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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
March 23, 2008 - adverse events causes: “pneumothorax, retained objects, hospital-acquired
infections, decubitus ulcers, perioperative … few examples include pneumothorax, retained
objects, hospital-acquired infections, decubitus ulcers, perioperative
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-harms.pdf
August 01, 2025 - University
Stanford, California
R01 HS023800
[Grant]
Developing a Patient-
Centered Model of the
Risk of Perioperative … of
Iowa
Iowa City, Iowa
R18 HS021422
[Grant]
Implementing Safe
Practices for Prevention
of Perioperative … Hypothermia
2013–2016
$480,473
Purpose: Evaluate the effectiveness of the Prevention of Perioperative … Hypothermia (PPH) Safety Toolkit on adherence to safe practices for prevention of
perioperative hypothermia … Additionally, the research addresses perioperative
management of aneurysmal subarachnoid hemorrhage,
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pptx
October 01, 2015 - RACHS-1 Pediatric Heart Surgery Mortality Rate
PDI 07 RACHS-1 Pediatric Heart Surgery Volume
PDI 08 Perioperative
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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
Perioperative patient safety recommendations: systematic review
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psnet.ahrq.gov/node/849679/psn-pdf
June 28, 2023 - Under Pressure: Tracheostomy Cuff Over Inflation
Leading to Tissue Necrosis and Cuff Rupture
June 28, 2023
Gould E, Carlsen K, Trask J, et al. Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue
Necrosis and Cuff Rupture. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/under-pressure-tracheost…
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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.
Copy Citation
Format:
…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/colorectal-surgery-preparation_research-protocol.pdf
March 26, 2013 - practice patterns and their impact on infections and leaks are confounded by other differences in
perioperative
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psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph
November 01, 2008 - output monitoring of unstable patients, voiding management for patients with urethral obstruction, and perioperative
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www.ahrq.gov/sites/default/files/2025-04/nemeth-report.pdf
January 01, 2025 - The perioperative clinic and the outpatient surgical clinic were used to collect
data at the researcher
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
December 01, 2017 - Ensure that all staff members in your perioperative space understand why the Science of Safety is important
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
December 01, 2017 - Ensure that all staff members in your perioperative space understand why the Science of Safet y is important
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psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
July 08, 2022 - July 28, 2021
Just culture: the foundation of staff safety in the perioperative
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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - Antibiotic Use
June 1, 2003
Just culture: the foundation of staff safety in the perioperative
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/PdBbRgWKPMbHfeQeHkM242
February 01, 2010 - Incidence and risk factors for
perioperative adverse respiratory events in
children who are obese.
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psnet.ahrq.gov/node/866370/psn-pdf
July 31, 2024 - Effect of perioperative benzodiazepine use on
intraoperative awareness and postoperative delirium: a
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-iv-nv-hap-protocol.pdf
August 05, 2024 - Association
between perioperative chlorhexidine oral
care and postoperative pneumonia in non-
cardiac
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psnet.ahrq.gov/web-mm/need-eat
February 10, 2021 - Clinical benefits after the implementation of a multimodal perioperative protocol in elderly patients
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psnet.ahrq.gov/node/60328/psn-pdf
May 27, 2020 - Factors for Opioid-Induced Respiratory Depression
Patient Characteristics Comorbidities Surgical & 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/50755/psn-pdf
December 18, 2019 - Clinical benefits after the
implementation of a multimodal perioperative protocol in elderly patients