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psnet.ahrq.gov/perspective/american-view-uks-patient-safety-enterprise-top-down-vs-bottom
December 01, 2005 - Haynes AB, Weiser TG, Berry WR, et al; Safe Surgery Saves Lives Study Group. … Perspective
The Evolution of Patient Safety in Surgery
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.131_slideshow.ppt
August 01, 2006 - Urology and general surgery were contacted immediately.
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psnet.ahrq.gov/web-mm/hidden-mystery
December 01, 2011 - Surgery in the obese patient presents special challenges. … July 19, 2023
Readiness of US general surgery residents for independent practice.
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psnet.ahrq.gov/web-mm/other-hand
December 12, 2012 - (ICU) for monitoring, pain medication, and intravenous (IV) hydration, in preparation for vascular surgery … covering resident, giving him a concise description of the patient, her primary admitting diagnosis, the surgery
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psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
February 26, 2025 - Root causes and preventability of unintentionally retained foreign objects after surgery … April 1, 2009
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See More About The Topic
Outpatient Surgery
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psnet.ahrq.gov/node/33788/psn-pdf
June 01, 2015 - board at the time were very bold in referring to these as
never events and saying that wrong-site surgery … serious-reportable-events-healthcare-2011-update
https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
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psnet.ahrq.gov/issue/review-alleged-patient-deaths-patient-wait-times-and-scheduling-practices-phoenix-va-health
May 01, 2015 - Book/Report
Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System.
Citation Text:
Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System. Washington, DC: VA Office o…
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psnet.ahrq.gov/issue/interim-report-review-vhas-patient-wait-times-scheduling-practices-and-alleged-patient-deaths
September 10, 2014 - Government Resource
Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System.
Citation Text:
Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix H…
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psnet.ahrq.gov/issue/cost-quality-academic-health-centers-annual-costs-its-quality-and-patient-safety
October 14, 2020 - Study
The cost of quality: an academic health center's annual costs for its quality and patient safety infrastructure.
Citation Text:
Blanchfield BB, Demehin AA, Cummings CT, et al. The cost of quality: an academic health center's annual costs for its quality and patient safety infrastru…
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psnet.ahrq.gov/node/50614/psn-pdf
October 30, 2019 - reviews to understand the literature, I began to see evidence in the nursing , radiology , oncology, surgery … For example, I never talked to surgery or pediatrics or some of the other specialties when we launched … Hospital committees have representatives from a number of
specialties—infectious diseases, nephrology, surgery
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psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
September 01, 2003 - counted item in the operating room and it is usually intended for removal within 24-48 hours after surgery … January 16, 2013
Preventable errors in the operating room: retained foreign bodies after surgery … September 29, 2011
Retained surgical items and minimally invasive surgery.
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psnet.ahrq.gov/periodic-issue/periodic-issue-348
May 16, 2022 - Findings suggest that prior workload adversely affected outcomes for patients undergoing CABG surgery … This commentary discusses the impact of nonopioid use during surgery as a patient preference.
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psnet.ahrq.gov/periodic-issue/periodic-issue-420
November 29, 2023 - sought to understand how outpatient providers (i.e., primary care, dentists, dermatology, orthopedic surgery … sought to understand how outpatient providers (i.e., primary care, dentists, dermatology, orthopedic surgery
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psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
November 25, 2020 - Sean Flynn, MD Assistant Professor of Surgery Department of Colon and Rectal Surgery UC Davis Health
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psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - such as cardiac complications, postoperative pneumonia,
intubations required within 48 hours after surgery … The Society of Thoracic Surgeons offers patient safety
indicators for adult cardiac surgery, such as
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psnet.ahrq.gov/node/49829/psn-pdf
May 01, 2018 - The surgery was uneventful, and the transplanted kidney was connected successfully. … over an 8-year period showed that similar
adverse events (such as retained foreign objects during surgery
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psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
August 21, 2024 - been discovered 10 years earlier after he presented with unstable angina and required coronary bypass surgery … whatsoever and repeatedly emphasized that he had been completely free of cardiac symptoms since his surgery
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psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
May 27, 2020 - Karen Semkiw, RN-C, MPA, NEA-BC, CPHQ
Children’s Surgery Program Manager
UC Davis Health
ksemkiw … Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve
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psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
May 05, 2025 - This study reports on an AHRQ-funded effort to establish communication-and-resolution protocols for general … surgery in five New York City hospitals.... … This study reports on an AHRQ-funded effort to establish communication-and-resolution protocols for general … surgery in five New York City hospitals.
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psnet.ahrq.gov/node/865655/psn-pdf
April 24, 2024 - He was admitted to an orthopedic unit for anticipated surgery. … The patient was taken by ambulance to the nearest hospital and underwent
emergency surgery (open reduction … None of these patients developed
CS or required surgery for CS, but they would have undergone fasciotomy