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psnet.ahrq.gov/node/33928/psn-pdf
June 23, 2015 - Anesthesia safety: model or myth? A review of the
published literature and analysis of current original data.
June 23, 2015
Lagasse RS. Anesthesia safety: model or myth? A review of the published literature and analysis of current
original data. Anesthesiology. 2002;97(6):1609-17.
https://psnet.ahrq.gov/issue/anes…
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psnet.ahrq.gov/node/858164/psn-pdf
December 13, 2023 - Risk-adjusted cumulative sum for early detection of
hospitals with excess perioperative mortality.
December 13, 2023
Chen VW, Chidi AP, Dong Y, et al. Risk-adjusted cumulative sum for early detection of hospitals with
excess perioperative mortality. JAMA Surg. 2023;158(11):1176. doi:10.1001/jamasurg.2023.3673.
htt…
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psnet.ahrq.gov/perspective/what-makes-good-checklist
October 01, 2010 - A checklist can help support individuals operating in such automatic environments by signaling that a … January 13, 2010
Improving operating room safety.
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psnet.ahrq.gov/web-mm/dropped-lung
February 06, 2012 - December 7, 2011
WebM&M Cases
Good Catch in the Operating
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psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
January 29, 2020 - January 1, 2004
View More
See More About The Topic
Hospitals
Operating
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psnet.ahrq.gov/node/33724/psn-pdf
February 01, 2012 - In Conversation With… Lawrence Smith, MD
February 1, 2012
In Conversation With… Lawrence Smith, MD. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/conversation-lawrence-smith-md
Editor's note: Lawrence G. Smith, MD, is the founding Dean of Hofstra North Shore-LIJ School of
Medicine and Executive Vice P…
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psnet.ahrq.gov/node/33883/psn-pdf
July 01, 2019 - In Conversation With… Suchi Saria, PhD
July 1, 2019
In Conversation With… Suchi Saria, PhD. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-suchi-saria-phd
Editor's note: Dr. Saria is the John C. Malone Assistant Professor of computer science, statistics, and
health policy at Johns Hopkins …
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psnet.ahrq.gov/node/846770/psn-pdf
March 29, 2023 - Procedure Complications – Who is Responsible for
Follow up?
March 29, 2023
Chalupsky M, Wei H, Marquet E. Procedure Complications – Who is Responsible for Follow up? PSNet
[internet]. 2023.
https://psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
The Case
A 74-year-old man with newly diagnose…
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psnet.ahrq.gov/node/33642/psn-pdf
November 01, 2006 - In the operating room, where a lot of
these issues come up, a steady background noise might actually
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psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
October 01, 2007 - organization would respond to a given behavior by a clinician (e.g., bringing unauthorized equipment into the operating … How would our organization respond to a surgeon who uses an unauthorized piece of equipment in the operating
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psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care-0
September 08, 2021 - Multi-use Website
Patient Safety Tools: Improving Safety at the Point of Care.
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November 14, 2011
Produced in conjunction with it…
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psnet.ahrq.gov/node/72520/psn-pdf
January 01, 2021 - Guidelines for opioid prescribing in children and
adolescents after surgery: an expert panel opinion.
December 2, 2020
Kelley-Quon LI, Kirkpatrick MG, Ricca RL, et al. Guidelines for opioid prescribing in children and
adolescents after surgery: an expert panel opinion. JAMA Surg. 2021;156(1):76.
doi:10.1001/jamasu…
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psnet.ahrq.gov/node/34758/psn-pdf
January 29, 2019 - Normal Accidents: Living with High-Risk Technologies.
January 29, 2019
Perrow C. Princeton NJ: Princeton University Press; 1999.
https://psnet.ahrq.gov/issue/normal-accidents-living-high-risk-technologies
Though less often cited than high-reliability theory in the health care literature, normal accidents theor…
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psnet.ahrq.gov/node/853428/psn-pdf
September 13, 2023 - Intensive care unit critical incident analysis as an
objective tool to select content for a simulation
curriculum.
September 13, 2023
Yartsev A, Yang F. Intensive care unit critical incident analysis as an objective tool to select content for a
simulation curriculum. Simul Healthc. 2023;18(4):279-282. doi:10.1097/…
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psnet.ahrq.gov/node/43402/psn-pdf
October 20, 2014 - The WHO surgical safety checklist: survey of patients'
views.
October 20, 2014
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.
https://psnet.ahrq.gov/issue/who-surgical-safety-checklist-survey-patients-views
T…
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psnet.ahrq.gov/node/41319/psn-pdf
May 17, 2012 - Nature and timing of incidents intercepted by the
SURPASS checklist in surgical patients.
May 17, 2012
de Vries EN, Prins HA, Bennink C, et al. Nature and timing of incidents intercepted by the SURPASS
checklist in surgical patients. BMJ Qual Saf. 2012;21(6):503-8. doi:10.1136/bmjqs-2011-000347.
https://psnet.ahrq…
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psnet.ahrq.gov/node/837193/psn-pdf
May 25, 2022 - Defining diagnostic error: a scoping review to assess the
impact of the National Academies' report Improving
Diagnosis in Health Care.
May 25, 2022
Giardina TD, Hunte H, Hill MA, et al. Defining diagnostic error: a scoping review to assess the impact of the
National Academies' report Improving Diagnosis in Health …
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psnet.ahrq.gov/node/38863/psn-pdf
August 12, 2009 - Use of strategies from high-reliability organisations to the
patient hand-off by resident physicians: practical
implications.
August 12, 2009
Philibert I. Use of strategies from high-reliability organisations to the patient hand-off by resident
physicians: practical implications. Qual Saf Health Care. 2009;18(4):2…
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psnet.ahrq.gov/node/867337/psn-pdf
December 11, 2024 - Perspectives on anesthesia and perioperative patient
safety: past, present, and future.
December 11, 2024
Kanjia MK, Kurth CD, Hyman D, et al. Perspectives on anesthesia and perioperative patient safety: past,
present, and future. Anesthesiology. 2024;141(5):835-848. doi:10.1097/aln.0000000000005164.
https://psnet…
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psnet.ahrq.gov/node/46459/psn-pdf
August 20, 2018 - Readiness of US general surgery residents for
independent practice.
August 20, 2018
George BC, Bohnen JD, Williams RG, et al. Readiness of US General Surgery Residents for Independent
Practice. Ann Surg. 2017;266(4):582-594. doi:10.1097/SLA.0000000000002414.
https://psnet.ahrq.gov/issue/readiness-us-general-surger…