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7861. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867656/psn-pdf
      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.

7862. Cleveland Clinic cases highlight flaws in safety oversight. | PSNet
      psnet.ahrq.gov/issue/cleveland-clinic-cases-highlight-flaws-safety-oversight
      May 20, 2015 - 2012 Association of hydrocodone schedule change with opioid prescriptions following surgery

7863. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.72_slideshow.ppt
      September 01, 2004 - Source and Credits This presentation is based on the September 2004 AHRQ WebM&M Spotlight Case in Surgery

7864. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33610/psn-pdf
      April 01, 2005 - on preventing falls in nursing homes, or a physician interested in strategies to prevent wrong-site surgery

7865. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33616/psn-pdf
      August 01, 2005 - year: computerized physician order entry (CPOE), referrals to high-volume hospitals for high-risk surgery

7866. Disclosure of Errors | PSNet
      psnet.ahrq.gov/primer/disclosure-errors
      September 15, 2024 - 15, 2024 Culture of Safety September 15, 2024 Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery

7867. Checklists | PSNet
      psnet.ahrq.gov/primer/checklists
      September 15, 2024 - Patient Safety Primers Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery

7868. In Conversation With… Vineet Chopra, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
      February 28, 2024 - 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

7869. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/848754
      January 01, 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.

7870. In Conversation With…Kaveh G. Shojania, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
      September 01, 2011 - What is it about a fall that's different than a wrong-site surgery that—assuming it was painless and … You're really hoping to get things like wrong-site surgery, where it's so rare that it's precious information—every-defect-is-a-treasure … thousands of them, the solution is to have them categorized electronically by the reporter as wrong site surgery … Whereas a lot of other incidents and serious things like wrong-site surgery where there will be so many

7871. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please | PSNet
      psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
      September 01, 2011 - What is it about a fall that's different than a wrong-site surgery that—assuming it was painless and … You're really hoping to get things like wrong-site surgery, where it's so rare that it's precious information—every-defect-is-a-treasure … thousands of them, the solution is to have them categorized electronically by the reporter as wrong site surgery … Whereas a lot of other incidents and serious things like wrong-site surgery where there will be so many

7872. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-296
      June 30, 2021 - Otolaryngology-head and neck surgery is vulnerable to wrong site errors and other challenges present … shoulder pain for several years was diagnosed with a rotator cuff injury and underwent left shoulder surgery

7873. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-283
      March 15, 2021 - Twitter Linkedin Copy URL The American Society for Dermatologic Surgery … platform for physicians and their staff to submit adverse experiences associated with dermatologic surgery

7874. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33671/psn-pdf
      July 01, 2008 - known to be allergic to latex had an anaphylactic reaction to a Penrose (latex) drain inserted during surgery

7875. Disruptive and Unprofessional Behavior | PSNet
      psnet.ahrq.gov/primer/disruptive-and-unprofessional-behavior
      September 15, 2024 - Physicians in high-stress specialties such as surgery, obstetrics, and cardiology are considered to be

7876. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-388
      April 26, 2023 - Outpatient Surgery . April 5, 2023.

7877. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33703/psn-pdf
      November 01, 2010 - gets triggered when a patient has a subsequent emergency room visit within 21 days of an outpatient surgery

7878. Tacit Handover, Overt Mishap | PSNet
      psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
      August 01, 2006 - cerebrospinal fluid—these drains lower pressure in the spinal cord and thereby reduce the risk for post-surgery

7879. Microsoft PowerPoint - Spotlight Case_Suicide Attempts_03.17.2023 FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-03/challenging_case_of_multiple_suicide_attempts_in_a_complex_patient_with_psychiatric_comorbidities.pdf
      January 01, 2023 - • Just as for subspecialty surgery, if the attending physician believes that a patient needs inpatient

7880. In Conversation with...Sir Liam Donaldson, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
      May 01, 2007 - problems underlie much litigation, certain high-profile cases such as the Bristol pediatric cardiac surgery … Safety alerts have been issued on a wide range of topics from correct site surgery to standardizing the … The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984–1995