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psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
January 24, 2018 - WebM&M Cases
Bowel Injury After Laparoscopic Surgery
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psnet.ahrq.gov/node/33712/psn-pdf
June 01, 2011 - I was reading about the controversy over a robotic surgery system that requires a certain
number of
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psnet.ahrq.gov/web-mm/hold-order
December 19, 2018 - Hold orders are also commonly used around the time of procedures (e.g., surgery, cardiac catheterization
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psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
May 11, 2014 - activated clotting time (ACT) was drawn while the surgeon clamped the carotid artery and proceeded with the surgery
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psnet.ahrq.gov/perspective/conversation-withstephen-hines-phd-and-monika-haugstetter-mha-msn-rn-cphq-about
February 28, 2024 - impacts of TeamSTEPPS have been established in other care settings, including primary care, ambulatory surgery … It is easy to talk about how communication should happen, for example, in a surgery unit in a hospital
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psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
November 25, 2020 - septic knee arthritis (status: post-intravenous antibiotics) presented to a hospital-based orthopedic surgery … the Emergency Department (ED) via ambulance for evaluation and treatment by the inpatient orthopedic surgery
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psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork-training
February 28, 2024 - impacts of TeamSTEPPS have been established in other care settings, including primary care, ambulatory surgery … It is easy to talk about how communication should happen, for example, in a surgery unit in a hospital
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psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
June 01, 2014 - In the 1970s and 1980s, events like the 1975 Congressional hearings on unnecessary surgery and ABC's … Getting Ready for National Health Insurance: Unnecessary Surgery.
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psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
August 01, 2009 - Although patients were not harmed, searching for and replacing faulty leads unnecessarily prolonged surgery … Identification of systems failures in successful paediatric cardiac surgery.
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psnet.ahrq.gov/perspective/conversation-charles-ornstein
October 01, 2009 - the certifying arm for physician training programs, took steps to remove the accreditation for the surgery … the wrong leg amputated
University Community Hospital, Tampa, FL
1995
New focus on wrong-site surgery
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psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
March 01, 2011 - So a medicine patient who's going to surgery and is going to stay on their service would be inherently … emergency department, the emergency department up to the floor ICU, a floor patient going for urgent surgery
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psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd
November 01, 2011 - also reported improved communication, increased staff awareness, and improved equipment use during surgery … Surgery. 2009;145:138-146. [go to PubMed]
17. Fanning RM, Gaba DM.
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psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
August 01, 2009 - Although patients were not harmed, searching for and replacing faulty leads unnecessarily prolonged surgery … Identification of systems failures in successful paediatric cardiac surgery.
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psnet.ahrq.gov/web-mm/delayed-diagnosis-endocrinologic-emergencies
November 13, 2024 - 2019
Predictive power of the "trigger tool" for the detection of adverse events in general … surgery: a multicenter observational validation study.
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psnet.ahrq.gov/web-mm/not-so-therapeutic-tap
December 01, 2014 - Interventional radiology and general surgery were quickly consulted.
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psnet.ahrq.gov/node/49657/psn-pdf
July 01, 2012 - Interventional radiology and general surgery were quickly consulted.
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psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence
February 20, 2019 - Perspective
The Evolution of Patient Safety in Surgery
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psnet.ahrq.gov/web-mm/poor-prognosis
March 15, 2016 - multinodular) and the approach of the endocrinologist (eg, trial of T4-suppression therapy, reductive surgery
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psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training
October 01, 2004 - work can be simulated with appropriate fidelity (for example, as of now, the technical aspects of open surgery
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psnet.ahrq.gov/web-mm/dont-push
March 02, 2011 - Association of hospital markup with preventable adverse events following pancreatic surgery