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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-litreview.docx
January 01, 2017 - References
Low Tidal Volume (Lung Protective) Ventilation Literature Review
Low tidal volume (lung-protective) ventilation (LTVV) is associated with decreased acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) progression as well as a shorter length of stay (LOS). The Society for Healthcare Epide…
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psnet.ahrq.gov/issue/national-cluster-randomized-trial-duty-hour-flexibility-surgical-training
September 09, 2015 - Study
Classic
National cluster-randomized trial of duty-hour flexibility in surgical training.
Citation Text:
Bilimoria KY, Chung JW, Hedges L, et al. National Cluster-Randomized Trial of Duty-Hour Flexibility in Surgical Training. New Engl J Med. 2016;374(8):71…
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psnet.ahrq.gov/issue/ways-you-can-help-your-family-prevent-medical-errors
December 24, 2008 - Fact Sheet/FAQs
Ways You Can Help Your Family Prevent Medical Errors!
Citation Text:
Ways You Can Help Your Family Prevent Medical Errors! Agency for Healthcare Research and Quality; AHRQ.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/asc-checklist-template.docx
January 01, 2009 - Strategy 2: Communicating to Improve Quality (Tool 3)
Appendix D. Ambulatory Surgery Center Checklist Template
AHRQ Safety Program for Ambulatory Surgery
Implementation Guide
Ambulatory Surgery Checklist
Preop
Before Patient Enters Room
Nurse, Anesthesia Professional, and Patient Review:
· Patient identificatio…
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psnet.ahrq.gov/issue/20-tips-help-prevent-medical-errors
December 24, 2008 - Government Resource
20 Tips to Help Prevent Medical Errors.
Citation Text:
20 Tips to Help Prevent Medical Errors. Agency for Healthcare Research and Quality; AHRQ.
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psnet.ahrq.gov/issue/operating-room-hazards-and-approaches-improve-patient-safety
September 13, 2023 - Review
Patient safety in the operating room.
Citation Text:
Patient safety in the operating room. Wahr JA. UpToDate. September 21, 2023.
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psnet.ahrq.gov/node/866435/psn-pdf
August 07, 2024 - Handoffs and transitions of care: a systematic review,
meta-analysis, and practice management guideline from
the Eastern Association for the Surgery of Trauma.
August 7, 2024
Appelbaum RD, Puzio TJ, Bauman Z, et al. Handoffs and transitions of care: a systematic review, meta-
analysis, and practice management guid…
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psnet.ahrq.gov/node/853057/psn-pdf
August 30, 2023 - Just what the doctor ordered: missed ordering of venous
thromboembolism chemoprophylaxis is associated with
increased VTE events in high-risk general surgery
patients.
August 30, 2023
Baimas-George MR, Ross SW, Yang H, et al. Just what the doctor ordered: missed ordering of venous
thromboembolism chemoprophylaxis…
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psnet.ahrq.gov/node/43173/psn-pdf
June 04, 2014 - Barriers to the implementation of checklists in the office-
based procedural setting.
June 4, 2014
Shapiro FE, Fernando RJ, Urman RD. Barriers to the implementation of checklists in the office-based
procedural setting. J Healthc Risk Manag. 2014;33(4):35-43. doi:10.1002/jhrm.21141.
https://psnet.ahrq.gov/issue/bar…
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psnet.ahrq.gov/node/47828/psn-pdf
April 18, 2019 - Association between long-term opioid use in family
members and persistent opioid use after surgery among
adolescents and young adults.
April 18, 2019
Harbaugh CM, Lee JS, Chua K-P, et al. Association Between Long-term Opioid Use in Family Members
and Persistent Opioid Use After Surgery Among Adolescents and Young …
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psnet.ahrq.gov/node/73921/psn-pdf
October 06, 2021 - A systematic review of interventions used to enhance
implementation of and compliance with the World Health
Organization surgical safety checklist in adult surgery.
October 6, 2021
Liu LQ, Mehigan S. A systematic review of interventions used to enhance implementation of and
compliance with the World Health Organiz…
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psnet.ahrq.gov/node/41054/psn-pdf
January 27, 2012 - The impact of nontechnical skills on technical
performance in surgery: a systematic review.
January 27, 2012
Hull L, Arora S, Aggarwal R, et al. The impact of nontechnical skills on technical performance in surgery: a
systematic review. J Am Coll Surg. 2012;214(2):214-230. doi:10.1016/j.jamcollsurg.2011.10.016.
ht…
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psnet.ahrq.gov/node/47845/psn-pdf
April 24, 2019 - Differential safety between top-ranked cancer hospitals
and their affiliates for complex cancer surgery.
April 24, 2019
Hoag JR, Resio BJ, Monsalve AF, et al. Differential Safety Between Top-Ranked Cancer Hospitals and
Their Affiliates for Complex Cancer Surgery. JAMA Netw Open. 2019;2(4):e191912.
doi:10.1001/jama…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs027037-bozic-final-report-2024.pdf
January 01, 2024 - Medical Arts & Research Center
This clinic has 1 orthopaedist who performs the vast majority of the TKR surgeries
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www.ahrq.gov/teamstepps-program/evidence-base/surgical.html
July 01, 2023 - TeamSTEPPS Research/Evidence Base: Surgical Care and OR
Aaberg OR, Ballangrud R, Husebo SIE, Hall-Lord ML. An interprofessional team training intervention with an implementation phase in a surgical ward: A controlled quasi-experimental study. J Interprof Care . 2019:1-10. Epub 2019/12/19. doi: 10.1080/13561820…
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psnet.ahrq.gov/node/33777/psn-pdf
January 01, 2015 - Innovation and Lean Thinking: Mutually Supportive
Partners in the Transformation of Health Care
January 1, 2015
Plsek PE. Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health
Care. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually…
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psnet.ahrq.gov/node/49602/psn-pdf
April 01, 2010 - Anticoagulation: Held Too Long
April 1, 2010
Dunn AS. Anticoagulation: Held Too Long. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
The Case
A 68-year-old woman with a history of mitral valve replacement with a mechanical valve was admitted with
abdominal pain. Because of the…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/prostate-cancer-therapies-update_consumer.pdf
January 01, 2016 - Treating Localized
Prostate Cancer
A Review of the Research for Adults
Is this information right for me?
Yes, this information is right for you if:
� Your doctor* said all tests show you have localized prostate
cancer (the cancer has not spread outside the prostate gland).
This information may not be helpful t…
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www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
January 01, 2024 - Final Progress Report: Creating Learning Cultures Around Mistakes for Residents
1
Project Title: Creating Learning Cultures Around Mistakes for Residents
Timothy J. Hoff, PhD, Principal Investigator
University at Albany, SUNY
School of Public Health
Henry Pohl, MD, Co-Investigator
Joel Bartfield, MD, Co-Investi…
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psnet.ahrq.gov/issue/surgeon-second-victim-results-boston-intraoperative-adverse-events-surgeons-attitude-bisa
January 23, 2017 - Study
The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study.
Citation Text:
Han K, Bohnen JD, Peponis T, et al. The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) …