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psnet.ahrq.gov/node/49481/psn-pdf
May 01, 2005 - After hearing the risks and benefits of surgery from the
physicians, the patient refused.
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psnet.ahrq.gov/node/33733/psn-pdf
July 01, 2012 - The challenge in patient safety is not only to learn from our mistakes in clinical care (prescribing, surgery
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psnet.ahrq.gov/node/49833/psn-pdf
June 01, 2018 - His neurologic status
deteriorated, and he required urgent surgery to drain the bleeding.
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psnet.ahrq.gov/node/33597/psn-pdf
April 10, 2024 - Inpatient rehabilitation facilities (IRFs) care for patients recovering from surgery, trauma, or an
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.176_slideshow.ppt
May 01, 2008 - .): Diagnosing HIV
The patient's clinical status deteriorated steadily following surgery.
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psnet.ahrq.gov/node/49706/psn-pdf
January 01, 2015 - Fortunately, she improved with this regimen and did not require surgery.
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psnet.ahrq.gov/web-mm/baffled-botulinum-toxin
July 17, 2024 - furrowed brow, bunny lines over nasal dorsum, chin dimpling, lines around corner of mouth Vascular surgery
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psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-management-sepsis
February 26, 2025 - problems and reduced life expectancy. 5
Sepsis has multiple causes, including complications from surgery
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psnet.ahrq.gov/web-mm/miscalculated-risk
March 01, 2015 - WebM&M Cases
Hemorrhagic Shock after Elective Spine Surgery
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psnet.ahrq.gov/web-mm/lost-black-hole
December 01, 2005 - Perspective
The Evolution of Patient Safety in Surgery
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psnet.ahrq.gov/perspective/context-intervention
August 05, 2020 - generalizations are more difficult, and recipe prescriptions for change will not have the impact of surgery
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psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
May 11, 2014 - activated clotting time (ACT) was drawn while the surgeon clamped the carotid artery and proceeded with the surgery
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psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
January 24, 2018 - WebM&M Cases
Bowel Injury After Laparoscopic Surgery
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psnet.ahrq.gov/web-mm/chest-tube-complications
September 27, 2023 - For example, the trauma surgery service did not routinely perform a clamping trial before chest tube
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psnet.ahrq.gov/web-mm/painful-dilemma
September 01, 2013 - arm remained in place, and the patient was transferred to a tertiary hospital for consideration of surgery
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psnet.ahrq.gov/web-mm/hold-order
December 19, 2018 - Hold orders are also commonly used around the time of procedures (e.g., surgery, cardiac catheterization
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psnet.ahrq.gov/node/33712/psn-pdf
June 01, 2011 - I was reading about the controversy over a robotic surgery system that requires a certain
number of
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psnet.ahrq.gov/issue/fatigue-and-risk-are-train-drivers-safer-doctors
September 03, 2016 - Commentary
Fatigue and risk: are train drivers safer than doctors?
Citation Text:
Fatigue and risk: are train drivers safer than doctors? BMJ. 2017;359:j5107. doi:10.1136/bmj.j5107.
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psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
June 01, 2014 - In the 1970s and 1980s, events like the 1975 Congressional hearings on unnecessary surgery and ABC's … Getting Ready for National Health Insurance: Unnecessary Surgery.
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psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork-training
February 28, 2024 - impacts of TeamSTEPPS have been established in other care settings, including primary care, ambulatory surgery … It is easy to talk about how communication should happen, for example, in a surgery unit in a hospital