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psnet.ahrq.gov/curated-library/rapid-response-systems
September 15, 2024 - Each time, the surgeon ordered hetastarch for volume expansion.
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psnet.ahrq.gov/issue/improving-working-environment-safe-surgical-care
July 29, 2015 - Book/Report
Improving the Working Environment for Safe Surgical Care.
Citation Text:
Improving the Working Environment for Safe Surgical Care. Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Royal College of Surgeons of Edinburgh; July 31, 2017.
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psnet.ahrq.gov/issue/situational-awareness-and-patient-safety-learning-package
September 13, 2017 - Book/Report
Situational Awareness and Patient Safety: A Learning Package.
Citation Text:
Situational Awareness and Patient Safety: A Learning Package. Parush A, Campbell C, Hunter A, et al. Ottawa, Ontario: The Royal College of Physicians and Surgeons of Canada; 2011. ISBN: 9781926588100…
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psnet.ahrq.gov/issue/optimal-resources-surgical-quality-and-safety
September 29, 2017 - Book/Report
Optimal Resources for Surgical Quality and Safety.
Citation Text:
Optimal Resources for Surgical Quality and Safety. Hoyt DB, Ko CY, eds. Chicago, IL: American College of Surgeons; 2017. ISBN: 9780996826242.
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psnet.ahrq.gov/node/49780/psn-pdf
January 01, 2017 - information (the patient still had her ovaries), there was no higher-level communication between the
surgeon … and the radiologist, and the surgeon likely over-relied on the radiology report without reviewing the
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psnet.ahrq.gov/periodic-issue/periodic-issue-324
January 07, 2022 - The anesthetist asked the surgeon to order a platelet transfusion to increase the child’s platelet count … Unfortunately, the surgeon damaged an intercostal artery when he inserted the chest tube emergently,
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psnet.ahrq.gov/periodic-issue/periodic-issue-424
January 04, 2024 - Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon … discharge from the ED, the patient was still unable to flex her thumb and was referred to an orthopedic surgeon
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psnet.ahrq.gov/node/33637/psn-pdf
August 01, 2006 - You
cannot be a 2-day a week surgeon and operate on newborns. … have been to become a hernia
https://psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
surgeon
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psnet.ahrq.gov/periodic-issue/periodic-issue-405
August 30, 2023 - This news feature reports on systemic flaws that enabled a vascular surgeon with questionable business … Three days later, she was admitted to a second hospital and the surgeon found stercoral colitis and a
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psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
January 29, 2021 - Intraoperative "micro breaks" With targeted stretching enhance surgeon physical function and mental focus
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psnet.ahrq.gov/node/852807/psn-pdf
August 30, 2023 - Intraoperative "micro breaks" With targeted stretching
enhance surgeon physical function and mental
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psnet.ahrq.gov/perspective/what-makes-good-checklist
October 01, 2010 - a surgical checklist may need to influence the actions of both a new nursing assistant and a senior surgeon … I had an interaction with a surgeon about concern that a patient had preoperative pneumonia. … The surgeon started screaming in front of the patient and staff that, "All you anesthesiologists want
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
October 01, 2010 - I had an interaction with a surgeon about concern that a patient had preoperative pneumonia. … The surgeon started screaming in front of the patient and staff that, "All you anesthesiologists want … a surgical checklist may need to influence the actions of both a new nursing assistant and a senior surgeon
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psnet.ahrq.gov/issue/justifying-patient-risks-associated-medical-education
December 08, 2021 - Commentary
Justifying patient risks associated with medical education.
Citation Text:
Chiong W. Justifying patient risks associated with medical education. JAMA. 2007;298(9):1046-8.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…
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psnet.ahrq.gov/issue/providing-feedback-following-leadership-walkrounds-associated-better-patient-safety-culture
February 01, 2023 - Study
Classic
Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout.
Citation Text:
Sexton B, Adair KC, Leonard MW, et al. Providing feedback following Leadership WalkRou…
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psnet.ahrq.gov/issue/improving-healthcare-systems-disclosures-large-scale-adverse-events-department-veterans
August 18, 2021 - Study
Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership.
Citation Text:
Elwy R, Bokhour BG, Maguire EM, et al. Improving healthcare systems' disclosures of large-scale ad…
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psnet.ahrq.gov/issue/intended-and-unintended-effects-large-scale-adverse-event-disclosure-controlled-after
August 18, 2021 - Study
Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis of five large-scale notifications.
Citation Text:
Wagner TH, Taylor T, Cowgill E, et al. Intended and unintended effects of large-scale adverse event disclosure: a controlled…
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psnet.ahrq.gov/issue/hospital-acquired-functional-decline-and-clinical-outcomes-older-cardiac-surgical-patients
February 06, 2019 - Study
Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients: a multicenter prospective cohort study.
Citation Text:
Morisawa T, Saitoh M, Otsuka S, et al. Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients…
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psnet.ahrq.gov/issue/association-between-complications-incidents-and-patient-experience-retrospective-linkage
February 20, 2019 - Study
The association between complications, incidents, and patient experience: retrospective linkage of routine patient experience surveys and safety data.
Citation Text:
de Vos MS, Hamming JF, Boosman H, et al. The Association Between Complications, Incidents, and Patient Experience: R…
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psnet.ahrq.gov/issue/variations-gps-decisions-investigate-suspected-lung-cancer-factorial-experiment-using
August 03, 2022 - Study
Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia vignettes.
Citation Text:
Sheringham J, Sequeira R, Myles J, et al. Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia …