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psnet.ahrq.gov/issue/relationship-between-inpatient-cardiac-surgery-mortality-and-nurse-numbers-and-educational
September 29, 2017 - Study
The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level: analysis of administrative data.
Citation Text:
Van den Heede K, Lesaffre E, Diya L, et al. The relationship between inpatient cardiac surgery mortality and nurse numbers and edu…
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psnet.ahrq.gov/issue/what-safety-nonemergent-operative-procedures-performed-night
July 20, 2022 - Study
What is the safety of nonemergent operative procedures performed at night?
Citation Text:
Turrentine FE, Wang H, Young JS, et al. What is the safety of nonemergent operative procedures performed at night? A study of 10,426 operations at an academic tertiary care hospital using th…
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psnet.ahrq.gov/issue/wrong-site-nerve-blocks-10-yr-experience-large-multihospital-health-care-system
January 14, 2011 - Study
Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system.
Citation Text:
Hudson ME, Chelly JE, Lichter JR. Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. Br J Anaesth. 2015;114(5):818-24. doi:10.1093/bja/aeu490.
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psnet.ahrq.gov/issue/wolf-crying-operating-room-patient-monitor-and-anesthesia-workstation-alarming-patterns
April 17, 2013 - Study
The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac surgery.
Citation Text:
Schmid F, Goepfert MS, Kuhnt D, et al. The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patte…
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psnet.ahrq.gov/issue/video-capture-clinical-care-enhance-patient-safety
March 28, 2012 - Study
Classic
Video capture of clinical care to enhance patient safety.
Citation Text:
Weinger MB, Gonzales DC, Slagle J, et al. Video capture of clinical care to enhance patient safety. Qual Saf Health Care. 2004;13(2):136-44.
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Format:
…
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psnet.ahrq.gov/issue/second-victim-unanticipated-adverse-events
February 12, 2020 - Commentary
The second victim of unanticipated adverse events.
Citation Text:
Chen S, Skidmore S, Ferrigno BN, et al. The second victim of unanticipated adverse events. J Thorac Cardiovasc Surg. 2023;166(3):890-894. doi:10.1016/j.jtcvs.2022.09.010.
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Format:
DOI …
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psnet.ahrq.gov/issue/initial-assessment-patient-handoff-accredited-general-surgery-residency-programs-united
October 19, 2022 - Study
Initial assessment of patient handoff in accredited general surgery residency programs in the United States and Canada: a cross-sectional survey.
Citation Text:
Saleem AM, Paulus JK, Vassiliou MC, et al. Initial assessment of patient handoff in accredited general surgery residency …
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psnet.ahrq.gov/issue/opioids-prescribed-after-low-risk-surgical-procedures-united-states-2004-2012
May 29, 2024 - Study
Opioids prescribed after low-risk surgical procedures in the United States, 2004–2012.
Citation Text:
Wunsch H, Wijeysundera DN, Passarella MA, et al. Opioids Prescribed After Low-Risk Surgical Procedures in the United States, 2004-2012. JAMA. 2016;315(15):1654-7. doi:10.1001/jama.…
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psnet.ahrq.gov/issue/impact-sleep-deprivation-product-quality-and-procedure-effectiveness-laparoscopic-physical
June 03, 2020 - Study
The impact of sleep deprivation on product quality and procedure effectiveness in a laparoscopic physical simulator: a randomized controlled trial.
Citation Text:
Uchal M, Tjugum J, Martinsen E, et al. The impact of sleep deprivation on product quality and procedure effectivene…
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psnet.ahrq.gov/issue/adverse-events-operating-room-definitions-prevalence-and-characteristics-systematic-review
July 25, 2018 - Review
Adverse events in the operating room: definitions, prevalence, and characteristics. A systematic review.
Citation Text:
Jung JJ, Elfassy J, Jüni P, et al. Adverse Events in the Operating Room: Definitions, Prevalence, and Characteristics. A Systematic Review. World J Surg. 2019;4…
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www.ahrq.gov/patient-safety/settings/ambulatory/tools.html
February 01, 2018 - Ambulatory Care
AHRQ is committed to improving the safety and quality of ambulatory care in the United States. Ambulatory care is care provided by health care professionals in outpatient settings. These settings include medical offices and clinics, ambulatory surgery centers, hospital outpatient departments, an…
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psnet.ahrq.gov/issue/burns-surgery-handover-study-trainees-assessment-current-practice-british-isles
February 01, 2013 - Study
Burns surgery handover study: trainees' assessment of current practice in the British Isles.
Citation Text:
Al-Benna S, Al-Ajam Y, Alzoubaidi D. Burns surgery handover study: trainees' assessment of current practice in the British Isles. Burns. 2009;35(4):509-12. doi:10.1016/j.bu…
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psnet.ahrq.gov/issue/duty-hours-quality-care-and-patient-safety-general-surgery-resident-perceptions
July 02, 2014 - Study
Duty hours, quality of care, and patient safety: general surgery resident perceptions.
Citation Text:
Borman KR, Jones AT, Shea JA. Duty hours, quality of care, and patient safety: general surgery resident perceptions. J Am Coll Surg. 2012;215(1):70-7; discussion 77-9. doi:10.101…
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psnet.ahrq.gov/issue/critical-errors-infrequently-performed-trauma-procedures-after-training
June 27, 2018 - Study
Critical errors in infrequently performed trauma procedures after training.
Citation Text:
Mackenzie CF, Shackelford SA, Tisherman SA, et al. Critical errors in infrequently performed trauma procedures after training. Surgery. 2019;166(5):835-843. doi:10.1016/j.surg.2019.05.031.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/tonsillectomy_executive.pdf
January 01, 2017 - Tonsillectomy for Obstructive Sleep-Disordered Breathing or Recurrent Throat Infection in Children
1
Comparative Effectiveness Review
Number 183
Tonsillectomy for Obstructive Sleep-Disordered
Breathing or Recurrent Throat Infection in
Children
Executive Summary
Introduction
Tonsillectomy or adenotonsillectomy…
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www.ahrq.gov/sites/default/files/publications/files/simulproj11.pdf
June 30, 2014 - Improving Patient Safety Through Simulation Research: Funded Projects
Introduction
Simulation in health care creates a safe
learning environment that allows
researchers and practitioners to test new
clinical processes and enhance
individual and team skills before
encountering patients. Many simulation
applications in…
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www.ahrq.gov/sites/default/files/2024-11/kupka-report.pdf
January 01, 2024 - Universal Protocol with emphasis on surgical site marking –
Wrong site, wrong procedure, and wrong person surgeries
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psnet.ahrq.gov/node/47110/psn-pdf
August 17, 2018 - Factors associated with emergency department visits and
hospital admissions after invasive outpatient procedures
in the Veterans Health Administration.
August 17, 2018
Mull HJ, Gellad ZF, Gupta RT, et al. Factors Associated With Emergency Department Visits and Hospital
Admissions After Invasive Outpatient Procedur…
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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…
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psnet.ahrq.gov/node/44225/psn-pdf
June 17, 2015 - Do No Harm: Stories of Life, Death, and Brain Surgery.
June 17, 2015
Marsh H. New York, NY: Thomas Dunne Books; 2015. ISBN: 9781250065810.
https://psnet.ahrq.gov/issue/do-no-harm-stories-life-death-and-brain-surgery
This intensely personal memoir by the famed British neurosurgeon Henry Marsh is no hagiography or
r…