-
psnet.ahrq.gov/node/49772/psn-pdf
October 01, 2016 - associated with shift-to-shift handoffs.(10)
Problems arising during handoffs are not limited to the postoperative
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psnet.ahrq.gov/web-mm/cups-error
January 12, 2011 - The Case An 87-year-old man was 5 days postoperative from a decompressive laminectomy.
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psnet.ahrq.gov/web-mm/did-we-forget-something
April 28, 2021 - He developed postoperative fever, initially attributed to ventilator-associated pneumonia.
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psnet.ahrq.gov/node/864868/psn-pdf
March 27, 2024 - medications,
such as gabapentin for neuropathy and fluoxetine for depression, are missing from the postoperative
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psnet.ahrq.gov/node/865570/psn-pdf
April 10, 2024 - Collaboration techniques improved decision-making among the anesthesia team (from
preoperative staff to postoperative
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psnet.ahrq.gov/node/33579/psn-pdf
September 15, 2024 - Systems Approach
September 15, 2024
Systems Approach. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/systems-approach
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in …
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psnet.ahrq.gov/issue/how-i-minimize-mistransfusion-risk-my-hospital
July 22, 2015 - May 7, 2014
Predictors of successful implementation of preoperative briefings and postoperative
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psnet.ahrq.gov/issue/piece-my-mind-mistakes
March 19, 2008 - December 13, 2006
Detection of postoperative respiratory failure: how predictive is the
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psnet.ahrq.gov/issue/when-does-quality-improvement-count-research-human-subject-protection-and-theories-knowledge
July 10, 2019 - Use of unsolicited patient observations to identify surgeons with increased risk for postoperative
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psnet.ahrq.gov/issue/resistance-patient-safety-initiatives
November 26, 2014 - September 27, 2017
Opioid stewardship program and postoperative adverse events: a difference-in-differences
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psnet.ahrq.gov/issue/salutary-tale-mistaken-identity-testicular-cancer
June 01, 2022 - December 1, 2010
How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative
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psnet.ahrq.gov/issue/communication-medical-product-risk-how-effective-effective-enough
January 17, 2007 - AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative
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psnet.ahrq.gov/issue/implementation-and-outcomes-rapid-response-team
January 09, 2019 - surgical practice among operating room personnel from survey data is associated with all-cause 30-day postoperative
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psnet.ahrq.gov/issue/assessing-safety-culture-guidelines-and-recommendations
August 04, 2021 - June 13, 2018
Postoperative opioid prescribing and the pain scores on Hospital Consumer
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psnet.ahrq.gov/issue/diagnostic-errors-medicine-case-neglect
July 15, 2015 - November 11, 2020
A comprehensive estimation of the costs of 30-day postoperative complications
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psnet.ahrq.gov/web-mm/diuretics-and-electrolyte-abnormalities
February 15, 2017 - August 9, 2023
Race, postoperative complications, and death in apparently healthy children
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psnet.ahrq.gov/node/861882/psn-pdf
January 31, 2024 - Examples of patient-reported non-routine
events in ambulatory surgery include unexpected postoperative
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psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia
April 01, 2003 - Reports of several patient injuries following early discharge suggest that postoperative complications
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psnet.ahrq.gov/node/33786/psn-pdf
May 01, 2015 - for peers to reliably assess surgeons' technical skills, and that such
assessments are predictive of postoperative
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psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
April 28, 2021 - The patient had an uncomplicated postoperative course.