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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
    January 01, 2007 - treatment, testing, or results Blood transfusion Delay in administration Treatment-related or surgery … one ID, or incorrect ID bracelet Specimen Wrong label or specimen obtained from wrong patient Surgery
  2. www.ahrq.gov/sites/default/files/wysiwyg/topics/contemporary-EMTALA-clinical-issues-pregnantpts.pdf
    December 01, 2024 - In cases where necessary specialty services required for stabilization (such as surgery) are not available … • Failure to provide timely transfer for stabilizing treatment, such as surgery for complications
  3. www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-falls-rev.pdf
    March 01, 2023 - “Other” (137 records), followed by Device or Medical/Surgical Supply, including HIT (28 records), surgery … (4), perinatal and/or surgery and perinatal (2).
  4. www.ahrq.gov/patient-safety/reports/liability/etchegaray.html
    August 01, 2017 - (57 percent in both groups), practicing in either Internal Medicine (25 percent for both groups) or Surgery … Missing 14 (3%) 21 (4%) Specialty Internal Medicine 120 (25%) 151 (25%) Surgery
  5. www.ahrq.gov/sites/default/files/publications/files/nicupacket.pdf
    December 01, 2013 - or general anesthesia; they should have cardiorespiratory monitoring in hospital for 24 hours after surgery … – Surgery if percutaneous attempt is unsuccessful. … Management/Feedings ■ Recommend managing with consulting services in pediatric surgery, GI (and possibly … Surgical Treatments ■ Goals of surgery: – Slow intestinal transit. … Care ■ Recommend management with consultation from GI and pediatric surgery.
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket.pdf
    December 01, 2013 - or general anesthesia; they should have cardiorespiratory monitoring in hospital for 24 hours after surgery … – Surgery if percutaneous attempt is unsuccessful. … Management/Feedings ■ Recommend managing with consulting services in pediatric surgery, GI (and possibly … Surgical Treatments ■ Goals of surgery: – Slow intestinal transit. … Care ■ Recommend management with consultation from GI and pediatric surgery.
  7. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicupacket.pdf
    December 01, 2013 - or general anesthesia; they should have cardiorespiratory monitoring in hospital for 24 hours after surgery … – Surgery if percutaneous attempt is unsuccessful. … Management/Feedings ■ Recommend managing with consulting services in pediatric surgery, GI (and possibly … Surgical Treatments ■ Goals of surgery: – Slow intestinal transit. … Care ■ Recommend management with consultation from GI and pediatric surgery.
  8. www.ahrq.gov/ncepcr/tools/public-reporting/guide2.html
    June 01, 2017 - performs on measures related to cardiovascular care, even when they are going to the hospital for cancer surgery
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/public-reporting/report-2-public-reporting.pdf
    June 01, 2010 - performs on measures related to cardiovascular care, even when they are going to the hospital for cancer surgery
  10. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-nhqdr-es.pdf
    January 01, 2023 - ■ From 2016 to 2020, rates of sepsis after surgery decreased from 5.1 to 3.8 infections per 1,000 … yielded measurable improvements in hospital and other healthcare settings: • Rates of sepsis after surgery … decreased 31.9% (decreasing from 5.1 to 3.8 infections per 1,000 elective surgery admissions) between
  11. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-nhqdr-es-rev.pdf
    January 01, 2023 - ■ From 2016 to 2020, rates of sepsis after surgery decreased from 5.1 to 3.8 infections per 1,000 … yielded measurable improvements in hospital and other healthcare settings: • Rates of sepsis after surgery … decreased 31.9% (decreasing from 5.1 to 3.8 infections per 1,000 elective surgery admissions) between
  12. www.ahrq.gov/sites/default/files/2025-04/nielsen-report.pdf
    January 01, 2025 - American College of Radiology George Shiu‐Kai Fung, PhD; Siemens James Montie, MD; Michigan Urologic Surgery …  imaging care, reduce unnecessary imaging exams, and lower the cost of care; the  Michigan Urologic Surgery … Urologist‐Led Success Stories in Stewardship of Imaging for Prostate Cancer James Montie, MD, Michigan Urologic Surgery … and statistical playbook for development of a patient‐reported  outcomes program for services such as surgery
  13. www.ahrq.gov/hai/cusp/toolkit/content-calls/conflict.html
    April 01, 2013 - So he said to the attending surgeon, “You know, I think this is the third surgery for this patient this … and he said, “I’m calling your director of surgery,” who’s been a chairman for quite a while, and he … So I think the last one is something that they’ve been doing in surgery and anesthesia, the LEEN model
  14. www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides.html
    March 01, 2020 - Hispanics were less likely to receive radiation therapy after breast-conserving surgery compared with … Slide 25 Women under age 70 treated for breast cancer with breast-conserving surgery who received … Denominator: Women under age 70 treated for breast cancer with breast-conserving surgery. … Hence, ensuring adequate examination of lymph nodes when surgery is performed is important. … Coronary artery bypass graft surgery. Percutaneous transluminal coronary angioplasty.
  15. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/mo-sops-dua-form.pdf
    April 17, 2020 - repository of SOPS survey data from hospitals, nursing homes, medical offices, pharmacies, and ambulatory surgery
  16. www.ahrq.gov/teamstepps/instructor/fundamentals/module7/igsummary.html
    March 01, 2014 - Debrief after the surgery or a huddle after Mrs.
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module7/igsummary.pdf
    February 21, 2014 - – Debrief after the surgery or a huddle after Mrs.
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/medsurg.pdf
    March 19, 2014 - lack of communication and the failure to provide an accurate handoff results in a delayed start for surgery
  19. www.ahrq.gov/teamstepps/instructor/scenarios/medsurg.html
    March 01, 2014 - lack of communication and the failure to provide an accurate handoff results in a delayed start for surgery
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/workshop/osteoarthritis-pain_consumer.pdf
    January 01, 2012 - Other ways to manage pain from osteoarthritis, such as surgery, narcotic medicines, or steroids, are

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