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psnet.ahrq.gov/node/35519/psn-pdf July 24, 2008 - Bringing surgeons down to earth.
July 24, 2008
Landro L.
https://psnet.ahrq.gov/issue/bringing-surgeons-down-earth
This article reports on several pilot initiatives designed to improve safety culture in the operating room.
https://psnet.ahrq.gov/issue/bringing-surgeons-down-earth
https://psnet.ahrq.gov//#safetycul…  
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psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency September 30, 2020 - Specifically, the surgeon extended the uterine incision at both sides to allow unobstructed delivery … repair of the right side of the hysterotomy after delivery of the fetus, and it is unclear whether the surgeon 
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psnet.ahrq.gov/node/60856/psn-pdf August 26, 2020 - It is not surprising that a
trauma surgeon directed this patient’s care – coordination of a team of … An experienced orthopedic surgeon – and this case should have
been performed by the most experienced 
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psnet.ahrq.gov/issue/association-2011-acgme-resident-duty-hour-reforms-mortality-and-readmissions-among November 26, 2014 - Study 
 
 
 
 
 
 
 
 
 
            Classic
           
 
 Association of the 2011 ACGME resident duty hour reforms with mortality and readmissions among hospitalized Medicare patients. 
 
 
 
 
 Citation Text: 
 Patel MS, Volpp KG, Small DS, et al. Association of the 2011 ACGME resident duty hour reforms with mortali…  
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psnet.ahrq.gov/issue/association-surgical-task-during-training-team-skill-acquisition-among-surgical-residents March 12, 2025 - Study 
 
 
 
 
 
 
 
 
 
 Association of a surgical task during training with team skill acquisition among surgical residents: the missing piece in multidisciplinary team training. 
 
 
 
 
 Citation Text: 
 Sparks JL, Crouch DL, Sobba K, et al. Association of a Surgical Task During Training With Team Skill Acquisition…  
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psnet.ahrq.gov/issue/patient-factors-and-hospital-outcomes-associated-atypical-presentation-hospitalized-older June 29, 2022 - Study 
 
 
 
 
 
 
 
 
 
 Patient factors and hospital outcomes associated with atypical presentation in hospitalized older adults with COVID-19 during the first surge of the pandemic. 
 
 
 
 
 Citation Text: 
 Marziliano A, Burns E, Chauhan L, et al. Patient factors and hospital outcomes associated with atypical pres…  
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psnet.ahrq.gov/issue/effect-2011-vs-2003-duty-hour-regulation-compliant-models-sleep-duration-trainee-education September 04, 2013 - Study 
 
 
 
 
 
 
 
 
 
 Effect of the 2011 vs 2003 duty hour regulation-compliant models on sleep duration, trainee education, and continuity of patient care among internal medicine house staff: a randomized trial. 
 
 
 
 
 Citation Text: 
 Desai SV, Feldman LS, Brown L, et al. Effect of the 2011 vs 2003 Duty Hour R…  
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psnet.ahrq.gov/issue/concordance-urgent-referral-guidelines-patients-presenting-any-six-alarm-features-possible February 17, 2021 - Study 
 
 
 
 
 
 
 
 
 
 Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records. 
 
 
 
 
 Citation Text: 
 Wiering B, Lyratzopoulos G, Hamilton W, et al. Concordance with urgent referral gui…  
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psnet.ahrq.gov/issue/intended-and-unintended-effects-large-scale-adverse-event-disclosure-controlled-after August 18, 2021 - Study 
 
 
 
 
 
 
 
 
 
 Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis of five large-scale notifications. 
 
 
 
 
 Citation Text: 
 Wagner TH, Taylor T, Cowgill E, et al. Intended and unintended effects of large-scale adverse event disclosure: a controlled…  
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psnet.ahrq.gov/issue/hospital-acquired-functional-decline-and-clinical-outcomes-older-cardiac-surgical-patients February 06, 2019 - Study 
 
 
 
 
 
 
 
 
 
 Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients: a multicenter prospective cohort study. 
 
 
 
 
 Citation Text: 
 Morisawa T, Saitoh M, Otsuka S, et al. Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients…  
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psnet.ahrq.gov/issue/serious-misdiagnosis-related-harms-malpractice-claims-big-three-vascular-events-infections July 28, 2023 - Study 
 
 
 
 
 
 
 
 
 
            Emerging Classic
           
 
 Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular events, infections, and cancers. 
 
 
 
 
 Citation Text: 
 Newman-Toker DE, Schaffer AC, Yu-Moe CW, et al. Serious misdiagnosis-related harms in malpractice claims: T…  
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psnet.ahrq.gov/issue/improving-healthcare-systems-disclosures-large-scale-adverse-events-department-veterans August 18, 2021 - Study 
 
 
 
 
 
 
 
 
 
 Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership. 
 
 
 
 
 Citation Text: 
 Elwy R, Bokhour BG, Maguire EM, et al. Improving healthcare systems' disclosures of large-scale ad…  
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psnet.ahrq.gov/issue/acting-concerns-your-professional-responsibility April 02, 2014 - Book/Report 
 
 
 
 
 
 
 
 
 
 Acting on Concerns: Your Professional Responsibility. 
 
 
 
 
 Citation Text: 
 Acting on Concerns: Your Professional Responsibility. Shale S; The Royal College of Surgeons of England. London, UK: RCSENG Communications; 2013. 
 Copy Citation 
 
 
 
 
 
 
 
 Save 
 
   Save to your libra…  
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psnet.ahrq.gov/node/35475/psn-pdf October 16, 2018 - Patient Safety Resources for Clinicians.
October 16, 2018
American Academy of Orthopedic Surgeons; AAOS.
https://psnet.ahrq.gov/issue/patient-safety-resources-clinicians
This Web site includes patient safety-related materials for orthopedic surgeons such as checklists,
educational modules, tips, and American Acade…  
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psnet.ahrq.gov/node/35579/psn-pdf November 26, 2008 - Perioperative Issues for Surgeons: Improving Patient
Safety and Outcomes.
November 26, 2008
Napolitano LM, ed. Surg Clin North Am. 2005;85(6):1061-1380.
https://psnet.ahrq.gov/issue/perioperative-issues-surgeons-improving-patient-safety-and-outcomes
This issue focuses on the safety of surgical patients, with artic…  
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psnet.ahrq.gov/node/42131/psn-pdf March 20, 2013 - What surgeons leave behind costs some patients dearly.
March 20, 2013
Eisler P.
https://psnet.ahrq.gov/issue/what-surgeons-leave-behind-costs-some-patients-dearly
This newspaper article describes two incidents of retained surgical items and discusses the technological
solutions to prevent them.
https://psnet.ahrq…  
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psnet.ahrq.gov/node/46211/psn-pdf July 26, 2017 - Double-booked: when surgeons operate on two patients
at once.
July 26, 2017
Boodman SG. Kaiser Health News. July 12, 2017.
https://psnet.ahrq.gov/issue/double-booked-when-surgeons-operate-two-patients-once
Scheduling overlapping surgeries has gained recognition as a controversial practice in surgical care. This
n…  
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psnet.ahrq.gov/node/34739/psn-pdf February 06, 2018 - Complications: A Surgeon's Notes on an Imperfect
Science.
February 6, 2018
Gawande A. New York, NY: Metropolitan Books; 2002. ISBN: 9780805063196.
https://psnet.ahrq.gov/issue/complications-surgeons-notes-imperfect-science
In Complications, Gawande reprises and builds on a series of feature articles, several writt…  
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psnet.ahrq.gov/issue/factors-compromising-safety-surgery-stressful-events-operating-room April 08, 2009 - Study 
 
 
 
 
 
 
 
 
 
 Factors compromising safety in surgery: stressful events in the operating room.   
 
 
 
 
 Citation Text: 
 Arora S, Hull L, Sevdalis N, et al. Factors compromising safety in surgery: stressful events in the operating room. Am J Surg. 2010;199(1):60-5. doi:10.1016/j.amjsurg.2009.07.036. 
 Cop…  
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psnet.ahrq.gov/node/44408/psn-pdf April 12, 2017 - Enhancing Surgical Performance: A Primer in Non-
technical Skills.
April 12, 2017
Flin R, Youngson GG, Yule S. Boca Raton, FL: CRC Press; 2015. ISBN: 9781482246322.
https://psnet.ahrq.gov/issue/enhancing-surgical-performance-primer-non-technical-skills
Non-technical skill development is gaining attention as a way …