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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.110_slideshow.ppt
December 01, 2005 - with safety
0%
10%
20%
30%
40%
50%
60%
70%
80%
Attending Surgeons
Anesthesiologists
Surgical
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.76_slideshow.ppt
October 01, 2004 - conditions before proceeding
Verification of blood products prior to transfusion
“Timeout” prior to surgical
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psnet.ahrq.gov/periodic-issue/periodic-issue-385
April 26, 2023 - The commentary summarizes the indications and risks of procedural sedation in non-surgical settings and … known but generally preventable complication of calcium chloride infusion, eventually necessitating surgical
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psnet.ahrq.gov/issue/fatal-case-iatrogenic-hypercalcemia-after-calcium-channel-blocker-overdose
October 26, 2022 - November 12, 2014
Leading article: how can I optimise my role as a leader within the surgical … November 30, 2016
Operating room traffic as a modifiable risk factor for surgical site
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psnet.ahrq.gov/issue/patient-safety-synonymous-quality-nursing-care-should-it-be-brief-discourse
July 15, 2020 - January 13, 2021
Prevalence and characteristics of interruptions and distractions during surgical … March 20, 2019
Decreasing surgical site infections by developing a high reliability culture
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psnet.ahrq.gov/issue/practice-makes-perfect-planning-considerations-medical-simulation-centers
December 08, 2010 - January 30, 2013
Thirty-day outcomes support implementation of a surgical safety checklist … September 28, 2016
Improving the communication between teams managing boarded patients on a surgical
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psnet.ahrq.gov/periodic-issue/periodic-issue-449
July 10, 2024 - The surgical team had difficulty controlling bleeding and the patient left the operating room (OR) with … The commentary discusses how patient positioning during surgery can increase the risk for surgical complications
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psnet.ahrq.gov/periodic-issue/periodic-issue-453
August 28, 2024 - Review
Minimization of occurrence of retained surgical items using machine learning … Retained surgical items (RSIs) remain a persistent patient safety problem.
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psnet.ahrq.gov/periodic-issue/periodic-issue-462
October 30, 2024 - The burden of healthcare utilization, cost, and mortality associated with select surgical … Surgical site infections (SSIs) are a common source of preventable harm following surgery.
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psnet.ahrq.gov/periodic-issue/periodic-issue-441
May 29, 2024 - Organizational learning starting points and presuppositions: a case study from a hospital’s surgical … qualitative study focuses on the starting points and presuppositions of organizational learning within a surgical
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psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
November 16, 2022 - The Case A middle-aged man was admitted to the surgical intensive care unit (SICU) following a complex … surgical procedure performed for pancreatic cancer.
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psnet.ahrq.gov/web-mm/forgotten-med
July 01, 2006 - Implementation science: a neglected opportunity to accelerate improvements in the safety and quality of surgical … December 18, 2017
Surgical checklist implementation project: the impact of variable WHO
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psnet.ahrq.gov/web-mm/forgotten-radiographic-read
June 07, 2016 - When should a surgical resident call an attending surgeon? J Surg Educ. 2008;65:206-212. … December 22, 2021
Extraneous tissue a potential source for diagnostic error in surgical
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psnet.ahrq.gov/web-mm/mistaken-identity
December 18, 2014 - 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/850678/psn-pdf
June 14, 2023 - internal review of
the data, KPNC found that mortality rates for patients transferred from medical, surgical … detection alert system to identify patients who are high risk for clinical
deterioration in medical, surgical
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psnet.ahrq.gov/node/836978/psn-pdf
May 16, 2022 - This Universal Protocol involves
confirmation of the correct patient, correct procedure, and correct surgical … The final safety check is performed during
the pre-incision surgical time out which requires all staff
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psnet.ahrq.gov/node/60609/psn-pdf
June 24, 2020 - focused on patients in the intensive care
and step-down units and do not round regularly on the medical-surgical … Sleep hygiene Protocol to Improve Sleep and Delirium In a Surgical Intensive
Care Unit.
12.
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psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
February 26, 2025 - NAPA clinicians have reported that their preoperative and surgical nursing teams collaborate routinely … : ED-SAFE
April 24, 2024
Facilitators and barriers to the implementation of surgical
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psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
June 15, 2024 - H is transferred again the medical/surgical unit. Mr. … June 13, 2011
Pharmacist medication assessments in a surgical preadmission clinic.
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psnet.ahrq.gov/node/33737/psn-pdf
September 01, 2012 - The survey will obtain
information on the utilization of NPs, their distribution across medical and surgical