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psnet.ahrq.gov/issue/association-coworker-reports-about-unprofessional-behavior-surgeons-surgical-complications
June 27, 2018 - Although many have reported anecdotally that disrespectful surgeon behavior has led to patient harm, … December 21, 2014
Surgeon-reported conflict with intensivists about postoperative goals
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www.ahrq.gov/workingforquality/events/webinar-best-practices-to-improve-community-health.html
November 01, 2016 - Nazleen Bharmal, Director of Science and Policy from the Office of the Surgeon General of the United … States, will share some of the Office of the Surgeon General's priorities related to community health … Surgeon General's Priorities. … Bharmal from the Surgeon General's Office, I so appreciated the points that you made. … Is the Surgeon General's Office going to talk about mental illness and guns at some point?
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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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www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-slides.html
December 01, 2017 - Share goal of the operation (surgeon).
Identify all issues or concerns (entire team). … Add surgeon notes section in perioperative management system. … Impact
Set up before discussing case with surgeon.
Incur fewer delays. … Impact
Decreased surgeon to surgeon variability.
Increased accuracy and efficiency. … Identify a surgeon champion who will implement briefings and debriefings for surgical cases.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel_facnotes.docx
December 01, 2017 - Slide 29
Role of Surgeon Leader
SAY:
The surgeon leader is charged with advancing the initiative, … The surgeon leader is the surgeon equivalent of the nurse opinion leader or nurse manager on the safety … The surgeon leader also serves as the communication link between unit physicians and the team. … Surgeons on the unit have access to the surgeon leader to voice their concerns and needs. … · Explain the role,
· Listen to surgeon concerns,
· Develop plans to address concerns,
· Reward surgeon
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.341_slideshow.ppt
March 01, 2015 - At the time of surgery, the surgeon was asked if the absence of an available image should preclude progressing … Case: Two Wrongs Don't Make a Right (2)
The day following the surgery, the pathologist contacted the surgeon … The surgeon then reviewed the initial CT scan and realized his mistake. … positioning or preparation of the operative site
Incorrect or lack of consent
Failure to use site markings
Surgeon … suggests having the labeled radiology present in the operating room at the time of the surgery
The surgeon
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psnet.ahrq.gov/web-mm/inside-time-out
March 01, 2004 - In the OR, the patient was surrounded by an attending surgeon, two surgical residents (but not the PA … The first is a delay waiting for the anesthesiologist to arrive, potentially pushing the busy surgeon … If the time out occurs at the time of incision, the surgeon is already scrubbed in, leaving only the … Furthermore, in hospitals where time outs occur regularly and with meaning, it is the attending surgeon … The surgeon was confronted about his behavior and apologized to the nurse, but was also told that the
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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/issue/what-about-doctors-impact-medical-errors
January 14, 2015 - Surgeon. 2014;12(6):297-300. doi:10.1016/j.surge.2014.06.004. … Surgeon . 2014; 12 (6) :297-300 .
View more articles from the same authors. … Surgeon. 2014;12(6):297-300. doi:10.1016/j.surge.2014.06.004.
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psnet.ahrq.gov/issue/error-rating-tool-identify-and-analyse-technical-errors-and-events-laparoscopic-surgery
October 09, 2013 - More
Related Resources
Association of cataract surgical outcomes with late surgeon … April 21, 2015
Prospective evaluation of consultant surgeon sleep deprivation and outcomes … December 21, 2014
A model of disruptive surgeon behavior in the perioperative environment
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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/node/866055/psn-pdf
May 29, 2024 - surgical wound.2 When the surgeon announces, “It is time for our surgical STOP,” everyone stops all … activity while the surgeon proceeds with wound exploration. … The surgeon concludes by announcing
“wound explored.” … Surgical debrief occurs before the surgeon leaves the room. … Imaging consists of X-ray or computed tomography used at the discretion of the surgeon.
-
psnet.ahrq.gov/node/42692/psn-pdf
April 21, 2015 - surgical-skill-and-complication-rates-after-bariatric-surgery
Prior research has shown that surgical outcomes differ greatly by surgeon … At least 10 independent surgeon-reviewers examined video-recordings of
20 bariatric surgeons performing
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psnet.ahrq.gov/node/49419/psn-pdf
October 01, 2003 - 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.
-
psnet.ahrq.gov/node/49650/psn-pdf
March 01, 2012 - The patient was then referred to a dermatologic surgeon to have his SCC excised. … The surgeon then excised a
lesion on the left cheek. … The patient returned to the surgeon to report the mistake. … The Mohs surgeon is specially
trained as a cancer surgeon, pathologist, and reconstructive surgeon. … 16.6% to 31.4% of the time when attempting to
identify their surgical site.(10,11) The dermatologic surgeon
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiapk.html
April 01, 2018 - Assessing Surgeon Acceptance of Risk Adjustment Models
Chapter 5. Project Expansion
Chapter 6. … Surgeon Focus Group Guide
Appendix O. Nursing Focus Group Guides
Appendix P. … Surgeon Focus Group Content Analysis
Appendix R. Infection Prevention Support Tool
Appendix S. … Experience (# Past 12 Months)
3
2
0
Surgeon Age
0
0
0
Laparoscopic Approach
5
5 … 0
Central Line
2
3
0
Pre-Op Hemoglobobin
5
5
0
Use of Stryker Suit
0
1
0
Surgeon
-
ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapk.html
April 01, 2018 - Assessing Surgeon Acceptance of Risk Adjustment Models
Chapter 5. Project Expansion
Chapter 6. … Surgeon Focus Group Guide
Appendix O. Nursing Focus Group Guides
Appendix P. … Surgeon Focus Group Content Analysis
Appendix R. Infection Prevention Support Tool
Appendix S. … Experience (# Past 12 Months)
3
2
0
Surgeon Age
0
0
0
Laparoscopic Approach
5
5 … 0
Central Line
2
3
0
Pre-Op Hemoglobobin
5
5
0
Use of Stryker Suit
0
1
0
Surgeon
-
psnet.ahrq.gov/node/47743/psn-pdf
February 22, 2019 - aging-gracefully-patient-safety-advocates-call-ongoing-skills-assessments-older-physicians
https://psnet.ahrq.gov/issue/aging-surgeon
-
psnet.ahrq.gov/node/49596/psn-pdf
December 01, 2009 - He was referred by his primary care provider to an orthopedic surgeon who recommended
a total knee replacement … He contacted the US-based orthopedic surgeon who originally saw him, explained
the circumstances, and … he could not be seen because "we didn't perform the surgery, so you
should contact your operating surgeon … Even if the case is
uncomplicated, the US surgeon who initiates postoperative care is agreeing to provide … Few would insist that that surgeon is obliged to deliver non-emergent or long-term
care for a patient
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
December 01, 2017 - The surgeon leader is the surgeon equivalent of the nurse opinion leader or nurse manager on the safety … The surgeon leader also serves as the communication link between unit physicians and the team. … Surgeons on the unit have access to the surgeon leader to voice their concerns and needs. … plan for communications
Listen to surgeon concerns
Develop plans to address concerns
Reward surgeon leaders … the role,
Listen to surgeon concerns,
Develop plans to address concerns,
Reward surgeon leaders,
Develop