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1. When the bone flap hits the floor. | PSNet
   psnet.ahrq.gov/issue/when-bone-flap-hits-floor
   March 12, 2025 - Study When the bone flap hits the floor. … When the bone flap hits the floor. Neurosurgery. 2006;59(3):585-90; discussion 585-90. … authors discuss the incidence, treatment, and outcomes of cases involving errors that contaminate bone … When the bone flap hits the floor. Neurosurgery. 2006;59(3):585-90; discussion 585-90.

2. Fixing broken bones and broken homes: domestic violence as a patient safety issue. | PSNet
   psnet.ahrq.gov/issue/fixing-broken-bones-and-broken-homes-domestic-violence-patient-safety-issue
   September 03, 2011 - Study Fixing broken bones and broken homes: domestic violence as a patient safety … Fixing broken bones and broken homes: domestic violence as a patient safety issue. … Fixing broken bones and broken homes: domestic violence as a patient safety issue.

3. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/866317/psn-pdf
   July 17, 2024 - BONE break: a hot debrief tool to reduce second victim syndrome for nurses. … BONE break: a hot debrief tool to reduce second victim syndrome for nurses. … https://psnet.ahrq.gov/issue/bone-break-hot-debrief-tool-reduce-second-victim-syndrome-nurses "Second … The tool, BONE Break (Buoy/Break, Open-Up, Needs, Exit/Evaluate), is intended to be used as soon as … https://psnet.ahrq.gov/issue/bone-break-hot-debrief-tool-reduce-second-victim-syndrome-nurses https:/

4. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/49571/psn-pdf
   October 01, 2008 - process: growth hormone (GH) generation and secretion, GH-receptor function, growth of longitudinal bones … Bone maturation assessed by X-ray ("bone age") can provide a helpful hint (3); in hypothyroidism as … should be first in the differential diagnosis of much-delayed bone age. … maturation ("bone age") is strongly suggestive of thyroid insufficiency. … Endocrine Control of Bone Maturation. Basel, Switzerland: S Karger AG;2002. ISBN: 3805573138. 4.

5. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/854848/psn-pdf
   October 31, 2023 - Frozen section examination of the tissue by the bone pathologist was inconclusive, with potential concern … The bone pathologist then went on vacation for several days but did not document his discussions with … pathologist, who lacked specific expertise in bone pathology. … In this case, only one bone pathologist was on staff due to the relatively low volume of bone cases. … to cross-coverage of the bone pathology service would be to distribute all bone pathology cases to the

6. Coming Up Short | PSNet
   psnet.ahrq.gov/web-mm/coming-short
   May 20, 2020 - process: growth hormone (GH) generation and secretion, GH-receptor function, growth of longitudinal bones … Bone maturation assessed by X-ray ("bone age") can provide a helpful hint ( 3 ); in hypothyroidism as … should be first in the differential diagnosis of much-delayed bone age. … maturation ("bone age") is strongly suggestive of thyroid insufficiency. … Endocrine Control of Bone Maturation. Basel, Switzerland: S Karger AG;2002. ISBN: 3805573138. 4.

7. BONE break: a hot debrief tool to reduce second victim syndrome for nurses. | PSNet
   psnet.ahrq.gov/issue/bone-break-hot-debrief-tool-reduce-second-victim-syndrome-nurses
   August 02, 2015 - Study BONE break: a hot debrief tool to reduce second victim syndrome for nurses. … BONE break: a hot debrief tool to reduce second victim syndrome for nurses. … The tool, BONE Break (Buoy/Break, Open-Up, Needs, Exit/Evaluate), is intended to be used as soon as possible … BONE break: a hot debrief tool to reduce second victim syndrome for nurses.

8. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/36351/psn-pdf
   October 27, 2010 - When the bone flap hits the floor. October 27, 2010 Jankowitz BT, Kondziolka DS. … When the bone flap hits the floor. Neurosurgery. 2006;59(3):585-90; discussion 585-90. … https://psnet.ahrq.gov/issue/when-bone-flap-hits-floor The authors discuss the incidence, treatment, … and outcomes of cases involving errors that contaminate bone flaps during neurosurgery. … https://psnet.ahrq.gov/issue/when-bone-flap-hits-floor https://psnet.ahrq.gov//#error

9. Delay in Malignancy Diagnosis Reflects Systemic Failures | PSNet
   psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
   September 25, 2019 - The bone pathologist then went on vacation for several days but did not document his discussions with … pathologist, who lacked specific expertise in bone pathology. … In this case, only one bone pathologist was on staff due to the relatively low volume of bone cases. … to cross-coverage of the bone pathology service would be to distribute all bone pathology cases to the … Accuracy of intraoperative consultation for bone tumors: experience in an orthopedic hospital.

10. Spotlight (pdf file)
    psnet.ahrq.gov/sites/default/files/2022-04/final_spotlight_case_and_commentatry_io_line_extravasation-04.08.2022.pdf
    January 01, 2022 - space of the bone marrow … They may also be placed using a spring-loaded bone injection gun. … Bone Marrow Infusion in Adults. J Trauma Inj Infect Critical Care 1997;42(2):288-293. … J Bone Jt Surg 2010;92(4):863–70. 29. Tobias JD, Hoernschemeyer DG. … J Bone Jt Surg 1993;75(3):428–9. 33. Spivey WH. Intraosseous infusions.

11. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/836976/psn-pdf
    April 27, 2022 - They may also be placed using a spring-loaded bone injection gun. … Bone marrow infusion in adults.J Trauma. 1997;42(2):288-293. [Free full text] 16. … J Bone Joint Surg Br. 2000;82(2):200-203. 22. Hosseinzadeh P, Hayes CB. … J Bone Jt Surg. 1993;75(3):428–9. [Available at] 33. Spivey WH. Intraosseous infusions. … A report of two cases.J Bone Joint Surg Am. 1993;75(3):430-433. [Available at] 36.

12. Intraosseous Line Extravasation in a Pediatric Trauma Patient | PSNet
    psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
    September 29, 2021 - IO needles may be placed manually in the same fashion that a bone marrow biopsy is performed. … They may also be placed using a spring-loaded bone injection gun. … Bone marrow infusion in adults. … J Bone Joint Surg Br . 2000;82(2):200-203. Hosseinzadeh P, Hayes CB. … J Bone Jt Surg . 1993;75(3):428–9. [ Available at ] Spivey WH. Intraosseous infusions.

13. Spotlight
    psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
    January 01, 2024 - thorough evaluation and imaging, he was scheduled for anterior lumbar interbody fusion (ALIF) with bone … ; the senior spine surgeon performed the ALIF while the junior surgeon managed the incision and the bone … In any case, leaving the bone graft site open and allowing ongoing bleeding from the site at the end … Specifically for this case involving bone, bone wax is a helpful adjunct.  … Autogenous bone graft: donor sites and techniques. J Bone Joint Surg Am. 2011;93(23):2227-2236.

14. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866205/psn-pdf
    July 10, 2024 - thorough evaluation and imaging, he was scheduled for anterior lumbar interbody fusion (ALIF) with bone … the senior spine surgeon performed the ALIF while the junior surgeon managed the incision and the bone … In any case, leaving the bone graft site open and allowing ongoing bleeding from the site at the end … Specifically for this case involving bone, bone wax is a helpful adjunct. … Autogenous bone graft: donor sites and techniques. J Bone Joint Surg Am. 2011;93(23):2227-2236.

15. Temporal trends in rates of patient harm resulting from medical care. | PSNet
    psnet.ahrq.gov/issue/temporal-trends-rates-patient-harm-resulting-medical-care
    April 04, 2011 - Citation Text: Landrigan CP, Parry G, Bones CB, et al. … Twitter Linkedin Copy URL December 1, 2010 Landrigan CP, Parry G, Bones … Cite Citation Citation Text: Landrigan CP, Parry G, Bones

16. The World Health Organization '5 moments of hand hygiene': the scientific foundation. | PSNet
    psnet.ahrq.gov/issue/world-health-organization-5-moments-hand-hygiene-scientific-foundation
    October 19, 2022 - J Bone Joint Surg Br. 2012;94(4):441-5. doi:10.1302/0301-620X.94B4.27772. … J Bone Joint Surg Br . 2012; 94 (4) :441-5 . View more articles from the same authors. … J Bone Joint Surg Br. 2012;94(4):441-5. doi:10.1302/0301-620X.94B4.27772.

17. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. | PSNet
    psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
    April 27, 2022 - thorough evaluation and imaging, he was scheduled for anterior lumbar interbody fusion (ALIF) with bone … In any case, leaving the bone graft site open and allowing ongoing bleeding from the site at the end … Specifically for this case involving bone, bone wax is a helpful adjunct. … Autogenous bone graft: donor sites and techniques. … J Bone Joint Surg Am . 2011;93(23):2227-2236. [ Available at ] Almaiman M, Al-Bargi HH, Manson P.

18. Medical errors in orthopaedics. Results of an AAOS member survey. | PSNet
    psnet.ahrq.gov/issue/medical-errors-orthopaedics-results-aaos-member-survey
    August 04, 2021 - J Bone Joint Surg Am. 2009;91(3):547-57. doi:10.2106/JBJS.G.01439. … J Bone Joint Surg Am . 2009; 91 (3) :547-57 . … J Bone Joint Surg Am. 2009;91(3):547-57. doi:10.2106/JBJS.G.01439.

19. Resident duty-hour reform associated with increased morbidity following hip fracture. | PSNet
    psnet.ahrq.gov/issue/resident-duty-hour-reform-associated-increased-morbidity-following-hip-fracture
    October 19, 2022 - J Bone Joint Surg Am. 2009;91(9):2079-85. doi:10.2106/JBJS.H.01240. … J Bone Joint Surg Am . 2009; 91 (9) :2079-85 . … J Bone Joint Surg Am. 2009;91(9):2079-85. doi:10.2106/JBJS.H.01240.

20. The disruptive orthopaedic surgeon: implications for patient safety and malpractice liability.  | PSNet
    psnet.ahrq.gov/issue/disruptive-orthopaedic-surgeon-implications-patient-safety-and-malpractice-liability
    August 20, 2018 - J Bone Joint Surg Am. 2011;93(21):e1261-6. doi:10.2106/JBJS.J.01933. … J Bone Joint Surg Am . 2011; 93 (21) :e1261-6 . … J Bone Joint Surg Am. 2011;93(21):e1261-6. doi:10.2106/JBJS.J.01933.