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psnet.ahrq.gov/node/49637/psn-pdf
October 01, 2011 - They can lead to unnecessary invasive procedures, failure to
administer needed treatments, or surgery
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psnet.ahrq.gov/node/49715/psn-pdf
August 21, 2014 - Finally, while liver biopsy can be performed in essentially any location, ranging from an outpatient surgery
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psnet.ahrq.gov/web-mm/double-dosing-rules
February 03, 2010 - Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery
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psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
May 01, 2006 - systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery
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psnet.ahrq.gov/web-mm/lethal-vertigo
September 20, 2011 - Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery
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psnet.ahrq.gov/node/50859/psn-pdf
January 31, 2020 - necessary information on hand about
a patient’s history: structured, unstructured, laboratory, genomic, surgery
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psnet.ahrq.gov/node/33682/psn-pdf
April 01, 2009 - program publishing data on risk-adjusted
mortality for hospitals and surgeons following coronary bypass surgery
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psnet.ahrq.gov/node/33762/psn-pdf
March 01, 2014 - Of
course, hospitals everywhere struggle to offer safe surgery, to prevent medication incidents and
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psnet.ahrq.gov/node/33685/psn-pdf
May 01, 2009 - Justin Dimick and I wrote a paper that looked at complications in surgery, and we found that
when there
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psnet.ahrq.gov/web-mm/if-you-say-so-taking-syringe-face-value-operating-room
January 01, 2015 - If You Say So: Taking a Syringe at Face Value in the Operating Room
Citation Text:
Lyndon A, Lim S. If You Say So: Taking a Syringe at Face Value in the Operating Room. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Cita…
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psnet.ahrq.gov/node/837958/psn-pdf
December 01, 2021 - septic knee arthritis (status: post-intravenous antibiotics)
presented to a hospital-based orthopedic surgery … the Emergency Department (ED) via ambulance
for evaluation and treatment by the inpatient orthopedic surgery
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
July 01, 2011 - With rare events (such as wrong-site surgery), aggregation and review across many institutions can provide … So it's not limited to hospitals—it can be nursing homes, ambulatory surgery centers, doctor's offices
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psnet.ahrq.gov/node/865455/psn-pdf
March 27, 2024 - Effectiveness of discharge education for patients undergoing
general surgery: a systematic review and
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psnet.ahrq.gov/perspective/communication-during-transitions-care
July 10, 2024 - Effectiveness of discharge education for patients undergoing general surgery: a systematic review and
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psnet.ahrq.gov/perspective/conversation-dave-debronkart
June 01, 2014 - In the 1970s and 1980s, events like the 1975 Congressional hearings on unnecessary surgery and ABC's … Getting Ready for National Health Insurance: Unnecessary Surgery.
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psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
October 01, 2008 - Romano and colleagues ( 15 ) found that half of the difference in postoperative (after back surgery) … the Veterans Health Administration system, Rosen and colleagues ( 16 ) noted that adverse events from surgery
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psnet.ahrq.gov/node/49742/psn-pdf
September 01, 2015 - A Fumbled Handoff to Inpatient Rehab
September 1, 2015
Ashcraft LE, Kahn JM. A Fumbled Handoff to Inpatient Rehab. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
The Case
An 18-year-old man with no significant past medical history sustained a traumatic brain injury after a mo…
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psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
May 27, 2020 - Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery
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psnet.ahrq.gov/web-mm/miscalculated-risk
March 01, 2015 - WebM&M Cases
Hemorrhagic Shock after Elective Spine Surgery
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psnet.ahrq.gov/web-mm/missing-trauma
March 03, 2011 - Jurkovich, MD Professor of Surgery, University of Washington Chief of Trauma, Harborview Medical Center