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psnet.ahrq.gov/issue/verifying-patient-identity-and-site-surgery-improving-compliance-protocol-audit-and-feedback
October 26, 2010 - Study
Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback.
Citation Text:
Garnerin P, Arès M, Huchet A, et al. Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. Qual Saf Health …
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psnet.ahrq.gov/issue/quality-improvement-initiative-improve-pediatric-discharge-medication-safety-and-efficiency
May 20, 2020 - Study
A quality improvement initiative to improve pediatric discharge medication safety and efficiency.
Citation Text:
Ring LM, Cinotti J, Hom LA, et al. A quality improvement initiative to improve pediatric discharge medication safety and efficiency. Pediatr Qual Saf. 2023;8(4):e671. do…
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psnet.ahrq.gov/issue/standardizing-opioid-prescriptions-patients-after-ambulatory-oncologic-surgery-reduces
October 19, 2022 - Study
Standardizing opioid prescriptions to patients after ambulatory oncologic surgery reduces overprescription.
Citation Text:
Fearon NJ, Benfante N, Assel M, et al. Standardizing Opioid Prescriptions to Patients After Ambulatory Oncologic Surgery Reduces Overprescription. Jt Comm J Qu…
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psnet.ahrq.gov/issue/comparison-internal-medicine-and-general-surgery-residents-assessments-risk-postsurgical
September 27, 2017 - Study
Comparison of internal medicine and general surgery residents' assessments of risk of postsurgical complications in surgically complex patients.
Citation Text:
Healy JM, Davis KA, Pei KY. Comparison of Internal Medicine and General Surgery Residents' Assessments of Risk of Postsurg…
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psnet.ahrq.gov/issue/identification-adverse-events-orthopedics-department-sweden
May 08, 2013 - Study
Identification of adverse events at an orthopedics department in Sweden.
Citation Text:
Unbeck M, Muren O, Lillkrona U. Identification of adverse events at an orthopedics department in Sweden. Acta Orthop. 2008;79(3):396-403. doi:10.1080/17453670710015319.
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psnet.ahrq.gov/issue/serious-hazards-transfusion-evaluating-dangers-wrong-patient-autologous-salvaged-blood
May 11, 2022 - Commentary
Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery.
Citation Text:
Uramatsu M, Maeda H, Mishima S, et al. Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in …
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psnet.ahrq.gov/node/37973/psn-pdf
November 28, 2016 - When it's surgery, don't get it wrong.
November 28, 2016
Grant T.
https://psnet.ahrq.gov/issue/when-its-surgery-dont-get-it-wrong
This article reports on a wrong-sided surgery near miss from the perspective of a parent, and discusses the
role of family members in preventing medical errors.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/49473/psn-pdf
March 01, 2005 - On O.R. Off?
March 1, 2005
Leonard M. On O.R. Off? PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/or
The Case
An elderly man was admitted to the vascular surgery service with rest pain in his leg. Angiography
demonstrated peripheral artery disease with anatomy suitable for revascularization. A consulting
…
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psnet.ahrq.gov/node/38560/psn-pdf
July 05, 2013 - Safe Surgery Saves Lives.
July 5, 2013
Canadian Patient Safety Institute; CPSI.
https://psnet.ahrq.gov/issue/safe-surgery-saves-lives
This site supports the effort to adopt the World Alliance for Patient Safety surgical checklist program in
Canada.
https://psnet.ahrq.gov/issue/safe-surgery-saves-lives
https://psn…
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psnet.ahrq.gov/node/37248/psn-pdf
December 15, 2011 - Patient safety and quality in surgery.
December 15, 2011
McCafferty MH, Polk HC. Patient safety and quality in surgery. Surg Clin North Am. 2007;87(4):867-81, vii.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-surgery
This article provides an overview of error in surgical care and summarizes activities an…
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psnet.ahrq.gov/node/46472/psn-pdf
August 20, 2018 - Wide variation and overprescription of opioids after
elective surgery.
August 20, 2018
Thiels CA, Anderson SS, Ubl DS, et al. Wide Variation and Overprescription of Opioids After Elective
Surgery. Ann Surg. 2017;266(4):564-573. doi:10.1097/SLA.0000000000002365.
https://psnet.ahrq.gov/issue/wide-variation-and-overp…
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psnet.ahrq.gov/node/43227/psn-pdf
June 04, 2014 - Detecting adverse events in surgery: comparing events
detected by the Veterans Health Administration Surgical
Quality Improvement Program and the Patient Safety
Indicators.
June 4, 2014
Mull HJ, Borzecki A, Loveland S, et al. Detecting adverse events in surgery: comparing events detected by
the Veterans Health Ad…
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psnet.ahrq.gov/node/36902/psn-pdf
June 09, 2010 - Patient handover from surgery to intensive care: using
Formula 1 pit-stop and aviation models to improve safety
and quality.
June 9, 2010
Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using
Formula 1 pit-stop and aviation models to improve safety and quality. Paediatr …
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psnet.ahrq.gov/node/72671/psn-pdf
January 27, 2021 - Will the COVID-19 pandemic transform infection
prevention and control in surgery? Seeking leverage
points for organizational learning.
January 27, 2021
Toccafondi G, Di Marzo F, Sartelli M, et al. Int J Qual Health Care. 2021;33(Supp 1):51-55.
https://psnet.ahrq.gov/issue/will-covid-19-pandemic-…
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psnet.ahrq.gov/node/36185/psn-pdf
March 28, 2011 - Defining the technical skills of teamwork in surgery.
March 28, 2011
Healey A, Undre S, Vincent C. Defining the technical skills of teamwork in surgery. Qual Saf Health Care.
2006;15(4):231-4.
https://psnet.ahrq.gov/issue/defining-technical-skills-teamwork-surgery
The authors discuss a strategy for incorporating t…
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psnet.ahrq.gov/node/35561/psn-pdf
October 01, 2016 - Statement on the prevention of retained foreign bodies
after surgery.
October 1, 2016
Chicago, IL: American College of Surgeons; October 2016.
https://psnet.ahrq.gov/issue/statement-prevention-retained-foreign-bodies-after-surgery
This statement briefly lists the American College of Surgeons' guidelines for preven…
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psnet.ahrq.gov/node/37009/psn-pdf
March 18, 2010 - Doing the "right" things to correct wrong-site surgery.
March 18, 2010
Patient Safety Advisory
https://psnet.ahrq.gov/issue/doing-right-things-correct-wrong-site-surgery
This article discusses reports of wrong-site surgery submitted to the PA-PSRS, compares them with results
of other studies, and provides suggesti…
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psnet.ahrq.gov/issue/importance-teamwork-communication-and-culture-failure-rescue-elderly
April 04, 2011 - Review
Importance of teamwork, communication and culture on failure-to-rescue in the elderly.
Citation Text:
Ghaferi AA, Dimick JB. Importance of teamwork, communication and culture on failure-to-rescue in the elderly. Br J Surg. 2016;103(2):e47-51. doi:10.1002/bjs.10031.
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psnet.ahrq.gov/issue/prospective-error-recording-surgery-analysis-1108-elective-neurosurgical-cases
January 22, 2016 - Study
Prospective error recording in surgery: an analysis of 1108 elective neurosurgical cases.
Citation Text:
Stone S, Bernstein M. Prospective error recording in surgery: an analysis of 1108 elective neurosurgical cases. Neurosurgery. 2007;60(6):1075-80; discussion 1080-2.
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psnet.ahrq.gov/issue/patient-safety-surgery-non-technical-aspects-safe-surgical-performance
June 12, 2008 - Review
Patient safety in surgery: non-technical aspects of safe surgical performance.
Citation Text:
Youngson GG, Flin R. Patient safety in surgery: non-technical aspects of safe surgical performance. Patient Saf Surg. 2010;4(1):4. doi:10.1186/1754-9493-4-4.
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