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psnet.ahrq.gov/node/73864/psn-pdf
September 22, 2021 - Simulation-based assessment identifies longitudinal
changes in cognitive skills in an anesthesiology
residency training program.
September 22, 2021
Sidi A, Gravenstein N, Vasilopoulos T, et al. Simulation-based assessment identifies longitudinal changes
in cognitive skills in an anesthesiology residency training p…
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psnet.ahrq.gov/node/44027/psn-pdf
April 15, 2015 - Hospital credentialing and privileging of surgeons: a
potential safety blind spot.
April 15, 2015
Pradarelli J, Campbell D, Dimick JB. Hospital credentialing and privileging of surgeons: a potential safety
blind spot. JAMA. 2015;313(13):1313-4. doi:10.1001/jama.2015.1943.
https://psnet.ahrq.gov/issue/hospital-cred…
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psnet.ahrq.gov/node/44001/psn-pdf
May 06, 2015 - Wrong-site nerve blocks: 10 yr experience in a large
multihospital health-care system.
May 6, 2015
Hudson ME, Chelly JE, Lichter JR. Wrong-site nerve blocks: 10 yr experience in a large multihospital
health-care system. Br J Anaesth. 2015;114(5):818-24. doi:10.1093/bja/aeu490.
https://psnet.ahrq.gov/issue/wrong-si…
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psnet.ahrq.gov/node/866162/psn-pdf
June 19, 2024 - Surgeon and surgical trainee experiences after adverse
patient events.
June 19, 2024
Ginzberg SP, Gasior JA, Passman JE, et al. Surgeon and surgical trainee experiences after adverse
patient events. JAMA Netw Open. 2024;7(6):e2414329. doi:10.1001/jamanetworkopen.2024.14329.
https://psnet.ahrq.gov/issue/surgeon-and…
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psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
September 01, 2012 - Add-on Case and the Missing Checklist
Citation Text:
Catchpole K. Add-on Case and the Missing Checklist. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML En…
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psnet.ahrq.gov/node/857260/psn-pdf
November 30, 2023 - When Taking an SGLT2 inhibitor, Remember To SSTOP
(Stop SGLT2 Inhibitor Three days bef-O-re Procedures)!
November 30, 2023
Bagley B, Tan CL, Plante D. When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2
Inhibitor Three days bef-O-re Procedures)!. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/when…
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psnet.ahrq.gov/node/49664/psn-pdf
January 01, 2013 - Empty Handoff
September 1, 2012
Goldman A, Catchpole K. Empty Handoff. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/empty-handoff
The Case
A 29-year-old man with "brittle diabetes" was admitted to the surgery service for incision and drainage of a
leg wound. The patient's medical history included chronic…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/gerd-2005_executive.pdf
January 01, 2005 - Layout 1
Background
Gastroesophageal reflux disease (GERD),
defined as weekly heartburn and/or acid
regurgitation, is one of the most common
health conditions affecting older
Americans. Direct costs attributable to
GERD were estimated to be $10 billion in
the United States in 2000.
Some patients have frequent, sever…
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psnet.ahrq.gov/node/49476/psn-pdf
March 02, 2005 - Around the Block
March 1, 2005
Minichiello T. Around the Block. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/around-block
The Case
A 77-year-old woman with multiple medical problems was admitted to the hospital for an elective knee
replacement. The orthopedic surgeon, recognizing the risk of deep vein th…
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psnet.ahrq.gov/node/49837/psn-pdf
August 01, 2018 - Abdominal Aortic Aneurysm Screening
August 1, 2018
Jim J. Abdominal Aortic Aneurysm Screening. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/abdominal-aortic-aneurysm-screening
Case Objectives
Describe risk factors associated with abdominal aortic aneurysm.
Identify patient populations meeting criteria fo…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-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.4b
Selected Best Practices and Suggestions for Improvement
PSI 05: Retained Surgical Item or Unretrieved Device Fragment Count
Why Focus on Retained Fore…
-
www.ahrq.gov/research/findings/final-reports/stpra/stpra3.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Chapter 3. Risk-Informed Interventions
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduction
Chapt…
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psnet.ahrq.gov/node/49791/psn-pdf
April 01, 2017 - Wrong-side Bedside Paravertebral Block: Preventing the
Preventable
April 1, 2017
Barrington MJ, Uda Y. Wrong-side Bedside Paravertebral Block: Preventing the Preventable. PSNet
[internet]. 2017.
https://psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
The Case
An 84-year-old wo…
-
psnet.ahrq.gov/node/49507/psn-pdf
April 01, 2006 - Is the "Surgical Personality" a Threat to Patient Safety?
April 1, 2006
Bosk CL. Is the "Surgical Personality" a Threat to Patient Safety? PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
Case Objectives
Describe the myth of the "surgical personality"
Identify featu…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/component-kit.docx
May 01, 2017 - Module 1- Component Kit
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
Module 1: Overview
A Frontline Management System To Sustain Improvement in Safety Practices
Contents
1. Why a Frontline Management System? 2
2. Components of the Frontline Management System 3
3. Interactions of …
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide7.html
May 01, 2016 - loss of cognitive and physical function. 26-30 Early ambulation programs have improved outcomes after surgeries
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide7.html
May 01, 2016 - loss of cognitive and physical function. 26-30 Early ambulation programs have improved outcomes after surgeries
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/Case_Study_Specialty_Practice_Updated.pdf
October 01, 2011 - Improving Customer Service and Access in a Surgical Practice
WORKING
P A P E R
Improving Customer
Service and Access in a
Surgical Practice
A Case Study of a Successful
Quality Improvement Intervention
Denise D. Quigley, Shelley H.
Wiseman, and Donna O. Farley
WR-848-AHRQ
August 2011
Prepared for th…
-
www.ahrq.gov/sops/news.html
March 01, 2025 - SOPS Announcements
2025 Announcements Date Announcements February 2025 AHRQ's Surveys on Patient Safety Culture® Nursing Home Survey: 2025 User Database Report Results from AHRQ’s 2025 Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey User Database Report are now available. The Database Report in…
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hcup-us.ahrq.gov/db/state/sedddist/sedddist_filecompmd.jsp
August 01, 2006 - SEDD File Composition - Maryland
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