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psnet.ahrq.gov/issue/fda-safety-communication-caution-when-using-robotically-assisted-surgical-devices-womens
September 01, 2021 - Press Release/Announcement
FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy.
Citation Text:
FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administratio…
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psnet.ahrq.gov/issue/lack-association-between-intraoperative-handoff-care-and-postoperative-complications
March 14, 2022 - Study
Lack of association between intraoperative handoff of care and postoperative complications: a retrospective observational study.
Citation Text:
O'Reilly-Shah VN, Melanson VG, Sullivan CL, et al. Lack of association between intraoperative handoff of care and postoperative complicat…
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psnet.ahrq.gov/issue/persisting-high-rates-omissions-during-anesthesia-induction-are-decreased-utilization-pre
July 20, 2022 - Study
Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post-induction checklist.
Citation Text:
Krombach JW, Zürcher C, Simon SG, et al. Persisting high rates of omissions during anesthesia induction are decreased by utilization of a…
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psnet.ahrq.gov/issue/role-communicating-diagnostic-uncertainty-safety-netting-process-insights-vignette-study
February 20, 2019 - Study
Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study.
Citation Text:
Cox C, Hatfield T, Fritz Z. Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. BMJ Qual Saf. 2024;33(1…
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psnet.ahrq.gov/perspective/conversation-john-halamka-md-ms
March 27, 2024 - Suddenly you would find that if we focused on a few things deeply with the right incentives, we would … I can just do some plumbing and write some scripts and suddenly my seven petabytes of data has the benefit
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psnet.ahrq.gov/node/33626/psn-pdf
January 01, 2006 - That's a long process, because a 4- to 8-hour seminar
won't suddenly change behaviors.
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psnet.ahrq.gov/node/33660/psn-pdf
December 01, 2007 - If performance measures suddenly materialized and
showed that we really stink at moving information
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psnet.ahrq.gov/issue/association-dose-tapering-overdose-or-mental-health-crisis-among-patients-prescribed-long
July 13, 2022 - Study
Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids.
Citation Text:
Agnoli A, Xing G, Tancredi DJ, et al. Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids. JAMA.…
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psnet.ahrq.gov/node/848124/psn-pdf
April 26, 2023 - It’s helping appropriately redirect attention from a nurse who’s busy over there but suddenly
needs … But with high turnover, a lot of travel nurses, and the COVID-19 pandemic, suddenly
most hospitals have
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psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
March 01, 2018 - Two days later, the patient suddenly arrested on the floor.
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psnet.ahrq.gov/issue/challenges-implementing-centers-disease-control-and-prevention-opioid-guideline-consensus
January 25, 2017 - Commentary
Challenges with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report.
Citation Text:
Kroenke K, Alford DP, Argoff C, et al. Challenges with Implementing the Centers for Disease Control and Prevention Opioid Guideline: A Consens…
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psnet.ahrq.gov/issue/escalation-care-and-failure-rescue-multicenter-multiprofessional-qualitative-study
September 09, 2015 - Study
Classic
Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study.
Citation Text:
Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Surgery.…
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psnet.ahrq.gov/issue/procedural-timeout-compliance-improved-real-time-clinical-decision-support
October 11, 2017 - Study
Procedural timeout compliance is improved with real-time clinical decision support.
Citation Text:
Shear T, Deshur M, Avram MJ, et al. Procedural Timeout Compliance Is Improved With Real-Time Clinical Decision Support. J Patient Saf. 2018;14(3):148-152. doi:10.1097/PTS.000000000000…
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psnet.ahrq.gov/issue/error-or-act-god-study-patients-and-operating-room-team-members-perceptions-error-definition
August 10, 2011 - Study
Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure.
Citation Text:
Espin S, Levinson W, Regehr G, et al. Error or "act of God"? A study of patients' and operating room team members' perceptions o…
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psnet.ahrq.gov/issue/fda-recommends-health-care-professionals-discuss-naloxone-all-patients-when-prescribing
December 16, 2020 - Press Release/Announcement
FDA recommends health care professionals discuss naloxone with all patients when prescribing opioid pain relievers or medicines to treat opioid use disorder.
Citation Text:
FDA recommends health care professionals discuss naloxone with all patients when prescri…
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psnet.ahrq.gov/periodic-issue/periodic-issue-311
September 29, 2021 - endoscopist were serially dilating the esophagus with larger and larger rigid dilators when the patient suddenly
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psnet.ahrq.gov/periodic-issue/periodic-issue-310
September 29, 2021 - endoscopist were serially dilating the esophagus with larger and larger rigid dilators when the patient suddenly
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psnet.ahrq.gov/periodic-issue/periodic-issue-307
September 29, 2021 - endoscopist were serially dilating the esophagus with larger and larger rigid dilators when the patient suddenly
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psnet.ahrq.gov/periodic-issue/periodic-issue-304
August 25, 2021 - endoscopist were serially dilating the esophagus with larger and larger rigid dilators when the patient suddenly
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psnet.ahrq.gov/node/33858/psn-pdf
May 01, 2018 - Suddenly you would find that if we focused on a few
https://psnet.ahrq.gov/issue/digital-doctor-hope-hype-and-harm-dawn-medicines-computer-age … I can just do some plumbing and write some scripts and suddenly my seven petabytes
of data has the benefit