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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role2.html
September 01, 2024 - Healers, physicians, and surgeons used their skills to fix what was deemed wrong with the patient’s body
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psnet.ahrq.gov/perspective/conversation-eric-thomas-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/issue/coping-medical-error-systematic-review-papers-assess-effects-involvement-medical-errors
March 04, 2015 - Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons
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psnet.ahrq.gov/issue/coping-and-recovery-surgical-residents-after-adverse-events-second-victim-phenomenon
July 11, 2012 - View More
Related Resources
Learning from experience: a qualitative study of surgeons
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psnet.ahrq.gov/issue/overkill-avalanche-unnecessary-medical-care-harming-patients-physically-and-financially-what
March 29, 2010 - Newspaper/Magazine Article
Overkill: An avalanche of unnecessary medical care is harming patients physically and financially. What can we do about it?
Citation Text:
Overkill: An avalanche of unnecessary medical care is harming patients physically and financially. What can we do about it…
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psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
July 02, 2011 - Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring.
Citation Text:
DeLemos C. Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Service…
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psnet.ahrq.gov/issue/checklist
September 28, 2017 - Newspaper/Magazine Article
Classic
The checklist.
Citation Text:
The checklist. Gawande A. New Yorker. December 10, 2007:86-95.
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psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
January 29, 2021 - If surgeons think that they may have inadvertently lacerated the pleura, they should inform the anesthesia
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/standalone_psi_casestudy.pdf
April 02, 2025 - Hospital Expands Use of AHRQ’s QI Toolkit To Improve Patient Safety Measures Prioritized by Medicare
Hospital Expands Use of AHRQ’s QI Toolkit To Improve Patient Safety
Measures Prioritized by Medicare
Abstract
Hospital
Harborview Medical Center (HMC),
a large, level I trauma center in
Seattle, Washington
L…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/carotid-artery-stenosis-screening
February 02, 2021 - Share to Facebook
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Evidence Summary
Asymptomatic Carotid Artery Stenosis: Screening
February 02, 2021
Recommendations made by the USPSTF are independent of the U.S. government. They should not be …
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hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_1999_CORE10A.TXT
January 01, 1999 - Data Set Name: NIS_1999_CORE10A
Number of Observations: 719893
Total Record Length: 484
Total Number of Variables: 116
Columns Description:
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1- 3 Database name
5- 8 Discharge year of data
10- 17 File name
19- 21 Variable number
23- 41 Variable nam…
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hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_1999_CORE10B.TXT
January 01, 1999 - Data Set Name: NIS_1999_CORE10B
Number of Observations: 719893
Total Record Length: 484
Total Number of Variables: 116
Columns Description:
======= ============
1- 3 Database name
5- 8 Discharge year of data
10- 17 File name
19- 21 Variable number
23- 41 Variable nam…
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hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2000_CORE_10B.TXT
January 01, 2000 - Data Set Name: NIS_2000_10PCT_SAMPLE_B
Number of Observations: 745099
Total Record Length: 493
Total Number of Variables: 116
Columns Description:
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1- 3 Database name
5- 8 Discharge year of data
10- 25 File name
27- 29 Variable number
31- 49 Variable nam…
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hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2000_CORE_10A.TXT
January 01, 2000 - Data Set Name: NIS_2000_10PCT_SAMPLE_A
Number of Observations: 745099
Total Record Length: 493
Total Number of Variables: 116
Columns Description:
======= ============
1- 3 Database name
5- 8 Discharge year of data
10- 25 File name
27- 29 Variable number
31- 49 Variable nam…
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hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_1998_CORE10A.TXT
January 01, 1998 - Data Set Name: NIS_1998_CORE10A
Number of Observations: 682735
Total Record Length: 484
Total Number of Variables: 116
Columns Description:
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1- 3 Database name
5- 8 Discharge year of data
10-17 File name
19-21 Variable number
23-41 Variable nam…
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hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_1998_CORE10B.TXT
January 01, 1998 - Data Set Name: NIS_1998_CORE10B
Number of Observations: 682735
Total Record Length: 484
Total Number of Variables: 116
Columns Description:
======= ============
1- 3 Database name
5- 8 Discharge year of data
10-17 File name
19-21 Variable number
23-41 Variable nam…
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psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
May 11, 2014 - Ideally, a multidisciplinary assessment of heparin use in the OR would include anesthesiologists, surgeons
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psnet.ahrq.gov/primer/systems-approach
June 15, 2024 - Systems Approach
Citation Text:
Systems Approach. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/issue/checklist-manifesto-how-get-things-right
February 06, 2018 - Book/Report
Classic
The Checklist Manifesto: How to Get Things Right.
Citation Text:
The Checklist Manifesto: How to Get Things Right. Gawande A. New York, NY: Metropolitan Books; 2009. ISBN: 9780805091748.
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psnet.ahrq.gov/web-mm/wrongful-resuscitation
October 12, 2012 - The Wrongful Resuscitation
Citation Text:
Teno JM. The Wrongful Resuscitation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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