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psnet.ahrq.gov/node/37956/psn-pdf
July 30, 2008 - Hospital mortality: when failure is not a good measure of
success.
July 30, 2008
Shojania KG, Forster AJ. Hospital mortality: when failure is not a good measure of success. CMAJ.
2008;179(2):153-7. doi:10.1503/cmaj.080010.
https://psnet.ahrq.gov/issue/hospital-mortality-when-failure-not-good-measure-success
This …
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-postoperative-wound-surveillance-using-current-technology/citation/predictors
January 01, 2023 - Predictors of surgical site infection after hospital discharge in patients undergoing major vascular surgery.
Citation
Wiseman JT, Fernandes-Taylor S, Barnes ML, et al. Predictors of surgical site infection after hospital discharge in patients undergoing major vascular surgery. J Vasc Surg 2015;62(4)…
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psnet.ahrq.gov/issue/surgeon-scorecard
January 22, 2014 - Multi-use Website
Surgeon Scorecard.
Citation Text:
Surgeon Scorecard. Wei S; Allen M; Pierce O.
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July 22, 20…
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psnet.ahrq.gov/issue/prevention-perioperative-medication-errors
March 22, 2023 - Review
Prevention of perioperative medication errors.
Citation Text:
Prevention of perioperative medication errors. Nanji K. UpToDate. March 7, 2023.
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www.ahrq.gov/es/tools/index.html?page=5
December 01, 2017 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More
The SHARE Approach Five-step process for clinicians and their patients More
EvidenceNOW Tools for Change Helping practices implement evidence More
Tools
The …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/engaging-staff-stories-transcript.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Sustainability Module
Engaging Staff With Stories: Transcript
Carol Culbertson, Director of Nursing
Audubon Surgery Center, CO
Carol: Well, sharing stories with not only my team but with other involved facilities, such as the conference calls that we have done, has been…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/surgical_roles.docx
December 01, 2017 - Surgical Safety Team Roles and Responsibilities Tool
AHRQ Safety Program for Surgery
Surgical Safety Team Roles and Responsibilities Tool
Introduction
Problem Statement
This tool will help your safety program team understand the core tasks of this project and will help you organize your team to complete the work. …
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/senior-leader.html
May 01, 2017 - Senior Leader Checklist - Patient and Family Engagement in the Surgical Environment Module
Complete? ✓
Opportunities To Engage Patients and Family
Party Responsible
Notes
Assign a leader to oversee the facility’s efforts to evaluate and improve patient engagement practices. The…
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psnet.ahrq.gov/issue/learning-invited-reviews
May 29, 2019 - Book/Report
Learning From Invited Reviews.
Citation Text:
Learning From Invited Reviews. London, UK: Royal College of Surgeons of England; 2019.
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psnet.ahrq.gov/issue/better-surgeons-notes-performance
February 06, 2018 - Book/Report
Better: A Surgeon's Notes on Performance.
Citation Text:
Better: A Surgeon's Notes on Performance. Gawande A. New York, NY: Metropolitan; 2007.
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psnet.ahrq.gov/issue/save-brain-make-checklist
November 02, 2018 - Newspaper/Magazine Article
Save a brain, make a checklist.
Citation Text:
Save a brain, make a checklist. Hamblin J. The Atlantic. March 17, 2014.
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psnet.ahrq.gov/issue/surgical-checklists-save-lives-once-while-they-dont-why
October 17, 2018 - Newspaper/Magazine Article
Surgical checklists save lives—but once in a while, they don't. Why?
Citation Text:
Surgical checklists save lives—but once in a while, they don't. Why? Mukherjee S. New York Times Magazine. May 9, 2018.
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psnet.ahrq.gov/issue/pinpoint-beam-strays-invisibly-harming-instead-healing
March 09, 2011 - Newspaper/Magazine Article
A pinpoint beam strays invisibly, harming instead of healing.
Citation Text:
A pinpoint beam strays invisibly, harming instead of healing. Bogdanich W; Rebelo K.
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psnet.ahrq.gov/issue/sentinel-event-alert-68-updated-surgical-fire-prevention-21st-century
February 26, 2025 - Sentinel Event Alerts
Sentinel Event Alert 68: updated surgical fire prevention for the 21st Century.
Citation Text:
Sentinel Event Alert 68: Updated Surgical Fire Prevention for the 21st Century. Jt Comm J Qual Patient Saf. 2024;50(2):157-160. doi:10.1016/j.jcjq.2023.10.003.
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psnet.ahrq.gov/issue/pediatric-quality-indicators-overview
December 24, 2008 - Measurement Tool/Indicator
Pediatric Quality Indicators Overview.
Citation Text:
Pediatric Quality Indicators Overview. Agency for Healthcare Research and Quality
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psnet.ahrq.gov/issue/pso-privacy-protection-center
December 24, 2008 - Government Resource
PSO Privacy Protection Center.
Citation Text:
PSO Privacy Protection Center. Agency for Healthcare Research and Quality; AHRQ.
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psnet.ahrq.gov/issue/five-steps-safer-health-care
July 21, 2021 - Fact Sheet/FAQs
Five Steps to Safer Health Care.
Citation Text:
Five Steps to Safer Health Care. American Hospital Association; American Medical Association; U.S. Department of Health and Human Services.
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psnet.ahrq.gov/issue/your-medicine-be-smart-be-safe
March 22, 2017 - Fact Sheet/FAQs
Your Medicine, Be Smart, Be Safe.
Citation Text:
Your Medicine, Be Smart, Be Safe. Rockville, MD: Agency for Healthcare Research and Quality: 2011. AHRQ publication no. 11-0049-A.
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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/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.
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Google Scholar BibTeX EndNote X3 …