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psnet.ahrq.gov/issue/wrong-goodbye
October 05, 2022 - November 16, 2016
A surgeon so bad it was criminal. … Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist
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psnet.ahrq.gov/node/50931/psn-pdf
February 26, 2020 - However, control of the source of sepsis is critical, and the physicians—including the surgeon
who performed … Did the intensive care physicians assume that the surgeon who performed the initial
decortication must … case” multidisciplinary conference might have
prompted the patient’s intensivist(s), radiologist(s), surgeon … Involvement of a thoracic or general surgeon with experience in esophageal disease is
important, as … an unexplained hydropneumothorax in
a systemically ill patient should prompt urgent evaluation by a surgeon
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-slides.html
December 01, 2017 - Impact
$537,000 annual savings on antibiotic irrigation WITH surgeon buy-in. … Utilize basic strategies to encourage surgeon participation in surgical safety work. … Has adequate resources including protected time:
2 to 4 hours per week for a team leader, surgeon … Slide 30: Role of Surgeon Leader
Serves as role model for surgical safety activities. … Listen to surgeon concerns.
Develop plans to address concerns.
Reward surgeon leaders.
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psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
January 01, 2024 - – His case was delayed by an hour while the surgeon found and reviewed the angiogram video
from the … – Since the patient did not convert to sinus rhythm, the surgeon requested 20 Joules
synchronized … • A simple verbal report is not sufficient; the angiogram video must be available to
allow the surgeon … The surgeon also needs to choose the energy to be applied with every shock. … – The surgeon in this case could not see the screen and therefore was not in a position to correct
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psnet.ahrq.gov/issue/when-surgical-colleague-makes-error
December 21, 2014 - Discussing a case involving a surgeon discovering a serious mistake made by a colleague, this commentary … October 29, 2017
The aging surgeon.
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psnet.ahrq.gov/issue/tips-safer-surgery
December 22, 2021 - February 4, 2018
When a surgeon should just say 'I'm sorry'. … September 2, 2009
Learning to ask tough questions of your surgeon.
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psnet.ahrq.gov/node/865337/psn-pdf
March 27, 2024 - scoping-review-second-victim-syndrome-among-surgeons-understanding-impact-responses-and
https://psnet.ahrq.gov/issue/potential-consequences-patient-complications-surgeon-well-being-systematic-review
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psnet.ahrq.gov/issue/how-avoid-falling-victim-hospital-mistake
April 06, 2016 - Copy Citation
Related Resources From the Same Author(s)
When a surgeon should … November 28, 2016
When a surgeon should just say 'I'm sorry'.
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psnet.ahrq.gov/issue/burnout-and-medical-errors-among-american-surgeons
December 21, 2014 - Study
Burnout and medical errors among American surgeons.
Citation Text:
Shanafelt TD, Balch CM, Bechamps G, et al. Burnout and medical errors among American surgeons. Ann Surg. 2010;251(6):995-1000. doi:10.1097/SLA.0b013e3181bfdab3.
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Format:
DOI Google Schol…
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psnet.ahrq.gov/issue/surgical-complications-and-their-implications-surgeons-well-being
December 04, 2016 - Study
Surgical complications and their implications for surgeons' well-being.
Citation Text:
Pinto A, Faiz O, Bicknell C, et al. Surgical complications and their implications for surgeons' well-being. Br J Surg. 2013;100(13):1748-55. doi:10.1002/bjs.9308.
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Format:
…
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psnet.ahrq.gov/issue/patient-safety-taiwan-survey-orthopedic-surgeons
October 27, 2016 - Study
Patient safety in Taiwan: a survey on orthopedic surgeons.
Citation Text:
Yang C-T, Chen H-H, Hou S-M. Patient safety in Taiwan: a survey on orthopedic surgeons. J Formos Med Assoc. 2007;106(3):212-6.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML…
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psnet.ahrq.gov/issue/building-accountability-through-patient-safety-organizations
June 19, 2024 - January 20, 2021
A surgeon so bad it was criminal. … October 10, 2018
The aging surgeon.
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psnet.ahrq.gov/node/47949/psn-pdf
July 10, 2019 - Although many have reported anecdotally that disrespectful
surgeon behavior has led to patient harm,
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psnet.ahrq.gov/issue/learning-adverse-events-and-near-misses
January 15, 2020 - May 27, 2009
Association between surgeon technical skills and patient outcomes. … September 15, 2011
The competent surgeon: individual accountability in the era of "systems
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psnet.ahrq.gov/node/853245/psn-pdf
September 06, 2023 - discrepancies between pathologist-listed diagnoses included in intraoperative consult
notes compared to surgeon-dictated
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psnet.ahrq.gov/node/33579/psn-pdf
September 15, 2024 - Instead, the surgeon performs a completely different procedure—a carpal tunnel release. … Personnel at the sharp end
may literally be holding a scalpel when the error is committed (e.g., the surgeon … In the incorrect surgery case, the active, or sharp end, error was quite literally committed by the surgeon … The surgeon was distracted by competing patient care needs (an inpatient consultation) and
an emotionally … Furthermore, the patient only spoke Spanish and no interpreter was available,
meaning that the surgeon
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psnet.ahrq.gov/issue/stress-and-burnout-among-surgeons-understanding-and-managing-syndrome-and-avoiding-adverse
June 28, 2010 - This review examines factors contributing to surgeon burnout and describes its impact on physician health
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psnet.ahrq.gov/issue/disclosure-errors-surgical-procedures
April 13, 2022 - December 5, 2018
Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered … November 21, 2016
When a surgeon should just say 'I'm sorry'.
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psnet.ahrq.gov/issue/case-34-2010-65-year-old-woman-incorrect-operation-left-hand
March 13, 2013 - Presented by the surgeon himself, the article details the factors that led to the error, including production … barriers , and failure to perform a time out , and explores the ramifications of the error for the surgeon
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psnet.ahrq.gov/issue/assessment-perioperative-outcomes-among-surgeons-who-operated-night
March 06, 2019 - August 2020 across 20 high-volume hospitals in the United States to determine the association between surgeon … fatigue , operating overnight and outcomes for operations performed by the same surgeon the next day