s blood pressure had gone down … because they’re intensely focused on performing the surgery. … Understanding the volume-outcome effect in cardiovascular surgery: the role of failure to rescue.

7625. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49505/psn-pdf
      March 01, 2006 - privileges.(1) In this circumstance, such a check would have shown a surgeon still holding his vascular surgery

7626. Ruptured Heterotopic Pregnancy | PSNet
      psnet.ahrq.gov/web-mm/ruptured-heterotopic-pregnancy
      August 16, 2023 - After surgery and obstetrics were informed of the patient, she was given IV fluids and sent to the CT

7627. A Lot of Pain (Medications) | PSNet
      psnet.ahrq.gov/web-mm/lot-pain-medications
      September 23, 2020 - We are told that the patient in this case experienced a "worsening" of his pain after his surgery, but

7628. In Conversation With... Ann Gaffey, RN, MSN, CPHRM and Bruce Spurlock, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
      March 30, 2020 - For example, do we need to still look at wrong site surgery?

7629. In Conversation with…Christopher P. Landrigan, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
      April 01, 2005 - on preventing falls in nursing homes, or a physician interested in strategies to prevent wrong-site surgery

7630. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853774/psn-pdf
      September 27, 2023 - Utter, MD, MSc Consulting Editor, AHRQ’s Patient Safety Network (PSNet) Professor Department of Surgery … Division of Trauma, Acute Care Surgery, and Surgical Critical Care UC Davis Health ghutter@ucdavis.edu

7631. Where Does Risk-Adjusted Mortality Fit Into a Safety Measurement Program? | PSNet
      psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
      March 01, 2015 - In 1998, I was invited to be a part of the Bristol Royal Infirmary inquiry into children's heart surgery … I note in your recent Lancet article you said the families of the children who underwent cardiac surgery

7632. Complications of ECMO During Transport | PSNet
      psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
      January 27, 2021 - also be used to bridge to lung or heart transplant, or for short-term support during advanced airway surgery … WebM&M Cases Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery

7633. Intubation Mishap | PSNet
      psnet.ahrq.gov/web-mm/intubation-mishap
      April 26, 2023 - In anesthesia, surgery, or critical care, adequate "mental models" of the patient and the associated … , 2017 Understanding patient and clinician reported nonroutine events in ambulatory surgery

7634. In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
      psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
      September 24, 2024 - significant downside to pursuing zero harm, argues surgeon Thomas Aloia when considering zero harm goals in surgery … contribute to the high rates of burnout that correspond temporally with an increased emphasis on safety in surgery

7635. Multiple Levels Involved in Prescribing the Wrong Medication | PSNet
      psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
      December 23, 2020 - The Case A 65-year-old woman complained of some ongoing nausea two weeks after hernia repair surgery. … The surgery itself had not been complicated and on her postoperative visit, her physical examination

7636. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience | PSNet
      psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
      July 20, 2010 - Health Care Providers Health Care Executives and Administrators Organizational Behaviorists Surgery

7637. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49532/psn-pdf
      March 15, 2007 - inappropriate or misapplied in this situation.(3) Metabolic stressors such as myocardial ischemia, surgery

7638. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.266_slideshow.ppt
      May 01, 2012 - She was emergently transferred to surgery for removal of the VP shunt and placement of ventricular drain

7639. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49463/psn-pdf
      October 14, 2004 - Strategies to avoid wrong-site surgery. In: Shojania KG, Duncan BW, McDonald KM, Wachter RM, eds.

7640. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33564/psn-pdf
      March 15, 2025 - failing to order prophylaxis against deep venous thrombosis in a patient who underwent joint replacement surgery