Results

Total Results: 8,075 records

Showing results for "surgeries".

7441. Unexpectedly long hospital stays as an indicator of risk of unsafe care: an exploratory study. | PSNet
      psnet.ahrq.gov/issue/unexpectedly-long-hospital-stays-indicator-risk-unsafe-care-exploratory-study
      January 07, 2015 - Study Unexpectedly long hospital stays as an indicator of risk of unsafe care: an exploratory study. Citation Text: Borghans I, Hekkert KD, Ouden L den, et al. Unexpectedly long hospital stays as an indicator of risk of unsafe care: an exploratory study. BMJ Open. 2014;4(6):e004773. doi:…

7442. Association of a surgical task during training with team skill acquisition among surgical residents: the missing piece in multidisciplinary team training. | PSNet
      psnet.ahrq.gov/issue/association-surgical-task-during-training-team-skill-acquisition-among-surgical-residents
      March 12, 2025 - Study Association of a surgical task during training with team skill acquisition among surgical residents: the missing piece in multidisciplinary team training. Citation Text: Sparks JL, Crouch DL, Sobba K, et al. Association of a Surgical Task During Training With Team Skill Acquisition…

7443. Demonstrating the value of a standardized cognitive assessment tool through the use of interprofessional rapid safety rounds. | PSNet
      psnet.ahrq.gov/innovation/demonstrating-value-standardized-cognitive-assessment-tool-through-use-interprofessional
      December 02, 2020 - EMERGING INNOVATIONS Demonstrating the value of a standardized cognitive assessment tool through the use of interprofessional rapid safety rounds. Citation Text: Hayes M, Wheeling D, Kaul-Connolly S. Demonstrating the value of a standardized cognitive assessment tool through the use of interprofes…

7444. Patient safety and telephone medicine: some lessons from closed claim case review. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-telephone-medicine-some-lessons-closed-claim-case-review
      May 18, 2022 - Study Patient safety and telephone medicine: some lessons from closed claim case review. Citation Text: Katz HP, Kaltsounis D, Halloran L, et al. Patient safety and telephone medicine : some lessons from closed claim case review. J Gen Intern Med. 2008;23(5):517-22. doi:10.1007/s11606-…

7445. Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular events, infections, and cancers. | PSNet
      psnet.ahrq.gov/issue/serious-misdiagnosis-related-harms-malpractice-claims-big-three-vascular-events-infections
      July 28, 2023 - Study Emerging Classic Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular events, infections, and cancers. Citation Text: Newman-Toker DE, Schaffer AC, Yu-Moe CW, et al. Serious misdiagnosis-related harms in malpractice claims: T…

7446. Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study. | PSNet
      psnet.ahrq.gov/issue/preventable-deaths-due-problems-care-english-acute-hospitals-retrospective-case-record-review
      July 20, 2022 - Study Classic Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study. Citation Text: Hogan H, Healey F, Neale G, et al. Preventable deaths due to problems in care in English acute hospitals: a retrospect…

7447. Rate of sepsis hospitalizations after misdiagnosis in adult emergency department patients: a look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology in an integrated health system. | PSNet
      psnet.ahrq.gov/issue/rate-sepsis-hospitalizations-after-misdiagnosis-adult-emergency-department-patients-look
      December 08, 2021 - Study Rate of sepsis hospitalizations after misdiagnosis in adult emergency department patients: a look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology in an integrated health system. Citation Text: Horberg MA, Nassery …

7448. Use of an electronic clinical decision support system in primary care to assess inappropriate polypharmacy in young seniors with multimorbidity: observational, descriptive, cross-sectional study | PSNet
      psnet.ahrq.gov/issue/use-electronic-clinical-decision-support-system-primary-care-assess-inappropriate
      October 21, 2020 - Study Use of an electronic clinical decision support system in primary care to assess inappropriate polypharmacy in young seniors with multimorbidity: observational, descriptive, cross-sectional study Citation Text: Rogero-Blanco E, Lopez-Rodriguez JA, Sanz-Cuesta T, et al. Use of an ele…

7449. Can patient involvement improve patient safety? A cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention. | PSNet
      psnet.ahrq.gov/issue/can-patient-involvement-improve-patient-safety-cluster-randomised-control-trial-patient
      December 21, 2016 - Study Classic Can patient involvement improve patient safety? A cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention. Citation Text: Lawton R, O'Hara JK, Sheard L, et al. Can patient involvement improve…

7450. Education outcomes from a duty-hour flexibility trial in internal medicine. | PSNet
      psnet.ahrq.gov/issue/education-outcomes-duty-hour-flexibility-trial-internal-medicine
      December 12, 2012 - Study Classic Education outcomes from a duty-hour flexibility trial in internal medicine. Citation Text: Desai SV, Asch DA, Bellini LM, et al. Education Outcomes in a Duty-Hour Flexibility Trial in Internal Medicine. New Engl J Med. 2018;378(16):1494-1508. doi:1…

7451. Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers. | PSNet
      psnet.ahrq.gov/innovation/implementation-medication-reconciliation-risk-stratification-tool-integrated-within
      April 12, 2023 - EMERGING INNOVATIONS Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers. Citation Text: Chu ES, El-Kareh R, Biondo A, et al. Implementation of a medication reconciliation risk stratif…

7452. A high-reliability organization framework for health care: a multiyear implementation strategy and associated outcomes. | PSNet
      psnet.ahrq.gov/issue/high-reliability-organization-framework-health-care-multiyear-implementation-strategy-and
      November 17, 2021 - Study A high-reliability organization framework for health care: a multiyear implementation strategy and associated outcomes. Citation Text: Sculli GL, Pendley-Louis R, Neily J, et al. A high-reliability organization framework for health care: a multiyear implementation strategy and asso…

7453. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
      January 01, 2024 - incomplete removal of foreign bodies from an elbow wound, which ultimately led to osteomyelitis and multiple surgeries

7454. Check the Anesthesia Machine | PSNet
      psnet.ahrq.gov/web-mm/check-anesthesia-machine
      August 01, 2006 - Check the Anesthesia Machine Citation Text: Saddawi-Konefka D, Cooper JB. Check the Anesthesia Machine. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…

7455. Air on the Side of Caution | PSNet
      psnet.ahrq.gov/web-mm/air-side-caution
      April 21, 2015 - Air on the Side of Caution Citation Text: Robertson JM, Pozner CN. Air on the Side of Caution. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…

7456. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49536/psn-pdf
      May 01, 2007 - On the Other Hand May 1, 2007 Henneman EA. On the Other Hand. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/other-hand The Case A young woman with Takayasu's arteritis presented to the hospital with severe abdominal pain. The patient had been diagnosed with Takayasu's a decade earlier. The disease results…

7457. An Easily Forgotten Tube | PSNet
      psnet.ahrq.gov/web-mm/easily-forgotten-tube
      June 01, 2016 - An Easily Forgotten Tube Citation Text: Ousey K. An Easily Forgotten Tube. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

7458. OR Peeping | PSNet
      psnet.ahrq.gov/web-mm/or-peeping
      May 01, 2015 - OR Peeping Citation Text: Mackenzie CF. OR Peeping. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

7459. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49397/psn-pdf
      May 01, 2003 - The Dropped Lung May 1, 2003 Heffner JR. The Dropped Lung. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/dropped-lung The Case A 79-year-old woman was admitted for hypoxia and shortness of breath. Two weeks prior she had been hospitalized for dyspnea and was found to have multiple bilateral pulmonary nodu…

7460. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49722/psn-pdf
      December 01, 2014 - Medical Devices in the "Wild" December 1, 2014 Gurses AP, Doyle PA. Medical Devices in the "Wild". PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/medical-devices-wild The Case A 75-year-old man with a history of congestive heart failure (CHF), coronary artery disease, diabetes, chronic pain, arthritis, and…