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psnet.ahrq.gov/issue/diffusion-surgical-innovations-patient-safety-and-minimally-invasive-radical-prostatectomy
June 06, 2008 - Study
Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy.
Citation Text:
Parsons K, Messer K, Palazzi K, et al. Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy. JAMA Surg. 2014;149(8):845-51. doi…
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psnet.ahrq.gov/issue/commercialised-experience-operating-embodied-preferences-ambiguous-variations-and-explaining
August 24, 2022 - Study
The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining widespread patient harm.
Citation Text:
Ducey A, Donoso C, Ross S, et al. The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining …
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psnet.ahrq.gov/issue/do-hospitals-provide-lower-quality-care-weekends
January 12, 2022 - Study
Do hospitals provide lower quality care on weekends?
Citation Text:
Becker DJ. Do hospitals provide lower quality care on weekends? Health Serv Res. 2007;42(4):1589-612.
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psnet.ahrq.gov/issue/incidence-adverse-events-integrated-us-healthcare-system-retrospective-observational-study
April 08, 2011 - Study
Incidence of adverse events in an integrated US healthcare system: a retrospective observational study of 82,784 surgical hospitalizations.
Citation Text:
Zeeshan MF, Dembe AE, Seiber EE, et al. Incidence of adverse events in an integrated US healthcare system: a retrospective obse…
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psnet.ahrq.gov/issue/effect-noise-auditory-processing-operating-room
November 16, 2022 - Study
Effect of noise on auditory processing in the operating room.
Citation Text:
Way J, Long A, Weihing J, et al. Effect of noise on auditory processing in the operating room. J Am Coll Surg. 2013;216(5):933-8. doi:10.1016/j.jamcollsurg.2012.12.048.
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psnet.ahrq.gov/issue/development-and-interrater-agreement-novel-classification-system-combining-medical-and
September 20, 2011 - Study
Development and interrater agreement of a novel classification system combining medical and surgical adverse event reporting.
Citation Text:
Stone A, Jiang ST, Stahl MC, et al. Development and interrater agreement of a novel classification system combining medical and surgical adve…
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psnet.ahrq.gov/node/39042/psn-pdf
July 13, 2010 - Global oximetry: an international anaesthesia quality
improvement project.
July 13, 2010
Walker IA, Merry AF, Wilson IH, et al. Global oximetry: an international anaesthesia quality improvement
project. Anaesthesia. 2009;64(10):1051-60. doi:10.1111/j.1365-2044.2009.06067.x.
https://psnet.ahrq.gov/issue/global-oxim…
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psnet.ahrq.gov/node/45614/psn-pdf
November 29, 2016 - More than half a million heart surgery patients at risk of a
dangerous infection.
November 29, 2016
Sun LH.
https://psnet.ahrq.gov/issue/more-half-million-heart-surgery-patients-risk-dangerous-infection
Medical devices can contribute to the spread of health care–associated infections. This news article
discusses …
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psnet.ahrq.gov/node/41017/psn-pdf
February 01, 2013 - Safe surgery: how accurate are we at predicting intra-
operative blood loss?
February 1, 2013
Solon JG, Egan C, McNamara DA. Safe surgery: how accurate are we at predicting intra-operative blood
loss? J Eval Clin Pract. 2013;19(1):100-5. doi:10.1111/j.1365-2753.2011.01779.x.
https://psnet.ahrq.gov/issue/safe-surge…
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psnet.ahrq.gov/node/44273/psn-pdf
July 01, 2015 - Current issues in patient safety in surgery: a review.
July 1, 2015
Kim FJ, da Silva RD, Gustafson D, et al. Current issues in patient safety in surgery: a review. Patient Saf
Surg. 2015;9:26. doi:10.1186/s13037-015-0067-4.
https://psnet.ahrq.gov/issue/current-issues-patient-safety-surgery-review
Universal strateg…
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psnet.ahrq.gov/node/60004/psn-pdf
January 01, 2021 - Association of overlapping cardiac surgery with short-
term patient outcomes.
March 3, 2020
Glauser G, Goodrich S, McClintock SD, et al. Association of overlapping cardiac surgery with short-term
patient outcomes. J Thorac Cardiovasc Surg. 2021;162(1):155-164.e2. doi:10.1016/j.jtcvs.2019.11.136.
https://psnet.ahrq…
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psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
January 01, 2020 - Spotlight
Too Many Cooks in the Kitchen
Source and Credits
• This presentation is based on the August 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Richard P. Dutton, MD, MBA
o AHRQ WebM&M Editors in Chief: Patrick Romano, MD…
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psnet.ahrq.gov/issue/high-cost-retained-surgical-items
February 22, 2023 - Newspaper/Magazine Article
The high cost of retained surgical items.
Citation Text:
The high cost of retained surgical items. Moorehead LD. Outpatient Surgery. April 5, 2023.
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psnet.ahrq.gov/issue/needlestick-injuries-among-surgeons-training
November 26, 2008 - Study
Needlestick injuries among surgeons in training.
Citation Text:
Makary MA, Al-Attar A, Holzmueller CG, et al. Needlestick injuries among surgeons in training. N Engl J Med. 2007;356(26):2693-9.
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psnet.ahrq.gov/issue/err-human-quality-and-safety-issues-spine-care
August 04, 2021 - Commentary
To err is human: quality and safety issues in spine care.
Citation Text:
Wong DA, Watters WC. To err is human: quality and safety issues in spine care. Spine (Phila Pa 1976). 2007;32(11 Suppl):S2-8.
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psnet.ahrq.gov/issue/national-surgical-quality-improvement-program
October 15, 2018 - Multi-use Website
Classic
National Surgical Quality Improvement Program.
Citation Text:
National Surgical Quality Improvement Program. American College of Surgeons.
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psnet.ahrq.gov/issue/special-section-human-factors-and-ergonomics-operating-room-contributions-advance-surgical
September 01, 2018 - Special or Theme Issue
Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice.
Citation Text:
Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice. Hallbeck MS, Paq…
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psnet.ahrq.gov/node/49661/psn-pdf
August 01, 2012 - Residual Anesthesia: Tepid Burn
August 1, 2012
Kurrek MM, Twersky RS. Residual Anesthesia: Tepid Burn. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
The Case
A 42-year-old Filipino man presented to an outpatient surgery center for scheduled repair of an anal fistula.
The pat…
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psnet.ahrq.gov/node/48016/psn-pdf
January 01, 2020 - Reducing three infections across cardiac surgery
programs: a multisite cross-unit collaboration.
May 22, 2019
Chang BH, Hsu Y-J, Rosen MA, et al. Reducing Three Infections Across Cardiac Surgery Programs: A
Multisite Cross-Unit Collaboration. Am J Med Qual. 2020;35(1):37-45. doi:10.1177/1062860619845494.
https://p…
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psnet.ahrq.gov/node/49448/psn-pdf
June 01, 2004 - Listen to the Family
June 1, 2004
Campbell D. Listen to the Family. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/listen-family
The Case
Vascular surgery was consulted for placement of a dialysis catheter in a patient on the medical floor. The
surgical resident examined the patient, an elderly woman with …