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psnet.ahrq.gov/node/36773/psn-pdf
August 21, 2007 - Better: A Surgeon's Notes on Performance.
August 21, 2007
Gawande A. New York, NY: Metropolitan; 2007.
https://psnet.ahrq.gov/issue/better-surgeons-notes-performance
This book includes essays on the social and professional conventions that can affect a physician's ability to
provide safe and effective care. Gawand…
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psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
May 28, 2014 - Assess urgency if symptoms suggest a potential complication and require prompt attention such as wound
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psnet.ahrq.gov/issue/using-coworker-observations-promote-accountability-disrespectful-and-unsafe-behaviors
June 27, 2018 - Study
Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals.
Citation Text:
Webb LE, Dmochowski RR, Moore IN, et al. Using Coworker Observations to Promote Accountability for Disrespectful and Unsafe…
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psnet.ahrq.gov/issue/who-surgical-safety-checklist-survey-patients-views
January 19, 2016 - Study
The WHO surgical safety checklist: survey of patients' views.
Citation Text:
Russ SJ, Rout S, Caris J, et al. The WHO surgical safety checklist: survey of patients’ views. BMJ Qual Saf. 2014;23(11). doi:10.1136/bmjqs-2013-002772.
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Format:
DOI Google Schol…
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psnet.ahrq.gov/issue/factors-associated-hospital-admission-after-outpatient-surgery-veterans-health-administration
August 17, 2018 - Study
Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration.
Citation Text:
Mull HJ, Rosen AK, O'Brien WJ, et al. Factors Associated with Hospital Admission after Outpatient Surgery in the Veterans Health Administration. Health Serv Res…
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psnet.ahrq.gov/issue/physician-specialty-differences-unprofessional-behaviors-observed-and-reported-coworkers
June 27, 2018 - Study
Physician specialty differences in unprofessional behaviors observed and reported by coworkers.
Citation Text:
Cooper WO, Hickson GB, Dmochowski RR, et al. Physician specialty differences in unprofessional behaviors observed and reported by coworkers. JAMA Netw Open. 2024;7(6):e241…
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psnet.ahrq.gov/issue/improving-pediatric-surgery-quality-and-outcomes-21st-century
June 26, 2013 - Special or Theme Issue
Improving Pediatric Surgery Quality and Outcomes in the 21st Century.
Citation Text:
Improving Pediatric Surgery Quality and Outcomes in the 21st Century. Heiss K, ed. Semin Pediatr Surg. 2015;24:265-326.
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Save to your li…
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psnet.ahrq.gov/issue/leadership-response-sentinel-event-respectful-effective-crisis-management
July 12, 2017 - Multi-use Website
Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management.
Citation Text:
Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management. Institute for Healthcare Improvement.
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psnet.ahrq.gov/node/39394/psn-pdf
May 25, 2010 - Iatrogenic events contributing to ICU admission: a
prospective study.
May 25, 2010
Mercier E, Giraudeau B, Giniès G, et al. Iatrogenic events contributing to ICU admission: a prospective
study. Intensive Care Med. 2010;36(6):1033-7. doi:10.1007/s00134-010-1793-9.
https://psnet.ahrq.gov/issue/iatrogenic-events-cont…
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psnet.ahrq.gov/node/42202/psn-pdf
May 01, 2013 - Economic measurement of medical errors using a
hospital claims database.
May 1, 2013
David G, Gunnarsson CL, Waters HC, et al. Economic measurement of medical errors using a hospital
claims database. Value Health. 2013;16(2):305-10. doi:10.1016/j.jval.2012.11.010.
https://psnet.ahrq.gov/issue/economic-measurement-…
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psnet.ahrq.gov/node/43941/psn-pdf
February 25, 2015 - How to make surgery safer.
February 25, 2015
https://psnet.ahrq.gov/issue/how-make-surgery-safer
This newspaper article reports on various ways hospitals are working to make surgical care safer and
reduce readmissions due to surgical complications, including checklists, teamwork training courses for
surgeons, preo…
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psnet.ahrq.gov/node/33665/psn-pdf
March 01, 2008 - During our first year, when use of the MPS was elective, we utilized these data to demonstrate that
complication
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psnet.ahrq.gov/node/49537/psn-pdf
June 01, 2007 - Beeline to Spine
June 1, 2007
Smetana GW. Beeline to Spine. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/beeline-spine
Case Objectives
Understand the elements of preoperative medical evaluation.
Appreciate the limited role for preoperative laboratory testing.
Appreciate the importance of communication a…
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psnet.ahrq.gov/node/43818/psn-pdf
January 21, 2015 - A report on 15 years of clinical negligence claims in
rhinology.
January 21, 2015
Geyton T, Odutoye T, Mathew R. A report on 15 years of clinical negligence claims in rhinology. Am J
Rhinol Allergy. 2014;28(6):219-23. doi:10.2500/ajra.2014.28.4118.
https://psnet.ahrq.gov/issue/report-15-years-clinical-negligence-c…
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psnet.ahrq.gov/node/47817/psn-pdf
February 27, 2019 - FactFinders.
February 27, 2019
SIS Patient Safety Committee. Spine Intervention Society.
https://psnet.ahrq.gov/issue/factfinders
This resource provides newsletters that target concerns associated with spinal pain interventions and offers
safety strategies. The collection focuses on three primary areas: procedural…
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psnet.ahrq.gov/node/867701/psn-pdf
August 01, 2017 - Toolkit To Improve Safety for Mechanically Ventilated
Patients.
August 1, 2017
Agency for Healthcare Research and Quality . Toolkit To Improve Safety for Mechanically Ventilated
Patients. August 2017.
https://psnet.ahrq.gov/issue/toolkit-improve-safety-mechanically-ventilated-patients
Patients requiring mechanica…
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psnet.ahrq.gov/node/49400/psn-pdf
May 01, 2003 - psnet.ahrq.gov//#table
The majority of thrombotic episodes in the pediatric population occur as a complication
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psnet.ahrq.gov/node/47473/psn-pdf
December 05, 2018 - Holding out for an apology.
December 5, 2018
Holding out for an apology. BMJ. 2018;363:k3033. doi:10.1136/bmj.k3033.
https://psnet.ahrq.gov/issue/holding-out-apology
Patients who experience care complications are vulnerable to psychological consequences that can affect
their relationship with their clinical teams.…
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psnet.ahrq.gov/node/38589/psn-pdf
May 04, 2010 - Framing family conversation after early diagnosis of
iatrogenic injury and incidental findings.
May 4, 2010
Barrios L, Tsuda S, Derevianko A, et al. Framing family conversation after early diagnosis of iatrogenic
injury and incidental findings. Surg Endosc. 2009;23(11):2535-42. doi:10.1007/s00464-009-0450-2.
https…
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psnet.ahrq.gov/node/40470/psn-pdf
December 21, 2014 - Prospective evaluation of consultant surgeon sleep
deprivation and outcomes in more than 4000 consecutive
cardiac surgical procedures.
December 21, 2014
Chu MWA, Stitt LW, Fox SA, et al. Prospective evaluation of consultant surgeon sleep deprivation and
outcomes in more than 4000 consecutive cardiac surgical proce…