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psnet.ahrq.gov/web-mm/inadvertent-castration
October 27, 2010 - In the recovery room, the surgeon discussed the changes to the planned procedure with the patient's wife … , who informed the surgeon that the patient's right testicle had been removed after a traumatic injury … Likewise, it would be helpful to have information about the extent to which the operating surgeon was … Wrong-site Surgery and Other Cognitive Errors
In this case, the surgeon almost certainly never considered … In this anachronistic model, the non-surgeon physician, resident, nurse, and technician team members
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psnet.ahrq.gov/glossary/swiss-cheese-model
September 13, 2021 - conventions for identifying sidedness on radiology tests, a protocol for signing the correct site when the surgeon … The surgeon may meet the patient for the first time in the operating room. … A hurried x-ray technologist might mislabel a film (or simply hang it backwards and a hurried surgeon
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psnet.ahrq.gov/issue/potential-consequences-patient-complications-surgeon-well-being-systematic-review
May 23, 2018 - Review
Potential consequences of patient complications for surgeon well-being: a … Potential Consequences of Patient Complications for Surgeon Well-being: A Systematic Review. … Potential Consequences of Patient Complications for Surgeon Well-being: A Systematic Review.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.33_slideshow.ppt
October 01, 2003 - As the trainee prepared to make an incision on the left side of the vulva, the attending surgeon stopped … by senior staff members
Responses differed by profession (% “yes”):
Airline pilot response: 97%
Surgeon … The surgeon denied that any error had been made; he insisted that the original biopsies had been mislabeled … The surgeon did not inform the patient of the error. … .): Wrong Side Surgery
When the patient returned for routine follow-up, the surgeon performed a vulvar
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psnet.ahrq.gov/node/50925/psn-pdf
February 19, 2020 - This analysis discusses a criminal case involving one surgeon in the National Health
Service. … report-independent-inquiry-issues-raised-paterson
https://psnet.ahrq.gov/issue/report-morecambe-bay-investigation
https://psnet.ahrq.gov/issue/surgeon-so-bad-it-was-criminal
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psnet.ahrq.gov/node/852805/psn-pdf
August 23, 2023 - This news feature reports
on systemic flaws that enabled a vascular surgeon with questionable business … unstoppable-doctor-has-been-investigated-every-level-government-how-he-still-practicing
https://psnet.ahrq.gov/issue/surgeon-so-bad-it-was-criminal
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psnet.ahrq.gov/issue/surgeons-disclosures-clinical-adverse-events
August 18, 2021 - Study
Surgeons' disclosures of clinical adverse events.
Citation Text:
Elwy R, Itani KMF, Bokhour BG, et al. Surgeons' Disclosures of Clinical Adverse Events. JAMA Surg. 2016;151(11):1015-1021. doi:10.1001/jamasurg.2016.1787.
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psnet.ahrq.gov/issue/avoiding-unconscious-bias-guide-surgeons
May 29, 2019 - Book/Report
Avoiding Unconscious Bias: a Guide for Surgeons.
Citation Text:
Avoiding Unconscious Bias: a Guide for Surgeons. London, UK: Royal College of Surgeons of England; 2016.
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psnet.ahrq.gov/node/74251/psn-pdf
January 26, 2022 - health records but
without seeing the patient, who was in another hospital, the anesthetist asked the surgeon … After induction of general anesthesia, the assistant surgeon tried 10 times to cannulate either
subclavian … Unfortunately, the surgeon had damaged an intercostal artery when he inserted the chest tube emergently … Additionally, in this case, the surgeon damaged an intercostal artery while inserting the chest tube … A
preoperative discussion between the attending surgeon and the trainee regarding anticipated risks
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psnet.ahrq.gov/issue/when-should-surgeons-stop-operating
May 24, 2017 - March 9, 2022
When is the surgeon too old to operate?
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psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
April 01, 2010 - The day following the surgery, the pathologist contacted the surgeon to report no evidence of cancer. … The surgeon then reviewed the initial CT scan and realized his mistake. … Once the surgeon decided he did not need the imaging to proceed with surgical treatment, the proverbial … Either way, the surgeon would have been given the opportunity to review the imaging and identify the … The surgeon moves down one level and completes the procedure appropriately. Table 2.
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psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
August 05, 2009 - Upon examination of the knee under anesthesia and with visualization from the arthroscope, the surgeon … After the surgery, the surgeon briefed the patient in the post-anesthesia care unit (PACU) on his findings … When the husband picked up the patient, the written discharge instructions from the surgeon were generic … The confusion was never discovered at two subsequent postop visits, in part because the surgeon never … When she experienced significant pain, she called the surgeon who then chastised her for not following
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psnet.ahrq.gov/issue/six-things-every-plastic-surgeon-needs-know-about-teamwork-training-and-checklists
September 07, 2016 - Image/Poster
Six things every plastic surgeon needs to know about teamwork training … Six things every plastic surgeon needs to know about teamwork training and checklists. … Six things every plastic surgeon needs to know about teamwork training and checklists.
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psnet.ahrq.gov/cme
February 26, 2025 - to move but recalls making a “monumental effort” to utter a small groaning noise, which alerted the surgeon … She heard the surgeon verbally acknowledge her condition and offer reassurance that the operation was … During the first follow-up visit, the surgeon did not address the situation, so the patient brought it … The surgeon seemed surprised and embarrassed that the patient remembered waking up during the operation … Each time, the surgeon ordered hetastarch for volume expansion.
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psnet.ahrq.gov/web-mm/other-side
May 01, 2007 - As the trainee prepared to make an incision on the left side of the vulva, the attending surgeon stopped … Typically, guidelines require the marking and signing of the surgical site by the operative surgeon ( … The wrong site surgery occurred because the surgeon remembered, incorrectly, that he had biopsied the … The attending surgeon denied that any error had been made; he insisted that the original biopsies had … The surgeon did not inform the patient of the error.
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psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
May 16, 2022 - When requested by the attending surgeon, the scrub technician verbally confirmed the medication (“ICG … in D50”) being handed to the surgeon. … The surgeon injected the medication to stain the eye. … The nurse correctly read the label in the presence of the surgeon, who may have been distracted, and … distract the surgeon during that time.
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psnet.ahrq.gov/node/866583/psn-pdf
August 28, 2024 - evidence-based STOPS framework (Stop,
Talk to your team, Obtain help, Plan, Succeed) to improve resident surgeon … surgical-errors-happen-are-learners-trained-recover-them-survey-north-american-surgical
https://psnet.ahrq.gov/issue/good-bad-and-ugly-operative-staff-perspectives-surgeon-coping-intraoperative-errors
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psnet.ahrq.gov/issue/complications-surgeons-notes-imperfect-science
January 13, 2010 - October 18, 2017
Surgeon, Heal Thyself: Optimising Surgical Performance by Managing Stress
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psnet.ahrq.gov/issue/surgical-skill-and-complication-rates-after-bariatric-surgery
August 02, 2015 - Prior research has shown that surgical outcomes differ greatly by surgeon and facility, and a national … At least 10 independent surgeon-reviewers examined video-recordings of 20 bariatric surgeons performing … July 19, 2023
Surgeon age and operative mortality in the United States.
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psnet.ahrq.gov/issue/post-traumatic-stress-disorder-amongst-surgical-trainees-unrecognised-risk
August 04, 2021 - Surgeon. 2017;15(3):123-130. doi:10.1016/j.surge.2015.09.002. … Surgeon . 2017; 15 (3) :123-130 .
View more articles from the same authors. … Surgeon. 2017;15(3):123-130. doi:10.1016/j.surge.2015.09.002.