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psnet.ahrq.gov/node/39163/psn-pdf
June 28, 2010 - Burnout and medical errors among American surgeons.
June 28, 2010
Shanafelt TD, Balch CM, Bechamps G, et al. Burnout and medical errors among American surgeons. Ann
Surg. 2010;251(6):995-1000. doi:10.1097/SLA.0b013e3181bfdab3.
https://psnet.ahrq.gov/issue/burnout-and-medical-errors-among-american-surgeons
Duty-hou…
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psnet.ahrq.gov/sites/default/files/2020-07/spotlight_nstemi.pdf
January 01, 2020 - Spotlight
The NSTEMI Curbside
Consultation
Source and Credits
• This presentation is based on the July 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Amparo C. Villablanca, MD and Gordon Wong, MD
MBA
o AHRQ WebM&M Editors …
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psnet.ahrq.gov/node/38883/psn-pdf
September 01, 2009 - How American health care killed my father.
August 26, 2009
Goldhill D. The Atlantic. September 2009.
https://psnet.ahrq.gov/issue/how-american-health-care-killed-my-father
In the context of his father's death from a hospital-associated infection, the author discusses health system
reform and quality of care in the…
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psnet.ahrq.gov/issue/doctors-fear-criminalization-medical-mistakes
March 28, 2012 - Newspaper/Magazine Article
Doctors fear criminalization of medical mistakes.
Citation Text:
Doctors fear criminalization of medical mistakes. Sorrel AL. American Medical News. November 27, 2006.
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psnet.ahrq.gov/node/41452/psn-pdf
June 06, 2012 - Patient Safety and Satisfaction: The State of American
Hospitals.
June 6, 2012
Golden, CO: HealthGrades Inc.; May 2012.
https://psnet.ahrq.gov/issue/patient-safety-and-satisfaction-state-american-hospitals
This report used Medicare hospitalization data from 2008–2010 to explore correlations between
patient–provid…
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psnet.ahrq.gov/node/35488/psn-pdf
July 31, 2012 - American College of Radiology White Paper on MR
Safety: 2004 Update and Revisions.
July 31, 2012
doi:10.2214/ajr.182.5.182111.
https://psnet.ahrq.gov/issue/american-college-radiology-white-paper-mr-safety-2004-update-and-revisions
This white paper combines two reports from the ACR Blue Ribbon Panel on MR Safety. E…
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psnet.ahrq.gov/node/40318/psn-pdf
September 12, 2012 - HealthGrades Eighth Annual Patient Safety in American
Hospitals Study.
September 12, 2012
Reed K, May R. Denver, CO: HealthGrades, Inc.; March 2011.
https://psnet.ahrq.gov/issue/healthgrades-eighth-annual-patient-safety-american-hospitals-study
This annual report used AHRQ Patient Safety Indicator data from 2007–2…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.299_slideshow.ppt
May 01, 2013 - Spotlight Case July 2008
Spotlight Case
Right Regimen, Wrong Cancer: Patient Catches Medical Error
*
*
Source and Credits
This presentation is based on the May 2013
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Joseph O. Jacobson, MD, MSc…
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psnet.ahrq.gov/issue/outcomes-concurrent-operations-results-american-college-surgeons-national-surgical-quality
February 14, 2017 - Study
Outcomes of concurrent operations: results from the American College of Surgeons' National Surgical Quality Improvement Program.
Citation Text:
Liu JB, Berian JR, Ban KA, et al. Outcomes of Concurrent Operations: Results From the American College of Surgeons' National Surgical Qual…
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psnet.ahrq.gov/issue/new-analysis-shows-hospitals-improving-performance-key-patient-safety-measures-surpassing-pre
October 23, 2024 - Book/Report
New Analysis Shows Hospitals Improving Performance on Key Patient Safety Measures Surpassing Pre-pandemic Levels.
Citation Text:
New Analysis Shows Hospitals Improving Performance On Key Patient Safety Measures Surpassing Pre-Pandemic Levels. Chicago, IL: American Hospital As…
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psnet.ahrq.gov/node/39780/psn-pdf
January 04, 2017 - The First Annual HealthGrades Pediatric Patient Safety in
American Hospitals Study.
January 4, 2017
Reed K, May R. Golden, CO: Health Grades, Inc; 2010.
https://psnet.ahrq.gov/issue/first-annual-healthgrades-pediatric-patient-safety-american-hospitals-study
This report analyzed Agency for Healthcare Research and Q…
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psnet.ahrq.gov/issue/prevention-wrong-site-tooth-extraction-clinical-guidelines
August 04, 2021 - Commentary
Prevention of wrong-site tooth extraction: clinical guidelines.
Citation Text:
Lee JS, Curley AW, Smith RA, et al. Prevention of wrong-site tooth extraction: clinical guidelines. J Oral Maxillofac Surg. 2007;65(9):1793-9.
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Format:
Google Scholar Pu…
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psnet.ahrq.gov/issue/beyond-team-understanding-interprofessional-work-two-north-american-icus
January 14, 2014 - Study
Beyond the team: understanding interprofessional work in two North American ICUs.
Citation Text:
Alexanian JA, Kitto S, Rak KJ, et al. Beyond the Team: Understanding Interprofessional Work in Two North American ICUs. Crit Care Med. 2015;43(9):1880-6. doi:10.1097/CCM.000000000000113…
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psnet.ahrq.gov/issue/root-cause-analysis-core-problem-solving-and-corrective-action-second-edition
June 09, 2011 - Book/Report
Classic
Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition.
Citation Text:
Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. Oakes D. Milwaukee, WI: ASQ Quality Press; 2019. IS…
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psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2013
February 25, 2013 - Book/Report
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013.
Citation Text:
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013. Oakbrook Terrace, IL: The Joint Commission; October 2013.
…
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psnet.ahrq.gov/issue/resident-duty-hours-surgery-ensuring-patient-safety-providing-optimum-resident-education-and
August 26, 2011 - Commentary
Resident duty hours in surgery for ensuring patient safety, providing optimum resident education and training, and promoting resident well-being: a response from the American College of Surgeons to the Report of the Institute of Medicine, "Resident Duty Hours: Enhancing Sleep, Supervision…
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psnet.ahrq.gov/node/33836/psn-pdf
June 01, 2017 - The Weekend Effect in Cardiology: Is It Real? If So, Can It
Be Fixed?
June 1, 2017
Martin VK, Mirnateghi N, Khoshchehreh M. The Weekend Effect in Cardiology: Is It Real? If So, Can It Be
Fixed? . PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed
Per…
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psnet.ahrq.gov/issue/american-college-surgeons-and-surgical-infection-society-surgical-site-infection-guidelines
October 23, 2018 - Review
American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update.
Citation Text:
Ban KA, Minei JP, Laronga C, et al. American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update. J Am Coll …
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psnet.ahrq.gov/issue/american-college-surgeons-closed-claims-study-new-insights-improving-care
March 02, 2011 - Study
The American College of Surgeons' closed claims study: new insights for improving care.
Citation Text:
Griffen FD, Stephens LS, Alexander JB, et al. The American College of Surgeons’ Closed Claims Study: New Insights for Improving Care. J Am Coll Surg. 2007;204(4). doi:10.1016/j.…
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psnet.ahrq.gov/issue/perceptions-risk-patient-safety-pediatric-icu-study-american-pediatric-intensivists
August 28, 2017 - Study
Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists.
Citation Text:
Bauer P, Hoffmann RG, Bragg D, et al. Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. Saf Sci. 2012;53. d…