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psnet.ahrq.gov/perspective/conversation-leah-binder-ma-mga
February 26, 2025 - Now you're operating in a busy ecosystem; a good number of entities are now rating hospitals, like US
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psnet.ahrq.gov/web-mm/diagnosing-hiv-it-doesnt-take-brain-surgeon
January 01, 2018 - WebM&M Cases
Medication Handling and Compounding Errors in the Operating
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psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
October 01, 2016 - generated by a flawed algorithm carries significant risk to patients and even clinicians, who might be operating
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psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
March 27, 2024 - families that the patient is “not a surgical candidate” even in cases when it is clear that death on the operating
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psnet.ahrq.gov/node/33857/psn-pdf
July 01, 2012 - for the MSSP [Medicare Shared
Savings Program] are not strong enough to force changes in standard operating
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psnet.ahrq.gov/node/33789/psn-pdf
August 01, 2015 - The technology is operating in an environment where
the pressures to deliver care better and cheaper
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psnet.ahrq.gov/node/33760/psn-pdf
February 01, 2014 - Just because somebody likes music when they're operating doesn't mean that it is a
safe thing to do.
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psnet.ahrq.gov/node/33686/psn-pdf
August 01, 2009 - They were operating not under the promise of shared gain and reward
but under the threat of punishment
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psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
May 26, 2021 - may have assumed a young person would rather not have surgical scars or be physically exposed in the operating
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psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
October 31, 2023 - March 23, 2012
WebM&M Cases
Good Catch in the Operating
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psnet.ahrq.gov/primer/maternal-safety
January 10, 2024 - WebM&M Cases
If You Say So: Taking a Syringe at Face Value in the Operating
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psnet.ahrq.gov/web-mm/flying-object-hits-mri
September 01, 2005 - Flying Object Hits MRI
Citation Text:
Gosbee JW, Gosbee LL. Flying Object Hits MRI. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/node/863641/psn-pdf
February 28, 2024 - Revising TeamSTEPPS: The Evolution of Patient Safety
Teamwork Training
February 28, 2024
Haugstetter M, Hines S, Sousane Z, et al. Revising TeamSTEPPS: The Evolution of Patient Safety
Teamwork Training. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.161_slideshow.ppt
October 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case October 2007
Do Not Disturb!
Source and Credits
This presentation is based on the October 2007
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available online
Commentary by: F. Daniel Duffy, MD, University of Oklahoma, and…
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psnet.ahrq.gov/node/33719/psn-pdf
October 01, 2011 - The Context Is the Intervention
October 1, 2011
Øvretveit J. The Context Is the Intervention. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/context-intervention
Perspective
Introduction
What we say, do, and feel are facts. We live and work in groups, in a society, and are influenced by this
context.…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.134_slideshow.ppt
September 01, 2006 - Spotlight Case September 2006
Spotlight Case September 2006
Triple Handoff
Source and Credits
This presentation is based on the September 2006
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Arpana Vidyarthi, MD, UCSF Sc…
-
psnet.ahrq.gov/node/49661/psn-pdf
August 01, 2012 - Residual Anesthesia: Tepid Burn
August 1, 2012
Kurrek MM, Twersky RS. Residual Anesthesia: Tepid Burn. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
The Case
A 42-year-old Filipino man presented to an outpatient surgery center for scheduled repair of an anal fistula.
The pat…
-
psnet.ahrq.gov/node/866846/psn-pdf
September 24, 2024 - Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement
September 24, 2024
Stockmeier CA, Thomas E, Mossburg S, et al. Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/zero…
-
psnet.ahrq.gov/node/33619/psn-pdf
September 01, 2005 - In Conversation with…Carolyn Clancy, MD
September 1, 2005
In Conversation with…Carolyn Clancy, MD. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
Editor's Note: Dr. Carolyn Clancy has been the Director of the Agency for Healthcare Research and
Quality (AHRQ) since 200…
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psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-reducing-inpatient-harm
February 26, 2025 - The LifePoint National Quality Program Provides Structured Framework for Reducing Inpatient Harm
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January 5, 2021
Innovation
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