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psnet.ahrq.gov/web-mm/other-side
May 01, 2007 - SPOTLIGHT CASE
The Other Side
Citation Text:
Vincent CA. The Other Side. 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/issue/wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settings
June 09, 2021 - Book/Report
Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings.
Citation Text:
Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. Farnborough, UK: Healthcare Safety Investigation Branch; June 2021.
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psnet.ahrq.gov/issue/62-year-old-woman-skin-cancer-who-experienced-wrong-site-surgery
December 01, 2021 - Commentary
Classic
A 62-year-old woman with skin cancer who experienced wrong-site surgery.
Citation Text:
Gallagher TH. A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of medical error. JAMA. 2009;302(6):669-77. doi:10.1001/jam…
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psnet.ahrq.gov/issue/advancing-patient-safety-cataract-surgery-betsy-lehman-center-expert-panel-report
May 03, 2023 - Government Resource
Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert Panel Report.
Citation Text:
Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert Panel Report. Boston, MA: Betsy Lehman Center for Patient Safety and Medical Error Reduct…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-cath-use-070814.pptx
January 01, 2015 - Slide 1
Preventing CAUTI in Special Populations:
Focus on Procedure-Related Catheter Use
1
David A. Pegues, MD
Professor of Medicine, Division of Infectious Diseases
Medical Director, Healthcare Epidemiology, Infection Prevention and Control
Hospital of the University of Pennsylvania
Gregory D. Kennedy, MD, PhD
Ass…
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psnet.ahrq.gov/node/41681/psn-pdf
January 01, 2013 - Patient safety in plastic surgery.
September 12, 2012
Trussler AP, Tabbal GN. Patient safety in plastic surgery. Plast Reconstr Surg. 2013;130(3):470e-478e.
doi:10.1097/prs.0b013e31825dc349.
https://psnet.ahrq.gov/issue/patient-safety-plastic-surgery
This commentary outlines tactics to prevent complications in pla…
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psnet.ahrq.gov/node/40247/psn-pdf
February 23, 2011 - Engineering the system of communication for safer
surgery.
February 23, 2011
Healey AN, Nagpal K, Moorthy K, et al. Engineering the system of communication for safer surgery.
Cognition, Technology & Work. 2010;13(1). doi:10.1007/s10111-010-0152-5.
https://psnet.ahrq.gov/issue/engineering-system-communication-safer…
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psnet.ahrq.gov/issue/introduction-sts-national-database-series-outcomes-analysis-quality-improvement-and-patient
August 04, 2021 - Commentary
Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety.
Citation Text:
Fernandez FG, Shahian DM, Kormos R, et al. The Society of Thoracic Surgeons National Database 2019 Annual Report. Ann Thorac Surg. 2019;108(6):1625-1632…
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psnet.ahrq.gov/issue/predictors-hospital-postoperative-opioid-overdose-after-major-elective-operations-nationally
March 17, 2021 - Study
Predictors of in-hospital postoperative opioid overdose after major elective operations: a nationally representative cohort study.
Citation Text:
Cauley CE, Anderson G, Haynes AB, et al. Predictors of In-hospital Postoperative Opioid Overdose After Major Elective Operations: A Nati…
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psnet.ahrq.gov/issue/sustained-improvement-quality-patient-handoffs-after-orthopaedic-surgery-i-pass-intervention
June 15, 2022 - Study
Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention.
Citation Text:
Stenquist DS, Yeung CM, Szapary HJ, et al. Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention. J Am Acad Orthop Surg Gl…
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psnet.ahrq.gov/issue/quality-improvement-ambulatory-surgery-centers-major-national-effort-aimed-reducing
September 23, 2020 - Study
Quality improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical complications.
Citation Text:
Davis KK, Mahishi V, Singal R, et al. Quality Improvement in Ambulatory Surgery Centers: A Major National Effort Aimed at Reducin…
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psnet.ahrq.gov/issue/failure-rescue-following-emergency-surgery-fram-analysis-management-deteriorating-patient
May 19, 2021 - Study
Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient.
Citation Text:
Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating patient. Appl Ergon.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving.pptx
May 01, 2017 - Module 3: PowerPoint Presentation
Management Practices for Sustainability
Module 3: Problem Solving
and Escalation
AHRQ Safety Program for Ambulatory Surgery
AHRQ Pub. No. 16(17)-0019-4-EF
May 2017
Module 3: Problem Solving and Escalation | ‹#›
AHRQ Safety Program for Ambulatory Surgery
Management Practices for…
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psnet.ahrq.gov/issue/persistent-opioid-use-among-pediatric-patients-after-surgery
January 29, 2020 - Study
Classic
Persistent opioid use among pediatric patients after surgery.
Citation Text:
Harbaugh CM, Lee JS, Hu HM, et al. Persistent Opioid Use Among Pediatric Patients After Surgery. Pediatrics. 2018;141(1):e20172439. doi:10.1542/peds.2017-2439.
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psnet.ahrq.gov/issue/cardiac-surgery-errors-results-uk-national-reporting-and-learning-system
May 24, 2012 - Study
Cardiac surgery errors: results from the UK National Reporting and Learning System.
Citation Text:
Martinez EA, Shore AD, Colantuoni E, et al. Cardiac surgery errors: results from the UK National Reporting and Learning System. Int J Qual Health Care. 2011;23(2):151-8. doi:10.1093/i…
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psnet.ahrq.gov/issue/starting-elective-cardiac-surgery-after-3-pm-does-not-impact-patient-morbidity-mortality-or
February 12, 2020 - Study
Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs.
Citation Text:
Axtell AL, Moonsamy P, Melnitchouk S, et al. Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. J …
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psnet.ahrq.gov/issue/effects-night-surgery-postoperative-mortality-and-morbidity-multicentre-cohort-study
July 19, 2019 - Study
Effects of night surgery on postoperative mortality and morbidity: a multicentre cohort study.
Citation Text:
Althoff FC, Wachtendorf LJ, Rostin P, et al. Effects of night surgery on postoperative mortality and morbidity: a multicentre cohort study. BMJ Qual Saf. 2020;30(8):678-688…
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psnet.ahrq.gov/issue/patient-safety-orthopedic-surgery-prioritizing-key-areas-iatrogenic-harm-through-analysis
December 18, 2013 - Study
Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents reported to a national database of errors.
Citation Text:
Panesar S, Carson-Stevens A, Salvilla SA, et al. Patient safety in orthopedic surgery: prioritizing ke…
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psnet.ahrq.gov/issue/association-health-literacy-postoperative-outcomes-patients-undergoing-major-abdominal
May 08, 2017 - Study
Association of health literacy with postoperative outcomes in patients undergoing major abdominal surgery.
Citation Text:
Wright JP, Edwards GC, Goggins K, et al. Association of Health Literacy With Postoperative Outcomes in Patients Undergoing Major Abdominal Surgery. JAMA Surg. 2…
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psnet.ahrq.gov/issue/preoperative-site-marking-are-we-adhering-good-surgical-practice
August 02, 2017 - Study
Preoperative site marking: are we adhering to good surgical practice?
Citation Text:
Bathla S, Chadwick M, Nevins EJ, et al. Preoperative Site Marking. J Patient Saf. 2021;17(6):e503-e508. doi:10.1097/pts.0000000000000398.
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