Results

Total Results: 9,866 records

Showing results for "surgical".

9181. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-392
      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

9182. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-391
      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

9183. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-420
      November 29, 2023 - This study used six years of data from the Veterans Affairs Surgical Quality Improvement Program to identify … This study used six years of data from the Veterans Affairs Surgical Quality Improvement Program to identify

9184. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-456
      September 25, 2024 - Root cause analysis (RCA) is a widely used approach to retrospectively analyze safety events like surgical … commentary discusses several approaches to improving patient safety during anesthesia administration in the surgical

9185. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49829/psn-pdf
      May 01, 2018 - The surgical team was preparing to close the incision when the clinicians noticed blood in the surgical

9186. Inappropriate Antibiotic Use | PSNet
      psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
      September 22, 2010 - Effect of an education program on decreasing catheter-related bloodstream infections in the surgical … Same Author(s) A new safety event reporting system improves physician reporting in the surgical

9187. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-469
      December 31, 2024 - article describes the development of a “Core Measures Set” that should be measured and reported in surgical … care in the context of the "Improving quality and patient SAFEty in surgical care through STandardisation

9188. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia | PSNet
      psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
      January 29, 2021 - available to staff elective surgery operating rooms during the day, 28 limiting patients’ access to surgical … National cluster-randomized trial of duty-hour flexibility in surgical training. … Delivery June 28, 2023 ACGME 2011 duty hours restrictions and their effects on surgical

9189. AHRQ PSNet Webinar (pdf file)
      psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
      January 01, 2025 - engagement • Infection surveillance • Use of report cards & outcome measurements to improve safety of surgical … effectivehealthcare.ahrq.gov/products/mhs4-active-infection/rapid-research https://effectivehealthcare.ahrq.gov/products/mhs4-surgical-report-cards … 1NPT56LE7J*MTcxMTA2OTI1OC4zMzMuMS4xNzExMDcwNTEyLjAuMC4w https://effectivehealthcare.ahrq.gov/products/mhs4-surgical-report-cards

9190. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-305
      August 25, 2021 - Review Evaluating the impact of radio frequency identification retained surgical instruments … systematic review of 5 studies suggests that use of RFID can lead to rapid, accurate detection of retained surgical

9191. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-328
      February 23, 2022 - multifaceted program (IMPlementatie Richtlijnen Operatieve VEiligheid [IMPROVE]) to support application of surgical … This commentary discusses a case involving disrespectful behavior toward a surgical resident that resulted

9192. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-418
      November 29, 2023 - Study Surgical leadership in a culture of safety: an inter-professional study of … non-technical skills that leaders require in a safety culture environment which the authors adapt for surgical

9193. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-417
      November 29, 2023 - Review Facilitators and barriers to the implementation of surgical safety checklist … Surgical safety checklists (SCC) are utilized around the world, but checklist completion at the operating

9194. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-380
      March 15, 2023 - This review sought to identify the impact of cognitive biases on surgical performance and patient outcomes … This review sought to identify the impact of cognitive biases on surgical performance and patient outcomes

9195. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-399
      July 31, 2023 - The most frequent never events were wrong site or wrong patient surgery, wrong surgical procedure, and … Despite aggressive surgical and postoperative care, she expired from sepsis ten days later.

9196. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-395
      June 28, 2023 - Study Preventing surgical site infections: are safety climate level and its strength … Surgical site infections (SSI) are a common, but preventable, complication following surgery.

9197. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-401
      July 31, 2023 - functioning equipment (e.g., broken scopes or smoking light cords), wrong site surgeries, and retained surgical … Despite aggressive surgical and postoperative care, she expired from sepsis ten days later.

9198. Discharging Our Responsibility | PSNet
      psnet.ahrq.gov/web-mm/discharging-our-responsibility
      January 16, 2019 - never been given explicit discharge instructions about CHF and had received only a generic medical-surgical … April 6, 2016 Remote video auditing with real-time feedback in an academic surgical suite

9199. Breakage of a PICC Line | PSNet
      psnet.ahrq.gov/web-mm/breakage-picc-line
      June 21, 2023 - attempts to retrieve the remainder of the line, with X-rays to check placement, the infant was sent for surgical … Peripherally inserted central catheters: a randomized, controlled, prospective trial in pediatric surgical

9200. Check the Wristband | PSNet
      psnet.ahrq.gov/web-mm/check-wristband
      August 03, 2009 - The case was reported to AHRQ WebM&M by this circulating nurse, who noted, “I went to the surgical day … I had to take the patient off the OR table and return her to the surgical day care unit.”