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psnet.ahrq.gov/node/49593/psn-pdf
October 01, 2009 - Who Nose Where the Airway Is?
October 1, 2009
Lee CR. Who Nose Where the Airway Is? PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/who-nose-where-airway
The Case
A 70-year-old man with peripheral vascular disease was brought to the operating room to undergo vascular
bypass surgery on his right upper extrem…
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psnet.ahrq.gov/node/865884/psn-pdf
May 29, 2024 - Managing Complexity in Diagnosis: Life-threatening
Complications after Gastric Bypass Surgery.
May 29, 2024
Olson APJ. Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass
Surgery. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-…
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psnet.ahrq.gov/issue/check-your-medicines-tips-taking-medicines-safely
September 04, 2018 - Government Resource
Check Your Medicines: Tips for Taking Medicines Safely.
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April 23, 2012
This 5-point checklist provides consu…
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psnet.ahrq.gov/node/44205/psn-pdf
June 21, 2015 - Teamwork, communication and safety climate: a
systematic review of interventions to improve surgical
culture.
June 21, 2015
Sacks GD, Shannon EM, Dawes AJ, et al. Teamwork, communication and safety climate: a systematic
review of interventions to improve surgical culture. BMJ Qual Saf. 2015;24(7):458-67. doi:10.11…
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psnet.ahrq.gov/node/46351/psn-pdf
December 19, 2017 - Intraoperative surgical performance measurement and
outcomes: choose your tools carefully.
December 19, 2017
Aggarwal R. Intraoperative Surgical Performance Measurement and Outcomes: Choose Your Tools
Carefully. JAMA Surg. 2017;152(11):995-996. doi:10.1001/jamasurg.2017.0837.
https://psnet.ahrq.gov/issue/intraoper…
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psnet.ahrq.gov/node/37903/psn-pdf
May 09, 2013 - Safe Surgery.
May 9, 2013
World Health Organization.
https://psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge
This initiative provides a surgical safety checklist and related educational and training materials building on
the Second Global Patient Safety Challenge vision to enco…
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psnet.ahrq.gov/node/46084/psn-pdf
February 21, 2018 - The effect of facility characteristics on patient safety,
patient experience, and service availability for procedures
in non–hospital-affiliated outpatient settings: a systematic
review.
February 21, 2018
Berglas NF, Battistelli MF, Nicholson WK, et al. The effect of facility characteristics on patient safety,
pa…
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psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
January 01, 2024 - Spotlight
Spotlight
Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis
1
Source and Credits
This presentation is based on the December 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Comment…
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psnet.ahrq.gov/issue/care-transitions-program
March 14, 2018 - Multi-use Website
Care Transitions Program.
Citation Text:
Care Transitions Program. The Division of Health Care Policy and Research; University of Colorado Health Sciences Center
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Sha…
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psnet.ahrq.gov/issue/family-woman-who-died-after-medical-error-joins-hospitals-safety-panel
May 13, 2020 - Newspaper/Magazine Article
Family of woman who died after a medical error joins hospital's safety panel.
Citation Text:
Family of woman who died after a medical error joins hospital's safety panel. Shelton DL. Chicago Tribune. October 7, 2011.
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psnet.ahrq.gov/issue/management-operating-room-critical-events
March 27, 2024 - Special or Theme Issue
Management of Operating Room Critical Events.
Citation Text:
Management of Operating Room Critical Events. Hannenberg AA, ed. Anesthesiol Clin. 2020;38(4):727-922.
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psnet.ahrq.gov/issue/symposium-patient-safety-collaboration-communication-and-physician-leadership
April 19, 2011 - Special or Theme Issue
Symposium: Patient Safety: Collaboration, Communication, and Physician Leadership.
Citation Text:
Symposium: Patient Safety: Collaboration, Communication, and Physician Leadership. Herndon JH, ed. Clin Orthop Relat Res. 2015;473:1544-1551;1566-1597;1600-1608;1612-1…
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psnet.ahrq.gov/issue/when-should-surgeons-stop-operating
May 24, 2017 - Newspaper/Magazine Article
When should surgeons stop operating?
Citation Text:
When should surgeons stop operating? Whitehead N. National Public Radio. June 18, 2015.
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psnet.ahrq.gov/issue/think-you-cant-make-medication-errors
March 01, 2023 - Newspaper/Magazine Article
Think you can't make medication errors?
Citation Text:
Think you can't make medication errors? Kromis L. Outpatient Surgery Magazine. March 2013.
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psnet.ahrq.gov/issue/surgeon-heal-thyself-optimising-surgical-performance-managing-stress
November 10, 2017 - Book/Report
Surgeon, Heal Thyself: Optimising Surgical Performance by Managing Stress.
Citation Text:
Surgeon, Heal Thyself: Optimising Surgical Performance by Managing Stress. Shiralkar U. Boca Raton, FL: CRC Press; 2017. ISBN: 9781498724036.
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psnet.ahrq.gov/issue/incidence-and-characteristics-potential-and-actual-retained-foreign-object-events-surgical
January 02, 2017 - Study
Classic
Incidence and characteristics of potential and actual retained foreign object events in surgical patients.
Citation Text:
Cima RR, Kollengode A, Garnatz J, et al. Incidence and characteristics of potential and actual retained foreign object event…
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psnet.ahrq.gov/issue/association-2011-acgme-resident-duty-hour-reform-postoperative-patient-outcomes-surgical
February 14, 2017 - Study
Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties.
Citation Text:
Rajaram R, Chung JW, Cohen ME, et al. Association of the 2011 ACGME Resident Duty Hour Reform with Postoperative Patient Outcomes in Surgical Specialt…
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psnet.ahrq.gov/issue/implementation-surgical-safety-checklist-south-carolina-hospitals-associated-improvement
June 02, 2015 - Study
Implementation of the surgical safety checklist in South Carolina hospitals is associated with improvement in perceived perioperative safety.
Citation Text:
Molina G, Jiang W, Edmondson L, et al. Implementation of the Surgical Safety Checklist in South Carolina Hospitals Is Associa…
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psnet.ahrq.gov/issue/association-opioid-consumption-profiles-after-hospitalization-risk-adverse-health-care-events
May 05, 2021 - Study
Association of opioid consumption profiles after hospitalization with risk of adverse health care events.
Citation Text:
Kurteva S, Abrahamowicz M, Gomes T, et al. Association of opioid consumption profiles after hospitalization with risk of adverse health care events. JAMA Netw Op…
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psnet.ahrq.gov/issue/assessing-stops-framework-coping-intraoperative-errors-evidence-efficacy-hints-hubris-and
June 14, 2023 - Study
Assessing the STOPS framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and a bridge to abridging burnout.
Citation Text:
D'Angelo JD, Rivera M, Rasmussen TE, et al. Assessing the stops framework for coping with intraoperative errors: evidence of…