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Medical Failure-to-Rescue Final Report (pdf file)
www.ahrq.gov/sites/default/files/2025-05/silber-report.pdfJanuary 01, 2025 - Medical Failure-to-Rescue Final Report Medical Failure-to-Rescue Final Report November 13, 2018 Principal Investigator: Jeffrey H. Silber, MD, PhD1,2,3,4,5 Co-investigators: Paul R. Rosenbaum, Ph.D5,6 Patrick S. Romano, MD, MPH7 Project Manager: Bijan A. Niknam, BS1 Orit Even-Shoshan, MS1,5 Senior Statis… -
www.uspreventiveservicestaskforce.org/uspstf/recommendation/impaired-visual-acuity-in-older-adults-screening-2016March 01, 2016 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Impaired Visual Acuity in Older Adults: Screening March 01, 2016 Recommendations made by the USPSTF are independent of the U.S…
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide7.htmlMay 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.htmlMay 01, 2016 - loss of cognitive and physical function. 26-30 Early ambulation programs have improved outcomes after surgeries
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865373/psn-pdfMarch 27, 2024 - In Conversation with...Patrick Tighe about Artificial Intelligence March 27, 2024 Tighe P. In Conversation with..Patrick Tighe about Artificial Intelligence . PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence Editor's note: Patrick Tighe, MD, MS… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60328/psn-pdfMay 27, 2020 - Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression May 27, 2020 Fazio S, Firestone R. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory- … -
www.ahrq.gov/hai/cusp/modules/patient-family-engagement/index.htmlJuly 01, 2018 - Patient and Family Engagement The Patient and Family Engagement module of the CUSP Toolkit focuses on making sure patients and their family members understand what is happening during the patient's hospital stay, are active participants in the patient's care, and are prepared for discharge. This module expl…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851188/psn-pdfJuly 05, 2023 - The role of an assistant nurse in implementing the WHO Surgical Safety Checklist: perception and perspectives. July 5, 2023 Ališi? E, Krupi? M, Ali? J, et al. The role of an assistant nurse in implementing the WHO Surgical Safety Checklist: perception and perspectives. Cureus. 2023;15(5):e38854. doi:10.7759/cureus.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60550/psn-pdfJune 03, 2020 - Clinical efficacy of combined surgical patient safety system and the World Health Organization's checklists in surgery: a nonrandomized clinical trial. June 3, 2020 Storesund A, Haugen AS, Flaatten H, et al. Clinical Efficacy of Combined Surgical Patient Safety System and the World Health Organization’s Checklists… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42699/psn-pdfOctober 30, 2013 - A prospective, observational study of the effects of implementation strategy on compliance with a surgical safety checklist. October 30, 2013 Hannam JA, Glass L, Kwon J, et al. A prospective, observational study of the effects of implementation strategy on compliance with a surgical safety checklist. BMJ Qual Saf.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38243/psn-pdfNovember 26, 2008 - Impact of preoperative briefings on operating room delays. November 26, 2008 Nundy S, Mukherjee A, Sexton B, et al. Impact of preoperative briefings on operating room delays: a preliminary report. Arch Surg. 2008;143(11):1068-72. doi:10.1001/archsurg.143.11.1068. https://psnet.ahrq.gov/issue/impact-preoperative-br… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867045/psn-pdfOctober 30, 2024 - The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. October 30, 2024 Shambhu S, Gordon AS, Liu Y, et al. The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. Jt Comm J Qual Patient Saf. 2024;50(12):857-866. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/856587/psn-pdfJanuary 01, 2024 - Surgical leadership in a culture of safety: an inter- professional study of metrics and tools for improving clinical practice. November 29, 2023 Gogalniceanu P, Kunduzi B, Ruckley C, et al. Surgical leadership in a culture of safety: an inter- professional study of metrics and tools for improving clinical practice… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43363/psn-pdfSeptember 12, 2016 - Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. September 12, 2016 Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Surgery. 2014;155(6):989-94. doi:10.1016/j.surg.2014.01.016. https://ps… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846155/psn-pdfMarch 15, 2023 - Reduction in omission events after implementing a rapid response system: a mortality review in a department of gastrointestinal surgery. March 15, 2023 Olsen SL, Nedrebø BS, Strand K, et al. Reduction in omission events after implementing a Rapid Response System: a mortality review in a department of gastrointesti… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47141/psn-pdfAugust 17, 2018 - Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes. August 17, 2018 Mull HJ, Graham LA, Morris MS, et al. Association of Postoperative Readmissions With Surgical Quality Using a Delphi Consensus Process to Identify Relevant Diagnosi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43787/psn-pdfJune 22, 2016 - Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study. June 22, 2016 Russ S, Rout S, Caris J, et al. Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional stud… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45914/psn-pdfMarch 20, 2018 - Understanding the multidimensional effects of resident duty hours restrictions: a thematic analysis of published viewpoints in surgery. March 20, 2018 Devitt KS, Kim MJ, Conn LG, et al. Understanding the Multidimensional Effects of Resident Duty Hours Restrictions: A Thematic Analysis of Published Viewpoints in Su… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36833/psn-pdfMarch 03, 2011 - Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. March 3, 2011 Michaels RK, Makary MA, Dahab Y, et al. Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. Ann S… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850350/psn-pdfJune 14, 2023 - Preventing surgical site infections: are safety climate level and its strength associated with self-reported commitment to, subjective norms toward, and knowledge about preventive measures? June 14, 2023 Pfeiffer Y, Atkinson A, Maag J, et al. Preventing surgical site infections: are safety climate level and its s…
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