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psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
January 29, 2021 - Injection injury of an aberrant superficial radial artery requiring surgical intervention.
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psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
January 29, 2021 - Operating Room
Anesthesiology
Administration Errors
Specific to High-Risk Drugs
Postoperative Surgical
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psnet.ahrq.gov/web-mm/falling-between-cracks-software
March 09, 2011 - Falling Between the Cracks in the Software
Citation Text:
Adler-Milstein J. Falling Between the Cracks in the Software. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/node/853081/psn-pdf
August 30, 2023 - Sue Schuelke: One of our physicians on a surgical unit, who is a huge advocate of the virtual nurse,
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psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
July 10, 2024 - like central line–associated bloodstream infections, catheter–associated urinary tract infections, and surgical
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psnet.ahrq.gov/node/73398/psn-pdf
June 30, 2021 - The surgical team
members all have to work with each other, they have to communicate, and they have
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psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
March 27, 2024 - months post-fracture. 8 Surgeons can easily convince patients and families that the patient is “not a surgical
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psnet.ahrq.gov/perspective/conversation-maureen-bisognano
February 26, 2025 - Health Care Executives and Administrators
Gynecology
Nonsurgical Procedural Complications
Surgical
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psnet.ahrq.gov/node/33861/psn-pdf
July 01, 2018 - diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
https://www.nytimes.com/2003/01/19/national/hospital-apologizes-for-surgical-mistake.html
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psnet.ahrq.gov/node/33728/psn-pdf
May 01, 2012 - Slowly we
have expanded from drug triggers to infection triggers, to ICU triggers, to surgical triggers
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psnet.ahrq.gov/node/33804/psn-pdf
March 03, 2016 - central line–associated bloodstream infections, catheter–associated urinary tract
infections, and surgical
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psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
March 27, 2024 - culture has been shown to significantly improve a number of patient outcomes, including lower rates of surgical
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psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
February 26, 2025 - In general, if you swooped in and looked at a surgical team or a medical team somewhere around the country
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psnet.ahrq.gov/web-mm/dependence-vs-pain
October 30, 2019 - In addition, introduction of buprenorphine in this patient, who may need surgical management of his acute
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psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
July 08, 2022 - Providers are trained to take a thorough history comprising the patient’s medical history, surgical history
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psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
July 01, 2011 - safety events that can occur on the inpatient psychiatric unit are analogous to those on medical or surgical
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psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
September 01, 2005 - The empirical relation between surgical volume and mortality.
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psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon
April 01, 2006 - I had taken Temple's first course in clinical pharmacy, and my boss gave me a job on a 56-bed men's surgical
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psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
October 31, 2023 - to Change It and How It Changes Safety
March 1, 2017
Incident reporting in surgical
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
June 01, 2005 - in safety culture) or process measures, such as hand-washing rates or compliance with a protocol for surgical