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psnet.ahrq.gov/web-mm/silent-pain-neck
August 19, 2020 - Silent Pain in the Neck
Citation Text:
Bittner EA. Silent Pain in the Neck. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/node/60269/psn-pdf
April 29, 2020 - Delayed Management of Necrotizing Soft Tissue Infection
– Who does the Patient Belong To?
April 29, 2020
Rinderknecht T, Utter GH. Delayed Management of Necrotizing Soft Tissue Infection – Who does the
Patient Belong To? PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tiss…
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psnet.ahrq.gov/node/36910/psn-pdf
August 05, 2008 - In bid for better care, surgery with a warranty.
August 5, 2008
Abelson R.
https://psnet.ahrq.gov/issue/bid-better-care-surgery-warranty
This article reports on a Pennsylvania hospital system that offers a flat fee for bypass surgery and a
guarantee for follow-up care should complications arise.
https://psnet.ahr…
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psnet.ahrq.gov/node/37914/psn-pdf
August 06, 2008 - Hospital tells of surgery on wrong side.
August 6, 2008
Smith S.
https://psnet.ahrq.gov/issue/hospital-tells-surgery-wrong-side
This article reports on a wrong-side surgery that was immediately disclosed to the patient along with an
apology. Hospital administrators also disclosed the error to staff.
https://psnet…
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psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy
July 08, 2022 - the early identification of this disease, including up to or about 5% of patients who had multiple surgeries … Spina bifida
Prematurity
Urogenital anomalies
Tracheoesophageal fistula
Patients with multiple surgeries
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psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned
December 01, 2014 - That was where we said, surgeries happen all over the world. … So we should be able to come up with something that makes surgeries safer all over the world.
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psnet.ahrq.gov/perspective/conversation-edward-kelley-phd
December 01, 2014 - That was where we said, surgeries happen all over the world. … So we should be able to come up with something that makes surgeries safer all over the world.
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psnet.ahrq.gov/issue/association-postoperative-readmissions-surgical-quality-using-delphi-consensus-process
September 25, 2018 - Study
Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes.
Citation Text:
Mull HJ, Graham LA, Morris MS, et al. Association of Postoperative Readmissions With Surgical Quality Using a Delphi Consensus Proce…
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psnet.ahrq.gov/issue/escalation-care-and-failure-rescue-multicenter-multiprofessional-qualitative-study
September 09, 2015 - Study
Classic
Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study.
Citation Text:
Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Surgery.…
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psnet.ahrq.gov/issue/achieving-national-quality-forums-never-events-prevention-wrong-site-wrong-procedure-and
September 28, 2010 - Review
Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations.
Citation Text:
Michaels RK, Makary MA, Dahab Y, et al. Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure…
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psnet.ahrq.gov/issue/patients-perceptions-importance-self-administered-correct-site-surgery-checklist-multisite
May 25, 2022 - Study
Patients' perceptions of importance for self-administered correct site surgery checklist: a multisite study.
Citation Text:
Krenzischek DA, Card E, Mamaril M, et al. Patients' perceptions of importance for self-administered correct site surgery checklist: a multisite study. J Peria…
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psnet.ahrq.gov/issue/adverse-events-infants-less-6-months-age-after-ambulatory-surgery-and-diagnostic-imaging
August 12, 2020 - Study
Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia.
Citation Text:
Uffman JC, Kim SS, Quan LN, et al. Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring …
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psnet.ahrq.gov/issue/leading-causes-anesthesia-related-liability-claims-ambulatory-surgery-centers
December 16, 2020 - Study
Leading causes of anesthesia-related liability claims in ambulatory surgery centers.
Citation Text:
Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000…
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psnet.ahrq.gov/issue/impact-nontechnical-skills-technical-performance-surgery-systematic-review
February 10, 2010 - Review
The impact of nontechnical skills on technical performance in surgery: a systematic review.
Citation Text:
Hull L, Arora S, Aggarwal R, et al. The impact of nontechnical skills on technical performance in surgery: a systematic review. J Am Coll Surg. 2012;214(2):214-230. doi:10.…
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psnet.ahrq.gov/issue/patterns-technical-error-among-surgical-malpractice-claims-analysis-strategies-prevent-injury
August 26, 2011 - Study
Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients.
Citation Text:
Regenbogen SE, Greenberg CC, Studdert DM, et al. Patterns of technical error among surgical malpractice claims: an analysis of strategie…
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psnet.ahrq.gov/issue/minimizing-opioid-prescribing-surgery-mopis-initiative-analysis-implementation-barriers
September 09, 2020 - Study
Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers.
Citation Text:
Coughlin JM, Shallcross ML, Schäfer WLA, et al. Minimizing Opioid Prescribing in Surgery (MOPiS) Initiative: An Analysis of Implementation Barriers. J Surg Res. 2019;…
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psnet.ahrq.gov/issue/executive-summary-american-college-obstetricians-and-gynecologists-presidential-task-force
September 23, 2020 - Commentary
Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery.
Citation Text:
Erickson TB, Kirkpatrick DH, DeFrancesco MS, et al. Executi…
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psnet.ahrq.gov/issue/prospective-evaluation-consultant-surgeon-sleep-deprivation-and-outcomes-more-4000
October 19, 2022 - Study
Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures.
Citation Text:
Chu MWA, Stitt LW, Fox SA, et al. Prospective evaluation of consultant surgeon sleep deprivation and outcomes in more than 4000 cons…
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psnet.ahrq.gov/issue/am-i-safe-interpretative-phenomenological-analysis-vulnerability-experienced-patients
July 10, 2024 - Study
Am I safe? An interpretative phenomenological analysis of vulnerability as experienced by patients with complications following surgery.
Citation Text:
Sutton E, Booth L, Ibrahim M, et al. Am I safe? An interpretative phenomenological analysis of vulnerability as experienced by pat…
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psnet.ahrq.gov/issue/association-measured-quality-and-future-financial-performance-among-hospitals-performing
May 04, 2022 - Study
Association of measured quality and future financial performance among hospitals performing cardiac surgery.
Citation Text:
Enumah SJ, Sundt TM, Chang DC. Association of measured quality and future financial performance among hospitals performing cardiac surgery. J Healthc Manag. 2…