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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/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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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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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/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/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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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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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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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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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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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/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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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/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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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/node/33634/psn-pdf
May 04, 2006 - The Wild West: Patient Safety in Office-Based Anesthesia
May 1, 2006
Kaushal R, Upadhyayula S, Gaba DM, et al. The Wild West: Patient Safety in Office-Based Anesthesia.
PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia
Perspective
Over the last decade, sur…
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digital.ahrq.gov/sites/default/files/docs/survey/rwhc-thqit-readiness-assessment.pdf
June 16, 2021 - Rural Wisconsin Health Cooperative Transforming Healthcare Quality Through Information Technology: Readiness Assessment
Rural Wisconsin Health Cooperative Transforming Healthcare Quality
Through Information Technology: Readiness Assessment
Reedsburg Area Medical Center, Reedsburg WI
This is a questionnaire designe…
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psnet.ahrq.gov/node/49763/psn-pdf
June 01, 2016 - July Syndrome
June 1, 2016
Young JQ. July Syndrome. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/july-syndrome
The Case
A 64-year-old man was seen in the thoracic surgery clinic in June after being diagnosed with a right lower
lobe lung cancer. The attending surgeon saw the patient along with his fellow,…
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psnet.ahrq.gov/web-mm/local-anesthesia-induced-coma-during-total-knee-arthroplasty
October 27, 2021 - Local Anesthesia-Induced Coma During Total Knee Arthroplasty.
Citation Text:
Aldwinckle R. Local Anesthesia-Induced Coma During Total Knee Arthroplasty.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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