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7961. Hidden Danger! Insidious Postpartum Bleeding After Emergency Cesarean Delivery. | PSNet
      psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
      November 25, 2020 - As she continued to bleed after surgery, she had angiography and embolization of a small bleeding artery … See More About The Topic Intensive Care Units Labor and Delivery Obstetrics Surgery

7962. Promising Areas for Patient Safety Research | PSNet
      psnet.ahrq.gov/perspective/promising-areas-patient-safety-research
      November 02, 2016 - These services may include diagnosis, treatment, surgery, and rehabilitation and span medical offices … , community pharmacies, diagnostic laboratories, emergency departments, outpatient surgery centers, home

7963. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60977/psn-pdf
      January 08, 2020 - multiple-levels-involved-prescribing-wrong-medication The Case A 65-year-old woman complained of some ongoing nausea two weeks after hernia repair surgery … The surgery itself had not been complicated and on her postoperative visit, her physical examination

7964. In Conversation With… Leah Binder, MA, MGA | PSNet
      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

7965. In Conversation With… Brian Jarman, PhD | PSNet
      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

7966. In Conversation With… Mark Chassin, MD, MPP, MPH | PSNet
      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

7967. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867497/psn-pdf
      February 26, 2025 - Revised statement on the prevention of unintentionally retained surgical items after surgery. … https://www.facs.org/about-acs/statements/prevention-of-unintentionally-retained-surgical-items-after-surgery

7968. In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD | PSNet
      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.

7969. The International Forum on Quality and Safety in Healthcare. | PSNet
      psnet.ahrq.gov/issue/international-forum-quality-and-safety-healthcare
      September 10, 2024 - June 21, 2023 SOPS Ambulatory Surgery Center Survey: What You Need to Know.

7970. As attention wanders, rethinking the autopilot. | PSNet
      psnet.ahrq.gov/issue/attention-wanders-rethinking-autopilot
      October 26, 2011 - January 2, 2008 Lax oversight leaves surgery center regulators and patients in the dark

7971. Do no harm: promoting patient safety. | PSNet
      psnet.ahrq.gov/issue/do-no-harm-promoting-patient-safety
      September 27, 2006 - February 13, 2013 Preventing wrong-site surgery in Minnesota: a 5-year journey.

7972. Psn-Pdf (pdf file)
      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

7973. Psn-Pdf (pdf file)
      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

7974. Spotlight Case [MONTH] 2003 (ppt file)
      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

7975. Psn-Pdf (pdf file)
      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

7976. Psn-Pdf (pdf file)
      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.

7977. Fatigue, Sleep Deprivation, and Patient Safety | PSNet
      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

7978. Interruptions and Distractions in Health Care: Improved Safety With Mindfulness | PSNet
      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.

7979. Charcoal Lavage of the Lungs | PSNet
      psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
      January 01, 2016 - Perspective The Evolution of Patient Safety in Surgery

7980. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33715/psn-pdf
      July 01, 2011 - With rare events (such as wrong-site surgery), aggregation and review across many institutions can provide