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psnet.ahrq.gov/node/43462/psn-pdf
September 12, 2016 - Preventable mortality after common urological surgery:
failing to rescue?
September 12, 2016
Sammon JD, Pucheril D, Abdollah F, et al. Preventable mortality after common urological surgery: failing to
rescue? BJU Int. 2015;115(4):666-674. doi:10.1111/bju.12833.
https://psnet.ahrq.gov/issue/preventable-mortality-af…
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psnet.ahrq.gov/issue/how-reduce-stigma-and-bias-clinical-communication-narrative-review
July 27, 2022 - Review
How to reduce stigma and bias in clinical communication: a narrative review.
Citation Text:
Healy M, Richard A, Kidia K. How to reduce stigma and bias in clinical communication: a narrative review. J Gen Intern Med. 2022;37(10):2533-2540. doi:10.1007/s11606-022-07609-y.
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psnet.ahrq.gov/issue/gender-biases-estimation-others-pain
March 25, 2020 - Study
Classic
Gender biases in estimation of others' pain.
Citation Text:
Zhang L, Losin EAR, Ashar YK, et al. Gender biases in estimation of others' pain. J Pain. 2021;22(9):1048-1059. doi:10.1016/j.jpain.2021.03.001.
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psnet.ahrq.gov/issue/assessing-utility-chatgpt-throughout-entire-clinical-workflow-development-and-usability-study
February 12, 2020 - Study
Assessing the utility of ChatGPT throughout the entire clinical workflow: development and usability study.
Citation Text:
Rao A, Pang M, Kim J, et al. Assessing the utility of ChatGPT throughout the entire clinical workflow: development and usability study. J Med Internet Res. 2023…
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psnet.ahrq.gov/curated-library/maternal-safety
January 31, 2024 - hemorrhage (SMM-H), this hospital analyzed administrative data stratified by race and ethnicity, and noted a disparity
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psnet.ahrq.gov/node/837627/psn-pdf
July 06, 2022 - Distinguishing high-performing from low-performing
hospitals for severe maternal morbidity: a focus on
quality and equity.
July 6, 2022
Howell EA, Sofaer S, Balbierz A, et al. Distinguishing high-performing from low-performing hospitals for
severe maternal morbidity: a focus on quality and equity. Obstet Gynecol. …
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psnet.ahrq.gov/issue/managing-risks-direct-oral-anticoagulants
December 23, 2016 - Sentinel Event Alerts
Managing the risks of direct oral anticoagulants.
Citation Text:
Managing the risks of direct oral anticoagulants. Sentinel Event Alert. July 30, 2019;(61):1-5.
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psnet.ahrq.gov/issue/racial-and-ethnic-differences-emergency-department-diagnostic-imaging-us-childrens-hospitals
April 22, 2020 - Study
Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019.
Citation Text:
Marin JR, Rodean J, Hall M, et al. Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019. JAMA Net…
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psnet.ahrq.gov/issue/medical-record-review-deaths-unexpected-intensive-care-unit-admissions-and-clinician
October 12, 2022 - Study
Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system.
Citation Text:
Dunn KL, Reddy P, Moulden A, et al. Medical record review of deaths, unexpected intensive care unit admissio…
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psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - Similarly, if significant disparity exists between the intraoperative consultation diagnosis and the
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psnet.ahrq.gov/primer/maternal-safety
January 10, 2024 - Maternal Safety
Citation Text:
Shauer M, Nichols A, Lyndon A. Maternal Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…
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psnet.ahrq.gov/issue/disparate-perspectives-exploring-healthcare-professionals-misaligned-mental-models-older
May 11, 2022 - Study
Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility.
Citation Text:
Werner NE, Rutkowski RA, Krause S, et al. Disparate perspectives: exploring health…
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psnet.ahrq.gov/issue/routine-multidisciplinary-review-severe-maternal-morbidity-associated-reduction-preventable
September 02, 2020 - Study
Routine multidisciplinary review of severe maternal morbidity is associated with a reduction in preventable cases of severe maternal morbidity.
Citation Text:
Ozimek JA, Greene N, Geller AI, et al. Routine multidisciplinary review of severe maternal morbidity is associated with a r…
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psnet.ahrq.gov/issue/vital-signs-pregnancy-related-deaths-united-states-2011-2015-and-strategies-prevention-13
September 06, 2023 - Study
Classic
Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention, 13 states, 2013-2017.
Citation Text:
Petersen EE, Davis NL, Goodman D, et al. Vital Signs: Pregnancy-Related Deaths, United States, 2011-2015, and Strat…
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psnet.ahrq.gov/issue/addressing-veteran-health-related-social-needs-how-joint-commission-standards-accelerated
November 24, 2021 - Commentary
Addressing veteran health-related social needs: how Joint Commission standards accelerated integration and expansion of tools and services in the Veterans Health Administration.
Citation Text:
List JM, Russell LE, Hausmann LRM, et al. Addressing veteran health-related social n…
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psnet.ahrq.gov/issue/safe-use-health-information-technology
December 23, 2016 - Sentinel Event Alerts
Safe use of health information technology.
Citation Text:
Safe use of health information technology. Sentinel Event Alert. March 31, 2015;(54):1-6.
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psnet.ahrq.gov/issue/physical-and-verbal-violence-against-health-care-workers
December 23, 2016 - Sentinel Event Alerts
Physical and verbal violence against health care workers.
Citation Text:
Physical and verbal violence against health care workers. Sentinel Event Alert. 2018;59:1-9 (revised June 18, 2021).
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Google Scholar PubMed BibTeX EndNote X3 …
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psnet.ahrq.gov/issue/increasing-adoption-computerized-provider-order-entry-and-persistent-regional-disparities-us
May 16, 2012 - Study
Increasing adoption of computerized provider order entry, and persistent regional disparities, in US emergency departments.
Citation Text:
Pallin DJ, Sullivan AF, Espinola JA, et al. Increasing adoption of computerized provider order entry, and persistent regional disparities, in…
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psnet.ahrq.gov/issue/predictors-perceived-discrimination-medical-settings-among-muslim-women-usa
November 26, 2012 - Study
Predictors of perceived discrimination in medical settings among Muslim women in the USA.
Citation Text:
Murrar S, Baqai B, Padela AI. Predictors of perceived discrimination in medical settings among Muslim women in the USA. J Racial Ethn Health Disparities. 2024;11(1):150-156. doi…
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psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
January 01, 2024 - Microsoft PowerPoint - Spotlight Case_Uterine Artery Injury during Cesarean Delivery - FINAL.pptx
Spotlight
Uterine Artery Injury during Cesarean Delivery Leads to
Cardiac Arrests and Emergency Hysterectomy
Source and Credits
• This presentation is based on the March 2024 AHRQ WebM&M
Spotlight Case
o See the ful…