-
psnet.ahrq.gov/node/36399/psn-pdf
May 04, 2015 - Tips for Safer Surgery.
May 4, 2015
Surgical Care Improvement Project. Oklahoma City, OK: Oklahoma Foundation for Medical Quality;
2006.
https://psnet.ahrq.gov/issue/tips-safer-surgery
This tip sheet provides a list of questions consumers should ask clinicians to help improve the safety of
their surgical car…
-
psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
March 09, 2022 - May 1, 2011
Inappropriate surgeries resulting from misdiagnosis of early amyotrophic
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.37_slideshow.ppt
November 01, 2003 - Spotlight Case [MONTH] 2003
Spotlight Case November 2003
The Missing Suction Tip
Source and Credits
This presentation is based on the Nov. 2003
AHRQ WebM&M Spotlight Case in Surgery
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Eric J. Thomas, MD,…
-
www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-ape.html
April 01, 2018 - Environmental Scan of Patient Safety Education and Training Programs
Appendix E
Previous Page
Table of Contents
Environmental Scan of Patient Safety Education and Training Programs
Introduction
Chapter 1. Environmental Scan
Chapter 2. Electronic Searchable Catalog
Chapter 3. Qualitative An…
-
psnet.ahrq.gov/node/39591/psn-pdf
March 21, 2016 - Annual Benchmarking Report: Malpractice Risks in
Surgery.
March 21, 2016
Cambridge, MA: CRICO/RMF Strategies; 2010.
https://psnet.ahrq.gov/issue/annual-benchmarking-report-malpractice-risks-surgery
Analyzing data from 3300 surgical malpractice cases, this report describes errors across the continuum of
surgical c…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/overview-facnotes.docx
May 01, 2017 - Module 1: Script and Slides
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
Module 1: Overview
AHRQ Safety Program for Reducing CAUTI in Hospitals
Facilitator Notes
SLIDE 1
Title: Management Practices for Sustainability, Module 1: Overview
SAY: This module was created by the Inst…
-
psnet.ahrq.gov/node/49448/psn-pdf
June 01, 2004 - Listen to the Family
June 1, 2004
Campbell D. Listen to the Family. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/listen-family
The Case
Vascular surgery was consulted for placement of a dialysis catheter in a patient on the medical floor. The
surgical resident examined the patient, an elderly woman with …
-
psnet.ahrq.gov/node/41316/psn-pdf
February 05, 2014 - Organ donor's surgery death sparks questions.
February 5, 2014
Cohen E. CNN. April 9, 2012.
https://psnet.ahrq.gov/issue/organ-donors-surgery-death-sparks-questions
This news article reports on errors that contributed to the death of a live organ donor and describes
regulations to protect organ donors' safety.
ht…
-
psnet.ahrq.gov/node/49661/psn-pdf
August 01, 2012 - Residual Anesthesia: Tepid Burn
August 1, 2012
Kurrek MM, Twersky RS. Residual Anesthesia: Tepid Burn. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
The Case
A 42-year-old Filipino man presented to an outpatient surgery center for scheduled repair of an anal fistula.
The pat…
-
psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
January 01, 2020 - Spotlight
Too Many Cooks in the Kitchen
Source and Credits
• This presentation is based on the August 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Richard P. Dutton, MD, MBA
o AHRQ WebM&M Editors in Chief: Patrick Romano, MD…
-
psnet.ahrq.gov/node/38458/psn-pdf
March 04, 2009 - In just a flash, simple surgery can turn deadly.
March 4, 2009
Landro L.
https://psnet.ahrq.gov/issue/just-flash-simple-surgery-can-turn-deadly
This newspaper article discusses increasing concerns over potential burn injuries in the hospital setting and
reports on efforts to raise awareness of the dangers and prom…
-
hcup-us.ahrq.gov/reports/methods/2004_6.pdf
January 01, 2004 - • Ambulatory surgeries:
o The 2001 State Ambulatory Surgery Databases (SASD), a census of facilities … with all of their same-day surgeries from 18 participating states. … NUMBER OF SURGERIES BY STATE AND BODY SYSTEM, 2001 SASD
contact.pdf
EXECUTIVE SUMMARY
INTRODUCTION … NUMBER OF SURGERIES BY STATE AND BODY SYSTEM, 2001 SASD
Subhead: HCUP External Cause of Injury (E
-
psnet.ahrq.gov/issue/safety-considerations-learning-new-procedures-survey-surgeons
January 23, 2017 - Study
Safety considerations in learning new procedures: a survey of surgeons.
Citation Text:
Jaffe TA, Hasday SJ, Knol M, et al. Safety considerations in learning new procedures: a survey of surgeons. J Surg Res. 2017;218:361-366. doi:10.1016/j.jss.2017.06.058.
Copy Citation
Format…
-
psnet.ahrq.gov/issue/evaluation-information-transfer-through-continuum-surgical-care-feasibility-study
December 21, 2014 - Study
An evaluation of information transfer through the continuum of surgical care: a feasibility study.
Citation Text:
Nagpal K, Vats A, Ahmed K, et al. An evaluation of information transfer through the continuum of surgical care: a feasibility study. Ann Surg. 2010;252(2):402-7. doi:1…
-
psnet.ahrq.gov/issue/learning-bristol-report-public-inquiry-childrens-heart-surgery-bristol-royal-infirmary-1984
October 20, 2021 - Book/Report
Classic
Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984--1995.
Citation Text:
Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Brist…
-
psnet.ahrq.gov/issue/surgical-confusions-ophthalmology
November 16, 2022 - Study
Surgical confusions in ophthalmology.
Citation Text:
Simon JW, Ngo Y, Khan S, et al. Surgical confusions in ophthalmology. Arch Ophthalmol. 2007;125(11):1515-22.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…
-
psnet.ahrq.gov/issue/or-and-just-culture
February 01, 2017 - Commentary
The OR and a "just culture."
Citation Text:
Hamlin L. The OR and a "just culture". AORN J. 2009;90(4):495-498. doi:10.1016/j.aorn.2009.09.003.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
-
psnet.ahrq.gov/issue/variation-surgical-time-out-and-site-marking-within-pediatric-otolaryngology
October 27, 2010 - Study
Variation in surgical time-out and site marking within pediatric otolaryngology.
Citation Text:
Shah RK, Arjmand E, Roberson DW, et al. Variation in surgical time-out and site marking within pediatric otolaryngology. Arch Otolaryngol Head Neck Surg. 2011;137(1):69-73. doi:10.1001/a…
-
psnet.ahrq.gov/issue/role-surgeon-error-withdrawal-postoperative-life-support
July 03, 2014 - Study
The role of surgeon error in withdrawal of postoperative life support.
Citation Text:
Schwarze ML, Redmann AJ, Brasel KJ, et al. The role of surgeon error in withdrawal of postoperative life support. Ann Surg. 2012;256(1):10-5. doi:10.1097/SLA.0b013e3182580de5.
Copy Citation
…
-
www.ahrq.gov/research/findings/final-reports/ssi/ssiexh53-55.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibits 53 to 55
Previous Page Next Page
Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Administration
Chapter …