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psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
June 15, 2022 - The vascular surgeons who cared for the patient believed the patient's chronic burning pain was likely
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psnet.ahrq.gov/web-mm/dropping-new-lows
December 18, 2024 - involve participants from pharmacy, nursing, IT, physician groups (including hospitalists, intensivists, surgeons
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psnet.ahrq.gov/web-mm/supervision-and-entrustment-clinical-training-protecting-patients-protecting-trainees
February 22, 2017 - A survey of the American College of Surgeons Board of Governors and Young Fellows Association.
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psnet.ahrq.gov/web-mm/privacy-or-safety
December 01, 2011 - Similarly, Beth Israel Deaconess surgeons used to carry signout documents as spreadsheets on USB drives
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psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
September 01, 2006 - I can remember being in the operating room and watching surgeons do things that made no real sense rationally
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psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
September 24, 2024 - argues surgeon Thomas Aloia when considering zero harm goals in surgery. 6 Based on surveys, younger surgeons
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psnet.ahrq.gov/web-mm/over-counter-oversight
March 21, 2009 - Over-the-Counter Oversight
Citation Text:
Janamanchi V, Modha K, Whinney C. Over-the-Counter Oversight. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
February 10, 2010 - Residual Anesthesia: Tepid Burn
Citation Text:
Kurrek MM, Twersky RS. Residual Anesthesia: Tepid Burn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/web-mm/abdominal-aortic-aneurysm-screening
October 01, 2011 - SPOTLIGHT CASE
Abdominal Aortic Aneurysm Screening
Citation Text:
Jim J. Abdominal Aortic Aneurysm Screening. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/web-mm/environmental-safety-or
May 19, 2015 - Environmental Safety in the OR
Citation Text:
Linkin DR, Lautenbach E. Environmental Safety in the OR . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.176_slideshow.ppt
May 01, 2008 - Spotlight Case [MONTH] 2003
Spotlight Case May 2008
Diagnosing HIV: It Doesn’t Take a Brain Surgeon
Source and Credits
This presentation is based on the May 2008
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Roger Chou, MD, Oregon Health &…
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psnet.ahrq.gov/node/49545/psn-pdf
September 01, 2007 - Coming Undone: Failure of Closure Device
September 1, 2007
Baez-Escudero JL, Levine GN. Coming Undone: Failure of Closure Device. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
The Case
A 65-year-old man underwent coronary angiography because of atypical exertional chest…
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psnet.ahrq.gov/web-mm/sick-and-pregnant
August 25, 2021 - Sick and Pregnant
Citation Text:
El-Ibiary S. Sick and Pregnant. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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psnet.ahrq.gov/web-mm/dont-pick-picc
December 01, 2011 - Don't Pick the PICC
Citation Text:
McGill RL. Don't Pick the PICC. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation
January 31, 2011 - Lost in Sign Out and Documentation
Citation Text:
Detsky ME. Lost in Sign Out and Documentation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/web-mm/too-much-too-fast
June 14, 2019 - Too Much, Too Fast
Citation Text:
Tuot D. Too Much, Too Fast. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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…
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psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons
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psnet.ahrq.gov/node/72911/psn-pdf
March 15, 2021 - Bulletin of the American College of Surgeons 91 (8): 49.
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psnet.ahrq.gov/sites/default/files/2023-01/spotlight_overdose_of_gabapentin_and_oxycodone_in_a_patient_with_end-stage_renal_disease.pdf
January 01, 2023 - – These dose adjustments were recommended or endorsed by a team that included
surgeons, nurses, and
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psnet.ahrq.gov/node/33748/psn-pdf
April 01, 2013 - We know that surgeons suffer from fatigue-related errors, as do medical residents.