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psnet.ahrq.gov/primer/disruptive-and-unprofessional-behavior September 15, 2024 - March 27, 2024 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Patient Safety Primers 
 
 
 
 
 
 
 
 
 Retained Surgical 
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_stable_airway_slides_final.pptx January 01, 2024 - for function and comfort.9 
The timing of change is based on the placement approach (percutaneous or surgical 
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psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation April 24, 2024 - known but generally preventable complication of calcium chloride infusion, eventually necessitating surgical 
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psnet.ahrq.gov/node/33648/psn-pdf March 01, 2007 - You had your nursing team, the surgical team,
the pain management team, and all these teams, yet there 
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psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care December 23, 2020 - The patient declined any surgical intervention or chemotherapy after discussing goals of care with an … illustrates implicit questions about health literacy and care access. 3  This patient initially declined surgical … Multiple-institution comparison of resident and faculty perceptions of burnout and depression during surgical 
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psnet.ahrq.gov/node/33580/psn-pdf April 01, 2022 - Nurse-to-patient ratios are setting-dependent; while five patients per RN
may be appropriate in the acute medical-surgical … One classic study showed lower
inpatient mortality rates for a variety of surgical patients in hospitals 
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psnet.ahrq.gov/node/836885/psn-pdf May 16, 2022 - He underwent coronary artery bypass
surgery (CABG), surgical aortic valve replacement, and left atrial … The vascular surgery team that was most familiar with the
patient’s recent surgical procedure and likely 
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psnet.ahrq.gov/node/49861/psn-pdf May 01, 2019 - infarction), the PERT process invites discussion among a multidisciplinary team of medical,
procedural, and surgical … therapeutic options including
anticoagulation, systemic IV thrombolysis, catheter-directed thrombolysis, surgical 
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psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it May 01, 2018 - For example, the  Figure  illustrates a sample medication reconciliation process for surgical patients … cross-functional flow chart, defining the responsibilities for medication reconciliation for elective surgical 
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psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era January 01, 2009 - order radiology studies need to understand the importance of providing enough medical background or surgical … requested; (ii) when possible, specifically what the study is expected to evaluate; (iii) the relevant surgical 
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psnet.ahrq.gov/node/49648/psn-pdf March 01, 2012 - diagnoses or localized groups of patients,
including patients with congestive heart failure (CHF), surgical … nurse liaison and large telephone follow-up program at a tertiary care medical center with
medical–surgical 
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psnet.ahrq.gov/node/49855/psn-pdf March 01, 2019 - A surgical safety
checklist to reduce morbidity and mortality in a global population. … Adopting a surgical safety checklist could save money and
improve the quality of care in U.S. hospitals 
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psnet.ahrq.gov/node/49708/psn-pdf May 01, 2014 - She underwent an
uncomplicated surgical resection of the colon cancer with relief of the obstruction … psychiatry consulting service was available to help manage postoperative
delirium and was consulted by the surgical 
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psnet.ahrq.gov/primer/nursing-and-patient-safety September 15, 2024 - Nurse-to-patient ratios are setting-dependent; while five patients per RN may be appropriate in the acute medical-surgical … One classic  study  showed lower inpatient mortality rates for a variety of surgical patients in hospitals 
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psnet.ahrq.gov/node/72689/psn-pdf January 29, 2021 - Handoffs causing patient harm: a survey of medical and
surgical house staff.  … Inpatient Cross-Cover Consensus
Recommendations for Medical and Surgical Residents: A Delphi Analysis 
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psnet.ahrq.gov/web-mm/right-patient-wrong-sample June 01, 2004 - identifying an organism leads to incorrect antibiotic treatment and ultimately creates the need for surgical … December 22, 2010 
 
 
 
 
 
 
 
 Identifying cross contaminants and specimen mix-ups in surgical pathology 
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psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_case_mesenteric_ischemia_08.05.2022.pdf January 01, 2022 - consists of fluid resuscitation, broad 
spectrum antibiotics, anticoagulation in most cases, and urgent surgical … Acute mesenteric ischemia: diagnostic approach and surgical treatment. 
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psnet.ahrq.gov/web-mm/transfer-troubles December 29, 2014 - Early the next day, the patient was taken to the operating room for surgical repair of her hip fracture … The surgical team proceeded, but the case was complicated by significant hemodynamic instability. 
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psnet.ahrq.gov/node/837660/psn-pdf July 08, 2022 - technician was new and did not know this information was important, he did not reveal it to anyone on
the surgical … prevented the unnecessary admission to the ICU and overnight ventilation in Case
1, and the unnecessary surgical 
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psnet.ahrq.gov/node/49615/psn-pdf December 01, 2010 - She was admitted to the hospital for surgical management
of her hip fracture. … What was the time until surgical repair?
8.