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psnet.ahrq.gov/issue/doctors-say-they-need-protection-apologize
August 24, 2016 - Cite
Related Resources From the Same Author(s)
5 cataract surgeries
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psnet.ahrq.gov/issue/model-patient-how-simulators-are-changing-way-doctors-are-trained
August 24, 2016 - October 19, 2011
Surgeons must tell patients of double-booked surgeries, new guidelines
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psnet.ahrq.gov/node/42454/psn-pdf
September 09, 2013 - net reimbursements for patients
who experienced surgical complications compared with patients whose surgeries
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hcup-us.ahrq.gov/toolssoftware/surgflags/surgeryflags.jsp
October 01, 2017 - defined surgical procedures as well as a broader group of diagnostic and less invasive therapeutic surgeries … Guiding Key Terms:
Therapeutic and diagnostic surgeries that go through an existing orifice and require … includes information about the classification of procedures into the broad and narrow definitions of surgeries … file:
%LET NUMI9PRS=5;
Please note that in order to build a list of all discharges with "BROAD" surgeries
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psnet.ahrq.gov/issue/heartbroken
January 17, 2024 - June 9, 2011
MGH halts a pediatric program: Heart surgeries on hold after errors.
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psnet.ahrq.gov/issue/alarm-fatigue-hazards-sirens-are-calling
November 16, 2022 - March 30, 2016
Surgeons must tell patients of double-booked surgeries, new guidelines
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psnet.ahrq.gov/issue/covid-19-leads-increased-need-dialysis-machines
April 29, 2020 - July 1, 2020
How the coronavirus is delaying life-altering surgeries.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.341_slideshow.ppt
March 01, 2015 - S36. http://ncbi.nlm.nih.gov/pubmed/20407349
7
Contributing Factors & Root Causes
Most wrong-site surgeries … The Universal Protocol was designed to engage institutions in implementing a standardized approach to surgeries
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psnet.ahrq.gov/issue/wrong-foot-and-other-tales-surgical-error
January 18, 2023 - July 6, 2011
Wrong body part, wrong patient surgeries continue despite new procedures
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effectivehealthcare.ahrq.gov/sites/default/files/cer-245-breast-reconstruction-after-mastectomy-evidence-summary-updated-1.pdf
October 01, 2021 - reconstructive failure, infections that are not explicitly
implant-related, pain, analgesic use, or unplanned surgeries … of seroma (summary adjOR 1.52, 95% CI 0.62 to 3.71; 4 studies)
(Moderate SoE) and unplanned repeat surgeries … Planned surgeries for reconstruction N/P N/P nd nd nd nd
Duration of initial hospitalization . . . .
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/fetal-surgery_disposition-comments.pdf
July 05, 2011 - We
agree that the word “surgeries” can be
imprecise. … We
agree that the word “surgeries” can be
imprecise. … We
agree that the word “surgeries” can be
imprecise. … We
agree that the word “surgeries” can be
imprecise. … We
agree that the word “surgeries” can be
imprecise.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.368_slideshow.ppt
February 01, 2016 - The patient ultimately required several additional surgeries and a prolonged hospital stay.
6
Background … Prostatectomy
Robotic-assisted laparoscopic prostatectomy (RALP) is one of the most common robotic surgeries … Device failures associated with patient injuries during robot-assisted laparoscopic surgeries: a comprehensive
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psnet.ahrq.gov/issue/long-way-go
June 13, 2011 - January 31, 2019
Surgeons must tell patients of double-booked surgeries, new guidelines
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psnet.ahrq.gov/issue/bringing-surgeons-down-earth
August 17, 2016 - December 22, 2010
'Wrong site' surgeries on the rise.
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psnet.ahrq.gov/issue/cms-seeks-add-9-hospital-acquired-conditions-no-pay-list
November 10, 2010 - June 25, 2008
Sponges, surgical instruments miscounted in 13% of surgeries.
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psnet.ahrq.gov/issue/hospitals-shine-light-mistakes-publicly-saying-were-sorry
November 10, 2010 - June 25, 2008
Sponges, surgical instruments miscounted in 13% of surgeries.
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psnet.ahrq.gov/issue/towel-safety-message
October 24, 2012 - July 6, 2011
Wrong body part, wrong patient surgeries continue despite new procedures
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psnet.ahrq.gov/issue/top-10-ways-improve-patient-safety-now
November 10, 2010 - June 25, 2008
Sponges, surgical instruments miscounted in 13% of surgeries.
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psnet.ahrq.gov/issue/im-sorry-why-so-hard-doctors-say
November 10, 2010 - June 25, 2008
Sponges, surgical instruments miscounted in 13% of surgeries.
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psnet.ahrq.gov/issue/crisis-do-not-revive-requests-dont-always-work
December 16, 2015 - August 17, 2016
5 cataract surgeries, 5 people blinded: what went wrong?