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psnet.ahrq.gov/web-mm/check-wristband
August 03, 2009 - don't know just how far this mistake would have gone, because the patient is frequently asleep when the surgeon
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psnet.ahrq.gov/web-mm/spinal-epidural-abscess
November 13, 2019 - The orthopedic surgeon agreed with the emergency department evaluation and made no further changes.
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psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
April 01, 2006 - A cardiovascular surgeon was consulted that day, and bypass surgery was scheduled for 4 days later.
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psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
January 29, 2021 - cannot lie flat for the operation while breathing spontaneously, as is required for the ophthalmic surgeon
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psnet.ahrq.gov/node/49408/psn-pdf
July 01, 2003 - know just how far this mistake would have gone, because the patient is frequently asleep when the
surgeon
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psnet.ahrq.gov/node/49606/psn-pdf
August 01, 2010 - with diabetes mellitus, hypertension, and obstructive sleep apnea (OSA) was referred to
an orthopedic surgeon
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psnet.ahrq.gov/periodic-issue/periodic-issue-312
October 27, 2021 - At this particular hospital, eye cases under MAC are typically performed with an eye block by the surgeon
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psnet.ahrq.gov/periodic-issue/periodic-issue-314
October 27, 2021 - At this particular hospital, eye cases under MAC are typically performed with an eye block by the surgeon
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psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
January 23, 2017 - An orthopedic surgeon was consulted and recommended closed reduction of the left hip in the ED. … The orthopedic surgeon performed the hip reduction successfully.
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psnet.ahrq.gov/issue/hqi-and-hospital-council-annual-conference
October 25, 2006 - United States Meeting/Conference
HQI and Hospital Council Annual Conference.
Citation Text:
Hospital Quality Institute. The Everline Resort & Spa, Lake Tahoe, Olympic Valley, CA, October 15-16, 2023.
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S…
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psnet.ahrq.gov/issue/surveys-patient-safety-culturetm-sopsr-ambulatory-surgery-center-survey-2021-user-database
June 01, 2022 - Book/Report
Surveys on Patient Safety Culture™ (SOPS®) Ambulatory Surgery Center Survey: 2021 User Database Report.
Citation Text:
Famolaro T, Hare R, Tapia A, Yount et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2021. AHRQ Publication No. 22-0004.
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psnet.ahrq.gov/issue/piece-my-mind-mistakes
March 19, 2008 - Commentary
A piece of my mind. Mistakes.
Citation Text:
Lesnewski R. A piece of my mind. Mistakes. JAMA. 2006;296(11):1327-8.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/virtual-ambulatory-cusp-training
June 05, 2024 - International Meeting/Conference
Ambulatory CUSP (Comprehensive Unit Based Safety Program) Training.
Citation Text:
Armstrong Institute for Patient Safety and Quality. May 9-10, 2024, 8:00 AM - 12:00 PM (eastern).
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psnet.ahrq.gov/issue/challenging-status-quo-focusing-patient-safety-and-joy-work
December 01, 2021 - Commentary
Challenging the status quo: focusing on patient safety and joy at work.
Citation Text:
Peach AG. Challenging the Status Quo: Focusing on Patient Safety and Joy at Work. J Perianesth Nurs. 2016;31(6):535-538. doi:10.1016/j.jopan.2016.08.008.
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psnet.ahrq.gov/node/49604/psn-pdf
June 01, 2010 - Tacit Handover, Overt Mishap
June 1, 2010
Cooper JB, Kamdar BB. Tacit Handover, Overt Mishap. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
The Case
A 61-year-old man was admitted for management of an infected aortic stent, which had been placed 3
years earlier to treat an abdo…
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psnet.ahrq.gov/node/33682/psn-pdf
April 01, 2009 - In Conversation with...Mark Chassin, MD, MPP, MPH
April 1, 2009
In Conversation with..Mark Chassin, MD, MPP, MPH . PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
Editor's note: Mark R. Chassin, MD, MPP, MPH, is president of The Joint Commission, the preeminent
s…
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psnet.ahrq.gov/node/33699/psn-pdf
August 01, 2010 - Operationalizing Patient Safety at Academic Medical
Centers
August 1, 2010
Chakraborti C, Kahn MJ, Krane K. Operationalizing Patient Safety at Academic Medical Centers. PSNet
[internet]. 2010.
https://psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
Perspective
Academic medical…
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psnet.ahrq.gov/node/33625/psn-pdf
January 01, 2006 - Aviation Safety Methods: Quickly Adopted but Questions
Remain
January 1, 2006
Thomas EJ. Aviation Safety Methods: Quickly Adopted but Questions Remain. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
Perspective
On August 2, 2005, Air France flig…
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psnet.ahrq.gov/node/72564/psn-pdf
November 14, 2018 - Antibiotic and Opioid Stewardship in Dentistry
December 7, 2020
Suda KJ, Fitall E, Hall KK, et al. Antibiotic and Opioid Stewardship in Dentistry. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
Introduction
Medication stewardship refers to efforts by frontlin…
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psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph
April 01, 2013 - In Conversation With… Christopher P. Landrigan, MD, MPH
April 1, 2013
Also Read an Essay
Citation Text:
In Conversation With… Christopher P. Landrigan, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health …