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psnet.ahrq.gov/issue/cleveland-clinic-cases-highlight-flaws-safety-oversight
May 20, 2015 - Newspaper/Magazine Article
Cleveland Clinic cases highlight flaws in safety oversight.
Citation Text:
Carlson J. Cleveland Clinic cases highlight flaws in safety oversight. Modern healthcare. 2014;44(23):7-9.
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psnet.ahrq.gov/periodic-issue/periodic-issue-295
June 30, 2021 - Although the radiologist’s report was sent to the orthopedic surgeon’s office, the surgeon independently
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psnet.ahrq.gov/periodic-issue/periodic-issue-296
June 30, 2021 - Although the radiologist’s report was sent to the orthopedic surgeon’s office, the surgeon independently
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psnet.ahrq.gov/web-mm/hidden-mystery
December 01, 2011 - The consulting surgeon recommended repeat abdominal imaging, but the patient was unable to fit in the
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psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
December 01, 2005 - The surgeon and anesthesiologist assumed the patient’s apnea was due to opiate sensitivity and assisted
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psnet.ahrq.gov/node/49474/psn-pdf
March 01, 2005 - The consulting surgeon recommended repeat abdominal
imaging, but the patient was unable to fit in the
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psnet.ahrq.gov/node/33720/psn-pdf
November 01, 2011 - So, if
a pilot and co-pilot are as task interdependent as a surgeon and nurse, they will need the same
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psnet.ahrq.gov/node/49388/psn-pdf
February 01, 2003 - The surgeon and anesthesiologist assumed the patient’s apnea was due to opiate
sensitivity and assisted
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psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
January 29, 2021 - A thorough preoperative assessment should also be performed by the surgeon in the patient’s own language
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psnet.ahrq.gov/node/33657/psn-pdf
September 01, 2007 - Rediscovering the Power of the Surgical M&M
Conference: The M+M Matrix
September 1, 2007
Gordon LA. Rediscovering the Power of the Surgical M&M Conference: The M+M Matrix. PSNet [internet].
2007.
https://psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
Perspective
There is a slumbe…
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psnet.ahrq.gov/node/49603/psn-pdf
June 01, 2010 - Fatal Error in Neonate: Does "Just Culture" Provide an
Answer?
June 1, 2010
Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer? PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
Case Objectives
Describe the just culture approach to in…
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psnet.ahrq.gov/node/49671/psn-pdf
November 01, 2012 - Electrocardiogram Results: ***READ ME***
November 1, 2012
Alpert JS. Electrocardiogram Results: ***READ ME***. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
The Case
A 63-year-old woman with labile hypertension presented to the emergency department (ED) with new onset
che…
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psnet.ahrq.gov/node/33603/psn-pdf
September 15, 2024 - Surgical Site Infections
September 15, 2024
Surgical Site Infections. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/surgical-site-infections
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.311_slideshow.ppt
December 01, 2013 - rivaroxaban was appropriately held prior to surgery and then restarted on hospital day 2, presumably when the surgeon
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psnet.ahrq.gov/node/49443/psn-pdf
May 01, 2004 - Cancelling surgery would inconvenience the patient's family and represent a potential
revenue loss for the surgeon
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psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
March 01, 2019 - We have developed a list of questions that a PSA surgeon would want to know going to a new hospital alone
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psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp
October 30, 2019 - If you're a neurosurgeon or a trauma surgeon, and you go back and operate on the place that you operated … I'm a surgeon because I may not have the patience for that.
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psnet.ahrq.gov/periodic-issue/periodic-issue-294
June 30, 2021 - Although the radiologist’s report was sent to the orthopedic surgeon’s office, the surgeon independently
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psnet.ahrq.gov/periodic-issue/periodic-issue-298
June 30, 2021 - Although the radiologist’s report was sent to the orthopedic surgeon’s office, the surgeon independently
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psnet.ahrq.gov/periodic-issue/periodic-issue-331
March 31, 2022 - March 2, 2022 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, …