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psnet.ahrq.gov/issue/latest-results-first-trial
October 29, 2017 - Special or Theme Issue
Latest Results From the "FIRST" Trial.
Citation Text:
Latest Results From the "FIRST" Trial. J Am Coll Surg. 2017;224:103-159.
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psnet.ahrq.gov/issue/errors-concentrated-epinephrine-otolaryngology
August 11, 2010 - Study
Errors with concentrated epinephrine in otolaryngology.
Citation Text:
Shah RK, Hoy E, Roberson DW, et al. Errors with concentrated epinephrine in otolaryngology. Laryngoscope. 2008;118(11):1928-30. doi:10.1097/MLG.0b013e318180ec8d.
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psnet.ahrq.gov/issue/tqip-mortality-reporting-system-case-reports
March 23, 2022 - Special or Theme Issue
TQIP Mortality Reporting System Case Reports.
Citation Text:
TQIP Mortality Reporting System Case Reports. ACS TQIP Mortality Reporting System Writing Group. J Trauma Acute Care Surg. 2023.
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psnet.ahrq.gov/issue/briefings-checklists-geese-and-surgical-safety
August 02, 2015 - Commentary
Briefings, checklists, geese, and surgical safety.
Citation Text:
Karl R. Briefings, checklists, geese, and surgical safety. Ann Surg Oncol. 2010;17(1):8-11. doi:10.1245/s10434-009-0794-9.
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psnet.ahrq.gov/issue/skin-deep-diagnosis-affective-bias-and-zebra-retreat-complicating-diagnosis-systemic
July 29, 2020 - Commentary
Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis.
Citation Text:
Miller CS. Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. Am J Med Sci. 2013;345(1):53-6. doi:10.1…
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psnet.ahrq.gov/issue/integration-formalized-handoff-system-surgical-curriculum-resident-perspectives-and-early
May 25, 2016 - Study
Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results.
Citation Text:
Telem DA. Integration of a Formalized Handoff System Into the Surgical Curriculum. Archives of Surgery. 2011;146(1). doi:10.1001/archsurg.2010.294.
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psnet.ahrq.gov/issue/guideline-prevention-unintentionally-retained-surgical-items
August 01, 2018 - Commentary
Guideline for Prevention of Unintentionally Retained Surgical Items.
Citation Text:
Croke L. Guideline for prevention of unintentionally retained surgical items. AORN J. 2021;114(6):4-6. doi:10.1002/aorn.13579.
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psnet.ahrq.gov/issue/towards-model-surgeons-leadership-operating-room
July 01, 2020 - Review
Towards a model of surgeons' leadership in the operating room.
Citation Text:
Parker SH, Yule S, Flin R, et al. Towards a model of surgeons' leadership in the operating room. BMJ Qual Saf. 2011;20(7):570-9. doi:10.1136/bmjqs.2010.040295.
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psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems-months-shutdown-then
July 18, 2018 - Newspaper/Magazine Article
Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go.
Citation Text:
Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. Massey W, Keith …
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hcup-us.ahrq.gov/reports/highlights.jsp
June 01, 2021 - Archived HCUP Highlights
An official website of the Department of Health & Human Services
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Careers
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Espanol
FAQs
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psnet.ahrq.gov/issue/side-errors-neurosurgery
November 17, 2010 - Study
Side errors in neurosurgery.
Citation Text:
Mitchell P, Nicholson CL, Jenkins A. Side errors in neurosurgery. Acta Neurochir (Wien). 2006;148(12):1289-92; discussion 1292.
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psnet.ahrq.gov/issue/postoperative-complications-due-retained-surgical-sponge
February 23, 2011 - Commentary
Postoperative complications due to a retained surgical sponge.
Citation Text:
Sarda AK, Pandey D, Neogi S, et al. Postoperative complications due to a retained surgical sponge. Singapore Med J. 2007;48(6):e160-4.
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psnet.ahrq.gov/node/39231/psn-pdf
January 13, 2010 - The Checklist Manifesto: How to Get Things Right.
January 13, 2010
Gawande A. New York, NY: Metropolitan Books; 2009. ISBN: 9780805091748.
https://psnet.ahrq.gov/issue/checklist-manifesto-how-get-things-right
Harvard surgeon Atul Gawande has emerged as this generation's preeminent physician–author, through
his art…
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psnet.ahrq.gov/node/43128/psn-pdf
August 25, 2015 - Locating errors through networked surveillance: a
multimethod approach to peer assessment, hazard
identification, and prioritization of patient safety efforts in
cardiac surgery.
August 25, 2015
Thompson DA, Marsteller JA, Pronovost P, et al. Locating Errors Through Networked Surveillance: A
Multimethod Approach …
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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/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
September 25, 2019 - SPOTLIGHT CASE
Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery.
Citation Text:
Olson APJ. Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research …
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psnet.ahrq.gov/node/867429/psn-pdf
December 18, 2024 - Management of CSF Leaks After Elective Spine Surgery:
Routine Laminectomy Leads to Fatal Discitis and Sepsis
December 18, 2024
Castillo JA, Price R, Kim KD. Management of CSF Leaks After Elective Spine Surgery: Routine
Laminectomy Leads to Fatal Discitis and Sepsis. PSNet [internet]. 2024.
https://psnet.ahrq.gov/w…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/19-perioperative-teams.docx
June 01, 2023 - A Guide to Leading Successful Perioperative TeamsAHRQ Safety Program for Improving Surgical Care and Recovery
Purpose of the tool: Assembling a multidisciplinary perioperative team is one of the first, and most critical, steps in your AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR) journey. This do…
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effectivehealthcare.ahrq.gov/sites/default/files/obesity_hi_impact.pdf
April 17, 2012 - to increase scientific understanding of the GI system and the mechanism of action of bariatric
surgeries
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www.ahrq.gov/hai/tools/surgery/how-to-use.html
December 01, 2017 - How To Use the Toolkit
Toolkit To Promote Safe Surgery
The toolkit has two complementary guides that should be used together and are a good starting point: Applying CUSP To Promote Safe Surgery , and Surgical Complication Prevention . These two guides address adaptive and technical work, which are both crit…