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psnet.ahrq.gov/issue/facilitation-surgical-innovation-it-possible-speed-introduction-new-technology-while
August 20, 2018 - Study
Facilitation of surgical innovation: is it possible to speed the introduction of new technology while simultaneously improving patient safety?
Citation Text:
Marcus RK, Lillemoe HA, Caudle AS, et al. Facilitation of Surgical Innovation: Is It Possible to Speed the Introduction of N…
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psnet.ahrq.gov/issue/preoperative-communication-between-anesthesia-surgery-and-primary-care-providers-older
April 11, 2011 - Study
Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients.
Citation Text:
Ron D, Gunn CM, Havidich JE, et al. Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients. Jt Comm…
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psnet.ahrq.gov/issue/computer-assisted-process-modeling-enhance-intraoperative-safety-cardiac-surgery
July 19, 2023 - Study
Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery.
Citation Text:
Tarola CL, Quin JA, Haime ME, et al. Computer-Assisted Process Modeling to Enhance Intraoperative Safety in Cardiac Surgery. JAMA Surg. 2016;151(12):1183-1186. doi:10.1001/jamasur…
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psnet.ahrq.gov/issue/association-between-implementation-intensivist-led-medical-emergency-team-and-mortality
July 13, 2010 - Study
Association between implementation of an intensivist-led medical emergency team and mortality.
Citation Text:
Karvellas CJ, de Souza IAO, Gibney RTN, et al. Association between implementation of an intensivist-led medical emergency team and mortality. BMJ Qual Saf. 2012;21(2):152…
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psnet.ahrq.gov/issue/prescriptions-analysis-clinical-pharmacists-post-operative-period-4-year-prospective-study
August 04, 2021 - Study
Prescriptions analysis by clinical pharmacists in the post-operative period: a 4-year prospective study.
Citation Text:
Charpiat B, Goutelle S, Schoeffler M, et al. Prescriptions analysis by clinical pharmacists in the post-operative period: a 4-year prospective study. Acta Anaes…
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psnet.ahrq.gov/issue/patient-safety-orthopedic-surgery-prioritizing-key-areas-iatrogenic-harm-through-analysis
December 18, 2013 - Study
Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents reported to a national database of errors.
Citation Text:
Panesar S, Carson-Stevens A, Salvilla SA, et al. Patient safety in orthopedic surgery: prioritizing ke…
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psnet.ahrq.gov/issue/improving-team-information-sharing-structured-call-out-anaesthetic-emergencies-randomized
November 17, 2014 - Study
Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial.
Citation Text:
Weller JM, Torrie J, Boyd M, et al. Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized control…
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psnet.ahrq.gov/issue/40-years-behind-mask-safety-revisited
January 13, 2012 - Commentary
Classic
40 years behind the mask: safety revisited.
Citation Text:
Pierce EC. The 34th Rovenstine Lecture. 40 years behind the mask: safety revisited. Anesthesiology. 1996;84(4):965-975.
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psnet.ahrq.gov/issue/association-hospital-participation-surgical-outcomes-monitoring-program-inpatient
August 20, 2018 - Study
Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality.
Citation Text:
Etzioni DA, Wasif N, Dueck AC, et al. Association of hospital participation in a surgical outcomes monitoring program with inpatient complicati…
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psnet.ahrq.gov/issue/nonoperating-room-anaesthesia-safety-monitoring-cognitive-aids-and-severe-acute-respiratory
November 10, 2021 - Review
Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe acute respiratory syndrome coronavirus 2.
Citation Text:
Borshoff DC, Sadleir P. Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe acute respiratory syndrome coronavirus 2. Curr…
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psnet.ahrq.gov/issue/surgical-leadership-culture-safety-inter-professional-study-metrics-and-tools-improving
September 14, 2022 - Study
Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for improving clinical practice.
Citation Text:
Gogalniceanu P, Kunduzi B, Ruckley C, et al. Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for…
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psnet.ahrq.gov/issue/diffusion-surgical-innovations-patient-safety-and-minimally-invasive-radical-prostatectomy
June 06, 2008 - Study
Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy.
Citation Text:
Parsons K, Messer K, Palazzi K, et al. Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy. JAMA Surg. 2014;149(8):845-51. doi…
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psnet.ahrq.gov/issue/patient-safety-incidents-endoscopy-human-factors-analysis-non-procedural-significant-harm
January 29, 2020 - Study
Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS).
Citation Text:
Ravindran S, Matharoo M, Rutter MD, et al. Patient safety incidents in endoscopy: a human factors anal…
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psnet.ahrq.gov/issue/does-overlapping-surgery-result-worse-surgical-outcomes-systematic-review-and-meta-analysis
April 29, 2020 - Review
Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis.
Citation Text:
Gartland RM, Alves K, Brasil NC, et al. Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis. Am J Surg. 2019;218(1):181-1…
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psnet.ahrq.gov/issue/postoperative-sepsis-united-states
January 12, 2022 - Study
Postoperative sepsis in the United States.
Citation Text:
Vogel TR, Dombrovskiy VY, Carson JL, et al. Postoperative sepsis in the United States. Ann Surg. 2010;252(6):1065-71. doi:10.1097/SLA.0b013e3181dcf36e.
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psnet.ahrq.gov/issue/wrong-site-nerve-blocks-10-yr-experience-large-multihospital-health-care-system
January 14, 2011 - Study
Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system.
Citation Text:
Hudson ME, Chelly JE, Lichter JR. Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. Br J Anaesth. 2015;114(5):818-24. doi:10.1093/bja/aeu490.
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psnet.ahrq.gov/issue/cracking-code-quality-interrelationships-culture-nurse-demographics-advocacy-and-patient
December 01, 2011 - Study
Cracking the code for quality: the interrelationships of culture, nurse demographics, advocacy, and patient outcomes.
Citation Text:
DiCuccio MH, Colbert AM, Triolo PK, et al. Cracking the Code for Quality. J Nurs Admin. 2020;50(3):152-158. doi:10.1097/nna.0000000000000859.
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psnet.ahrq.gov/issue/human-error-not-communication-and-systems-underlies-surgical-complications
November 18, 2020 - Study
Human error, not communication and systems, underlies surgical complications.
Citation Text:
Fabri PJ, Zayas-Castro JL. Human error, not communication and systems, underlies surgical complications. Surgery. 2008;144(4):557-63; discussion 563-5. doi:10.1016/j.surg.2008.06.011.
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digital.ahrq.gov/sites/default/files/docs/page/ImprovingQualityofHealthcareThruHIE.pdf
January 01, 2007 - 45 are in the implementation stage (stage four) and 26 have identified
themselves as fully operational … HIE efforts expected to be in implementation within six months, and 25 expected to be fully
operational
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cds.ahrq.gov/sites/default/files/cds/artifact/18/Pilot%20Report_Final_0.docx
March 01, 2018 - and timely execution of CDS artifacts.
2) Utilize the pilot organization’s technical, clinical, and operational … Identification and support of clinical, operational, and technical staff.
4. … Organizational commitment and operational resources to meet pilot needs pre, during, and post implementation … There is substantial value in clinical, operational, and technical validation of newly developed CDS … Through collaboration with Alliance, MITRE benefitted from Alliance’s technical, clinical, and operational