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psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
April 27, 2022 - February 28, 2024
Proactive patient safety: focusing on what goes right in the perioperative
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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
April 01, 2008 - 2018
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Perspectives on anesthesia and perioperative
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psnet.ahrq.gov/node/866622/psn-pdf
August 28, 2024 - If
you ask registration, perioperative techs, or bedside nurses, you'll hear about things that folks
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psnet.ahrq.gov/node/848108/psn-pdf
April 26, 2023 - in 1962 to assess patients’ pre-
anesthesia medical co-morbidities and thereby to define levels of perioperative … Medication safety in the perioperative setting. Anesthesiol Clin.
2011;29(1):135–144.
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psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
January 01, 2020 - Factors for Opioid-Induced Respiratory Depression
Patient Characteristics Comorbidities Surgical & Perioperative
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psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
March 27, 2024 - Clinically, I specialize in regional anesthesia and perioperative pain medicine. … Another area in the perioperative space that we’ve worked on with AI is understanding how well a patient
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psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
March 27, 2024 - Clinically, I specialize in regional anesthesia and perioperative pain medicine. … Another area in the perioperative space that we’ve worked on with AI is understanding how well a patient
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psnet.ahrq.gov/node/846768/psn-pdf
March 29, 2023 - Endotracheal Tube Fallout in a Patient with Severe
Obesity During Eye Surgery.
March 29, 2023
Bohringer C. Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. PSNet
[internet]. 2023.
https://psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
The Ca…
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psnet.ahrq.gov/periodic-issue/periodic-issue-343
May 16, 2022 - This study compares the incidence of PSI-12 (perioperative venous thromboembolism (VTE)) in patients
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psnet.ahrq.gov/web-mm/isolated-clot-real-error
December 01, 2013 - Perioperative bridging anticoagulation in patients with atrial fibrillation.
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psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
July 08, 2022 - Hollie Porras, PharmD, BCPS, and Cathy Lammers, MD
Background
Opioids are routinely used in the perioperative
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psnet.ahrq.gov/web-mm/delayed-diagnosis-endocrinologic-emergencies
November 13, 2024 - Related Resources From the Same Author(s)
Workplace violence pervasiveness in the perioperative
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psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - Related Resources From the Same Author(s)
WebM&M Cases
Perioperative
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psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
April 04, 2018 - Director, Pain Management Center of Paducah, Paducah, Kentucky Clinical Professor, Anesthesiology and Perioperative
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psnet.ahrq.gov/node/49737/psn-pdf
June 01, 2015 - Perioperative use in selected surgical procedures.
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psnet.ahrq.gov/node/33828/psn-pdf
March 01, 2017 - explaining-michigan-developing-ex-post-theory-quality-improvement-program
https://psnet.ahrq.gov/issue/how-strong-evidence-use-perioperative-beta-blockers-non-cardiac-surgery-systematic-review-and
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psnet.ahrq.gov/periodic-issue/periodic-issue-274
January 29, 2021 - January 13, 2021 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, report…
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psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx
Spotlight
Under Pressure: Tracheostomy Cuff Over Inflation
Leading to Tissue Necrosis and Cuff Rupture
Source and Credits
• This presentation is based on the June 2023 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm…
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psnet.ahrq.gov/node/837660/psn-pdf
July 08, 2022 - An Incomplete Anesthesia History Leads to Adverse
Outcomes
July 8, 2022
Bohringer C. An Incomplete Anesthesia History Leads to Adverse Outcomes. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
The Cases
Case 1: A 64-year-old man came in for a routine bron…
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psnet.ahrq.gov/node/865466/psn-pdf
March 27, 2024 - racial-ethnic-and-payer-disparities-adverse-safety-events-are-there-differences-across
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