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psnet.ahrq.gov/issue/mgh-death-spurs-review-patient-monitors
October 05, 2011 - June 8, 2011
5 cataract surgeries, 5 people blinded: what went wrong? … August 9, 2017
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/maternal-deaths-metrowest-hospital-prompt-state-probes
August 24, 2016 - Copy Citation
Related Resources From the Same Author(s)
5 cataract surgeries … June 6, 2018
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/alarm-fatigue-factor-2nd-death
September 30, 2015 - June 8, 2011
5 cataract surgeries, 5 people blinded: what went wrong? … August 9, 2017
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/beth-israel-cited-residents-long-hours-facing-review-accreditation
August 24, 2016 - Copy Citation
Related Resources From the Same Author(s)
5 cataract surgeries … August 27, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/hospitals-study-when-apologize-patients
August 24, 2016 - Copy Citation
Related Resources From the Same Author(s)
5 cataract surgeries … August 27, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/hospitals-cutting-nurses-long-shifts
August 24, 2016 - Copy Citation
Related Resources From the Same Author(s)
5 cataract surgeries … August 27, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/hospitals-try-calm-doctors-outbursts-medical-road-rage-affecting-patient-safety-group-says
August 24, 2016 - Copy Citation
Related Resources From the Same Author(s)
5 cataract surgeries … September 24, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/hospitals-try-break-deadly-code
August 24, 2016 - Copy Citation
Related Resources From the Same Author(s)
5 cataract surgeries … August 27, 2008
Fires during surgeries a bigger risk than thought.
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www.ahrq.gov/
August 31, 2025 - Staphylococcus aureus and surgical site infections in cardiac, hip and knee joint replacement, and spinal fusion surgeries … Staphylococcus aureus and surgical site infections in cardiac, hip and knee joint replacement, and spinal fusion surgeries
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/nasal-decolonization.html
April 01, 2025 - able to— Discuss the evidence for MRSA decolonization as it applies to MRSA and SSI prevention for surgeries … decolonization as it applies to MRSA and SSIs for cardiac, hip and knee joint replacement, and spinal fusion surgeries
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/preoperative-chlorhexidine.html
April 01, 2025 - able to— Discuss the evidence for MRSA decolonization as it applies to MRSA and SSI prevention for surgeries … decolonization as it applies to MRSA and SSIs for cardiac, hip and knee joint replacement, and spinal fusion surgeries
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/106-cusp-psychological-safety.pptx
April 01, 2025 - Psychological Safety
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries … Speaking up about warming strategies might delay surgeries
Junior staff
| 6
Case Example
AHRQ Safety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-d.pdf
June 02, 2025 - immobilization
for trauma or surgery
■ Hospice/comfort care/palliative care
■ Perioperative use in selected surgeries
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hemorrhage-postpartum_executive.pdf
April 01, 2015 - The median success
rate (defined as control of bleeding without additional
procedures or surgeries) … Strength of evidence is low for ligation controlling
bleeding without further procedures or surgeries … Strength of evidence for
embolization controlling bleeding without additional
procedures or surgeries … Surgeries
Uterine
compression
sutures
Preterm birth Low SOE for no effect
on subsequent preterm … However, few studies clearly provided data
on the success of these procedures and surgeries as the
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psnet.ahrq.gov/issue/geisinger-health-systems-plan-fix-americas-health-care
October 18, 2017 - June 1, 2011
MGH halts a pediatric program: Heart surgeries on hold after errors. … August 5, 2008
Quality of Care in Cranial Implant Surgeries at James A.
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hcup-us.ahrq.gov/db/nation/neds/nedscorrections_2022.jsp
January 01, 2022 - – CORRECTIONS
Corrections to the Nationwide Emergency Department Sample 2022
Some ambulatory surgeries … (i.e., surgeries that were started in the emergency department) may be over- or under-represented in
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hcup-us.ahrq.gov/db/vars/total_as_encounters/nassnote.jsp
August 01, 2019 - The NASS focuses on surgeries in the narrow class, or major ambulatory surgeries.
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psnet.ahrq.gov/issue/report-faults-childrens-hospital-medication-errors
August 24, 2016 - Copy Citation
Related Resources From the Same Author(s)
5 cataract surgeries … August 9, 2017
Fires during surgeries a bigger risk than thought.
-
psnet.ahrq.gov/issue/surgery-safer-teaching-hospital
September 28, 2016 - January 30, 2019
5 cataract surgeries, 5 people blinded: what went wrong? … August 21, 2013
Doctors perform thousands of unnecessary surgeries.
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psnet.ahrq.gov/issue/surgery-clinic-rush-save-joan-riverss-life
November 14, 2012 - May 4, 2022
5 cataract surgeries, 5 people blinded: what went wrong? … February 5, 2014
Doctors perform thousands of unnecessary surgeries.