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psnet.ahrq.gov/node/39231/psn-pdf
January 13, 2010 - https://psnet.ahrq.gov/issue/checklist-manifesto-how-get-things-right
Harvard surgeon Atul Gawande has
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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/issue/resident-duty-hours-surgery-ensuring-patient-safety-providing-optimum-resident-education-and
August 26, 2011 - Commentary
Resident duty hours in surgery for ensuring patient safety, providing optimum resident education and training, and promoting resident well-being: a response from the American College of Surgeons to the Report of the Institute of Medicine, "Resident Duty Hours: Enhancing Sleep, Supervision…
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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/node/47536/psn-pdf
March 09, 2019 - Evaluation of wound photography for remote
postoperative assessment of surgical site infections.
March 9, 2019
Broman KK, Gaskill CE, Faqih A, et al. Evaluation of Wound Photography for Remote Postoperative
Assessment of Surgical Site Infections. JAMA Surg. 2019;154(2):117-124.
doi:10.1001/jamasurg.2018.3861.
htt…
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psnet.ahrq.gov/node/764399/psn-pdf
March 02, 2022 - Show me the money, I'll show you my complications:
impacts of incentivized incident self-reporting among
surgeons.
March 2, 2022
Cook-Richardson S, Addo A, Kim P, et al. Show me the money, I'll show you my complications: impacts of
incentivized incident self-reporting among surgeons. J Surg Res. 2022;274:136-144.
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psnet.ahrq.gov/node/866315/psn-pdf
July 17, 2024 - Physician specialty differences in unprofessional
behaviors observed and reported by coworkers.
July 17, 2024
Cooper WO, Hickson GB, Dmochowski RR, et al. Physician specialty differences in unprofessional
behaviors observed and reported by coworkers. JAMA Netw Open. 2024;7(6):e2415331.
doi:10.1001/jamanetworkopen.…
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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 …
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psnet.ahrq.gov/issue/pain-alleviation-toolkit
April 22, 2020 - Toolkit
Pain Alleviation Toolkit.
Citation Text:
Pain Alleviation Toolkit. American Society of Anesthesiologists, American Academy of Orthopaedic Surgeons. March 12, 2020.
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psnet.ahrq.gov/issue/surgical-innovation-new-techniques-and-technologies-guide-good-practice
April 10, 2019 - Book/Report
Surgical Innovation, New Techniques and Technologies: A Guide to Good Practice.
Citation Text:
Surgical Innovation, New Techniques and Technologies: A Guide to Good Practice. London, UK: Royal College of Surgeons of England; 2019.
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Sa…
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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/847538/psn-pdf
April 12, 2023 - Crisis scenarios for simulation-based nontechnical skills
training for cardiac surgery teams: a national survey
among cardiac anesthesiologists, cardiac surgeons,
clinical perfusionists, and cardiac operating room nurses.
April 12, 2023
Kemper T, van Haperen M, Eberl S, et al. Crisis scenarios for simulation-based…
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psnet.ahrq.gov/issue/building-culture-candour-review-threshold-duty-candour-and-incentives-care-organisations-be
June 12, 2019 - Book/Report
Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid.
Citation Text:
Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisa…
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psnet.ahrq.gov/issue/canadian-patient-safety-dictionary
September 13, 2017 - Glossary
Canadian Patient Safety Dictionary.
Citation Text:
Canadian Patient Safety Dictionary. Royal College of Physicians and Surgeons of Canada
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psnet.ahrq.gov/issue/scottish-audit-surgical-mortality
September 13, 2017 - Multi-use Website
Scottish Audit of Surgical Mortality.
Citation Text:
Scottish Audit of Surgical Mortality. Scottish Audit of Surgical Mortality and Royal College of Physicians and Surgeons of Glasgow.
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psnet.ahrq.gov/issue/situational-awareness-and-patient-safety-learning-package
September 13, 2017 - Book/Report
Situational Awareness and Patient Safety: A Learning Package.
Citation Text:
Situational Awareness and Patient Safety: A Learning Package. Parush A, Campbell C, Hunter A, et al. Ottawa, Ontario: The Royal College of Physicians and Surgeons of Canada; 2011. ISBN: 9781926588100…
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psnet.ahrq.gov/issue/optimal-resources-surgical-quality-and-safety
September 29, 2017 - Book/Report
Optimal Resources for Surgical Quality and Safety.
Citation Text:
Optimal Resources for Surgical Quality and Safety. Hoyt DB, Ko CY, eds. Chicago, IL: American College of Surgeons; 2017. ISBN: 9780996826242.
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psnet.ahrq.gov/issue/improving-working-environment-safe-surgical-care
July 29, 2015 - Book/Report
Improving the Working Environment for Safe Surgical Care.
Citation Text:
Improving the Working Environment for Safe Surgical Care. Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Royal College of Surgeons of Edinburgh; July 31, 2017.
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psnet.ahrq.gov/node/36200/psn-pdf
February 15, 2011 - Choosing your words carefully: how physicians would
disclose harmful medical errors to patients.
February 15, 2011
Gallagher TH, Garbutt J, Waterman AD, et al. Choosing your words carefully: how physicians would
disclose harmful medical errors to patients. Arch Intern Med. 2006;166(15):1585-1593.
https://psnet.ahr…