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psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_intraoperative_awareness_during_rhinoplasty_slides_final.pptx
January 01, 2024 - Effect of perioperative benzodiazepine use on intraoperative awareness and postoperative delirium: a
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psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
March 27, 2024 - Interface
September 28, 2022
The impact of hindsight bias on the diagnosis of perioperative
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psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - November 16, 2022
WebM&M Cases
Perioperative Anaphylaxis
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psnet.ahrq.gov/web-mm/hypoxic-gas-supply-cross-connected-pipelines
February 05, 2020 - 2019
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psnet.ahrq.gov/perspective/equity-patient-safety
September 24, 2024 - However, on some indicators (e.g., postoperative sepsis infections, perioperative hemorrhage), these
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psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
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psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
January 29, 2021 - An Incomplete Anesthesia History Leads to Adverse Outcomes
Citation Text:
Bohringer C. An Incomplete Anesthesia History Leads to Adverse Outcomes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/node/849679/psn-pdf
June 28, 2023 - Under Pressure: Tracheostomy Cuff Over Inflation
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June 28, 2023
Gould E, Carlsen K, Trask J, et al. Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue
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psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
September 27, 2023 - August 30, 2023
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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
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June 1, 2003
Just culture: the foundation of staff safety in the perioperative
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psnet.ahrq.gov/node/50755/psn-pdf
December 18, 2019 - Clinical benefits after the
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psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
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Just culture: the foundation of staff safety in the perioperative
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psnet.ahrq.gov/node/851971/psn-pdf
July 31, 2023 - acknowledges that “the literature in insufficient to evaluate the
timing of ingestion of solids... and the perioperative
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psnet.ahrq.gov/node/60328/psn-pdf
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psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph
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psnet.ahrq.gov/node/866370/psn-pdf
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psnet.ahrq.gov/web-mm/need-eat
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psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
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psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
May 26, 2021 - Opioid-Induced Respirato ry Depression
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psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
April 24, 2024 - August 21, 2024
Creating a just culture in the perioperative setting.