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psnet.ahrq.gov/issue/ibms-watson-learning-its-way-saving-lives
October 18, 2017 - March 4, 2020
Six ways to lower errors—and unnecessary surgeries—in radiology exams.
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psnet.ahrq.gov/issue/key-reducing-doctors-misdiagnoses
October 07, 2015 - March 4, 2020
Six ways to lower errors—and unnecessary surgeries—in radiology exams.
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psnet.ahrq.gov/issue/ama-meeting-delegates-see-boosting-quality-care-duty
March 07, 2012 - March 7, 2012
Sponges, surgical instruments miscounted in 13% of surgeries.
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psnet.ahrq.gov/issue/look-alike-sound-alike-oncology-medications
July 02, 2008 - August 17, 2016
5 cataract surgeries, 5 people blinded: what went wrong?
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psnet.ahrq.gov/issue/surgical-robot-examined-injuries
April 27, 2016 - Related Resources From the Same Author(s)
Surgeons must tell patients of double-booked surgeries
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psnet.ahrq.gov/issue/doctors-diagnosing-gets-technological-boost
May 18, 2005 - August 28, 2019
Six ways to lower errors—and unnecessary surgeries—in radiology exams
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psnet.ahrq.gov/issue/closing-safety-loop-auto-patient-id
December 03, 2007 - June 16, 2010
Sponges, surgical instruments miscounted in 13% of surgeries.
-
psnet.ahrq.gov/issue/walk-inside-have-surgery-it-safe
January 02, 2008 - October 3, 2017
5 cataract surgeries, 5 people blinded: what went wrong?
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psnet.ahrq.gov/issue/can-protecting-patients-be-made-recession-proof
November 10, 2010 - June 25, 2008
Sponges, surgical instruments miscounted in 13% of surgeries.
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psnet.ahrq.gov/issue/diagnosis-doubled-over-pain
May 16, 2007 - August 17, 2016
5 cataract surgeries, 5 people blinded: what went wrong?
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psnet.ahrq.gov/issue/target-pill-bottles-now-convenient-and-cute
October 05, 2016 - November 19, 2015
Awareness of patient safety grows with increased outpatient surgeries
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psnet.ahrq.gov/issue/feds-reverse-course-will-release-hospital-mistake-data
August 13, 2014 - September 6, 2017
Surgeons must tell patients of double-booked surgeries, new guidelines
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psnet.ahrq.gov/issue/medication-safety-issue-brief-medication-reconciliation
June 17, 2014 - June 17, 2014
Awareness of patient safety grows with increased outpatient surgeries.
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psnet.ahrq.gov/issue/revealing-their-medical-errors-why-three-doctors-went-public
November 10, 2010 - June 25, 2008
Sponges, surgical instruments miscounted in 13% of surgeries.
-
psnet.ahrq.gov/issue/arrogant-abusive-and-disruptive-and-doctor
February 09, 2011 - August 17, 2016
5 cataract surgeries, 5 people blinded: what went wrong?
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psnet.ahrq.gov/issue/how-can-we-save-next-victim
January 23, 2008 - August 17, 2016
5 cataract surgeries, 5 people blinded: what went wrong?
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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
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/Ym2epesCwZWNPaaMr78Shp
August 01, 2014 - Four RCTs (primarily done in men)
showed that screening doubled the rate of AAA-associated
surgeries, … largely driven by an increase in elective surgeries. … The Chichester and Western Australia trials
found no differences in the rate of emergency surgeries
( … at 3 to 5 years, driven primarily by an increase in
elective surgeries. … This overall increase in surgeries persisted
at 13 to 15 years, although the magnitude of difference
-
hcup-us.ahrq.gov/reports/statbriefs/sb15.pdf
October 01, 2006 - Betwee
the rate of the
performed du
decreased sig
the increased
facilities for al
surgeries and
breast-conser … ring a hospital stay
nificantly due to
use of outpatient
l breast cancer
the shift towards
ving surgeries … Both of these
surgeries are generally followed by radiation and chemotherapy; however, in the case of … setting can be attributed in
part to the increasing use of outpatient facilities for all breast cancer surgeries … and the shift toward breast-
conserving surgeries, such as lumpectomies.
-
hcup-us.ahrq.gov/reports/statbriefs/sb15.jsp
October 15, 2006 - stay decreased significantly due to the increased use of outpatient facilities for all breast cancer surgeries … and the shift towards breast-conserving surgeries, which are typically performed in the outpatient setting … Both of these surgeries are generally followed by radiation and chemotherapy; however, in the case of … setting can be attributed in part to the increasing use of outpatient facilities for all breast cancer surgeries … and the shift toward breast-conserving surgeries, such as lumpectomies.