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psnet.ahrq.gov/node/33603/psn-pdf
September 15, 2024 - Surgical Site Infections
September 15, 2024
Surgical Site Infections. PSNet [internet]. 2019. … https://psnet.ahrq.gov/primer/surgical-site-infections
PSNet primers are regularly reviewed and updated … Disease Control and Prevention (CDC)’s National Healthcare Safety Network (NHSN)
defines a surgical site … https://psnet.ahrq.gov/issue/back-basics-preventing-surgical-site-infections
https://psnet.ahrq.gov/ … Efforts to prevent surgical site infections have been effective.
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psnet.ahrq.gov/node/35868/psn-pdf
July 10, 2008 - Incidence, patterns, and prevention of wrong-site surgery. … Incidence, patterns, and prevention of wrong-site surgery. Arch
Surg. 2006;141(4):353-358. … https://psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery
This AHRQ-supported … The authors offer a series of
recommendations for a model site-verification protocol. … https://psnet.ahrq.gov/issue/what-correct-site-surgery
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psnet.ahrq.gov/node/46274/psn-pdf
September 13, 2017 - Wrong-site surgery in California, 2007–2014. … Wrong-site surgery in California, 2007-2014. … Protocol and widespread prevention efforts, wrong-site surgeries
continue to occur. … This study found that between 2007 and 2014, there were 95 cases involving wrong-site
surgeries, wrong-site … https://psnet.ahrq.gov/issue/wrong-site-surgery-california-2007-2014
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
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psnet.ahrq.gov/node/43593/psn-pdf
May 06, 2015 - Reducing the Risks of Wrong-Site Surgery: Safety
Practices from The Joint Commission Center for
Transforming … https://psnet.ahrq.gov/issue/reducing-risks-wrong-site-surgery-safety-practices-joint-commission-center … -
transforming
Wrong-site surgery is a never event, but still occurs at alarming rates. … This report discusses risks related to
wrong-site surgery, along with their root causes, and describes … Charles Vincent discussed a case of a wrong-site procedure.
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psnet.ahrq.gov/node/45679/psn-pdf
January 03, 2018 - Global Guidelines on the Prevention of Surgical Site
Infection. … January 3, 2018
Global Guidelines on the Prevention of Surgical Site Infection. … https://psnet.ahrq.gov/issue/global-guidelines-prevention-surgical-site-infection
Efforts to reduce … surgical site infections have achieved some success. … https://psnet.ahrq.gov/issue/global-guidelines-prevention-surgical-site-infection
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/854833/psn-pdf
October 25, 2023 - deficiencies-facility-leaders-response-critical-surgical-events-michael-e-
debakey-va-medical
Wrong-site … This report
details five wrong-site surgeries and three instances of retained surgical items at one … Additionally, the medical center failed to fully report the provider
responsible for three of the wrong-site … deficiencies-facility-leaders-response-critical-surgical-events-michael-e-debakey-va-medical
https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
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psnet.ahrq.gov/node/60791/psn-pdf
August 12, 2020 - Adaptive design: adaptation and adoption of patient
safety practices in daily routines, a multi-site … Adaptive design: adaptation and
adoption of patient safety practices in daily routines, a multi-site … psnet.ahrq.gov/issue/adaptive-design-adaptation-and-adoption-patient-safety-practices-daily-
routines-multi-site … psnet.ahrq.gov/issue/adaptive-design-adaptation-and-adoption-patient-safety-practices-daily-routines-multi-site … psnet.ahrq.gov/issue/adaptive-design-adaptation-and-adoption-patient-safety-practices-daily-routines-multi-site
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psnet.ahrq.gov/node/842770/psn-pdf
January 18, 2023 - A multi-site assessment of inpatient safety event rates
during the coronavirus disease 2019 pandemic … A multi-site assessment of inpatient safety event rates during
the coronavirus disease 2019 pandemic … https://psnet.ahrq.gov/issue/multi-site-assessment-inpatient-safety-event-rates-during-coronavirus-disease … https://psnet.ahrq.gov/issue/multi-site-assessment-inpatient-safety-event-rates-during-coronavirus-disease … -2019-pandemic
https://psnet.ahrq.gov/issue/multi-site-assessment-inpatient-safety-event-rates-during-coronavirus-disease
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psnet.ahrq.gov/node/45563/psn-pdf
October 19, 2016 - Using a change model to reduce the risk of surgical site
infection.
October 19, 2016
Burden M. … Using a change model to reduce the risk of surgical site infection. … https://psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection
Surgical site infections … In light of increased rates of
surgical site infections among patients with breast cancer, this commentary … existing processes to address behavioral and cultural barriers to
improvement and reduced surgical site
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psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
April 01, 2010 - of wrong-site surgery. … Relate the key contributing factors to wrong-site surgery. … Discuss the current best practices to prevent wrong-site surgery. … The Joint Commission defines wrong-site surgery as any surgery performed on the wrong site, any procedure … Sign, Mark & X-Ray: Prevention of Wrong-Site Spinal Surgery.
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psnet.ahrq.gov/node/39546/psn-pdf
May 26, 2010 - Avoiding wrong site surgery: a systematic review. … Avoiding wrong site surgery: a systematic review. … https://psnet.ahrq.gov/issue/avoiding-wrong-site-surgery-systematic-review
This systematic review of … proposes specific interventions to prevent wrong-site spinal surgery. … /wrong-site-wrong-procedure-and-wrong-patient-surgery
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
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psnet.ahrq.gov/node/45683/psn-pdf
January 23, 2017 - Consensus bundle on prevention of surgical site
infections after major gynecologic surgery. … Consensus Bundle on Prevention of Surgical Site Infections After
Major Gynecologic Surgery. … https://psnet.ahrq.gov/issue/consensus-bundle-prevention-surgical-site-infections-after-major-gynecologic … -
surgery
Surgical site infections are a common complication, and they can have serious consequences … https://psnet.ahrq.gov/issue/global-guidelines-prevention-surgical-site-infection
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/44243/psn-pdf
November 09, 2015 - Concept analysis: wrong-site surgery.
November 9, 2015
Watson DS. … Concept analysis: wrong-site surgery. AORN J. 2015;101(6):650-6.
doi:10.1016/j.aorn.2015.03.012. … wrong-site surgeries, they continue to occur. … This concept analysis
found limited evidence regarding the role of nurses in wrong-site surgery and … https://psnet.ahrq.gov/issue/concept-analysis-wrong-site-surgery
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
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psnet.ahrq.gov/node/847543/psn-pdf
April 12, 2023 - What works in medication reconciliation: an on-treatment
and site analysis of the MARQUIS2 study. … What works in medication reconciliation: an on-treatment
and site analysis of the MARQUIS2 study. … https://psnet.ahrq.gov/issue/what-works-medication-reconciliation-treatment-and-site-analysis-marquis2 … https://psnet.ahrq.gov/issue/what-works-medication-reconciliation-treatment-and-site-analysis-marquis2 … -study
https://psnet.ahrq.gov/issue/what-works-medication-reconciliation-treatment-and-site-analysis-marquis2
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psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklist-correcting-errors-literature-review-applying-reasons
January 10, 2018 - the evidence for surgical checklist implementation to determine its usefulness in preventing wrong-site … January 29, 2014
Surgical site verification: A through Z. … December 22, 2010
Avoiding wrong site surgery: a systematic review.
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psnet.ahrq.gov/issue/advances-perioperative-quality-and-safety
April 11, 2018 - surgical quality through national data analysis, bundling field-tested processes to prevent surgical site … June 21, 2017
Consensus bundle on prevention of surgical site infections after major … October 1, 2014
Back to basics: preventing surgical site infections.
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psnet.ahrq.gov/node/36833/psn-pdf
March 03, 2011 - Achieving the National Quality Forum's "Never Events":
prevention of wrong site, wrong procedure, and … Achieving the National Quality Forum's "Never Events":
prevention of wrong site, wrong procedure, and … https://psnet.ahrq.gov/issue/achieving-national-quality-forums-never-events-prevention-wrong-site-wrong … -
procedure-and
Wrong site operations are rare and often occur when systems to prevent them fail. … Joint Commission's Universal Protocol, to develop a framework
for hospitals to assess their wrong site
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psnet.ahrq.gov/node/44248/psn-pdf
May 26, 2016 - Wrong-site surgery, retained surgical items, and surgical
fires: a systematic review of surgical never … Wrong-Site Surgery, Retained Surgical Items, and
Surgical Fires : A Systematic Review of Surgical Never … https://psnet.ahrq.gov/issue/wrong-site-surgery-retained-surgical-items-and-surgical-fires-systematic … Incidence estimates for retained surgical items and wrong-site surgery varied across
studies, with median … https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
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psnet.ahrq.gov/node/49448/psn-pdf
June 01, 2004 - Wrong side, wrong site, or wrong patient surgery is no small problem. … the operative site, which was worse than no site marking at all. … Available at: [ go to related site ]. Accessed May 14, 2004.
5. … Joint Commission
on Accreditation of Healthcare Organizations Web site. … Available at: [ go to related site ].
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psnet.ahrq.gov/node/49726/psn-pdf
March 01, 2015 - of wrong-site surgery. … Relate the key contributing factors to wrong-site surgery. … Discuss the current best practices to prevent wrong-site surgery. … The Joint Commission
defines wrong-site surgery as any surgery performed on the wrong site, any procedure … Definitions and Examples of Wrong-Site Surgeries.(2)
Type Definition Example
Wrong Site
All surgical