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A Missed Bowel Perforation - the Importance of Diagnostic Reasoning | PSNet

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January 29, 2021 - SPOTLIGHT CASE A Missed Bowel Perforation - the Importance of Diagnostic Reasoning Citation Text: Timbag L, Sinigayan VR, Molla M. A Missed Bowel Perforation - the Importance of Diagnostic Reasoning. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of He…

National Surgical Quality Improvement Program. | PSNet

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October 15, 2018 - Multi-use Website Classic National Surgical Quality Improvement Program. Citation Text: National Surgical Quality Improvement Program. American College of Surgeons. Copy Citation Save Save to your library Print Download PDF …

Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients. | PSNet

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August 20, 2018 - Study Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients. Citation Text: Bilimoria KY, Kmiecik TE, DaRosa DA, et al. Development of an online morbidity, mortality, and near-miss reporting system to ide…

Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hospitals. | PSNet

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June 15, 2022 - Study Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hospitals. Citation Text: Serou N, Husband AK, Forrest SP, et al. Support for healthcare professionals after surgical patient safety incidents: a qualitative …

Operating room to intensive care unit handoffs and the risks of patient harm. | PSNet

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October 05, 2022 - Study Operating room to intensive care unit handoffs and the risks of patient harm. Citation Text: McElroy LM, Collins KM, Koller FL, et al. Operating room to intensive care unit handoffs and the risks of patient harm. Surgery. 2015;158(3):588-594. doi:10.1016/j.surg.2015.03.061. Copy …

Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients: a randomized clinical trial in a simulation setting. | PSNet

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September 30, 2020 - Study Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients: a randomized clinical trial in a simulation setting. Citation Text: Koers L, van Haperen M, Meijer CGF, et al. Effect of Cognitive Aids on Adherence to Best Practice in the T…

A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals. | PSNet

psnet.ahrq.gov/issue/comprehensive-estimation-costs-30-day-postoperative-complications-using-actual-costs-multiple

June 22, 2022 - Study A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals. Citation Text: Merkow RP, Shan Y, Gupta AR, et al. A comprehensive estimation of the costs of 30-day postoperative complications using actual costs fro…

Perioperative patient safety recommendations: systematic review of clinical practice guidelines. | PSNet

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January 08, 2025 - Study Perioperative patient safety recommendations: systematic review of clinical practice guidelines. Citation Text: Martínez-Nicolas I, Arnal-Velasco D, Romero-García E, et al. Perioperative patient safety recommendations: systematic review of clinical practice guidelines. BJS Open. 20…

Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. | PSNet

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November 29, 2023 - Review Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. Citation Text: Samost-Williams A, Rosen R, Hannenberg A, et al. Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. Ann Surg Open. …

Priority patient safety issues identified by perioperative nurses. | PSNet

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June 19, 2013 - Study Priority patient safety issues identified by perioperative nurses. Citation Text: Steelman VM, Graling PR, Perkhounkova Y. Priority patient safety issues identified by perioperative nurses. AORN J. 2013;97(4):402-18. doi:10.1016/j.aorn.2012.06.016. Copy Citation Format: …

Who Nose Where the Airway Is? | PSNet

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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. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. | PSNet

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March 03, 2021 - SPOTLIGHT CASE Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. Citation Text: Ahmed SM, Ali M. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong.. PSNet [internet]. Rockville (MD): Agency fo…

Family of woman who died after a medical error joins hospital's safety panel. | PSNet

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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. Copy Citation Save …

Lessons learned from the RaDonda Vaught ruling. | PSNet

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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 Copy Citation Save Save to your library Print Download PDF …

Development and interrater agreement of a novel classification system combining medical and surgical adverse event reporting. | PSNet

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September 20, 2011 - Study Development and interrater agreement of a novel classification system combining medical and surgical adverse event reporting. Citation Text: Stone A, Jiang ST, Stahl MC, et al. Development and interrater agreement of a novel classification system combining medical and surgical adve…

National cluster-randomized trial of duty-hour flexibility in surgical training. | PSNet

psnet.ahrq.gov/issue/national-cluster-randomized-trial-duty-hour-flexibility-surgical-training

September 09, 2015 - Study Classic National cluster-randomized trial of duty-hour flexibility in surgical training. Citation Text: Bilimoria KY, Chung JW, Hedges L, et al. National Cluster-Randomized Trial of Duty-Hour Flexibility in Surgical Training. New Engl J Med. 2016;374(8):71…

Association of safety culture with surgical site infection outcomes. | PSNet

psnet.ahrq.gov/issue/association-safety-culture-surgical-site-infection-outcomes

October 23, 2024 - Study Classic Association of safety culture with surgical site infection outcomes. Citation Text: Fan CJ, Pawlik TM, Daniels T, et al. Association of safety culture with surgical site infection outcomes. J Am Coll Surg. 2016;222(2):122-128. doi:10.1016/j.jamcoll…

Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study. | PSNet

psnet.ahrq.gov/issue/moving-towards-core-measures-set-patient-safety-perioperative-care-e-delphi-consensus-study

January 15, 2025 - Study Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study. Citation Text: Dinis-Teixeira JP, Nunes AB, Leite A, et al. Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study. PLoS ONE. …

CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. | PSNet

psnet.ahrq.gov/issue/checkpoint-simple-tool-measure-surgical-safety-checklist-implementation-fidelity

December 06, 2023 - Study CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. Citation Text: Moyal-Smith R, Etheridge JC, Turley N, et al. CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. BMJ Qual Saf. 2024;33(4):223-231. doi:10.1136…

Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box analysis. | PSNet

psnet.ahrq.gov/issue/impact-team-performance-surgical-safety-checklist-patient-outcomes-operating-room-black-box

March 20, 2024 - Study Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box analysis. Citation Text: Al Abbas AI, Meier J, Daniel W, et al. Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box …

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