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Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. | PSNet

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October 20, 2021 - Press Release/Announcement Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. Citation Text: Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. US Food and Drug Administration. October 7, 2021. Copy Citation Save S…

Using simulation to improve root cause analysis of adverse surgical outcomes. | PSNet

psnet.ahrq.gov/issue/using-simulation-improve-root-cause-analysis-adverse-surgical-outcomes

May 19, 2021 - Study Using simulation to improve root cause analysis of adverse surgical outcomes. Citation Text: Slakey DP, Simms ER, Rennie K, et al. Using simulation to improve root cause analysis of adverse surgical outcomes. Int J Qual Health Care. 2014;26(2):144-50. doi:10.1093/intqhc/mzu011. C…

Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control and Prevention. | PSNet

psnet.ahrq.gov/issue/proposed-2022-cdc-clinical-practice-guideline-prescribing-opioids-notice-centers-disease

December 21, 2022 - Press Release/Announcement Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control and Prevention. Citation Text: Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control …

Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. | PSNet

psnet.ahrq.gov/issue/hydrocodone-bitartrate-and-acetaminophen-tablets-phenobarbital-tablets-qualitest-recall

December 16, 2020 - Press Release/Announcement Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. Citation Text: Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. Me…

FDA requiring color changes to Duragesic (fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death. | PSNet

psnet.ahrq.gov/issue/fda-requiring-color-changes-duragesic-fentanyl-pain-patches-aid-safety-emphasizing-accidental

August 05, 2020 - Press Release/Announcement FDA requiring color changes to Duragesic (fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death. Citation Text: FDA requiring color changes to Duragesic (fentanyl) pain patches to aid safety―emphasizing that…

Hospira Carpuject pre-filled cartridges—drug alert: products may contain more than the intended fill volume. | PSNet

psnet.ahrq.gov/issue/hospira-carpuject-pre-filled-cartridges-drug-alert-products-may-contain-more-intended-fill

August 05, 2020 - Press Release/Announcement Hospira Carpuject pre-filled cartridges—drug alert: products may contain more than the intended fill volume. Citation Text: Hospira Carpuject pre-filled cartridges—drug alert: products may contain more than the intended fill volume. MedWatch Safety Alert. S…

Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death. | PSNet

psnet.ahrq.gov/issue/codeine-use-certain-children-after-tonsillectomy-andor-adenoidectomy-may-lead-rare-life

August 20, 2021 - Government Resource Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death. Citation Text: Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adv…

How well do we communicate? A comparison of intraoperative diagnoses listed in pathology reports and operative notes. | PSNet

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May 29, 2019 - Study How well do we communicate? A comparison of intraoperative diagnoses listed in pathology reports and operative notes. Citation Text: Talmon G, Horn A, Wedel W, et al. How well do we communicate?: a comparison of intraoperative diagnoses listed in pathology reports and operative no…

Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. | PSNet

psnet.ahrq.gov/issue/realistic-distractions-and-interruptions-impair-simulated-surgical-performance-novice

August 04, 2021 - Study Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. Citation Text: Feuerbacher RL, Funk KH, Spight DH, et al. Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. Arch Surg. 2012;…

Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers. | PSNet

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October 12, 2022 - Study Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers. Citation Text: Barrett AK, Sandbrink F, Mardian A, et al. Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical…

Improving hospital infant safe sleep compliance by using safety prevention bundle methodology. | PSNet

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March 09, 2022 - Study Improving hospital infant safe sleep compliance by using safety prevention bundle methodology. Citation Text: Batra EK, Lewis ML, Saravana D, et al. Improving hospital infant safe sleep compliance by using safety prevention bundle methodology. Pediatrics. 2021;148(6):e2020033704. d…

Organizational learning starting points and presuppositions: a case study from a hospital’s surgical department. | PSNet

psnet.ahrq.gov/issue/organizational-learning-starting-points-and-presuppositions-case-study-hospitals-surgical

September 25, 2024 - Study Organizational learning starting points and presuppositions: a case study from a hospital’s surgical department. Citation Text: Jaakkola M, Lemmetty S, Collin K, et al. Organizational learning starting points and presuppositions: a case study from a hospital’s surgical department. …

Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies. | PSNet

psnet.ahrq.gov/issue/impact-critical-event-checklists-anaesthetist-performance-simulated-operating-theatre

August 16, 2017 - Study Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies. Citation Text: Siddiqui A, Ng E, Burrows C, et al. Impact of Critical Event Checklists on Anaesthetist Performance in Simulated Operating Theatre Emergencies. Cureus. 2019;11…

Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. | PSNet

psnet.ahrq.gov/issue/computerized-prescriber-order-entry-medication-safety-cpoems-uncovering-and-learning-issues

February 05, 2014 - Book/Report Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. Citation Text: Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. Brigham and Women's Hospital, Harvard…

Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologists: a simulation-based observational study. | PSNet

psnet.ahrq.gov/issue/clinical-triggers-and-vital-signs-influencing-crisis-acknowledgment-and-calls-help

June 15, 2012 - Study Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologists: a simulation-based observational study. Citation Text: Matern LH, Gardner R, Rudolph JW, et al. Clinical triggers and vital signs influencing crisis acknowledgment and calls…

Advanced auditory displays and head-mounted displays: advantages and disadvantages for monitoring by the distracted anesthesiologist. | PSNet

psnet.ahrq.gov/issue/advanced-auditory-displays-and-head-mounted-displays-advantages-and-disadvantages-monitoring

September 26, 2016 - Study Advanced auditory displays and head-mounted displays: advantages and disadvantages for monitoring by the distracted anesthesiologist. Citation Text: Sanderson P, Watson MO, Russell WJ, et al. Advanced auditory displays and head-mounted displays: advantages and disadvantages for m…

Infections associated with reprocessed flexible bronchoscopes. | PSNet

psnet.ahrq.gov/issue/infections-associated-reprocessed-flexible-bronchoscopes

March 11, 2015 - Press Release/Announcement Infections associated with reprocessed flexible bronchoscopes. Citation Text: Infections associated with reprocessed flexible bronchoscopes. FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; September 17, 2015. Copy Citation …

FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines for pain management. | PSNet

psnet.ahrq.gov/issue/fda-safety-communication-use-caution-implanted-pumps-intrathecal-administration-medicines

June 20, 2018 - Press Release/Announcement FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines for pain management. Citation Text: FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines for pain management…

Cognitive errors detected in anaesthesiology: a literature review and pilot study. | PSNet

psnet.ahrq.gov/issue/cognitive-errors-detected-anaesthesiology-literature-review-and-pilot-study

November 21, 2012 - Study Cognitive errors detected in anaesthesiology: a literature review and pilot study. Citation Text: Stiegler MP, Neelankavil JP, Canales C, et al. Cognitive errors detected in anaesthesiology: a literature review and pilot study. Br J Anaesth. 2012;108(2):229-35. doi:10.1093/bja/ae…

Cognitive bias and dissonance in surgical practice: a narrative review. | PSNet

psnet.ahrq.gov/issue/cognitive-bias-and-dissonance-surgical-practice-narrative-review

June 25, 2018 - Review Cognitive bias and dissonance in surgical practice: a narrative review. Citation Text: Richburg CE, Dossett LA, Hughes TM. Cognitive bias and dissonance in surgical practice: a narrative review. Surg Clin North Am. 2023;103(2):271-285. doi:10.1016/j.suc.2022.11.003. Copy Citatio…

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