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psnet.ahrq.gov/issue/safety-and-quality-perioperative-anesthesia-care
June 15, 2011 - Special or Theme Issue
Safety and Quality in Perioperative Anesthesia Care.
Citation Text:
Safety and Quality in Perioperative Anesthesia Care. Preckel B, ed. Best Pract Res Clin Anaesthesiol. 2021;35(1):1-154.
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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/reducing-surgical-errors-implementing-three-hinge-approach-success
December 08, 2021 - Commentary
Reducing surgical errors: implementing a three-hinge approach to success.
Citation Text:
Landers R. Reducing surgical errors: implementing a three-hinge approach to success. AORN J. 2015;101(6):657-65. doi:10.1016/j.aorn.2015.04.013.
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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/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/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/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/common-body-care-ethics-and-politics-teamwork-operating-theater-are-inseparable
September 27, 2016 - Commentary
A common body of care: the ethics and politics of teamwork in the operating theater are inseparable.
Citation Text:
Bleakley A. A common body of care: the ethics and politics of teamwork in the operating theater are inseparable. J Med Philos. 2006;31(3):305-22.
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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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psnet.ahrq.gov/issue/renewal-surgical-quality-and-safety-initiatives-multispecialty-challenge
March 03, 2011 - Commentary
Renewal of surgical quality and safety initiatives: a multispecialty challenge.
Citation Text:
Polk HC. Renewal of surgical quality and safety initiatives: a multispecialty challenge. Mayo Clin Proc. 2006;81(3):345-52.
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psnet.ahrq.gov/issue/costly-issues-uncommunicative-or
July 29, 2020 - Newspaper/Magazine Article
Costly issues of an uncommunicative OR.
Citation Text:
Neil R. Costly issues of an uncommunicative OR. Materials management in health care. 2006;15(3):30-3.
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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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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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psnet.ahrq.gov/node/853902/psn-pdf
September 27, 2023 - A Missed Bowel Perforation - the Importance of
Diagnostic Reasoning
September 27, 2023
Timbag L, Sinigayan VR, Molla M. A Missed Bowel Perforation - the Importance of Diagnostic Reasoning.
PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
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psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
January 29, 2021 - SPOTLIGHT CASE
A Missed Bowel Perforation - the Importance of Diagnostic Reasoning
Citation Text:
Timbag L, Sinigayan VR, Molla M. A Missed Bowel Perforation - the Importance of Diagnostic Reasoning. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of He…
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psnet.ahrq.gov/node/41355/psn-pdf
April 05, 2013 - Comparative economic analyses of patient safety
improvement strategies in acute care: a systematic
review.
April 5, 2013
Etchells E, Koo M, Daneman N, et al. Comparative economic analyses of patient safety improvement
strategies in acute care: a systematic review. BMJ Qual Saf. 2012;21(6):448-56. doi:10.1136/bmjqs…
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psnet.ahrq.gov/node/37874/psn-pdf
April 18, 2011 - Interprofessional handover and patient safety in
anaesthesia: observational study of handovers in the
recovery room.
April 18, 2011
Smith AF, Pope C, Goodwin D, et al. Interprofessional handover and patient safety in anaesthesia:
observational study of handovers in the recovery room. Br J Anaesth. 2008;101(3):332-…
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapbfig1.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Appendix B. Figure 1. Top 10 Procedures for California 2008 SASD for Hospital-Based ASCs
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Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
E…
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapbfig2.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Appendix B. Figure 2. Top 10 Procedures for California 2008 SASD for Freestanding ASCs
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Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Exe…