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psnet.ahrq.gov/issue/next-patient-safety
September 11, 2019 - June 30, 2021
Support for healthcare professionals after surgical patient safety incidents … July 21, 2021
"Some version, most of the time": the surgical safety checklist, patient
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psnet.ahrq.gov/perspective/health-care-worker-presenteeism-challenge-patient-safety
November 03, 2015 - staffing challenges, suggesting that a one-size-fits-all approach will not work.( 6 ) For example, in surgical … February 14, 2024
Surgeon and surgical trainee experiences after adverse patient events
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psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
March 27, 2024 - Injury in a Patient Admitted for Leg Fractures
March 27, 2024
Surgeon and surgical … June 19, 2024
The surgical safety checklist and patient outcomes after surgery: a prospective
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psnet.ahrq.gov/node/49739/psn-pdf
August 21, 2015 - and cannot be considered standard of care.(8,9)
Finally, tracheostomy may be performed via an open surgical … All tracheostomy changes within 5 days of insertion should be performed with surgical
equipment available
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psnet.ahrq.gov/node/33751/psn-pdf
January 01, 2014 - Inpatient Quality Reporting (IQR) program, including process measures focused on the
prevention of surgical … Who pays for poor surgical quality? Building a
business case for quality improvement.
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psnet.ahrq.gov/node/72693/psn-pdf
January 29, 2021 - The anesthesiologist trainee staffing the case was first-year oral maxillofacial surgical
resident working … At the conclusion of the surgical case, the patient had delayed emergence from
anesthesia.
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psnet.ahrq.gov/node/33823/psn-pdf
January 01, 2017 - is widely available; we
made a few minor additions to address health care–specific hazards such as surgical … Surgical scheduling: a lean approach to process improvement. AORN J.
2014;99:147-159.
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psnet.ahrq.gov/node/49476/psn-pdf
March 02, 2005 - Effects of perioperative
analgesic technique on the surgical outcome and duration of rehabilitation … 24 hours postoperatively, regardless of
anesthetic technique, and only in the presence of adequate (surgical
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psnet.ahrq.gov/node/861882/psn-pdf
January 31, 2024 - Also, many office-based settings, such as ambulatory surgical
centers, have taken on care which had … Responding to this shift, AHRQ funded a project to reduce surgical site
infections and other complications
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psnet.ahrq.gov/training-catalog
March 03, 2025 - International Conference on Emerging Surgery Trends 2025: Redefining Surgical … Organization:
The Research Gate (TRG)
Event Description: Innovations in surgical
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psnet.ahrq.gov/issue/pharmacists-and-health-information-technology-emerging-issues-patient-safety
November 13, 2013 - Review
Pharmacists and health information technology: emerging issues in patient safety.
Citation Text:
Fuji KT, Galt KA. Pharmacists and Health Information Technology: Emerging Issues in Patient Safety. HEC Forum. 2008;20(3). doi:10.1007/s10730-008-9075-4.
Copy Citation
Format: …
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psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
September 29, 2021 - Signs of compartment syndrome eventually resolved without any surgical intervention. … In the present case, the patient was promptly transferred to the OR for surgical exploration, debridement … compartment syndrome leading to early diagnosis, abrupt discontinuation of the IO line, avoidance of surgical … inappropriate medication administration is associated with adverse postoperative outcomes in older surgical
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psnet.ahrq.gov/node/33706/psn-pdf
February 01, 2011 - Brent James: I arrived in Utah in 1986, after completing my surgical training and advanced training in … www.ncbi.nlm.nih.gov/pubmed/1728731
http://www.ncbi.nlm.nih.gov/pubmed/1728731
https://psnet.ahrq.gov/issue/national-surgical-quality-improvement-program … Speaking as
somebody out of a surgical background—that concept is so central to what it means to be
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psnet.ahrq.gov/node/33692/psn-pdf
February 01, 2010 - TN: I think we're starting to see some data, so for instance it appears that the technical surgical experience … opportunities and the continuity of pre- and postoperative care are being disrupted by duty hours in surgical … For instance, in preparing them for independent
practice, the senior surgical house officers' duty structure
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psnet.ahrq.gov/perspective/conversation-edward-kelley-phd
December 01, 2014 - the CUSP approach around bloodstream infection and are trying to adapt that for work in preventing surgical … RW : It struck me as you were describing the challenges, you mentioned Atul Gawande for the surgical … there and speak with very deep professional credentials in an area leading the essential and emergency surgical … Safe surgical care
9. Medication safety
10.
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psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
January 23, 2017 - activity Learning Objectives Discuss the purpose and benefits of procedural sedation performed in non-surgical … . 20 One well-studied example of a patient care checklist is the World Health Organization (WHO) surgical … safety checklist , which has been implemented globally and is associated with decreased rates of surgical … site infections and surgical complications. 21 While it may seem intuitive that checklists designed … Surgical checklists: a systematic review of impacts and implementation.
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psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
February 01, 2010 - Patterns of communication breakdowns resulting in injury to surgical patients. … Effects of limited work hours on surgical training. J Am Coll Surg. 2002;195:531-538. … TN: I think we're starting to see some data, so for instance it appears that the technical surgical … opportunities and the continuity of pre- and postoperative care are being disrupted by duty hours in surgical … For instance, in preparing them for independent practice, the senior surgical house officers' duty structure
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psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
February 01, 2010 - TN: I think we're starting to see some data, so for instance it appears that the technical surgical … opportunities and the continuity of pre- and postoperative care are being disrupted by duty hours in surgical … For instance, in preparing them for independent practice, the senior surgical house officers' duty structure … Patterns of communication breakdowns resulting in injury to surgical patients. … Effects of limited work hours on surgical training. J Am Coll Surg. 2002;195:531-538.
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psnet.ahrq.gov/innovation/implementing-watcher-program-improve-timeliness-recognition-deterioration-hospitalized
June 30, 2021 - This intervention was piloted on the Infant-Toddler unit and was expanded across all other medical-surgical
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psnet.ahrq.gov/periodic-issue/periodic-issue-423
January 04, 2024 - Retained surgical items are never events that continue to occur despite efforts to reduce their occurrence … This report examines reasons for 31 incidents of retained surgical swabs reported in the United Kingdom