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psnet.ahrq.gov/node/49628/psn-pdf
June 01, 2011 - Routine Goes Awry
June 1, 2011
Huoh KC, Rosbe KW. Routine Goes Awry. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/routine-goes-awry
The Case
A 6-year-old girl with a history of asthma and chronic adenotonsillitis was referred to a surgeon and
scheduled for a tonsillectomy and adenoidectomy. She was in ot…
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psnet.ahrq.gov/node/33659/psn-pdf
October 01, 2007 - Making Just Culture a Reality: One Organization's
Approach
October 1, 2007
Page AH. Making Just Culture a Reality: One Organization's Approach. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
Perspective
We've all been there...something goes wrong,…
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psnet.ahrq.gov/periodic-issue/periodic-issue-300
July 28, 2021 - July 14, 2021 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, …
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psnet.ahrq.gov/node/49777/psn-pdf
December 01, 2016 - Suicidal Ideation in the Family Medicine Clinic
December 1, 2016
Moutier C. Suicidal Ideation in the Family Medicine Clinic. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
Case Objectives
Recognize suicide as a major public health problem and the critical role of pri…
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psnet.ahrq.gov/node/49861/psn-pdf
May 01, 2019 - Updates in the Management of High-Risk Pulmonary
Embolism
May 1, 2019
Kabrhel C, Aaronson E. Updates in the Management of High-Risk Pulmonary Embolism. PSNet [internet].
2019.
https://psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
Case Objectives
Review common risk factors, typical present…
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psnet.ahrq.gov/issue/risky-business-navigating-shifting-health-care-landscape
December 22, 2021 - May 3, 2023
Surgeons must tell patients of double-booked surgeries, new guidelines say
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psnet.ahrq.gov/issue/medical-device-associated-safety-and-risk-surveillance-and-stratagems
March 06, 2005 - for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons
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psnet.ahrq.gov/node/49398/psn-pdf
May 01, 2003 - While the risk for patients and surgeons may be low in controlled settings (operating rooms and invasive
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psnet.ahrq.gov/issue/fall-related-injuries-acute-care-reducing-risk-harm
March 28, 2018 - May 15, 2013
Foundations for teaching surgeons to address the contributions of systems
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psnet.ahrq.gov/issue/personal-nursing-care-experiences-provide-lessons-patient-safety
March 01, 2023 - October 3, 2012
Safety skills training for surgeons: a half-day intervention improves
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psnet.ahrq.gov/issue/collaborating-manage-vendor-interactions-and-protect-quality-care-or
October 14, 2020 - August 1, 2012
Foundations for teaching surgeons to address the contributions of systems
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psnet.ahrq.gov/web-mm/bloody-bp-cuff
June 21, 2016 - While the risk for patients and surgeons may be low in controlled settings (operating rooms and invasive
-
psnet.ahrq.gov/node/836978/psn-pdf
May 16, 2022 - American College of Surgeons (ACS) Committee on Perioperative Care.
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psnet.ahrq.gov/node/33721/psn-pdf
November 01, 2011 - Presented
at Association of VA Surgeons 35th Annual Meeting; April 2011; Irvine, CA.
15.
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psnet.ahrq.gov/web-mm/waiting-too-long
February 01, 2013 - May 1, 2006
Surgeons' disclosures of clinical adverse events.
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psnet.ahrq.gov/node/49432/psn-pdf
February 09, 2004 - Nevertheless, a recent study on the presence of in-house attending trauma surgeons showed no impact on
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psnet.ahrq.gov/node/33691/psn-pdf
December 01, 2009 - was not the only complaint about this particular physician, and there
were complaints about other surgeons
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psnet.ahrq.gov/node/49593/psn-pdf
October 01, 2009 - The surgeons decided to make the patient NPO (nothing by mouth) and gave him fluids intravenously.
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psnet.ahrq.gov/issue/teamstepps-health-care-risk-managers-improving-teamwork-and-communication
March 27, 2019 - April 29, 2020
Assessing the performance of aging surgeons.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.257_slideshow.ppt
December 01, 2011 - Smartphone apps for orthopaedic surgeons.