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psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
July 23, 2024 - risks, blood loss, blood clots, and longer recovery periods (i.e., risks associated with any major surgery … care is the most frequent overall reason for hospitalization, and cesarean section is the most common surgery
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psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
September 01, 2006 - increasing disclosure of adverse events; root cause analyses; and programs for preventing falls, wrong-site surgery
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psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
September 01, 2006 - Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
October 01, 2010 - Third wrong-sided brain surgery at R.I. hospital. NBCnews.com. November 27, 2007.
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psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
July 31, 2023 - For example, every hospital, surgery center, birthing center, and abortion facility has an advisor from … PA-PSRS was developed as a result of MCARE, which requires that hospitals, ambulatory surgery facilities
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psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
April 01, 2009 - program publishing data on risk-adjusted mortality for hospitals and surgeons following coronary bypass surgery … complex problems where one-size-fits-all solutions are sensible, such as "sign-your-site" rules for surgery
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psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
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/perspective/conversation-withwilliam-b-munier-md-mba
July 01, 2011 - So it's not limited to hospitals—it can be nursing homes, ambulatory surgery centers, doctor's offices … With rare events (such as wrong-site surgery), aggregation and review across many institutions can provide
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psnet.ahrq.gov/perspective/building-capacity-patient-safety
July 31, 2023 - For example, every hospital, surgery center, birthing center, and abortion facility has an advisor from … PA-PSRS was developed as a result of MCARE, which requires that hospitals, ambulatory surgery facilities
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psnet.ahrq.gov/perspective/conversation-david-m-gaba-md
March 01, 2013 - Surgery. 2013;153:160-176. [go to PubMed]
11. Norman G, Dore K, Grierson L. … training improves physicians' performance in patient care in high-stakes clinical setting of cardiac surgery
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psnet.ahrq.gov/node/49516/psn-pdf
August 01, 2006 - Urology and general surgery were contacted immediately.
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psnet.ahrq.gov/information/Panel
January 01, 2018 - Hospital Improvement Innovation Networks and many statewide quality initiatives, with focus areas such as surgery
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psnet.ahrq.gov/web-mm/carpe-diem-seize-day
September 01, 2012 - Multi-Center Study of Epilepsy Surgery. Neurology. 2000;54:625-30.[ go to PubMed ]
13.
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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/feeling-no-pain
August 30, 2023 - General Hospitals
Health Care Providers
Non-Health Care Professionals
Gynecology
Surgery
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psnet.ahrq.gov/web-mm/surprise-wire
July 15, 2020 - Pearl, MD Associate Dean and Clinical Professor of Surgery University of California, San Francisco School
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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/too-hot-comfort
May 19, 2015 - Related Resources From the Same Author(s)
Interventions for reducing wrong-site surgery
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psnet.ahrq.gov/node/848125/psn-pdf
April 26, 2023 - Understanding the volume-outcome effect in
cardiovascular surgery: the role of failure to rescue.
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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