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psnet.ahrq.gov/issue/potentially-inappropriate-medication-administration-associated-adverse-postoperative-outcomes
October 07, 2020 - Study
Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study.
Citation Text:
Burfeind KG, Zarnegarnia Y, Tekkali P, et al. Potentially inappropriate medication administration is associ…
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psnet.ahrq.gov/issue/patient-handovers-within-hospital-translating-knowledge-motor-racing-healthcare
April 01, 2015 - Study
Classic
Patient handovers within the hospital: translating knowledge from motor racing to healthcare.
Citation Text:
Catchpole K, Sellers R, Goldman A, et al. Patient handovers within the hospital: translating knowledge from motor racing to healthcare. Q…
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psnet.ahrq.gov/issue/intraoperative-deaths-who-why-and-can-we-prevent-them
November 04, 2020 - Study
Intraoperative deaths: who, why, and can we prevent them?
Citation Text:
Dorken Gallastegi A, Mikdad S, Kapoen C, et al. Intraoperative deaths: who, why, and can we prevent them? J Surg Res. 2022;274:185-195. doi:10.1016/j.jss.2022.01.007.
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psnet.ahrq.gov/issue/hospital-acquired-condition-reduction-program-not-associated-additional-patient-safety
May 29, 2019 - Study
Hospital-Acquired Condition Reduction Program is not associated with additional patient safety improvement.
Citation Text:
Sheetz KH, Dimick JB, Englesbe MJ, et al. Hospital-Acquired Condition Reduction Program Is Not Associated With Additional Patient Safety Improvement. Health Af…
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psnet.ahrq.gov/issue/factors-influencing-reporting-adverse-medical-device-events-qualitative-interviews-physicians
May 17, 2017 - Study
Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians about higher risk implantable devices.
Citation Text:
Gagliardi AR, Ducey A, Lehoux P, et al. Factors influencing the reporting of adverse medical device events: qualitative i…
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psnet.ahrq.gov/issue/international-recommendations-national-patient-safety-incident-reporting-systems-expert
February 14, 2018 - Study
International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process.
Citation Text:
Howell A-M, Burns EM, Hull L, et al. International recommendations for national patient safety incident reporting systems: an expert Del…
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psnet.ahrq.gov/issue/relationship-between-occurrence-surgical-complications-and-hospital-finances
April 21, 2015 - Study
Classic
Relationship between occurrence of surgical complications and hospital finances.
Citation Text:
Eappen S, Lane BH, Rosenberg B, et al. Relationship between occurrence of surgical complications and hospital finances. JAMA. 2013;309(15):1599-606. doi…
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psnet.ahrq.gov/issue/surgical-checklist-implementation-project-impact-variable-who-checklist-compliance-risk
June 22, 2016 - Study
Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study.
Citation Text:
Mayer EK, Sevdalis N, Rout S, et al. Surgical Checklist Implementation Project: The Impa…
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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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digital.ahrq.gov/ahrq-funded-projects/surgical-risk-preoperative-assessment-system
January 01, 2023 - Surgical Risk Preoperative Assessment System
Project Final Report ( PDF , 396.88 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No stat…
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hcup-us.ahrq.gov/datainnovations/clinicaldata/File1_AHCA_Presentation_To_AHSS_On_POA.jsp
August 01, 2011 - Present on Admission Indicators
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
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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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www.ahrq.gov/sites/default/files/2025-06/xu-report.pdf
January 01, 2025 - Surgery & Services Databases (SASD).27,28 The NSQIP
database contains patient-level data on major surgeries … state-specific encounter-level databases containing a complete enumeration
of all inpatient and outpatient surgeries
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psnet.ahrq.gov/node/49464/psn-pdf
December 27, 2020 - Lap Burn
October 1, 2004
Ball K. Lap Burn. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/lap-burn
The Case
A woman was scheduled for an elective diagnostic laparoscopy for dysfunctional uterine bleeding. After
accessing the abdomen with the trocar without complication, the surgeon inserted the laparoscope…
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hcup-us.ahrq.gov/db/state/sedddist/sedd_multi.jsp
August 01, 2025 - SEDD File Composition
An official website of the Department of Health & Human Services
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/atrial-fibrillation-addendum-140619.pdf
June 19, 2014 - AHRQ: CER #119, Treatment of Atrial Fibrillation
Report Addendum (Submitted June 13, 2014)
All searches run for the AHRQ Comparative Effectiveness Review (CER #119,
Treatment of Atrial Fibrillation); found at:
http://www.ncbi.nlm.nih.gov/pubmed/24887617
were updated for the Annals of Internal Medicine publicati…
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psnet.ahrq.gov/node/60169/psn-pdf
March 25, 2020 - Is that solution for IV or irrigation?: Fluid administration
errors in the operating room.
March 25, 2020
Bohringer C. Is that solution for IV or irrigation?: Fluid administration errors in the operating room. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-erro…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/brca-related-cancer-risk-assessment-genetic-counseling-and-genetic-testing
August 24, 2017 - Share to Facebook
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Final Research Plan
BRCA-Related Cancer: Risk Assessment, Genetic Counseling, and Genetic Testing
August 24, 2017
Recommendations made by the USPSTF are independent of the U…