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psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
January 27, 2021 - in-hospital ECMO transport team
Critical ECMO transport team members would typically include physicians, surgeons
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
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/too-many-cooks-kitchen
March 07, 2018 - SPOTLIGHT CASE
Too Many Cooks in the Kitchen
Citation Text:
Dutton RP. Too Many Cooks in the Kitchen. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat
February 26, 2025 - In Conversation with...Brent C. James, MD, MStat
February 1, 2011
Citation Text:
In Conversation with..Brent C. James, MD, MStat. PSNet [internet]. 2011.In Conversation with...Brent C. James, MD, MStat. PSNet [internet]. Rockville (MD): Agency for Healthcare Researc…
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psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
January 29, 2021 - Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon
Citation Text:
Bohringer C, Ashley S. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…
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psnet.ahrq.gov/sites/default/files/2022-04/final_spotlight_case_and_commentatry_io_line_extravasation-04.08.2022.pdf
January 01, 2022 - Spotlight
Spotlight
Intraosseous Line Extravasation in a
Pediatric Trauma Patient
Source and Credits
• This presentation is based on the April 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: David Barnes, MD and Joseph Yoon, MD
o…
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psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_latex_allergies-slides.pdf
January 01, 2022 - Spotlight
Spotlight
Perioperative Anaphylaxis After Insertion of
a Latex Drain in a Patient with Known Latex
Allergy
Source and Credits
• This presentation is based on the August 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by K…
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psnet.ahrq.gov/node/49537/psn-pdf
June 01, 2007 - Beeline to Spine
June 1, 2007
Smetana GW. Beeline to Spine. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/beeline-spine
Case Objectives
Understand the elements of preoperative medical evaluation.
Appreciate the limited role for preoperative laboratory testing.
Appreciate the importance of communication a…
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psnet.ahrq.gov/issue/qualitytoolstm
April 25, 2018 - Database/Directory
QualityTools™.
Citation Text:
Agency for Healthcare Research and Quality; AHRQ
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March 6, 2005
Agency for …
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psnet.ahrq.gov/issue/beyond-misadventure-compensation-medical-injuries-new-zealand
March 29, 2023 - Commentary
Beyond misadventure: compensation for medical injuries in New Zealand.
Citation Text:
Oliphant K. Beyond misadventure: compensation for medical injuries in New Zealand. Med Law Rev. 2007;15(3):357-91.
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psnet.ahrq.gov/issue/attention-wanders-rethinking-autopilot
October 26, 2011 - Newspaper/Magazine Article
As attention wanders, rethinking the autopilot.
Citation Text:
Negroni C.
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June 2, 2010
Negroni…
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psnet.ahrq.gov/node/33824/psn-pdf
January 01, 2016 - Patient Safety and Opioid Medications
January 1, 2016
Sarkar U, Shojania KG. Patient Safety and Opioid Medications. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
Annual Perspective 2016
Opioid medications confer significant risks of harm, including overdose death …
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psnet.ahrq.gov/node/33827/psn-pdf
February 01, 2017 - New Insights About Team Training From a Decade of
TeamSTEPPS
February 1, 2017
Baker DP, King HB, Battles J. New Insights About Team Training From a Decade of TeamSTEPPS. PSNet
[internet]. 2017.
https://psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
Perspective
Ten years ago, the Ag…
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psnet.ahrq.gov/node/60721/psn-pdf
July 21, 2020 - Special Edition Perspective: Technology Responses to
COVID-19
July 21, 2020
Marcin JP, Cohen NM, Lowery C, et al. Special Edition Perspective: Technology Responses to COVID-19.
PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/special-edition-perspective-technology-responses-covid-19
Editor’s note: This …
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psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
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/periodic-issue/periodic-issue-310
September 29, 2021 - Results show that while men and women surgeons experience adverse events at approximately the same rate
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psnet.ahrq.gov/periodic-issue/periodic-issue-389
April 26, 2023 - Overlapping surgery – when surgeons schedule distinct procedures on different patients concurrently –
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psnet.ahrq.gov/periodic-issue/periodic-issue-387
April 26, 2023 - This prospective study including 60 attending surgeons from departments of surgery or obstetrics and
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psnet.ahrq.gov/issue/validation-discharge-summary-term-search-method-detect-adverse-events
December 06, 2017 - Supporting doctors as healthcare quality and safety advocates: recommendations from the Association of Surgeons
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psnet.ahrq.gov/issue/empowering-patients-hospital-new-approach-reducing-burden-health-care-associated-infections
May 25, 2022 - July 17, 2013
Personal protective equipment (PPE) for surgeons during COVID-19 pandemic