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psnet.ahrq.gov/perspective/conversation-suchi-saria-phd
March 27, 2024 - We're starting to see more progress in clinical operational areas as well, but relatively early in terms
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psnet.ahrq.gov/node/36851/psn-pdf
September 24, 2016 - Quantifying distraction and interruption in urological
surgery.
September 24, 2016
Healey A, Primus CP, Koutantji M. Quantifying distraction and interruption in urological surgery. Qual Saf
Health Care. 2007;16(2):135-9.
https://psnet.ahrq.gov/issue/quantifying-distraction-and-interruption-urological-surgery
The …
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psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-intensive-care
October 30, 2024 - The University of Michigan Emergency Critical Care Center (EC3) Provides Timely Intensive Care to Critically Ill Patients in the Emergency Department
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psnet.ahrq.gov/sites/default/files/2022-04/final_spotlight_case_and_commentatry_io_line_extravasation-04.08.2022.pdf
January 01, 2022 - Spotlight
Spotlight
Intraosseous Line Extravasation in a
Pediatric Trauma Patient
Source and Credits
• This presentation is based on the April 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: David Barnes, MD and Joseph Yoon, MD
o…
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psnet.ahrq.gov/web-mm/hypoxic-gas-supply-cross-connected-pipelines
February 05, 2020 - Hypoxic Gas Supply from Cross-Connected Pipelines
Citation Text:
Bohringer C, Guemidjian A, Utter G. Hypoxic Gas Supply from Cross-Connected Pipelines. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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Format:
Google S…
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psnet.ahrq.gov/perspective/special-edition-perspective-technology-responses-covid-19
August 31, 2020 - JM: Well, I actually don’t think it’s an infrastructure issue as much as an operational issue. … Anyone can FaceTime or send a Zoom link or a WebEx link, but having that operational infrastructure makes
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psnet.ahrq.gov/node/36185/psn-pdf
March 28, 2011 - Defining the technical skills of teamwork in surgery.
March 28, 2011
Healey A, Undre S, Vincent C. Defining the technical skills of teamwork in surgery. Qual Saf Health Care.
2006;15(4):231-4.
https://psnet.ahrq.gov/issue/defining-technical-skills-teamwork-surgery
The authors discuss a strategy for incorporating t…
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psnet.ahrq.gov/node/36422/psn-pdf
December 22, 2010 - Side errors in neurosurgery.
December 22, 2010
Mitchell P, Nicholson CL, Jenkins A. Side errors in neurosurgery. Acta Neurochir (Wien).
2006;148(12):1289-92; discussion 1292.
https://psnet.ahrq.gov/issue/side-errors-neurosurgery
The authors interviewed surgeons involved in wrong-site incidents and found that the e…
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psnet.ahrq.gov/node/40833/psn-pdf
October 05, 2011 - Personal best.
October 5, 2011
Gawande A. New Yorker. October 3, 2011.
https://psnet.ahrq.gov/issue/personal-best
This magazine article explores the role of coaches in helping high-performing professionals, such as
musicians and athletes, improve their performance. By submitting to observation in the operating roo…
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psnet.ahrq.gov/node/41869/psn-pdf
November 28, 2012 - Tracking intraoperative complications.
November 28, 2012
Platz J, Hyman N. Tracking intraoperative complications. J Am Coll Surg. 2012;215(4):519-23.
doi:10.1016/j.jamcollsurg.2012.06.001.
https://psnet.ahrq.gov/issue/tracking-intraoperative-complications
This cohort study found that a prospective, real-time metho…
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psnet.ahrq.gov/node/40663/psn-pdf
August 03, 2011 - Barbers of civility.
August 3, 2011
Klein AS, Forni PM. Barbers of civility. Arch Surg. 2011;146(7):774-7. doi:10.1001/archsurg.2011.150.
https://psnet.ahrq.gov/issue/barbers-civility
This commentary discusses disruptive behavior in surgeons and reveals strategies to encourage civility in
the operating room.
http…
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psnet.ahrq.gov/node/836976/psn-pdf
April 27, 2022 - Intraosseous Line Extravasation in a Pediatric Trauma
Patient
April 27, 2022
Yoon J, Barnes DK. Intraosseous Line Extravasation in a Pediatric Trauma Patient. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
Disclosure of Relevant Financial Relationship…
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psnet.ahrq.gov/web-mm/pocket-syringe-swap
July 01, 2006 - Pocket Syringe Swap
Citation Text:
Kulli JC. Pocket Syringe Swap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…
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psnet.ahrq.gov/node/49848/psn-pdf
January 01, 2019 - Inadequate Preanesthetic Evaluation, Airway Trouble
November 1, 2018
Blitz J. Inadequate Preanesthetic Evaluation, Airway Trouble. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
The Case
Case #1:
A 34-year-old woman was scheduled for a hysteroscopy under g…
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psnet.ahrq.gov/node/49545/psn-pdf
September 01, 2007 - Coming Undone: Failure of Closure Device
September 1, 2007
Baez-Escudero JL, Levine GN. Coming Undone: Failure of Closure Device. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
The Case
A 65-year-old man underwent coronary angiography because of atypical exertional chest…
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psnet.ahrq.gov/node/37283/psn-pdf
December 23, 2011 - Medication safety: just a label away.
December 23, 2011
Jennings J, Foster J. Medication safety: just a label away. AORN J. 2007;86(4):618-25.
https://psnet.ahrq.gov/issue/medication-safety-just-label-away
This article reports on a project in a community hospital's operating room to use preprinted medication
label…
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psnet.ahrq.gov/node/38991/psn-pdf
September 30, 2009 - Why don't doctors wash their hands more?
September 30, 2009
Chen PW.
https://psnet.ahrq.gov/issue/why-dont-doctors-wash-their-hands-more
The author uses personal experience to explain how sterile technique is strict in the operating room. The
column highlights the Joint Commission effort to improve hand hygiene co…
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psnet.ahrq.gov/node/38471/psn-pdf
March 11, 2009 - Assessing the performance of surgical teams.
March 11, 2009
Leach LS, Myrtle RC, Weaver FA, et al. Assessing the performance of surgical teams. Health Care
Manage Rev. 2009;34(1):29-41. doi:10.1097/01.HMR.0000342977.84307.64.
https://psnet.ahrq.gov/issue/assessing-performance-surgical-teams
This qualitative study …
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psnet.ahrq.gov/issue/impact-comprehensive-unit-based-safety-program-cusp-safety-culture-surgical-inpatient-unit
January 03, 2017 - Study
Impact of the Comprehensive Unit-Based Safety Program (CUSP) on safety culture in a surgical inpatient unit.
Citation Text:
Timmel J, Kent P, Holzmueller CG, et al. Impact of the Comprehensive Unit-based Safety Program (CUSP) on safety culture in a surgical inpatient unit. Jt Comm …
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psnet.ahrq.gov/issue/outcomes-and-patient-safety-overlapping-vs-nonoverlapping-total-joint-arthroplasty-systematic
February 02, 2022 - Review
Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis.
Citation Text:
Malahias M-A, Antoniadou T, Jang SJ, et al. Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a syste…