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7881. Patient Safety in the United Kingdom: Evolution and Progress | PSNet
      psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
      May 01, 2007 - problems underlie much litigation, certain high-profile cases such as the Bristol pediatric cardiac surgery … Safety alerts have been issued on a wide range of topics from correct site surgery to standardizing the … The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984–1995

7882. In Conversation with…Jack Barker, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withjack-barker-phd
      January 01, 2006 - Whereas, as you said, there's so much mixing in medicine that you have the issue of the head of cardiac surgery … We also had another incident where one team member present during a surgery felt empowered to actually … involved in the operation on a white board, which even includes the woman who cleans up the OR after the surgery

7883. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.2_slideshow.ppt
      February 01, 2003 - General Anesthesia webmm.ahrq.gov Source and Credits This presentation is based on February 2003 Surgery–Anesthesia

7884. Communication Between Clinicians | PSNet
      psnet.ahrq.gov/primer/communication-between-clinicians
      September 15, 2024 - Both the intensive care unit team and the cardiac surgery team were aware of the patient's deteriorating

7885. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-326
      January 07, 2022 - On the day of surgery, the patient was met in the pre-operative unit by several different providers ( … had been injected for the SNLB – a key process step that was supposed to have occurred prior to the surgery

7886. Pre-analytical pitfalls: Missing and mislabeled specimens | PSNet
      psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
      April 18, 2018 - The Case Case #1: A 56-year-old man was admitted to the same-day surgery center for a planned … December 1, 2006 View More See More About The Topic Outpatient Surgery

7887. Implementing a Fall Prevention Program | PSNet
      psnet.ahrq.gov/perspective/implementing-fall-prevention-program
      November 29, 2023 - Even 1 or 2 additional days of inactivity after acute illness or surgery can significantly affect recovery … October 26, 2010 Defining the technical skills of teamwork in surgery.

7888. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. | PSNet
      psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
      March 15, 2023 - WebM&M Cases Respiratory Distress after Neck Surgery … March 1, 2004 View More See More About The Topic Outpatient Surgery

7889. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49735/psn-pdf
      June 01, 2015 - The patient required emergent bypass surgery of the left leg by vascular surgery.

7890. Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
      January 01, 2023 - air hunger due to vocal cord paralysis or neck trauma, tumors, foreign bodies, or inflammation after surgery … to orally intubate, ventilatory support for neuromuscular disease, and as an adjunct to head/neck surgery

7891. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49855/psn-pdf
      March 01, 2019 - the Joint Commission "Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery … Haynes AB, Weiser TG, Berry WR, et al; Safe Surgery Saves Lives Study Group.

7892. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49861/psn-pdf
      May 01, 2019 - The factors most commonly implicated are a history of recent surgery, active cancer, https://psnet.ahrq.gov … pulmonary embolism response team should be activated, and whether advanced therapy such as thrombolysis or surgery

7893. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33844/psn-pdf
      October 01, 2017 - psnet.ahrq.gov//#ref6 https://psnet.ahrq.gov//#ref7 https://psnet.ahrq.gov//#ref6 medicine, pediatric, general … surgery, and obstetrics/gynecology residents, the authors found that 58% of residents reported working

7894. Unexplained Apnea Under Anesthesia | PSNet
      psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
      December 01, 2005 - hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery … Operating Room Health Care Providers Non-Health Care Professionals Anesthesiology Surgery

7895. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49765/psn-pdf
      August 21, 2016 - Buchman, PhD, MD Professor of Surgery and Anesthesiology Director, Critical Care Center Emory University … right side subclavian vein catheter placement in patients undergoing coronary artery bypass graft surgery

7896. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33843/psn-pdf
      October 01, 2017 - The problem is if a surgeon has scheduled surgery, that's their surgery to do.

7897. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851870/psn-pdf
      July 31, 2023 - For example, every hospital, surgery center, birthing center, and abortion facility has an advisor from … PA-PSRS was developed as a result of MCARE, which requires that hospitals, ambulatory surgery facilities

7898. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33765/psn-pdf
      April 01, 2014 - organization did was endorse certain kinds of safety practices: intensivists, high-volume centers for surgery … I said something like we were looking at objects left in after surgery, and my mother just stared at

7899. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
      September 01, 2011 - readmitted to the original skilled nursing facility with severely limited mobility secondary to the surgery

7900. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49539/psn-pdf
      June 01, 2007 - Standard written information, provided at preassessment clinics or prior to surgery, could be given