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Making Do.
Bradley LD. AHRQ WebM&M [serial online]. September 2003.
Following surgical team’s makeshift assembly of equipment, a patient undergoing hysteroscopy suffers cardiac arrest on the operating room table.
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Resource Type
Commentary
Setting of Care
Operating Room
Target Audience
Health Care Providers
Non-Health Care Professionals
Clinical Area
Gynecology
Surgery
Safety Target
Medical Complications
Surgical Complications
Error Types
Noncognitive Errors ("Slips & Lapses")
Latent Errors
Approach to Improving Safety
Practice Guidelines
Patient Education
Origin/Sponsor
Agency for Healthcare Research and Quality (AHRQ)