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psnet.ahrq.gov/perspective/conversation-leah-binder-ma-mga
February 26, 2025 - organization did was endorse certain kinds of safety practices: intensivists, high-volume centers for surgery … I said something like we were looking at objects left in after surgery, and my mother just stared at
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psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
March 01, 2015 - In 1998, I was invited to be a part of the Bristol Royal Infirmary inquiry into children's heart surgery … I note in your recent Lancet article you said the families of the children who underwent cardiac surgery
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psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
April 26, 2023 - Contrast that set of activities to health care organizations, hospitals, or ambulatory surgery. … solve some of these intractable quality and safety problems—hand hygiene noncompliance, wrong-site surgery
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psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
February 26, 2025 - patient had a preexisting medical condition, say a heart condition, then went to a hospital to have heart surgery … and the allegation was that the surgeon made a mistake during the surgery.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
February 01, 2014 - A previously healthy 50-year-old man was hospitalized while recovering from an uncomplicated spine surgery
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.173_slideshow.ppt
April 01, 2008 - antibiotic recommended in guidelines from both CDC and American Academy of Otolaryngology–Head and Neck Surgery
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psnet.ahrq.gov/node/33749/psn-pdf
April 01, 2013 - For example, performance on cognitive
tests (1) and in laparoscopic surgery skills (measured via simulation
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psnet.ahrq.gov/node/33747/psn-pdf
March 01, 2013 - Surgery. 2013;153:160-176. [go to PubMed]
11. Norman G, Dore K, Grierson L.
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psnet.ahrq.gov/node/49635/psn-pdf
September 01, 2011 - by having two people independently check for
accuracy (we already do this for high-risk drugs and surgery
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psnet.ahrq.gov/node/33593/psn-pdf
June 15, 2024 - root-cause-analysis
https://psnet.ahrq.gov/issue/effect-using-safety-checklist-patient-complications-after-surgery-systematic-review-and-meta
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psnet.ahrq.gov/primer/fatigue-sleep-deprivation-and-patient-safety
September 15, 2024 - able to compensate for cognitive impairment when tasks are complex and interesting (e.g., performing surgery
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psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
February 01, 2014 - The closest setting to the cockpit in health care is when we execute procedures like surgery or insert … Some people love to have background music while they're doing complex tasks like surgery and others want … So if you're doing surgery, which is visual and tactile, you have a free auditory channel. … Maybe in 10 years time listening to Bruce Springsteen while doing surgery will be like smoking.
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psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - testing episodic bundle payment for hip and knee replacement, we looked at the 30 days prior to the surgery … , the surgery intervention, and then 90 days post-surgery.
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psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - testing episodic bundle payment for hip and knee replacement, we looked at the 30 days prior to the surgery … , the surgery intervention, and then 90 days post-surgery.
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psnet.ahrq.gov/web-mm/patient-allergies-and-electronic-health-records
August 21, 2005 - , 2009
Documentation of drug allergy on drug chart in patients presenting for surgery
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psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
March 01, 2007 - known to be allergic to latex had an anaphylactic reaction to a Penrose (latex) drain inserted during surgery
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psnet.ahrq.gov/node/33868/psn-pdf
October 01, 2018 - studied safety in other health care settings such as intensive care units, emergency
departments, surgery
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psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
January 01, 2016 - Perspective
The Evolution of Patient Safety in Surgery
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psnet.ahrq.gov/node/49428/psn-pdf
January 01, 2004 - Pronovost, MD, PhD Associate Professor, Anesthesiology and Critical Care Medicine, Surgery and
Public
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psnet.ahrq.gov/node/49548/psn-pdf
October 01, 2007 - Thyrotoxicosis or thyroid storm may be precipitated by a number of clinical stressors including
surgery