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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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www.ahrq.gov/topics/comprehensive-unit-based-safety-program-cusp.html
Topic: Comprehensive Unit-based Safety Program (CUSP)
The Comprehensive Unit-based Safety Program (CUSP) is a method that can help clinical teams make care safer by combining improved teamwork, clinical best practices, and the science of safety. The Core CUSP toolkit gives clinical teams the training resources and to…
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psnet.ahrq.gov/node/49593/psn-pdf
October 01, 2009 - Who Nose Where the Airway Is?
October 1, 2009
Lee CR. Who Nose Where the Airway Is? PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/who-nose-where-airway
The Case
A 70-year-old man with peripheral vascular disease was brought to the operating room to undergo vascular
bypass surgery on his right upper extrem…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-cancer.html
June 01, 2018 - Chartbook on Health Care for Blacks
Part 2: Trends in Priorities of the Heckler Report—Care for Cancer
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Table of Contents
Chartbook on Health Care for Blacks
Health Care for Blacks
Acknowledgments
Part 1: Overviews of the Report and the Black Population
Part 2: Trends …
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effectivehealthcare.ahrq.gov/products/colorectal-surgery-preparation/research-protocol
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psnet.ahrq.gov/node/865884/psn-pdf
May 29, 2024 - Managing Complexity in Diagnosis: Life-threatening
Complications after Gastric Bypass Surgery.
May 29, 2024
Olson APJ. Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass
Surgery. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-…
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psnet.ahrq.gov/issue/check-your-medicines-tips-taking-medicines-safely
September 04, 2018 - Government Resource
Check Your Medicines: Tips for Taking Medicines Safely.
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April 23, 2012
This 5-point checklist provides consu…
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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumkozo.html
October 01, 2014 - Kozower, Benjamin
Summaries of Independent Scientist (K) Awards
Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards.
Institution: University of Virginia
Grant Title: Mortality Assessment in Lung Cancer Resection
Grant Number: K08 HS0180…
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psnet.ahrq.gov/node/44205/psn-pdf
June 21, 2015 - Teamwork, communication and safety climate: a
systematic review of interventions to improve surgical
culture.
June 21, 2015
Sacks GD, Shannon EM, Dawes AJ, et al. Teamwork, communication and safety climate: a systematic
review of interventions to improve surgical culture. BMJ Qual Saf. 2015;24(7):458-67. doi:10.11…
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psnet.ahrq.gov/node/46351/psn-pdf
December 19, 2017 - Intraoperative surgical performance measurement and
outcomes: choose your tools carefully.
December 19, 2017
Aggarwal R. Intraoperative Surgical Performance Measurement and Outcomes: Choose Your Tools
Carefully. JAMA Surg. 2017;152(11):995-996. doi:10.1001/jamasurg.2017.0837.
https://psnet.ahrq.gov/issue/intraoper…
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psnet.ahrq.gov/node/37903/psn-pdf
May 09, 2013 - Safe Surgery.
May 9, 2013
World Health Organization.
https://psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge
This initiative provides a surgical safety checklist and related educational and training materials building on
the Second Global Patient Safety Challenge vision to enco…
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psnet.ahrq.gov/node/46084/psn-pdf
February 21, 2018 - The effect of facility characteristics on patient safety,
patient experience, and service availability for procedures
in non–hospital-affiliated outpatient settings: a systematic
review.
February 21, 2018
Berglas NF, Battistelli MF, Nicholson WK, et al. The effect of facility characteristics on patient safety,
pa…
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapbfig3.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Appendix B. Figure 3. Normalized Percent Distribution for Surgical Procedures with Incision (California 2008 SASD)
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambu…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability.html
June 01, 2017 - Sustainability
Toolkit To Improve Safety in Ambulatory Surgery Centers
It is important to build in plans for sustainment when starting an implementation project. The resources below can help your ambulatory surgery center integrate sustainment activities into the project.
Training and Tools for Sustaining I…
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psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
January 01, 2024 - Spotlight
Spotlight
Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis
1
Source and Credits
This presentation is based on the December 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Comment…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0407_01-20-2011.pdf
January 01, 2011 - Effective Health Care
Topic Number: 0343
Document Completion Date: 3-23-11
1
Results of Topic Selection Process & Next Steps
Peripheral artery disease (PAD) will go forward for refinement as a systematic review. The scope of
this topic, including populations, interventions, comparators, and out…
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psnet.ahrq.gov/issue/care-transitions-program
March 14, 2018 - Multi-use Website
Care Transitions Program.
Citation Text:
Care Transitions Program. The Division of Health Care Policy and Research; University of Colorado Health Sciences Center
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psnet.ahrq.gov/issue/family-woman-who-died-after-medical-error-joins-hospitals-safety-panel
May 13, 2020 - Newspaper/Magazine Article
Family of woman who died after a medical error joins hospital's safety panel.
Citation Text:
Family of woman who died after a medical error joins hospital's safety panel. Shelton DL. Chicago Tribune. October 7, 2011.
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psnet.ahrq.gov/issue/management-operating-room-critical-events
March 27, 2024 - Special or Theme Issue
Management of Operating Room Critical Events.
Citation Text:
Management of Operating Room Critical Events. Hannenberg AA, ed. Anesthesiol Clin. 2020;38(4):727-922.
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www.ahrq.gov/cahps/surveys-guidance/item-sets/hp/suppl-sdm-hp-child.html
December 01, 2018 - Supplemental Items for the CAHPS Health Plan Child Survey 5.0: Shared Decisionmaking
Population version: Child
Download these items: English (Word, 30 KB)
Users of the CAHPS ® Health Plan Survey are free to incorporate supplemental items in order to meet the needs of their organizations, local markets,…