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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/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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staging-meps.ahrq.gov/mepsweb/privacy_policy.jsp
July 24, 2006 - The address of the Web site you came from, if you were referred
from another site. … user interest in various areas of our
site, and to help us make our site more useful … Links to Other Sites
Our Web site has links to other Federal agencies. … that site.
… MEPS SITE MAP .
MEPS PRIVACY POLICY .
ACCESSIBILITY .
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meps.ahrq.gov/mepsweb/privacy_policy.jsp
July 24, 2006 - The address of the Web site you came from, if you were referred
from another site. … user interest in various areas of our
site, and to help us make our site more useful … Links to Other Sites
Our Web site has links to other Federal agencies. … that site.
… MEPS SITE MAP .
MEPS PRIVACY POLICY .
ACCESSIBILITY .
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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/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/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/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
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psnet.ahrq.gov/node/44967/psn-pdf
March 16, 2016 - Wrong site surgery: a critical incident analysis of a near
miss.
March 16, 2016
Tichanow S. … Wrong site surgery: A critical incident analysis of a near miss. … https://psnet.ahrq.gov/issue/wrong-site-surgery-critical-incident-analysis-near-miss
Despite efforts … to prevent wrong-site surgeries, they continue to occur. … /primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
https://psnet.ahrq.gov/issue/using-near-misses-analysis-prevent-wrong-site-surgery
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psnet.ahrq.gov/node/41835/psn-pdf
May 19, 2015 - Interventions for reducing wrong-site surgery and
invasive procedures. … Interventions for reducing wrong-site surgery and invasive clinical
procedures. … https://psnet.ahrq.gov/issue/interventions-reducing-wrong-site-surgery-and-invasive-procedures
Wrong-site … systematic review did not identify any high-quality studies of
successful methods to prevent wrong-site … https://psnet.ahrq.gov/issue/interventions-reducing-wrong-site-surgery-and-invasive-procedures
https:
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psnet.ahrq.gov/node/47036/psn-pdf
August 09, 2018 - Statewide collaborative to reduce surgical site infections:
results of the Hawaii Surgical Unit-Based … Statewide Collaborative to Reduce Surgical Site Infections:
Results of the Hawaii Surgical Unit-Based … https://psnet.ahrq.gov/issue/statewide-collaborative-reduce-surgical-site-infections-results-hawaii-surgical … The program was associated with a significant reduction in surgical site
infections and an improvement … https://psnet.ahrq.gov/primer/surgical-site-infections
https://psnet.ahrq.gov/primer/culture-safety
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psnet.ahrq.gov/node/41698/psn-pdf
November 27, 2012 - Duplication of surgical site marking.
November 27, 2012
Davis JS, Karmacharya J, Schulman C. … Duplication of surgical site marking. J Patient Saf. 2012;8(4):151-2. … https://psnet.ahrq.gov/issue/duplication-surgical-site-marking
Describing a case of duplicate surgical … prevented wrong-site surgery. … https://psnet.ahrq.gov/issue/duplication-surgical-site-marking
https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
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psnet.ahrq.gov/node/49791/psn-pdf
April 01, 2017 - wrong side, wrong body part, wrong patient, or wrong procedure at the correct site.(2) Wrong-site errors … , wrong implant, wrong-site errors) were performed outside of the OR. … Preprocedural site verification, site marking, and a time-out are minimum requirements for preventing … wrong-site errors. … Wrong-site regional anesthesia: review and
recommendations for prevention?
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psnet.ahrq.gov/node/38332/psn-pdf
January 14, 2009 - Verifying patient identity and site of surgery: improving
compliance with protocol by audit and feedback … Verifying patient identity and site of surgery: improving compliance
with protocol by audit and feedback … https://psnet.ahrq.gov/issue/verifying-patient-identity-and-site-surgery-improving-compliance-protocol-audit … feedback to increase
compliance with patient identification in the prevention of wrong-patient and wrong-site … A related commentary [see link below] discusses the broader context of efforts to
eliminate wrong-site
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psnet.ahrq.gov/node/39747/psn-pdf
August 11, 2010 - Wrong-site sinus surgery in otolaryngology. … Wrong-site sinus surgery in otolaryngology. … found that many respondents had personal experience with wrong-site
surgery. … https://psnet.ahrq.gov/issue/wrong-site-sinus-surgery-otolaryngology
https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery … https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery