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psnet.ahrq.gov/web-mm/toxic-tachycardia
March 01, 2005 - Thyroid storm may also occur in postoperative patients ("surgical storm") or may be precipitated by exposure … Indeed, a patient with underlying hypothyroidism may be admitted for a surgical procedure and simply
-
psnet.ahrq.gov/node/33677/psn-pdf
November 01, 2008 - cUTIs) have received significantly less attention
than other health care–acquired infections, such as surgical … patients, voiding management for patients with urethral obstruction, and
perioperative use for selected surgical
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psnet.ahrq.gov/node/49424/psn-pdf
November 01, 2003 - as other countries.(
10,11) In a comprehensive survey of hospitals in the State of Ohio, a complete surgical … Simulation program for optimal orthopedic call: a modeling
system for orthopedic surgical trauma call
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psnet.ahrq.gov/node/49572/psn-pdf
October 01, 2008 - orthopedic surgery team was consulted again
and, after some embarrassment about their mistake, offered surgical … patients between April 1998 and December 2001.(3) Practitioners in Florida reported 63 wrong-patient
surgical
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psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - versus 12.9% for nondelayed patients.(3) Similar increases in mortality and length of stay are seen for
surgical … Delayed admission to intensive care unit for critically surgical patients is associated with
increased
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psnet.ahrq.gov/issue/standing-safety
March 01, 2023 - May 13, 2015
Post-traumatic stress disorder amongst surgical trainees: an unrecognised
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psnet.ahrq.gov/issue/top-10-drug-errors-and-how-prevent-them
April 15, 2015 - Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical
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psnet.ahrq.gov/issue/using-harm-based-weights-ahrq-patient-safety-selected-indicators-composite-psi-90-does-it
March 15, 2016 - Detecting adverse events in surgery: comparing events detected by the Veterans Health Administration Surgical
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psnet.ahrq.gov/node/33562/psn-pdf
September 15, 2024 - teams are designed to intervene during this critical period, usually on patients on general medical
or surgical
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psnet.ahrq.gov/periodic-issue/periodic-issue-331
March 31, 2022 - Study
Hospital-acquired functional decline and clinical outcomes in older cardiac surgical … Study
Hospital-acquired functional decline and clinical outcomes in older cardiac surgical … A behavioral intervention team (BIT) was deployed on two adult medical-surgical wards to evaluate the
-
psnet.ahrq.gov/node/72589/psn-pdf
December 23, 2020 - The PA was surprised that she had not yet
seen the surgeon and arranged for an urgent surgical appointment … .25
Both the system and the patient may have played a role in the second delay in this case: delayed surgical … Schiff, MD
Brigham and Women’s Hospital
Harvard Medical School
Ted James, MD
Chief, Breast Surgical
-
psnet.ahrq.gov/node/849679/psn-pdf
June 28, 2023 - The patient subsequently underwent surgical repair of the
tracheal injury. … This cycle led to the patient’s acute decompensation,
and eventually to surgical repair of the iatrogenic … Tracheostomy a Surgical Guide. Cham, Switzerland: Springer International Publishing;
2018.
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psnet.ahrq.gov/curated-library/value-and-patient-safety
October 30, 2019 - Veterans Health Administration care facilities that focused on assessing oversight, system redesign and surgical … Recommendations drawn from the analysis call for improvements in protected peer review, surgical work … structure and surgical adverse incident examination.
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psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
September 16, 2015 - 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 … October 6, 2016
Applying Lean methods to improve quality and safety in surgical sterile
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psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
May 01, 2005 - The PA was surprised that she had not yet seen the surgeon and arranged for an urgent surgical appointment … Both the system and the patient may have played a role in the second delay in this case: delayed surgical … Schiff, MD
Brigham and Women’s Hospital
Harvard Medical School
Ted James, MD
Chief, Breast Surgical
-
psnet.ahrq.gov/web-mm/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment
January 29, 2021 - because she was not sufficiently anesthetized for either the LMA insertion or the intensity of the surgical … Take Home Points
Patients need to be adequately anesthetized for the intensity of the planned surgical … Recovery
January 31, 2024
Facilitators and barriers to the implementation of surgical
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psnet.ahrq.gov/web-mm/dropping-new-lows
December 18, 2024 - 80–110 mg/dL was based on a significant reduction in intensive care unit mortality in critically ill surgical … August 7, 2024
When a surgical colleague makes an error. … Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical
-
psnet.ahrq.gov/issue/understanding-and-improving-everyday-work-healthcare
May 13, 2020 - A human factors intervention in a hospital--evaluating the outcome of a TeamSTEPPS program in a surgical … June 2, 2021
The surgical ward round checklist: improving patient safety and clinical
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psnet.ahrq.gov/issue/key-cpoe
May 21, 2008 - April 26, 2017
Improving the communication between teams managing boarded patients on a surgical … Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical
-
psnet.ahrq.gov/issue/systems-approach-error-prevention-medicine
February 15, 2017 - July 27, 2005
Handoffs causing patient harm: a survey of medical and surgical house staff … January 30, 2005
Compliance with guidelines to prevent surgical site infections: as simple