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psnet.ahrq.gov/issue/ibms-watson-learning-its-way-saving-lives
October 18, 2017 - March 4, 2020
Six ways to lower errors—and unnecessary surgeries—in radiology exams.
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psnet.ahrq.gov/issue/key-reducing-doctors-misdiagnoses
October 07, 2015 - March 4, 2020
Six ways to lower errors—and unnecessary surgeries—in radiology exams.
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psnet.ahrq.gov/issue/feds-reverse-course-will-release-hospital-mistake-data
August 13, 2014 - September 6, 2017
Surgeons must tell patients of double-booked surgeries, new guidelines
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psnet.ahrq.gov/issue/arrogant-abusive-and-disruptive-and-doctor
February 09, 2011 - August 17, 2016
5 cataract surgeries, 5 people blinded: what went wrong?
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psnet.ahrq.gov/issue/closing-safety-loop-auto-patient-id
December 03, 2007 - June 16, 2010
Sponges, surgical instruments miscounted in 13% of surgeries.
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psnet.ahrq.gov/issue/medication-safety-issue-brief-medication-reconciliation
June 17, 2014 - June 17, 2014
Awareness of patient safety grows with increased outpatient surgeries.
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psnet.ahrq.gov/issue/can-protecting-patients-be-made-recession-proof
November 10, 2010 - June 25, 2008
Sponges, surgical instruments miscounted in 13% of surgeries.
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psnet.ahrq.gov/issue/target-pill-bottles-now-convenient-and-cute
October 05, 2016 - November 19, 2015
Awareness of patient safety grows with increased outpatient surgeries
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psnet.ahrq.gov/issue/look-alike-sound-alike-oncology-medications
July 02, 2008 - August 17, 2016
5 cataract surgeries, 5 people blinded: what went wrong?
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psnet.ahrq.gov/issue/how-can-we-save-next-victim
January 23, 2008 - August 17, 2016
5 cataract surgeries, 5 people blinded: what went wrong?
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psnet.ahrq.gov/issue/hospital-and-procedure-incidence-pediatric-retained-surgical-items
December 02, 2020 - the World Health Organization's Guidelines for Safe Surgery , though rates did increase for gastric surgeries
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psnet.ahrq.gov/issue/association-anesthesiologist-staffing-ratio-surgical-patient-morbidity-and-mortality
July 06, 2022 - Anesthesiologists often must oversee multiple surgeries.
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psnet.ahrq.gov/issue/contemporary-analysis-closed-claims-related-wrong-site-surgery
March 03, 2021 - wrong-site surgery between 2013 and 2020 concluded that the risk of wrong-site surgery increases with spinal surgeries
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psnet.ahrq.gov/issue/disclosure-adverse-events-patients
November 29, 2023 - March 29, 2007
Quality of Care in Cranial Implant Surgeries at James A.
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psnet.ahrq.gov/issue/when-doctors-get-wrong-patient
December 14, 2016 - December 2, 2015
Doctors perform thousands of unnecessary surgeries.
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psnet.ahrq.gov/issue/effect-surgical-safety-checklists-pediatric-surgical-complications-ontario
December 07, 2016 - These findings are similar to a prior study that included mostly adult surgeries.
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psnet.ahrq.gov/issue/retained-foreign-bodies-after-surgery
November 23, 2011 - They found that concurrent major surgeries and incorrect instrument and sponge counts played a role in
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psnet.ahrq.gov/issue/cognitive-bias-and-dissonance-surgical-practice-narrative-review
June 25, 2018 - care and how they threaten patient safety, including delays in diagnosis and treatment, unnecessary surgeries
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psnet.ahrq.gov/issue/there-july-phenomenon-pediatric-neurosurgery-teaching-hospitals
May 23, 2018 - They found no increase in errors in pediatric brain tumor and shunt surgeries during July and August.
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psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-procedure-and-wrong-patient-adverse-events-are-they-preventable
February 24, 2011 - A prior study indicated a rate of approximately 1 case per 112,000 surgeries, but WSPEs may occur in