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psnet.ahrq.gov/web-mm/code-blue-where
March 30, 2020 - Making Healthcare Safer III Report
March 30, 2020
Natural history of retained surgical
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psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety
November 10, 2015 - Although this trigger was designed to identify patients at high risk of surgical adverse events, many
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psnet.ahrq.gov/web-mm/navigating-complications-unintended-journey-guidewire-during-dialysis-catheter-placement
February 23, 2022 - standardizing CVC insertion kits and procedures to minimize confusion, 17 and adding reminder stickers to surgical
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psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
July 08, 2022 - July 8, 2022
Patient Safety Primers
Retained Surgical
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psnet.ahrq.gov/perspective/conversation-withsorrel-king
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/node/49482/psn-pdf
May 01, 2005 - Possible or active chickenpox Note: Apply
surgical mask to patient upon arrival to ED
L&D services
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psnet.ahrq.gov/node/49588/psn-pdf
August 01, 2009 - The standard rule of thumb is to
have a nurse–patient ratio of 1:4-5 on medical–surgical units, 1:3-
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psnet.ahrq.gov/web-mm/standard-deviations
January 01, 2006 - He required a more extensive surgical debridement, and he also developed MRSA endocarditis.
-
psnet.ahrq.gov/node/33702/psn-pdf
November 01, 2010 - We actually changed the name of the AHRQ measure
so it's now called Death Among Surgical Patients with
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psnet.ahrq.gov/perspective/conversation-christine-cassel-md
February 26, 2025 - Or a patient falls or gets what might be a preventable pressure ulcer, or a mistake occurs in a surgical
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psnet.ahrq.gov/web-mm/failure-latch
November 27, 2012 - The treatment—frenotomy—is a simple, safe, and effective surgical procedure.
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psnet.ahrq.gov/web-mm/customer-always-right
January 22, 2014 - Their Transforming Care at the Bedside effort is a framework for change on medical/surgical units built
-
psnet.ahrq.gov/node/33805/psn-pdf
April 01, 2016 - resident-duty-hours-enhancing-sleep-supervision-and-safety
https://psnet.ahrq.gov/issue/national-cluster-randomized-trial-duty-hour-flexibility-surgical-training
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psnet.ahrq.gov/perspective/conversation-ann-l-hendrich-rn-phd
February 26, 2025 - When surgical patients come back, nearly all of them are going to be high risk for falling.
-
psnet.ahrq.gov/node/49779/psn-pdf
January 01, 2017 - transferring across care boundaries
(such as a patient leaving the recovery room to return to the surgical
-
psnet.ahrq.gov/node/33654/psn-pdf
August 01, 2007 - But the routine
stories of medication errors with harm, serious post-op and surgical infections, and
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psnet.ahrq.gov/web-mm/right-left-neither
November 16, 2022 - Surgical site verification was not conducted prior to the patient going to the OR or prior to administering
-
psnet.ahrq.gov/node/33806/psn-pdf
April 01, 2016 - https://psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
-
psnet.ahrq.gov/node/33865/psn-pdf
September 01, 2018 - Studies have
explored challenging staff about washing their hands, marking surgical sites, or checking
-
psnet.ahrq.gov/node/33664/psn-pdf
March 01, 2008 - At Cedars, the Procedure Center has plenty of work
to do on the regular medicine/surgical floors from