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psnet.ahrq.gov/web-mm/raise-bar
May 29, 2024 - Raise the Bar
Citation Text:
Stotts J, Lyndon A. Raise the Bar. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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…
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psnet.ahrq.gov/node/865413/psn-pdf
March 27, 2024 - correlation between high-impact ransomware attacks and unexplained excess deaths that surfaced in a
region
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.221_slideshow.ppt
July 01, 2010 - Spotlight Case [MONTH] 2003
Spotlight Case
Weighing in on Surgical Safety
*
*
Source and Credits
This presentation is based on the July 2010
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jay B. Brodsky, MD, Stanford University Medical Cente…
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psnet.ahrq.gov/issue/renewal-surgical-quality-and-safety-initiatives-multispecialty-challenge
March 03, 2011 - Commentary
Renewal of surgical quality and safety initiatives: a multispecialty challenge.
Citation Text:
Polk HC. Renewal of surgical quality and safety initiatives: a multispecialty challenge. Mayo Clin Proc. 2006;81(3):345-52.
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Format:
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psnet.ahrq.gov/node/73553/psn-pdf
July 28, 2021 - In Conversation With... James Augustine, MD
July 28, 2021
In Conversation With.. James Augustine, MD. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/conversation-james-augustine-md
Editor’s Note: James Augustine, MD, is the National Director of Prehospital Strategy at US Acute Care
Solutions where he p…
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psnet.ahrq.gov/issue/safety-anesthetic-and-perioperative-medication-practices
January 14, 2019 - Newspaper/Magazine Article
Safety of anesthetic and perioperative medication practices.
Citation Text:
Safety of anesthetic and perioperative medication practices. Meyer TA. Anesthesiology News. October 31, 2022.
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Pri…
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psnet.ahrq.gov/node/49709/psn-pdf
May 01, 2014 - Raise the Bar
May 1, 2014
Stotts J, Lyndon A. Raise the Bar. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/raise-bar
The Case
A 57-year-old man presented to an ambulatory surgery center for excision of a right groin lipoma. The
patient was seen and evaluated by an anesthesiologist who was new to the cente…
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psnet.ahrq.gov/issue/introduction-surgical-safety-checklist-tertiary-referral-obstetric-centre
October 04, 2023 - Study
The introduction of a surgical safety checklist in a tertiary referral obstetric centre.
Citation Text:
Kearns RJ, Uppal V, Bonner J, et al. The introduction of a surgical safety checklist in a tertiary referral obstetric centre. BMJ Qual Saf. 2011;20(9):818-22. doi:10.1136/bmjqs…
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psnet.ahrq.gov/node/837324/psn-pdf
July 08, 2022 - Involve experts across the state or region to develop materials and support implementation. … Reports in a format that allows hospitals to track performance against other sites across a state or
region … data collection and reporting methods
Using multidisciplinary experts from throughout the targeted region
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psnet.ahrq.gov/node/33649/psn-pdf
May 01, 2007 - Then I also started to see incidents reported from
our hospitals to the region. … We've launched the alliance in most
of the WHO's regions now, including the African region.
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psnet.ahrq.gov/issue/postpartum-hemorrhage-patient-safety-bundle-implementation-single-institution-successes
February 01, 2023 - Study
The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned,
Citation Text:
Duzyj CM, Boyle C, Mahoney K, et al. The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, f…
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psnet.ahrq.gov/issue/why-do-we-still-page-each-other-examining-frequency-types-and-senders-pages-academic-medical
September 11, 2019 - Study
Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services.
Citation Text:
Carlile N, Rhatigan JJ, Bates DW. Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services. BMJ…
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psnet.ahrq.gov/node/74142/psn-pdf
January 02, 2024 - Robert L. Wears Patient Safety Leadership Award.
November 1, 2023
Regional Center at Jacksonville University, University of Florida College of Medicine – Jacksonville, FL.
https://psnet.ahrq.gov/issue/robert-l-wears-patient-safety-leadership-award
Inspired by the research and leadership of Dr. Robert Wears, this aw…
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psnet.ahrq.gov/node/861760/psn-pdf
January 31, 2024 - Syringe Swap During Regional Block: A Case of
Medication Error and Recovery
January 31, 2024
Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery.
PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recover…
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psnet.ahrq.gov/node/50787/psn-pdf
January 08, 2020 - Q3 Health Innovation Partners.
January 8, 2020
New Jersey Hospital Association, the Ohio Hospital Association and The Hospital and Healthsystem
Association of Pennsylvania.
https://psnet.ahrq.gov/issue/q3-health-innovation-partners
Local efforts that draw from the experience of its leaders serve an important role …
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psnet.ahrq.gov/node/47805/psn-pdf
May 29, 2019 - Better Health for Mothers and Babies.
May 29, 2019
American Hospital Association.
https://psnet.ahrq.gov/issue/better-health-mothers-and-babies
Maternal harm is a patient safety concern that is increasingly prioritized in regulatory and care delivery
environments. This website provides tools, policies, news articl…
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psnet.ahrq.gov/node/49403/psn-pdf
June 01, 2003 - https://psnet.ahrq.gov//#references
discomfort migrating from the epigastrium to the periumbilical region … pain
in the right lower quadrant, abdominal rigidity, and migration of pain from the periumbilical region
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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/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
January 29, 2021 - Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery.
Citation Text:
Bohringer C. Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services.…
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psnet.ahrq.gov/node/856640/psn-pdf
November 29, 2023 - Research from webAIRS incident reporting system.
November 29, 2023
Anaesth Intensive Care. 2023;51(6):372-421.
https://psnet.ahrq.gov/issue/research-webairs-incident-reporting-system
Centralized de-identified reports of patient safety events serve a core purpose for learning and
improvement. This article collectio…