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psnet.ahrq.gov/print/pdf/node/867659
July 10, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Rapid Response Systems
Curated Library
Primers
Rapid Response Systems
UC Davis PSNet Editorial Team | September, 15 2024
Rapid response teams represent an intuitively simple concept: when a patient demonstrates signs of
imminent clinical de…
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psnet.ahrq.gov/web-mm/lap-burn
March 01, 2018 - Lap Burn
Citation Text:
Ball K. Lap Burn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/node/49656/psn-pdf
June 01, 2012 - Comanagement: Who's in Charge?
June 1, 2012
Cheng HQ. Comanagement: Who's in Charge? PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/comanagement-whos-charge
The Case
A 77-year-old man with a history of chronic obstructive pulmonary disease (COPD) was admitted with a left
hip fracture to the orthopedic surg…
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psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
April 28, 2021 - Procedural Mishap: Learning Curve?
Citation Text:
Gibbs VC, Leape L. Procedural Mishap: Learning Curve?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-errors-operating-room
January 29, 2021 - Is that solution for IV or irrigation?: Fluid administration errors in the operating room.
Citation Text:
Bohringer C. Is that solution for IV or irrigation?: Fluid administration errors in the operating room.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of He…
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psnet.ahrq.gov/web-mm/who-nose-where-airway
May 01, 2016 - Who Nose Where the Airway Is?
Citation Text:
Lee CR. Who Nose Where the Airway Is?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/primer/failure-rescue
September 15, 2024 - Failure to Rescue
Citation Text:
Tokareva I, Romano P. Failure to Rescue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025.
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psnet.ahrq.gov/node/72739/psn-pdf
February 10, 2021 - seven days after surgery.3-5,24 In an
observational study of nearly 46,000 consecutive orthopedic surgeries
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psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - seven days after surgery. 3-5 , 24 In an observational study of nearly 46,000 consecutive orthopedic surgeries
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psnet.ahrq.gov/node/841140/psn-pdf
December 07, 2022 - Association of measured quality and future financial
performance among hospitals performing cardiac
surgery.
December 7, 2022
Enumah SJ, Sundt TM, Chang DC. Association of measured quality and future financial performance
among hospitals performing cardiac surgery. J Healthc Manag. 2022;67(5):367-379. doi:10.1097/…
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psnet.ahrq.gov/node/50804/psn-pdf
January 15, 2020 - The use of patient digital facial images to confirm patient
identity in a children's hospital's anesthesia information
management system.
January 15, 2020
Thomas JJ, Yaster M, Guffey P. The Use of Patient Digital Facial Images to Confirm Patient Identity in a
Children's Hospital's Anesthesia Information Management…
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psnet.ahrq.gov/node/47962/psn-pdf
May 01, 2019 - Understanding the clinical implications of resident
involvement in uncommon operations.
May 1, 2019
Dasani SS, Simmons KD, Wirtalla CJ, et al. Understanding the Clinical Implications of Resident
Involvement in Uncommon Operations. J Surg Educ. 2019;76(5):1319-1328.
doi:10.1016/j.jsurg.2019.03.011.
https://psnet.a…
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psnet.ahrq.gov/node/764391/psn-pdf
March 02, 2022 - Association between handover of anesthesiology care
and 1-year mortality among adults undergoing cardiac
surgery.
March 2, 2022
Sun LY, Jones PM, Wijeysundera DN, et al. Association between handover of anesthesiology care and 1-
year mortality among adults undergoing cardiac surgery. JAMA Netw Open. 2022;5(2):e214…
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psnet.ahrq.gov/node/41116/psn-pdf
May 24, 2012 - Variations in surgical outcomes associated with hospital
compliance with safety practices.
May 24, 2012
Brooke BS, Dominici F, Pronovost P, et al. Variations in surgical outcomes associated with hospital
compliance with safety practices. Surgery. 2012;151(5):651-9. doi:10.1016/j.surg.2011.12.001.
https://psnet.ahr…
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
January 01, 2024 - Spotlight
Spotlight
Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery
1
Source and Credits
This presentation is based on the May 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Andrew P.J. …
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psnet.ahrq.gov/web-mm/aspergillus-mediastinitis-endocarditis-pediatric-patient-complicating-cardiac-surgery-and
November 16, 2022 - Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure.
Citation Text:
Partridge E, Dodson D, Reilly M, et al. Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure.. PSNet [inter…
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psnet.ahrq.gov/web-mm/weighing-surgical-safety
August 04, 2021 - SPOTLIGHT CASE
Weighing In on Surgical Safety
Citation Text:
Brodsky JB, Margarson M. Weighing In on Surgical Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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psnet.ahrq.gov/issue/some-doctors-questioning-whether-shorter-shifts-interns-are-endangering-patients
July 26, 2017 - Newspaper/Magazine Article
Some doctors questioning whether shorter shifts for interns are endangering patients.
Citation Text:
Some doctors questioning whether shorter shifts for interns are endangering patients. Boodman SG. Kaiser Health News. July 9, 2013.
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psnet.ahrq.gov/issue/lessons-learned-radonda-vaught-ruling
April 26, 2023 - Newspaper/Magazine Article
Lessons learned from the RaDonda Vaught ruling.
Citation Text:
Lessons learned from the RaDonda Vaught ruling. Bilski J. Outpatient Surgery. February 2023;16-21
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psnet.ahrq.gov/issue/nurses-perceptions-and-experiences-communication-operating-theatre-focus-group-interview
June 22, 2009 - Study
Nurses' perceptions and experiences of communication in the operating theatre: a focus group interview.
Citation Text:
Nestel D, Kidd J. Nurses' perceptions and experiences of communication in the operating theatre: a focus group interview. BMC Nurs. 2006;5:1.
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