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7581. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33953/psn-pdf
      February 05, 2018 - Evidence-based Recommendations for Best Practices in Weight Loss Surgery.  … February 5, 2018 Expert Panel on Weight Loss Surgery, Betsy Lehman Center for Patient Safety and Medical … https://psnet.ahrq.gov/issue/expert-panel-weight-loss-surgery-betsy-lehman-center-patient-safety-and- … https://psnet.ahrq.gov/issue/expert-panel-weight-loss-surgery-betsy-lehman-center-patient-safety-and-medical-error … https://psnet.ahrq.gov/issue/safety-culture-and-complications-after-bariatric-surgery

7582. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39047/psn-pdf
      October 28, 2009 - ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. … ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. … /psnet.ahrq.gov/issue/provencare-quality-improvement-model-designing-highly-reliable-care-cardiac- surgery … ://psnet.ahrq.gov/issue/provencare-quality-improvement-model-designing-highly-reliable-care-cardiac-surgery … ://psnet.ahrq.gov/issue/provencare-quality-improvement-model-designing-highly-reliable-care-cardiac-surgery

7583. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42774/psn-pdf
      May 28, 2015 - Patient safety in plastic surgery: identifying areas for quality improvement efforts. … Patient safety in plastic surgery: identifying areas for quality improvement efforts. … https://psnet.ahrq.gov/issue/patient-safety-plastic-surgery-identifying-areas-quality-improvement-efforts … Using AHRQ patient safety indicators, this study established that approximately 4% of plastic surgery … https://psnet.ahrq.gov/issue/patient-safety-plastic-surgery-identifying-areas-quality-improvement-efforts

7584. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38541/psn-pdf
      May 21, 2009 - The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level … The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level … https://psnet.ahrq.gov/issue/relationship-between-inpatient-cardiac-surgery-mortality-and-nurse-numbers … general wards—but not in the intensive care unit—was associated with reduced mortality for cardiac surgery … https://psnet.ahrq.gov/issue/relationship-between-inpatient-cardiac-surgery-mortality-and-nurse-numbers-and-educational

7585. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39983/psn-pdf
      December 06, 2010 - Patient safety during anaesthesia: incorporation of the WHO safe surgery guidelines into clinical practice … Patient safety during anaesthesia: incorporation of the WHO safe surgery guidelines into clinical practice … https://psnet.ahrq.gov/issue/patient-safety-during-anaesthesia-incorporation-who-safe-surgery-guidelines … https://psnet.ahrq.gov/issue/patient-safety-during-anaesthesia-incorporation-who-safe-surgery-guidelines-clinical-practice … https://psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge

7586. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42677/psn-pdf
      July 16, 2015 - Using "near misses" analysis to prevent wrong-site surgery. … Using "near misses" analysis to prevent wrong-site surgery. … https://psnet.ahrq.gov/issue/using-near-misses-analysis-prevent-wrong-site-surgery By tracking improper … surgical bookings and observing time-out procedures, this study measured near misses for wrong-site surgery … https://psnet.ahrq.gov/issue/using-near-misses-analysis-prevent-wrong-site-surgery https://psnet.ahrq.gov

7587. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49537/psn-pdf
      June 01, 2007 - Appreciate the importance of communication and collaboration between providers before surgery. … Preoperatively, the patient was evaluated by both the anesthesiology and surgery teams. … Given the prior AAA repair, the patient underwent surgery in the supine position. … This assessment must appreciate the reality that surgery is a morbid event. … Communication and collaboration among providers before surgery are critical.

7588. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33623/psn-pdf
      December 01, 2005 - The health care facilities or providers subject to these requirements include hospitals, ambulatory surgery

7589. Can patient involvement improve patient safety? A cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention. | PSNet
      psnet.ahrq.gov/issue/can-patient-involvement-improve-patient-safety-cluster-randomised-control-trial-patient
      December 21, 2016 - phenomenological analysis of vulnerability as experienced by patients with complications following surgery

7590. Using harm-based weights for the AHRQ Patient Safety for Selected Indicators composite (PSI-90): does it affect assessment of hospital performance and financial penalties in Veterans Health Administration hospitals? | PSNet
      psnet.ahrq.gov/issue/using-harm-based-weights-ahrq-patient-safety-selected-indicators-composite-psi-90-does-it
      March 15, 2016 - December 15, 2011 Detecting adverse events in surgery: comparing events detected by the

7591. Effect of increased inpatient attending physician supervision on medical errors, patient safety, and resident education: a randomized clinical trial. | PSNet
      psnet.ahrq.gov/issue/effect-increased-inpatient-attending-physician-supervision-medical-errors-patient-safety-and
      December 07, 2011 - April 19, 2023 Intraoperative adverse events in abdominal surgery: what happens in the

7592. As cancer drug shortages grow, some doctors are forced to ration doses or delay care. | PSNet
      psnet.ahrq.gov/issue/cancer-drug-shortages-grow-some-doctors-are-forced-ration-doses-or-delay-care
      April 26, 2023 - Newspaper/Magazine Article As cancer drug shortages grow, some doctors are forced to ration doses or delay care. Citation Text: As cancer drug shortages grow, some doctors are forced to ration doses or delay care. Kopf M, Beck C. NBC News. May 26, 2023. Copy Citation …

7593. Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. | PSNet
      psnet.ahrq.gov/issue/handoff-checklists-improve-reliability-patient-handoffs-operating-room-and-postanesthesia
      December 29, 2014 - Study Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. Citation Text: Boat AC, Spaeth JP. Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. Paediatr Anaes…

7594. Implementing and validating a comprehensive unit-based safety program. | PSNet
      psnet.ahrq.gov/issue/implementing-and-validating-comprehensive-unit-based-safety-program
      July 14, 2010 - Study Implementing and validating a comprehensive unit-based safety program. Citation Text: Implementing and validating a comprehensive unit-based safety program. Pronovost P, Weast B, Rosenstein B, et al. J Patient Saf. 2005;1(1):33-40. Copy Citation Save Sav…

7595. When medical error becomes personal, activism becomes painful. | PSNet
      psnet.ahrq.gov/issue/when-medical-error-becomes-personal-activism-becomes-painful
      August 21, 2019 - Newspaper/Magazine Article When medical error becomes personal, activism becomes painful. Citation Text: When medical error becomes personal, activism becomes painful. Millenson M. Forbes. September 16, 2022. Copy Citation Save Save to your library Print …

7596. The public has been forgiving. But hospitals got some things wrong. | PSNet
      psnet.ahrq.gov/issue/public-has-been-forgiving-hospitals-got-some-things-wrong
      April 03, 2019 - Newspaper/Magazine Article The public has been forgiving. But hospitals got some things wrong. Citation Text: Ofri D. The public has been forgiving. But hospitals got some things wrong. New York Times. 2020; May 21. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML…

7597. The development of a patient safety program across the continuum of care. | PSNet
      psnet.ahrq.gov/issue/development-patient-safety-program-across-continuum-care
      September 21, 2009 - Commentary The development of a patient safety program across the continuum of care. Citation Text: Wertenberger S, Wilson J. The development of a patient safety program across the continuum of care. Nurs Adm Q. 2005;29(4):303-307. Copy Citation Format: Google Scholar Pub…

7598. Lessons from the war on cancer: the need for basic research on safety. | PSNet
      psnet.ahrq.gov/issue/lessons-war-cancer-need-basic-research-safety
      July 14, 2010 - Commentary Lessons from the war on cancer: the need for basic research on safety. Citation Text: Lessons from the war on cancer: the need for basic research on safety. Cook RI. J Patient Saf. 2005.1(1):7-8 Copy Citation Save Save to your library Print Do…

7599. Perioperative pharmacology: a framework for perioperative medication safety. | PSNet
      psnet.ahrq.gov/issue/perioperative-pharmacology-framework-perioperative-medication-safety
      December 19, 2012 - Commentary Perioperative pharmacology: a framework for perioperative medication safety. Citation Text: Hicks RW, Wanzer LJ, Goeckner BL. Perioperative Pharmacology: A Framework for Perioperative Medication Safety. AORN J. 2010;93(1):136-145. doi:10.1016/j.aorn.2010.08.020. Copy Citat…

7600. Reused devices, surgery's deadly suspects. | PSNet
      psnet.ahrq.gov/issue/reused-devices-surgerys-deadly-suspects
      January 04, 2006 - April 2, 2014 When surgery goes wrong: weighing up the risks.