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psnet.ahrq.gov/issue/another-look-medical-error
November 16, 2022 - March 29, 2023
Surgeons and systems working together to drive safety and quality.
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psnet.ahrq.gov/issue/teamwork-and-legal-and-ethical-responsibility-anaesthetist
February 14, 2024 - Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons
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psnet.ahrq.gov/issue/evaluation-healthcare-safety-climate-measurement-tool
August 08, 2018 - August 19, 2009
Use of unsolicited patient observations to identify surgeons with increased
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psnet.ahrq.gov/issue/relationships-among-clinician-delay-diagnosis-breast-cancer-and-tumor-size-nodal-status-and
March 08, 2017 - February 21, 2018
Use of unsolicited patient observations to identify surgeons with increased
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psnet.ahrq.gov/issue/process-analysis-sentinel-events-due-health-care-associated-infection
January 22, 2014 - Improving disclosure and management of medical error—an opportunity to transform the surgeons
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psnet.ahrq.gov/issue/incidence-and-causes-critical-incidents-emergency-departments-comparison-and-root-cause
January 18, 2023 - May 23, 2007
Surgeons' disclosures of clinical adverse events.
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psnet.ahrq.gov/issue/inadvertent-administration-magnesium-sulfate-through-epidural-catheter-report-and-analysis
March 06, 2019 - Supporting doctors as healthcare quality and safety advocates: recommendations from the Association of Surgeons
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psnet.ahrq.gov/issue/reporting-adverse-events-war-zone
February 01, 2023 - July 20, 2022
Outcome differences between surgeons performing first and subsequent coronary
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psnet.ahrq.gov/issue/snomed-ct-electronic-health-record-enhances-anesthesia-patient-safety
March 14, 2022 - March 8, 2017
Use of unsolicited patient observations to identify surgeons with increased
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psnet.ahrq.gov/web-mm/mid-summer-fog
September 29, 2017 - Seasonal variation in surgical outcomes as measured by the American College of Surgeons-National Surgical
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psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
February 01, 2014 - this case, the patient's QTc interval was measured as part of the preoperative assessment, but the surgeons
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.350_slideshow.ppt
June 01, 2015 - The vascular surgeons who cared for the patient believed the patient's chronic burning pain was likely
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psnet.ahrq.gov/node/49604/psn-pdf
June 01, 2010 - In that era, it was expected that anesthesia professionals, like
surgeons, would stay with their patients
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.329_slideshow.ppt
August 01, 2014 - may also help aid in diagnoses
Institutions should involve multidisciplinary teams (often including surgeons
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psnet.ahrq.gov/node/33864/psn-pdf
January 01, 2019 - universities do, through either the Society for Simulation in Healthcare or the American
College of Surgeons
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psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
February 28, 2024 - For example, surgeons and oncologists often order these devices, but a consistent approach to their use … The panel included experts from disciplines such as radiology, cancer, infectious diseases, pharmacy, surgeons
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psnet.ahrq.gov/node/33627/psn-pdf
February 01, 2006 - Removing Insult from Injury—Disclosing Adverse Events
February 1, 2006
Wu AW. Removing Insult from Injury—Disclosing Adverse Events. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
Perspective
You pull into a parking space, swing open the car door, and ar…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.29_slideshow.ppt
September 01, 2003 - Spotlight Case September 2003
Spotlight Case September 2003
Infant Paralyzed for Intubation Before Airway Materials Ready
Source and Credits
This presentation is based on the Sept. 2003 AHRQ WebM&M Spotlight Case in Pediatrics
See the full article at http://webmm.ahrq.gov
CME credit is available through the …
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psnet.ahrq.gov/node/33636/psn-pdf
July 01, 2006 - Key Issues in Developing a Successful Hospital Safety
Program
July 1, 2006
Whittington JC. Key Issues in Developing a Successful Hospital Safety Program. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
Perspective
What are the key success factors…
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psnet.ahrq.gov/node/33781/psn-pdf
March 01, 2015 - In Conversation With… Brian Jarman, PhD
March 1, 2015
In Conversation With… Brian Jarman, PhD. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
Editor's note: Sir Brian Jarman is an emeritus professor at Imperial College School of Medicine and a
past president of the Britis…