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psnet.ahrq.gov/node/33595/psn-pdf
December 15, 2024 - sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
https://psnet.ahrq.gov/issue/outcomes-daytime-procedures-performed-attending-surgeons-after-night-work
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psnet.ahrq.gov/node/33657/psn-pdf
September 01, 2007 - How can an assembly of surgeons, cloistered in a meeting steeped in the ABCs
(abuse, berate, and chastise
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psnet.ahrq.gov/node/49671/psn-pdf
November 01, 2012 - Physicians, Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic
Surgeons
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psnet.ahrq.gov/print/pdf/node/848754
January 01, 2025 - face challenges associated with implementation and adherence, for example,
the difficulty of engaging surgeons … face challenges associated with implementation and adherence, for example,
the difficulty of engaging surgeons
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psnet.ahrq.gov/node/49721/psn-pdf
December 01, 2014 - When Birkmeyer and colleagues evaluated the skills of 20
attending surgeons in Michigan performing laparoscopic … gastric bypass procedures (16), based on video
voluntarily submitted by the surgeons, his team found
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psnet.ahrq.gov/periodic-issue/periodic-issue-406
August 30, 2023 - Effect of lawsuits on professional well-being and medical error rates among orthopaedic surgeons
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psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
September 01, 2006 - I can remember being in the operating room and watching surgeons do things that made no real sense rationally … December 18, 2018
Public reporting of surgical outcomes: surgeons, hospitals, or both
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psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
November 01, 2006 - We need to have that in a hospital, where nurses can critique physicians and even surgeons—and where … the surgeons say "thank you."
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psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety
April 01, 2013 - Effect of sleep deprivation on surgeons' dexterity on laparoscopy simulator. … We know that surgeons suffer from fatigue-related errors, as do medical residents. … education and training, and promoting resident well-being: a response from the American College of Surgeons
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psnet.ahrq.gov/periodic-issue/periodic-issue-316
November 30, 2021 - This article describes several initiatives aimed at protecting surgeons, patients and healthcare workers
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psnet.ahrq.gov/periodic-issue/periodic-issue-398
July 31, 2023 - In this study, surgical personnel (surgeons, anesthesiologists, nurse anesthetists, surgical nurses,
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psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
August 01, 2006 - In that era, it was expected that anesthesia professionals, like surgeons, would stay with their patients
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psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
August 02, 2015 - Nevertheless, a recent study on the presence of in-house attending trauma surgeons showed no impact on
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psnet.ahrq.gov/web-mm/complaints-safety-surveillance
May 05, 2021 - study of expert opinions on assuring performance and supporting safe career transitions among older surgeons
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psnet.ahrq.gov/web-mm/who-nose-where-airway
May 01, 2016 - The surgeons decided to make the patient NPO (nothing by mouth) and gave him fluids intravenously.
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psnet.ahrq.gov/node/60857/psn-pdf
August 26, 2020 - However, these studies have been
conducted in carefully selected patients by experienced extremity surgeons
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psnet.ahrq.gov/primer/failure-rescue
September 15, 2024 - Failure to rescue in surgical patients: a review for acute care surgeons.
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psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
January 29, 2021 - Misconnection Leading to Arterial Thrombosis
Citation Text:
Bohringer C, Lee G. Misconnection Leading to Arterial Thrombosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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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/web-mm/routine-goes-awry
September 23, 2020 - Routine Goes Awry
Citation Text:
Huoh KC, Rosbe KW. Routine Goes Awry. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…