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psnet.ahrq.gov/issue/clash-name-care
April 27, 2016 - February 19, 2014
To err is human: quality and safety issues in spine care. … April 29, 2009
Most surgery in wrong spot done on spine: 11 such cases found in state
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/back-pain-imaging_clinician.pdf
April 01, 2016 - Ap-
proximately 90 percent of older adults have incidental findings on spine imaging
studies, which … The study population consisted of patients
who underwent lumbar spine imaging
within 6 weeks of their … Controls did not have any
spine imaging within 6 weeks of the index
visit. … Spine (Phila Pa
1976). 1999 Sep;24(17):1813-9. PMID: 10488512.
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psnet.ahrq.gov/node/49620/psn-pdf
February 01, 2011 - Spine. 2007;32:2310-2317. [go to PubMed]
5. Lied B, Sundseth J, Helseth E. … Spine. 2010;35:E739-E742. [go to PubMed]
7. Sagi HC, Beutler W, Carroll E, Connolly PJ. … Airway complications associated with surgery on the anterior
cervical spine. … Spine. 2002;27:949-953. [go to PubMed]
8. … Complications of surgery of the anterior cervical spine. Clin Neurosurg.
1976;23:424-434.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nishisaki_44.pdf
April 19, 2008 - pediatric providers refreshed intubation skills in six simulated
infant trauma scenarios with cervical spine … We performed an
ANOVA with repeated measures to evaluate the effect of C-spine protection method on … Effect of
cervical spine immobilization technique on advanced
airway management in a high fidelity … Simulator Measurement/Record Capability
• To measure cervical spine extension angle at every second … Please pay particular attention to cervical spine immobilization, confirm correct tracheal position (
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/091-decolonization-implementation-fg.docx
April 01, 2025 - Slide 14
Neuro-Spine Surgery Decolonization and Implementation Strategies in a Private Practice
SAY … :
Now, the presentation will transition to a neuro-spine private practice. … Slide 15
Neuro Spine Surgery Case Example—1
SAY:
In reviewing the process and SSI data for neuro-spine … Slide 16
Neuro Spine Surgery Case Example—2
SAY:
To reduce the likelihood of this continuing, the
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hcup-us.ahrq.gov/reports/methods/2004_6_appendix_E.pdf
January 01, 2004 - United States (NIS)
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Total Head
and
Neck
Spine … Matrix, Connecticut SID
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Total Head
and
Neck
Spine … Matrix, Georgia SID
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Total Head
and
Neck
Spine … Matrix, West Virginia SID
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Total Head
and
Neck
Spine … Matrix, Minnesota SEDD
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Total Head
and
Neck
Spine
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www.ahrq.gov/sites/default/files/2024-07/domino-report.pdf
January 01, 2024 - provider barriers to implementation of shared decision making; implement shared decision-
making in spine … Scope: UW Medicine, orthopedic spine surgery, anesthesiology
Methods: We developed anesthesia decision … Therefore, we presented the spine surgeons with
decision aids produced by various vendors. … patients when they implemented shared decision making in the UW Medicine spine surgery clinics. … before and after implementation of shared decision making in the spine surgery clinics.
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psnet.ahrq.gov/node/841468/psn-pdf
December 14, 2022 - potentials monitor the integrity of motor pathways during
surgical procedures involving the brain, spine … a lower incidence of bite lacerations, mostly mild and involving
the tongue, of 0.13% among 18,862 spine … Transcranial electric motor evoked potential
monitoring during spine surgery: is it safe?. … Spine (Phila Pa 1976). 2011;36(13):1046-1049. [
Available at]
10.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/R_cAa3AjFGQ2np_aQnzQGA
February 11, 2025 - osteoporotic fractures, which were defined as clinical fractures excluding
hand, foot, skull, or cervical vertebrae … >−3.5
10 mg/d;1 y 4, 5
Bell et al,183 2002 Fair 65 100 66
(NR)
African Americanb:
100
NR Lumbar spine … ≥−2.5 5, 10, or 20 mg
weekly; 2 y
5
Thiebaud et al,207
1997
Fair 126 100 64
(NR)
NR 0 Lumbar spine … In the
fifth study, authors reported no association between change in
spine, total hip, or femoral neck … Oral alendronate induces progressive increases in
bone mass of the spine, hip, and total body over 3
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/tethered-spinal-cord-protocol.pdf
July 19, 2023 - vertebral
osteotomy, vertebral column shortening, spinal cord
transection, or other surgery
Comparators … column
shortening' OR ('spinal column shortening' AND tethered)) NOT [medline]/lim OR ("low
lying … column shortening” OR (“spinal column shortening” AND tethered) ) OR AB ( “tethered
cord syndrome” … OR “tethered spinal cord” OR “tethered cord” OR “spinal column
shortening” OR (“spinal column shortening … column shortening”
OR (“spinal column shortening” AND tethered) ) OR TI (“low lying conus” OR “fatty
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb2txt.html
December 01, 2017 - Head
__
__
__
__
__
__
__
Neck
__
__
__
__
__
__
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Upper spine … __
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__
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__
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Lower spine
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Shoulder
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psnet.ahrq.gov/node/49707/psn-pdf
April 01, 2014 - After review by his primary care provider, the patient was referred to a spine
orthopedist for management … In response to his complaints, the spine surgeon elected to administer a single injection of epidural … The spine surgeon had only noted that the patient "is
on HIV medication and stable" and did not review … In addition, the spine surgeon
did not provide a consultation report to the internal medicine team and … in an HIV-infected patient treated with ritonavir: a case report highlighting drug interactions
for spine
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary1/osteoporosis-screening-june-2018
June 26, 2018 - Quantitative ultrasound predicts hip and non-spine fracture in men: the MrOS study. … fracture
Thoracolumbar vertebra, spine
Women
3 69 , 79 , 80 , 85 (n = 30,837)
50-95
0.61- … adjusted) c
Men
1 83 (n = 445)
≥60
0.75 (adjusted) c
Hip fracture
Thoracolumbar vertebra … vertebra, spine
Women
2 79 , 80 , 85 (n = 30,072)
53-61; 50-95
0.66-0.68 (unadjusted) … Vertebral, spine fracture
Thoracolumbar vertebra, spine
Women
2 79 , 80 , 85 (n = 30,072)
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psnet.ahrq.gov/issue/patient-safety-north-america-beyond-operate-through-your-initials-and-sign-your-site
March 18, 2009 - March 18, 2009
Most surgery in wrong spot done on spine: 11 such cases found in state … August 13, 2008
The prevalence of wrong level surgery among spine surgeons.
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psnet.ahrq.gov/sites/default/files/2022-02/final_cme_reviewed_spotlight_loss_of_trust_and_a_missed_diagnosis_02.14.20221_-_clean_-_revised.pdf
January 01, 2022 - – A lumbar spine radiograph was performed that showed mild degenerative
disc disease. … • The emergency physician ordered spine, left hip, and chest x-rays. … – The chest x-ray showed a 5 cm lesion in her lung, the spine x-ray showed a
small vertebral lesion … syndrome, spinal
infections (spinal abscess, epidural abscess, osteomyelitis), and cancer in
the spine … • Lung cancer may metastasize to bone, including the vertebrae, and its
progression may cause nonspecific
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psnet.ahrq.gov/cme
February 26, 2025 - December 31, 2024
Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads … to address intraoperative durotomy and CSF leaks, and approaches to ensuring patient safety during spine … July 31, 2024
Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/TeachBackClinicianJobAid-Poster.pdf
June 02, 2025 - for digestion
problems
gastroenterologist
doctor for women gynecologist
doctor for the brain,
spine
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/TeachBack-QuickGuide-card.pdf
June 02, 2025 - for
digestion problems gastroenterologist
doctor for women gynecologist
doctor for the brain, spine
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psnet.ahrq.gov/issue/identification-adverse-events-orthopedics-department-sweden
May 08, 2013 - March 29, 2012
Most surgery in wrong spot done on spine: 11 such cases found in state … August 13, 2008
Intraoperative adverse events and related postoperative complications in spine
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psnet.ahrq.gov/node/47817/psn-pdf
February 27, 2019 - Spine Intervention Society.