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psnet.ahrq.gov/node/41266/psn-pdf
January 03, 2017 - Surfacing safety hazards using standardized operating
room briefings and debriefings at a large regional medical
center.
January 3, 2017
Bandari J, Schumacher K, Simon M, et al. Surfacing safety hazards using standardized operating room
briefings and debriefings at a large regional medical center. Jt Comm J Qual P…
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psnet.ahrq.gov/node/33773/psn-pdf
September 01, 2014 - In fact, patients who live in regions with more intensive care patterns
have been shown to undergo more
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psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
July 23, 2024 - around the world. 9,10 In the United States the rate of cesarean deliveries varies greatly across regions
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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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psnet.ahrq.gov/issue/saving-lives-hospitals-have-signed-six-part-plan-avoid-multitude-unnecessary-deaths
January 19, 2022 - Newspaper/Magazine Article
Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths.
Citation Text:
Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths. Comarow A. US News & World Report. Jul…
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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/node/865413/psn-pdf
March 27, 2024 - In Conversation with...Barbara Pelletreau and John Riggi
about Cybersecurity
March 27, 2024
Pelletreau B, Riggi J. In Conversation with..Barbara Pelletreau and John Riggi about Cybersecurity. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cyberse…
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psnet.ahrq.gov/node/49449/psn-pdf
June 01, 2004 - , a
focused neurologic examination can successfully uncover a central abnormality, since the brain regions
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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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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/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/node/40378/psn-pdf
June 01, 2024 - Organisation Patient Safety Incident Reports.
May 18, 2018
National Patient Safety Agency
https://psnet.ahrq.gov/issue/organisation-patient-safety-incident-reports
This Web site provides data on safety incidents from the United Kingdom in the form of workbooks sorted
by either organization or region. In June 2024,…
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psnet.ahrq.gov/issue/missing-diagnoses-during-covid-19-pandemic-year-review
December 23, 2020 - Commentary
Missing diagnoses during the COVID-19 pandemic: a year in review.
Citation Text:
Pifarré i Arolas H, Vidal-Alaball J, Gil J, et al. Missing diagnoses during the COVID-19 pandemic: a year in review. Int J Environ Res Public Health. 2021;18(10):5335. doi:10.3390/ijerph18105335. …
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psnet.ahrq.gov/issue/designing-strategy-promote-safe-innovative-label-use-medications
May 06, 2009 - Commentary
Designing a strategy to promote safe, innovative off-label use of medications.
Citation Text:
Ansani N, Sirio CA, Smitherman T, et al. Designing a strategy to promote safe, innovative off-label use of medications. Am J Med Qual. 2006;21(4):255-261.
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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/node/47316/psn-pdf
May 21, 2019 - Midwest Alliance for Patient Safety.
May 21, 2019
Illinois Health and Hospital Association.
https://psnet.ahrq.gov/issue/midwest-alliance-patient-safety
The Midwest Alliance for Patient Safety is a partnership led by the Illinois Health and Hospital Association.
The alliance offers the support of a patient safety …
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psnet.ahrq.gov/issue/need-organizational-change-patient-safety-initiatives
May 12, 2010 - Study
The need for organizational change in patient safety initiatives.
Citation Text:
Anderson J, Ramanujam R, Hensel D, et al. The need for organizational change in patient safety initiatives. Int J Med Inform. 2006;75(12):809-17.
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psnet.ahrq.gov/issue/paramedic-intubation-errors-isolated-events-or-symptoms-larger-problems
February 18, 2009 - Study
Paramedic intubation errors: isolated events or symptoms of larger problems?
Citation Text:
Wang HE, Lave J, Sirio CA, et al. Paramedic intubation errors: isolated events or symptoms of larger problems? Health Aff (Millwood). 2006;25(2):501-9.
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