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psnet.ahrq.gov/node/41355/psn-pdf
April 05, 2013 - Comparative economic analyses of patient safety
improvement strategies in acute care: a systematic
review.
April 5, 2013
Etchells E, Koo M, Daneman N, et al. Comparative economic analyses of patient safety improvement
strategies in acute care: a systematic review. BMJ Qual Saf. 2012;21(6):448-56. doi:10.1136/bmjqs…
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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/issue/healthcare-411-mistake-proofing-health-care-environment
October 12, 2011 - Government Resource
Healthcare 411. Mistake proofing the health care environment.
Citation Text:
Agency for Healthcare Quality and Research; AHRQ
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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/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/node/39231/psn-pdf
January 13, 2010 - The Checklist Manifesto: How to Get Things Right.
January 13, 2010
Gawande A. New York, NY: Metropolitan Books; 2009. ISBN: 9780805091748.
https://psnet.ahrq.gov/issue/checklist-manifesto-how-get-things-right
Harvard surgeon Atul Gawande has emerged as this generation's preeminent physician–author, through
his art…
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psnet.ahrq.gov/node/43128/psn-pdf
August 25, 2015 - Locating errors through networked surveillance: a
multimethod approach to peer assessment, hazard
identification, and prioritization of patient safety efforts in
cardiac surgery.
August 25, 2015
Thompson DA, Marsteller JA, Pronovost P, et al. Locating Errors Through Networked Surveillance: A
Multimethod Approach …
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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/node/49687/psn-pdf
August 21, 2013 - outcomes; hospitals with low mortality in elective operations may have high mortality in emergency
surgeries … investigations (e.g.,
ultrasound and computed tomography [CT] scans) and those that perform fewer surgeries … The rise in CT scan and ultrasound usage
has reduced the numbers of emergency surgeries performed and
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psnet.ahrq.gov/issue/determinants-adverse-events-vascular-surgery
March 21, 2012 - August 23, 2023
Variation in the reporting of elective surgeries and its influence on
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psnet.ahrq.gov/issue/incidence-adverse-events-and-negligence-hospitalized-patients-results-harvard-medical
February 18, 2011 - June 1, 2022
Variation in the reporting of elective surgeries and its influence on patient
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psnet.ahrq.gov/issue/healthcare-inspection-evaluation-veterans-health-administrations-national-consult-delay
September 10, 2014 - September 16, 2015
Quality of Care in Cranial Implant Surgeries at James A.
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psnet.ahrq.gov/issue/simulation-systems-testing-program-using-hfmea-methodology-can-effectively-identify-and
January 03, 2017 - June 8, 2022
Variation in the reporting of elective surgeries and its influence on patient
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psnet.ahrq.gov/issue/preventing-medical-injury
February 18, 2011 - February 18, 2011
Variation in the reporting of elective surgeries and its influence
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psnet.ahrq.gov/issue/effectiveness-facilitated-introduction-standard-operating-procedure-routine-processes
February 04, 2015 - April 14, 2010
Quality of Care in Cranial Implant Surgeries at James A.
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psnet.ahrq.gov/issue/institute-medicine-report-medical-errors-could-it-do-harm
February 18, 2011 - February 10, 2015
Variation in the reporting of elective surgeries and its influence
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psnet.ahrq.gov/issue/physician-prescribing-opioids-patients-increased-risk-overdose-benzodiazepine-use-united
September 27, 2016 - , 2020
Ethical considerations and patient safety concerns for cancelling non-urgent surgeries
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psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ
February 24, 2011 - , 2011
Ethical considerations and patient safety concerns for cancelling non-urgent surgeries