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psnet.ahrq.gov/issue/intensive-care-unit-nurse-staffing-and-risk-complications-after-abdominal-aortic-surgery
December 02, 2020 - Study
Classic
Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery.
Citation Text:
Pronovost PJ, Dang D, Dorman T, et al. Intensive care unit nurse staffing and the risk for complications after abdominal aortic surge…
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psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health-administration-and-lessons
August 21, 2019 - Study
Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned.
Citation Text:
Neily J, Silla ES, Sum-Ping S (J) T, et al. Anesthesia Adverse Events Voluntarily Reported in the Veterans Health Administration and Lessons Learned. Anesth Anal…
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psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
January 31, 2024 - In Conversation With… John D. Birkmeyer, MD
May 1, 2015
Citation Text:
In Conversation With… John D. Birkmeyer, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/node/838900/psn-pdf
October 27, 2022 - Fecal Contamination of the Peritoneum from
Laparoscopic Trocar Injury: A Routine Operation Goes
Wrong.
October 27, 2022
Ahmed SM, Ali M. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine
Operation Goes Wrong. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/fecal-contamination-…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.127_slideshow.ppt
May 01, 2006 - Spotlight Case
Spotlight Case May 2006
Right? Left? Neither!
Source and Credits
This presentation is based on the May 2006
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Elizabeth A. Howell, MD, MPP; Mark R. Chassin, MD…
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psnet.ahrq.gov/issue/network-patient-safety-databases
December 24, 2008 - Database/Directory
Network of Patient Safety Databases.
Citation Text:
Network of Patient Safety Databases. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/personal-best
September 28, 2017 - Newspaper/Magazine Article
Personal best.
Citation Text:
Personal best. Gawande A. New Yorker. October 3, 2011.
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…
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psnet.ahrq.gov/issue/how-avoid-falling-victim-hospital-mistake
April 06, 2016 - Newspaper/Magazine Article
How to avoid falling victim to a hospital mistake.
Citation Text:
How to avoid falling victim to a hospital mistake. Cohen E.
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psnet.ahrq.gov/issue/perioperative-issues-surgeons-improving-patient-safety-and-outcomes
September 19, 2018 - Special or Theme Issue
Perioperative Issues for Surgeons: Improving Patient Safety and Outcomes.
Citation Text:
Perioperative Issues for Surgeons: Improving Patient Safety and Outcomes. Napolitano LM, ed. Surg Clin North Am. 2005;85(6):1061-1380.
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psnet.ahrq.gov/issue/patient-safety-22
November 26, 2008 - Special or Theme Issue
Patient Safety
Citation Text:
Patient Safety Zheng F ed. Surg Clin North Am. 2021;101(1):1-160.
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psnet.ahrq.gov/issue/patient-safety-13
November 26, 2018 - Special or Theme Issue
Patient Safety.
Citation Text:
Patient Safety. Todd DW, Bennett JD, eds. Oral Maxillofac Surg Clin North Am. 2017;29:121-244.
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psnet.ahrq.gov/issue/simulation-surgical-training-and-practice
February 15, 2012 - Special or Theme Issue
Simulation in Surgical Training and Practice.
Citation Text:
Simulation in Surgical Training and Practice. Brown KM, Paige JT, eds. Surg Clin North Am. 2015;95:695-918.
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psnet.ahrq.gov/issue/ahrq-quality-indicators
December 24, 2008 - Measurement Tool/Indicator
AHRQ Quality Indicators.
Citation Text:
AHRQ Quality Indicators. Agency for Healthcare Research and Quality
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psnet.ahrq.gov/issue/questions-are-answer
December 24, 2008 - Multi-use Website
Questions Are the Answer.
Citation Text:
Questions Are the Answer. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting-0
December 24, 2008 - Multi-use Website
Common formats for patient safety data collection and event reporting.
Citation Text:
Common formats for patient safety data collection and event reporting. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/health-literacy-0
December 24, 2008 - Multi-use Website
Health Literacy.
Citation Text:
Health Literacy. Agency for Healthcare Research and Quality
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…
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psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
January 01, 2024 - Spotlight
Spotlight
Missed Connection: A Case of Inadequate ECG
Oversight in Cardiac Surgery
Source and Credits
• This presentation is based on the March 2024 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Christian Bohringer, MBBS, …
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psnet.ahrq.gov/node/42262/psn-pdf
November 21, 2016 - Medical errors leave devastating impact on families,
professionals.
November 21, 2016
Bernhard B.
https://psnet.ahrq.gov/issue/medical-errors-leave-devastating-impact-families-professionals
This newspaper article relates how medical mistakes affect both patients and clinicians and offers tips for
patients and fam…
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psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia
April 01, 2003 - The Wild West: Patient Safety in Office-Based Anesthesia
Rainu Kaushal, MD MPH; Sekhar Upadhyayula, MD; David M. Gaba, MD; Lucian L. Leape, MD | May 1, 2006
View more articles from the same authors.
Citation Text:
Kaushal R, Upadhyayula S, Gaba DM, et al. The Wild…
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psnet.ahrq.gov/node/49423/psn-pdf
November 01, 2003 - The Missing Suction Tip
November 1, 2003
Thomas EJ, Moore FA. The Missing Suction Tip. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/missing-suction-tip
Case Objectives
Identify the risk factors for retained foreign bodies.
Understand methods used to prevent and identify retained foreign bodies.
Apprecia…