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Showing results for "surgery".
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7781. Vial Mistakes Involving Heparin | PSNet
      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

7782. Psn-Pdf (pdf file)
      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

7783. In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0 | PSNet
      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

7784. Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training | PSNet
      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

7785. EMS Perils from Hospital Overcrowding | PSNet
      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

7786. Patient Advocacy in Patient Safety: Have Things Changed? | PSNet
      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.

7787. In Conversation with... Charles Ornstein | PSNet
      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

7788. In Conversation With… Eduardo Salas, PhD | PSNet
      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.

7789. Workarounds and Resiliency on the Front Lines of Health Care | PSNet
      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.

7790. In Conversation with…Vineet Arora, MD, MA | PSNet
      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

7791. In Conversation with...Steven J. Spear, DBA, MS, MS | PSNet
      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.

7792. Delayed Diagnosis of Endocrinologic Emergencies | PSNet
      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.

7793. Not-So-Therapeutic Tap | PSNet
      psnet.ahrq.gov/web-mm/not-so-therapeutic-tap
      December 01, 2014 - Interventional radiology and general surgery were quickly consulted.

7794. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49657/psn-pdf
      July 01, 2012 - Interventional radiology and general surgery were quickly consulted.

7795. Inflicting Confusion | PSNet
      psnet.ahrq.gov/web-mm/inflicting-confusion
      August 04, 2021 - WebM&M Cases Bowel Injury After Laparoscopic Surgery

7796. Don't Push | PSNet
      psnet.ahrq.gov/web-mm/dont-push
      March 02, 2011 - Association of hospital markup with preventable adverse events following pancreatic surgery

7797. One Bronchoscopy, Two Errors | PSNet
      psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
      December 09, 2020 - efficacy of combined surgical patient safety system and the World Health Organization's checklists in surgery

7798. Spotlight Nstemi (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-07/spotlight_nstemi.pdf
      January 01, 2020 - • A multi-disciplinary discussion between interventional cardiology and cardiothoracic surgery concluded

7799. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848109/psn-pdf
      April 26, 2023 - The median time to IRAE was 71 hours and no patient received plastic surgery consultation or medications

7800. No BP During NIBP | PSNet
      psnet.ahrq.gov/web-mm/no-bp-during-nibp
      March 01, 2011 - in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac surgery