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7901. Clinical Decision Support Systems | PSNet
      psnet.ahrq.gov/primer/clinical-decision-support-systems
      December 15, 2024 - failing to order prophylaxis against deep venous thrombosis in a patient who underwent joint replacement surgery

7902. Aviation Safety Methods: Quickly Adopted but Questions Remain | PSNet
      psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
      January 01, 2006 - Whereas, as you said, there's so much mixing in medicine that you have the issue of the head of cardiac surgery … We also had another incident where one team member present during a surgery felt empowered to actually … involved in the operation on a white board, which even includes the woman who cleans up the OR after the surgery

7903. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.239_slideshow.ppt
      May 01, 2011 - A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of medical error.

7904. No Blood, Please | PSNet
      psnet.ahrq.gov/web-mm/no-blood-please
      January 14, 2011 - She was then taken to surgery. The woman recovered from her injuries.

7905. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33657/psn-pdf
      September 01, 2007 - She is discharged home the evening of surgery. She reports to the ED the following morning.

7906. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49429/psn-pdf
      January 01, 2004 - After surgery and obstetrics were informed of the patient, she was given IV fluids and sent to the CT

7907. In Conversation With… Christopher P. Landrigan, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph
      April 01, 2013 - In surgery and some surgical specialties where weekly work hours were not infrequently over 100 hours … For example, performance on cognitive tests ( 1 ) and in laparoscopic surgery skills (measured via simulation … April 26, 2023 A systematic review of the effects of resident duty hour restrictions in surgery

7908. In Conversation With… Mary Dixon-Woods, DPhil | PSNet
      psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
      March 01, 2017 - For example, with the use of routine beta-blockers in surgery, where that technical intervention just … for improvement ( 8 ), as with the coalition's choice to develop interventions for the emergency and surgery … By engaging members in efforts to develop strategies for improving safety in the emergency and surgery

7909. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-338
      April 27, 2022 - The IO line was removed, and the Orthopedic Surgery service was consulted intraoperatively due to concern

7910. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846915/psn-pdf
      March 29, 2023 - Just as for sub-specialty surgery, if the attending physician believes that a patient needs inpatient

7911. Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic | PSNet
      psnet.ahrq.gov/innovation/battle-buddies-rapid-deployment-psychological-resilience-intervention-health-care
      September 09, 2020 - EMERGING INNOVATIONS Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic Citation Text: Albott CS, Wozniak JR, McGlinch BP, et al. Battle Buddies: rapid deployment of a psychological resilience intervention for health car…

7912. The Partnership for Healthcare Excellence. | PSNet
      psnet.ahrq.gov/issue/partnership-healthcare-excellence
      October 26, 2020 - 11, 2006 Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery

7913. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.257_slideshow.ppt
      December 01, 2011 - He required emergency open heart surgery (pericardiocentesis and pericardial window) to remove the blood

7914. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-349
      July 08, 2022 - July 6, 2022 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports, a…

7915. Communication With Consultants | PSNet
      psnet.ahrq.gov/web-mm/communication-consultants
      October 01, 2018 - March 27, 2024 Comparison of appendectomy outcomes between senior general surgeons and general … surgery residents.

7916. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_delayed_symptomatic_subdural_hematoma_slides.pptx
      January 01, 2024 - Olivero and colleagues described 37 patients who underwent surgery for chronic subdural hematomas, 7 … Surgery. 2021;170(2):623-627. [Available at] Flaherty S, Biswas S, Watts DD, et al.

7917. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849679/psn-pdf
      June 28, 2023 - air hunger due to vocal cord paralysis or neck trauma, tumors, foreign bodies, or inflammation after surgery … to orally intubate, ventilatory support for neuromuscular disease, and as an adjunct to head/neck surgery

7918. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy | PSNet
      psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
      September 30, 2020 - WebM&M Cases Airway Obstruction during Anterior Cervical Spine Surgery … More About The Topic Operating Room Labor and Delivery Anesthesiology Obstetrics Surgery

7919. Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care | PSNet
      psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
      June 01, 2003 - June 30, 2010 The relationship between inpatient cardiac surgery mortality and nurse … Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery

7920. Which Line: Ordering Provider or Proceduralist? | PSNet
      psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
      September 16, 2015 - of the Joint Commission "Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery … Haynes AB, Weiser TG, Berry WR, et al; Safe Surgery Saves Lives Study Group.