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psnet.ahrq.gov/issue/standardized-postoperative-handover-process-improves-outcomes-intensive-care-unit-model
June 21, 2015 - Study
Standardized postoperative handover process improves outcomes in the intensive care unit: a model for operational sustainability and improved team performance.
Citation Text:
Bhakta RT, Stockwell DC. Transitions of care in the pediatric cardiac intensive care unit*. Crit Care Med…
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psnet.ahrq.gov/issue/discussing-harm-causing-errors-patients-ethics-primer-plastic-surgeons
February 28, 2018 - Review
Discussing harm-causing errors with patients: an ethics primer for plastic surgeons.
Citation Text:
Vercler CJ, Buchman SR, Chung KC. Discussing harm-causing errors with patients: an ethics primer for plastic surgeons. Ann Plast Surg. 2015;74(2):140-144. doi:10.1097/SAP.0000000000…
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psnet.ahrq.gov/issue/surgical-ward-round-quality-and-impact-variable-patient-outcomes
June 17, 2015 - Study
Surgical ward round quality and impact on variable patient outcomes.
Citation Text:
Pucher PH, Aggarwal R, Darzi A. Surgical ward round quality and impact on variable patient outcomes. Ann Surg. 2014;259(2):222-6. doi:10.1097/SLA.0000000000000376.
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psnet.ahrq.gov/issue/building-culture-safety-ophthalmology
March 14, 2022 - Commentary
Building a culture of safety in ophthalmology.
Citation Text:
Custer PL, Fitzgerald ME, Herman DC, et al. Building a Culture of Safety in Ophthalmology. Ophthalmology. 2016;123(9 Suppl):S40-5. doi:10.1016/j.ophtha.2016.06.019.
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DOI Google Sch…
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psnet.ahrq.gov/issue/disclosure-adverse-events-and-errors-surgical-care-challenges-and-strategies-improvement
December 01, 2021 - Review
Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement.
Citation Text:
Lipira LE, Gallagher TH. Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement. World J Surg. 2014;38(7):1614-21. doi:1…
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psnet.ahrq.gov/issue/strategic-approach-quality-improvement-and-patient-safety-education-and-resident-integration
November 17, 2010 - Commentary
A strategic approach to quality improvement and patient safety education and resident integration in a general surgery residency.
Citation Text:
O'Heron CT, Jarman BT. A strategic approach to quality improvement and patient safety education and resident integration in a gener…
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www.ahrq.gov/research/findings/final-reports/stpra/stpraape.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Appendix E. Study Parameters
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduction
Chapter 2. ST-P…
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psnet.ahrq.gov/issue/association-2011-acgme-resident-duty-hour-reform-general-surgery-patient-outcomes-and
September 09, 2015 - Study
Classic
Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination performance.
Citation Text:
Rajaram R, Chung JW, Jones AT, et al. Association of the 2011 ACGME resident duty hour reform wi…
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psnet.ahrq.gov/issue/hospital-acquired-functional-decline-and-clinical-outcomes-older-cardiac-surgical-patients
February 06, 2019 - Study
Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients: a multicenter prospective cohort study.
Citation Text:
Morisawa T, Saitoh M, Otsuka S, et al. Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients…
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psnet.ahrq.gov/node/848810/psn-pdf
May 10, 2023 - Factors contributing to preventing operating room "never
events": a machine learning analysis.
May 10, 2023
Arad D, Rosenfeld A, Magnezi R. Factors contributing to preventing operating room “never events”: a
machine learning analysis. Patient Saf Surg. 2023;17(1):6. doi:10.1186/s13037-023-00356-x.
https://psnet.ah…
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psnet.ahrq.gov/node/842771/psn-pdf
January 18, 2023 - Am I safe? An interpretative phenomenological analysis
of vulnerability as experienced by patients with
complications following surgery.
January 18, 2023
Sutton E, Booth L, Ibrahim M, et al. Am I safe? An interpretative phenomenological analysis of vulnerability
as experienced by patients with complications follow…
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psnet.ahrq.gov/node/43981/psn-pdf
April 22, 2015 - National Aeronautics and Space Administration "threat
and error" model applied to pediatric cardiac surgery:
error cycles precede ?85% of patient deaths.
April 22, 2015
Hickey EJ, Nosikova Y, Pham-Hung E, et al. National Aeronautics and Space Administration "threat and
error" model applied to pediatric cardiac sur…
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psnet.ahrq.gov/node/43751/psn-pdf
February 11, 2015 - Perceptions of time spent on safety tasks in surgical
operations: a focus group study.
February 11, 2015
Høyland S, Haugen AS, Thomassen Ø. Perceptions of time spent on safety tasks in surgical operations: A
focus group study. Saf Sci. 2014;70. doi:10.1016/j.ssci.2014.05.009.
https://psnet.ahrq.gov/issue/perceptio…
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psnet.ahrq.gov/node/46556/psn-pdf
November 01, 2017 - So much care it hurts: unneeded scans, therapy, surgery
only add to patients' ills.
November 1, 2017
Szabo L. Kaiser Health News. October 23, 2017.
https://psnet.ahrq.gov/issue/so-much-care-it-hurts-unneeded-scans-therapy-surgery-only-add-patients-ills
Overdiagnosis and overtreatment present a challenge to patient…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-slides.html
May 01, 2017 - Patient and Family Engagement in the Surgical Environment Module
Slide 1: Patient and Family Engagement in the Surgical Environment Module
Slide 2: Learning Objectives
Image: Learning objectives are presented in a series of steps:
Define patient and family engagement.
Explain the importance of engagin…
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psnet.ahrq.gov/node/49815/psn-pdf
December 01, 2017 - Over-the-Counter Oversight
December 1, 2017
Janamanchi V, Modha K, Whinney C. Over-the-Counter Oversight. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/over-counter-oversight
The Case
A 56-year-old man was evaluated in the burn clinic for a second-degree burn on his chest. Although
portions of his skin we…
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www.ahrq.gov/sites/default/files/2024-11/stulberg-report.pdf
January 01, 2024 - Final Progress Report: Preventing Opioid Misuse Through Safe Opioid Use Agreements Between Patients and Surgical Providers (PROMISE-ME)
TITLE PAGE
Title of Project:
Preventing Opioid Misuse through Safe Opioid Use Agreements between Patients and Surgical Providers
(PROMISE-ME)
Team Members:
Principal Investi…
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psnet.ahrq.gov/web-mm/blind-spot
July 30, 2020 - Blind Spot
Citation Text:
Lee LA. Blind Spot. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/node/44756/psn-pdf
September 12, 2016 - Importance of teamwork, communication and culture on
failure-to-rescue in the elderly.
September 12, 2016
Ghaferi AA, Dimick JB. Importance of teamwork, communication and culture on failure-to-rescue in the
elderly. Br J Surg. 2016;103(2):e47-51. doi:10.1002/bjs.10031.
https://psnet.ahrq.gov/issue/importance-teamw…
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psnet.ahrq.gov/node/39029/psn-pdf
October 21, 2009 - Nurses' perceptions of subspecialization in pediatric
cardiac intensive care unit: quality and patient safety
implications.
October 21, 2009
Kane JM, Preze E. Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality
and patient safety implications. J Nurs Care Qual. 2009;24(4):354…