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psnet.ahrq.gov/node/33710/psn-pdf
May 01, 2011 - I was told recently about a surgeon who was one of the highest volume laparoscopists in his region
who … The surgeon cleaned up, left the hospital, and never came back. He left and stopped doing surgery.
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psnet.ahrq.gov/sites/default/files/2020-04/final_april-spotlight-implicit_biases_04.02.2020.pdf
January 01, 2020 - Spotlight
Spotlight
Implicit Biases, Interprofessional
Communication, and Power
Dynamics
Source and Credits
• This presentation is based on the April 2020 AHRQ
WebM&M Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
• Commentary by: Erin Stephany Sanchez, MD, Melody Tran-
Reina, MD, Kupi…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.218_slideshow.ppt
May 01, 2010 - Spotlight Case [MONTH] 2003
Spotlight Case
Fatal Error in Neonate: Does ‘Just Culture’ Provide an Answer?
*
*
Source and Credits
This presentation is based on the May 2010
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Sidney W.A. Dekker, Ph…
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psnet.ahrq.gov/innovation/handshake-antimicrobial-stewardship-model-recognize-and-prevent-diagnostic-errors
September 08, 2021 - EMERGING INNOVATIONS
Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors
Citation Text:
Searns JB, Williams MC, MacBrayne CE, et al. Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. Diagnosis (Berl). 2020;8(3):347-352.…
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psnet.ahrq.gov/node/60856/psn-pdf
August 26, 2020 - It is not surprising that a
trauma surgeon directed this patient’s care – coordination of a team of … An experienced orthopedic surgeon – and this case should have
been performed by the most experienced
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psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
September 30, 2020 - Specifically, the surgeon extended the uterine incision at both sides to allow unobstructed delivery … repair of the right side of the hysterotomy after delivery of the fetus, and it is unclear whether the surgeon
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psnet.ahrq.gov/issue/risky-business-navigating-shifting-health-care-landscape
December 22, 2021 - October 20, 2021
Dual surgeon operating to improve patient safety.
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psnet.ahrq.gov/issue/trauma-when-theres-no-time-count
April 20, 2016 - Commentary
Trauma: when there's no time to count.
Citation Text:
Murdock DB. Trauma: When There's No Time to Count. AORN J. 2008;87(2). doi:10.1016/j.aorn.2007.07.008.
Copy Citation
Format:
DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…
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psnet.ahrq.gov/issue/fall-related-injuries-acute-care-reducing-risk-harm
March 28, 2018 - March 15, 2023
Supporting recovery after adverse events: an essential component of surgeon
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psnet.ahrq.gov/issue/personal-nursing-care-experiences-provide-lessons-patient-safety
March 01, 2023 - November 7, 2018
Influence of surgeon behavior on trainee willingness to speak up: a
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psnet.ahrq.gov/issue/collaborating-manage-vendor-interactions-and-protect-quality-care-or
October 14, 2020 - February 6, 2019
Critical role of the surgeon–anesthesiologist relationship for patient
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psnet.ahrq.gov/issue/medical-device-associated-safety-and-risk-surveillance-and-stratagems
March 06, 2005 - July 6, 2022
Individual surgeon mortality rates: can outliers be detected?
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psnet.ahrq.gov/periodic-issue/periodic-issue-443
May 29, 2024 - June 5, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, a…
-
psnet.ahrq.gov/periodic-issue/periodic-issue-438
May 29, 2024 - May 1, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, an…
-
psnet.ahrq.gov/web-mm/bloody-bp-cuff
June 21, 2016 - processes should be managed by the nursing supervisor, the emergency room physician, as well as the trauma surgeon
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psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
March 01, 2004 - Video to Improve Patient Safety: Clinical and Educational Uses
Yan Xiao, PhD; Colin F. Mackenzie, MB, ChB; and F. Jacob Seagull, PhD | May 1, 2015
View more articles from the same authors.
Citation Text:
Xiao Y, Mackenzie CF, Seagull JF. Video to Improve Patient S…
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psnet.ahrq.gov/node/49432/psn-pdf
February 09, 2004 - outcomes in academic medical centers: influence of
fellowship programs and in house on call attending surgeon
-
psnet.ahrq.gov/node/33691/psn-pdf
December 01, 2009 - the individuals who witnessed the behavior were afraid to speak up because of the
prominence of the surgeon
-
psnet.ahrq.gov/node/836978/psn-pdf
May 16, 2022 - pre-
procedure huddle is conducted either in the pre-op area or the OR with the anesthesia provider, surgeon
-
psnet.ahrq.gov/node/49398/psn-pdf
May 01, 2003 - processes should be managed by the nursing
supervisor, the emergency room physician, as well as the trauma surgeon