-
psnet.ahrq.gov/node/33788/psn-pdf
June 01, 2015 - Or a patient falls or gets what might be a preventable pressure ulcer, or a mistake occurs in a
surgical
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psnet.ahrq.gov/node/33730/psn-pdf
June 01, 2012 - For instance, there's been an explosion of work from groups all over
the world on surgical teamwork
-
psnet.ahrq.gov/periodic-issue/periodic-issue-310
September 29, 2021 - Organizational Policy/Guidelines
Society for Maternal-Fetal Medicine Special Statement: Surgical
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psnet.ahrq.gov/periodic-issue/periodic-issue-307
September 29, 2021 - This commentary describes one hospital’s approach to shifting the surgical leadership role to facilitate
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psnet.ahrq.gov/periodic-issue/periodic-issue-351
July 08, 2022 - Review
Pediatric surgical errors: a systematic scoping review.
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psnet.ahrq.gov/periodic-issue/periodic-issue-406
August 30, 2023 - Despite aggressive surgical and postoperative care, she expired from sepsis ten days later.
-
psnet.ahrq.gov/periodic-issue/periodic-issue-383
March 15, 2023 - This commentary calls for increased use of EMT for surgical students and residents to promote error recovery
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psnet.ahrq.gov/periodic-issue/periodic-issue-415
November 29, 2023 - Organizational, unit, and team culture affect the safety of surgical care.
-
psnet.ahrq.gov/periodic-issue/periodic-issue-460
October 30, 2024 - explained how their survey results and SOPS resources are currently used to improve handoffs in medical-surgical
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psnet.ahrq.gov/node/33703/psn-pdf
November 01, 2010 - Although this trigger was
designed to identify patients at high risk of surgical adverse events, many
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psnet.ahrq.gov/web-mm/new-oral-anticoagulants
July 01, 2011 - The surgical team and pain service disclosed the error to the patient and monitored her very closely
-
psnet.ahrq.gov/web-mm/forgotten-line
March 11, 2011 - relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical
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psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
January 01, 2024 - • On inspection of the surgical site, transection of her left uterine artery was
identified.
-
psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-indication
July 02, 2019 - June 15, 2012
A prospective study of paediatric cardiac surgical microsystems: assessing
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psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care
September 30, 2011 - Persistent human chorionic gonadotropin after methotrexate treatment and an emergency surgical procedure
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.464_slideshow.ppt
January 01, 2019 - Safety Events in Psychiatry
Safety events in inpatient psychiatry are similar to those on medical or surgical
-
psnet.ahrq.gov/sites/default/files/2020-07/spotlight_nstemi.pdf
January 01, 2020 - interventional
cardiology and cardiothoracic surgery concluded that there
was no benefit for percutaneous or surgical
-
psnet.ahrq.gov/node/49676/psn-pdf
February 01, 2013 - attributes of PCA use include rapid onset of analgesia, avoidance of first-
pass hepatic effect, decreased surgical
-
psnet.ahrq.gov/node/49663/psn-pdf
September 01, 2012 - Chlorhexidine-alcohol versus povidone-iodine for surgical-
site antisepsis.
-
psnet.ahrq.gov/node/33729/psn-pdf
May 01, 2012 - Detection of adverse events in surgical patients using the Trigger Tool approach.