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psnet.ahrq.gov/issue/survey-national-drug-shortage-effect-anesthesia-and-patient-safety-patient-perspective
May 23, 2018 - Study
Survey of the national drug shortage effect on anesthesia and patient safety: a patient perspective.
Citation Text:
Hsia IK-H, Dexter F, Logvinov I, et al. Survey of the National Drug Shortage Effect on Anesthesia and Patient Safety: A Patient Perspective. Anesth Analg. 2015;121(2)…
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psnet.ahrq.gov/issue/how-willing-are-patients-question-healthcare-staff-issues-related-quality-and-safety-their
July 31, 2008 - Study
How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory study.
Citation Text:
Davis R, Koutantji M, Vincent C. How willing are patients to question healthcare staff on issues related to the quality and …
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psnet.ahrq.gov/issue/show-me-money-ill-show-you-my-complications-impacts-incentivized-incident-self-reporting
March 09, 2022 - Study
Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons.
Citation Text:
Cook-Richardson S, Addo A, Kim P, et al. Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeo…
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psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health-administration-and-lessons
August 21, 2019 - Study
Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned.
Citation Text:
Neily J, Silla ES, Sum-Ping S (J) T, et al. Anesthesia Adverse Events Voluntarily Reported in the Veterans Health Administration and Lessons Learned. Anesth Anal…
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psnet.ahrq.gov/issue/prospective-validation-classification-intraoperative-adverse-events-classintra-international
November 20, 2015 - Study
Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study.
Citation Text:
Dell-Kuster S, Gomes NV, Gawria L, et al. Prospective validation of classification of intraoperative adverse events (ClassIntra): internat…
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hcup-us.ahrq.gov/db/state/sedddist/sedddist_filecompnj.jsp
March 01, 2007 - SEDD File Composition - New Jersey
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Update…
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/ssi-investigation-slides.html
December 01, 2017 - Performing SSI Investigations: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Onboarding
Performing an SSI Investigation
Slide 2: Learning Objectives
After this session, you will be able to–
Explain the difference between process and outcome data.
D…
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hcup-us.ahrq.gov/tech_assist/nationalestimates/508_course/508course_2023.jsp
January 01, 2023 - Major ambulatory surgeries are defined as selected major therapeutic procedures that require the use … the skin, and involve regional anesthesia, general anesthesia, or sedation to control pain (that is, surgeries … Earlier years of the NASS (2016–2018) undercount certain emergent surgeries. … Estimates by Race and Ethnicity
This example SAS code produces national estimates of major ambulatory surgeries
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www.ahrq.gov/patient-safety/resources/learning-lab/ehrll-long-desc.html
April 01, 2022 - Engineering High Reliability Learning Lab (EHRLL)
Principal Investigator: Sara Singer, Ph.D., Harvard University, Cambridge, MA
AHRQ Grant No.: HS24453
Project Period: 09/30/15–09/29/21
Description: The goal of this learning lab was to enhance capacity for innovation and develop highly reliable system…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-266-cdd-executive-summary.pdf
November 01, 2023 - Comparative Effectiveness Review No. 266_Cervical Degenerative Disease Treatment: A Systematic Review
Comparative Effectiveness Review
Number 266
Cervical Degenerative Disease
Treatment: A Systematic Review
Executive Summary
Main Points
• Cervical arthroplasty versus anterior cervical discec…
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www.ahrq.gov/es/questions/question-builder/online.html
August 31, 2025 - Question Builder Online Be prepared for your next medical appointment. Create a list of questions that you can take with you whether you are getting a checkup, talking about a problem or health condition, getting a prescription, or discussing a medical test or surgery. Whatever the reason for your visit, it is importan…
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psnet.ahrq.gov/node/840174/psn-pdf
August 28, 2024 - Missed CANDOR Implementation Opportunities.
November 16, 2022
Schweitzer L. Missed CANDOR Implementation Opportunities. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
The Case
A 58-year-old man with a history of type 2 diabetes mellitus, hypertension, morbid obesit…
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psnet.ahrq.gov/node/33785/psn-pdf
May 01, 2015 - In Conversation With… John D. Birkmeyer, MD
May 1, 2015
In Conversation With… John D. Birkmeyer, MD. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
Editor's note: John D. Birkmeyer, MD, is an internationally recognized health services researcher with
expertise in perfo…
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psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
September 15, 2024 - Retained Surgical Items: Definition and Epidemiology.
Citation Text:
Romano PS, Gibbs VC. Retained Surgical Items: Definition and Epidemiology.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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Format:
…
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psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
November 11, 2020 - Missed CANDOR Implementation Opportunities.
Citation Text:
Schweitzer L. Missed CANDOR Implementation Opportunities.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
Copy Citation
Format:
Google Scholar BibTeX EndN…
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psnet.ahrq.gov/node/37066/psn-pdf
October 03, 2011 - Improving patient safety by identifying latent failures in
successful operations.
October 3, 2011
Catchpole K, Giddings AEB, Wilkinson M, et al. Improving patient safety by identifying latent failures in
successful operations. Surgery. 2007;142(1):102-10.
https://psnet.ahrq.gov/issue/improving-patient-safety-ident…
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psnet.ahrq.gov/training-catalog/international-conference-emerging-surgery-trends-2025-redefining-surgical
January 01, 2025 - International Conference on Emerging Surgery Trends 2025: Redefining Surgical Excellence Conference
Save
Save to your library
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Organization:
Organization
The Research Ga…
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psnet.ahrq.gov/node/41698/psn-pdf
November 27, 2012 - Duplication of surgical site marking.
November 27, 2012
Davis JS, Karmacharya J, Schulman C. Duplication of surgical site marking. J Patient Saf. 2012;8(4):151-2.
doi:10.1097/PTS.0b013e3182699a01.
https://psnet.ahrq.gov/issue/duplication-surgical-site-marking
Describing a case of duplicate surgical site markings o…
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psnet.ahrq.gov/node/38234/psn-pdf
June 09, 2011 - Cutting out human error.
June 9, 2011
Feinmann J. Cutting out human error. BMJ. 2008;337:a2370. doi:10.1136/bmj.a2370.
https://psnet.ahrq.gov/issue/cutting-out-human-error
This article discusses how human factors contribute to error and highlights the WHO World Alliance for
Patient Safety Safe Surgery Checklist as…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.127_slideshow.ppt
May 01, 2006 - Spotlight Case
Spotlight Case May 2006
Right? Left? Neither!
Source and Credits
This presentation is based on the May 2006
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Elizabeth A. Howell, MD, MPP; Mark R. Chassin, MD…