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psnet.ahrq.gov/node/42262/psn-pdf
November 21, 2016 - Medical errors leave devastating impact on families,
professionals.
November 21, 2016
Bernhard B.
https://psnet.ahrq.gov/issue/medical-errors-leave-devastating-impact-families-professionals
This newspaper article relates how medical mistakes affect both patients and clinicians and offers tips for
patients and fam…
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digital.ahrq.gov/principal-investigator/bruni-sylvain
January 01, 2023 - Bruni, Sylvain
Scalable Digital Communication Intervention to Support Older Adults and Care Partners Transitioning Home After Major Surgery
Description
This research will develop and evaluate the Perioperative Optimization of Senior Health (myPOSH) mobile application that supp…
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psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
January 01, 2024 - Spotlight
Spotlight
Missed Connection: A Case of Inadequate ECG
Oversight in Cardiac Surgery
Source and Credits
• This presentation is based on the March 2024 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Christian Bohringer, MBBS, …
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hcup-us.ahrq.gov/reports/methods/methods.jsp
February 01, 2025 - HCUP-US Methods Series
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updates
…
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hcup-us.ahrq.gov/reports/spotlights.jsp
June 01, 2018 - Research Spotlights
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updates
…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/rotator-cuff-tears-future_research.pdf
February 01, 2013 - FRN 39 - Nonoperative and Operative Treatments for Rotator Cuff Tears: Future Research Needs
Future Research Needs Paper
Number 39
Nonoperative and
Operative Treatments for
Rotator Cuff Tears: Future
Research Needs
Future Research Needs Paper
Number 39
Nonoperative and Operative Treatments for Rotator
Cuf…
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psnet.ahrq.gov/node/39041/psn-pdf
October 21, 2009 - The OR and a "just culture."
October 21, 2009
Hamlin L. The OR and a "just culture". AORN J. 2009;90(4):495-498. doi:10.1016/j.aorn.2009.09.003.
https://psnet.ahrq.gov/issue/or-and-just-culture
To illustrate the value of just culture implementation, this piece describes a hypothetical scenario involving
the WHO Sa…
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digital.ahrq.gov/organization/harvard-th-chan-school-public-health
January 01, 2023 - Harvard T.H. Chan School of Public Health
Scalable Digital Communication Intervention to Support Older Adults and Care Partners Transitioning Home After Major Surgery
Description
This research will develop and evaluate the Perioperative Optimization of Senior Health (myPOSH) m…
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psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia
April 01, 2003 - The Wild West: Patient Safety in Office-Based Anesthesia
Rainu Kaushal, MD MPH; Sekhar Upadhyayula, MD; David M. Gaba, MD; Lucian L. Leape, MD | May 1, 2006
View more articles from the same authors.
Citation Text:
Kaushal R, Upadhyayula S, Gaba DM, et al. The Wild…
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psnet.ahrq.gov/node/49423/psn-pdf
November 01, 2003 - The Missing Suction Tip
November 1, 2003
Thomas EJ, Moore FA. The Missing Suction Tip. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/missing-suction-tip
Case Objectives
Identify the risk factors for retained foreign bodies.
Understand methods used to prevent and identify retained foreign bodies.
Apprecia…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4c_pdi03-foreignbody-bestpractices.pdf
November 01, 2012 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4c
Selected Best Practices and Suggestions for Improvement
PDI 03: Retained Surgical Item or Unretrieved Device Fragment Count
Why focus on reta…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4q_combo_pdi03-foreignbody-bestpractices.pdf
November 01, 2012 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4q
Selected Best Practices and Suggestions for Improvement
PDI 03: Retained Surgical Item or Unretrieved Device Fragment Count
Why focus on retained forei…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/tympanostomy-tubes_research-protocol.pdf
November 16, 2015 - proceedings of the
National Summit on Overuse, convened in 2012, reported that tympanostomy tube
surgeries
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary4/lung-cancer-screening-december-2013
July 30, 2013 - Biopsy: NR
Surgery, CT group only: 83%–85% of cases of LC resected; 4/45 (9%) of
all surgeries … FNA
Surgery: 2% ( n = 153), 0.6% ( n = 45) for benign
disease
29% of VATS or other surgeries … LC: 9 (of 5481.5 person-years)
All-cause: 48
Additional procedures
15 surgeries … during the screening period, 99 and 53 needle biopsies, 303 and 92 bronchoscopies, and 673 vs. 234 surgeries
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/glaucoma-treatment_research-protocol.pdf
November 16, 2010 - Source: www.effectivehealthcare.ahrq.gov
Published Online: November 16, 2010
Evidence-based Practice Center Systematic Review Protocol
Project Title: Comparative Effectiveness of Treatment for Open-Angle Glaucoma
I. Background and Objectives for the Systematic Review
The Agency for Healthcare Research and…
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psnet.ahrq.gov/web-mm/missing-suction-tip
January 01, 2006 - SPOTLIGHT CASE
The Missing Suction Tip
Citation Text:
Thomas EJ, Moore FA. The Missing Suction Tip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 …
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psnet.ahrq.gov/web-mm/fire-hole-or-fire
August 03, 2017 - Fire in the Hole!—An OR Fire
Citation Text:
Mehta SP, Domino KM. Fire in the Hole!—An OR Fire. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…
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psnet.ahrq.gov/node/49848/psn-pdf
January 01, 2019 - Inadequate Preanesthetic Evaluation, Airway Trouble
November 1, 2018
Blitz J. Inadequate Preanesthetic Evaluation, Airway Trouble. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
The Case
Case #1:
A 34-year-old woman was scheduled for a hysteroscopy under g…
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psnet.ahrq.gov/web-mm/around-block
March 04, 2020 - Around the Block
Citation Text:
Minichiello T. Around the Block. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-slides.html
October 01, 2020 - Implementing Your Surgical Site Infection Prevention Bundle: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Implementation
Implementing Your Surgical Site Infection Prevention Bundle
Slide 2: Learning Objectives
After this session, you will be able to–
…