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psnet.ahrq.gov/node/73429/psn-pdf
June 23, 2021 - Wrong Site Surgery - Wrong Patient: Invasive Procedures
in Outpatient Settings.
June 23, 2021
Farnborough, UK: Healthcare Safety Investigation Branch; June 2021.
https://psnet.ahrq.gov/issue/wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settings
Wrong site/wrong patent surgery is a persisten…
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psnet.ahrq.gov/node/45952/psn-pdf
May 31, 2017 - Surgeon, Heal Thyself: Optimising Surgical Performance
by Managing Stress.
May 31, 2017
Shiralkar U. Boca Raton, FL: CRC Press; 2017. ISBN: 9781498724036.
https://psnet.ahrq.gov/issue/surgeon-heal-thyself-optimising-surgical-performance-managing-stress
Stress, information overload, and high-risk decisions are prev…
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psnet.ahrq.gov/node/45948/psn-pdf
January 01, 2021 - Preoperative site marking: are we adhering to good
surgical practice?
July 26, 2017
Bathla S, Chadwick M, Nevins EJ, et al. Preoperative Site Marking. J Patient Saf. 2021;17(6):e503-e508.
doi:10.1097/pts.0000000000000398.
https://psnet.ahrq.gov/issue/preoperative-site-marking-are-we-adhering-good-surgical-practice…
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psnet.ahrq.gov/node/47021/psn-pdf
May 02, 2018 - The impact of improving teamwork on patient outcomes
in surgery: a systematic review.
May 2, 2018
Sun R, Marshall DC, Sykes MC, et al. The impact of improving teamwork on patient outcomes in surgery: A
systematic review. Int J Surg. 2018;53:171-177. doi:10.1016/j.ijsu.2018.03.044.
https://psnet.ahrq.gov/issue/impa…
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psnet.ahrq.gov/node/845276/psn-pdf
March 01, 2023 - Cognitive biases in surgery: systematic review.
March 1, 2023
Armstrong BA, Dutescu IA, Tung A, et al. Cognitive biases in surgery: systematic review. Br J Surg.
2023;110(6):645-654. doi:10.1093/bjs/znad004.
https://psnet.ahrq.gov/issue/cognitive-biases-surgery-systematic-review
Cognitive biases are a known source…
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psnet.ahrq.gov/node/46682/psn-pdf
January 24, 2018 - AHRQ Safety Program for Surgery.
January 24, 2018
Rockville, MD: Agency for Healthcare Research and Quality. December 2017. AHRQ Publication No.
16(18)-0004-1-EF.
https://psnet.ahrq.gov/issue/ahrq-safety-program-surgery
Large-scale collaboratives have achieved success in implementing patient safety improvements. T…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.37_slideshow.ppt
November 01, 2003 - Spotlight Case [MONTH] 2003
Spotlight Case November 2003
The Missing Suction Tip
Source and Credits
This presentation is based on the Nov. 2003
AHRQ WebM&M Spotlight Case in Surgery
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Eric J. Thomas, MD,…
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psnet.ahrq.gov/node/837065/psn-pdf
May 11, 2022 - Fast tracking in cardiac surgery: is it safe?
May 11, 2022
MacLeod JB, D’Souza K, Aguiar C, et al. Fast tracking in cardiac surgery: is it safe? J Cardiothorac Surg.
2022;17(1):69. doi:10.1186/s13019-022-01815-9.
https://psnet.ahrq.gov/issue/fast-tracking-cardiac-surgery-it-safe
Post-operative complications can le…
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psnet.ahrq.gov/node/840144/psn-pdf
November 16, 2022 - Dedicated teams to optimize quality and safety of
surgery: a systematic review.
November 16, 2022
Lentz CM, De Lind Van Wijngaarden RAF, Willeboordse F, et al. Dedicated teams to optimize quality and
safety of surgery: a systematic review. Int J Qual Health Care. 2022;34(4):mzac078.
doi:10.1093/intqhc/mzac078.
ht…
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psnet.ahrq.gov/node/861294/psn-pdf
January 24, 2024 - Shining a glaring light on surgery: technology that
records every move aims to improve safety.
January 24, 2024
Freyer FJ. Boston Globe. January 13, 2024.
https://psnet.ahrq.gov/issue/shining-glaring-light-surgery-technology-records-every-move-aims-improve-
safety
The surgical black box uses cameras and microphon…
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psnet.ahrq.gov/node/34779/psn-pdf
December 21, 2014 - Measuring and managing quality of surgery. Statistical vs
incidental approaches.
December 21, 2014
McGuire HH, Horsley JS, Salter DR, et al. Measuring and managing quality of surgery. Statistical vs
incidental approaches. Arch Surg. 1992;127(6):733-7; discussion 738.
https://psnet.ahrq.gov/issue/measuring-and-mana…
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psnet.ahrq.gov/node/43260/psn-pdf
June 11, 2014 - 10 years in, why time out still matters.
June 11, 2014
Guglielmi CL, Canacari EG, DuPree ES, et al. 10 years in, why time out still matters. AORN J.
2014;99(6):783-794. doi:10.1016/j.aorn.2014.04.009.
https://psnet.ahrq.gov/issue/10-years-why-time-out-still-matters
The Universal Protocol has been widely adopted in…
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psnet.ahrq.gov/node/46828/psn-pdf
August 08, 2018 - Implementation of a colour-coded universal protocol
safety initiative in Guatemala.
August 8, 2018
Taicher BM, Tew S, Figueroa L, et al. Implementation of a colour-coded universal protocol safety initiative
in Guatemala. BMJ Qual Saf. 2018;27(8). doi:10.1136/bmjqs-2017-007217.
https://psnet.ahrq.gov/issue/implemen…
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psnet.ahrq.gov/issue/miscarriage-treatment-related-morbidities-and-adverse-events-hospitals-ambulatory-surgery
August 10, 2022 - Study
Miscarriage treatment-related morbidities and adverse events in hospitals, ambulatory surgery centers, and office-based settings.
Citation Text:
Roberts SCM, Beam N, Liu G, et al. Miscarriage treatment-related morbidities and adverse events in hospitals, ambulatory surgery centers,…
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psnet.ahrq.gov/issue/delays-diagnosis-treatment-and-surgery-root-causes-actions-taken-and-recommendations
March 25, 2020 - Study
Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement.
Citation Text:
Politi RE, Mills PD, Zubkoff L, et al. Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare…
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psnet.ahrq.gov/issue/feelings-trust-and-safety-are-related-facets-patients-experience-surgery-descriptive
January 26, 2022 - Study
Feelings of trust and of safety are related facets of the patient's experience in surgery: a descriptive qualitative study in 80 patients.
Citation Text:
Occelli P, Mougeot F, Robelet M, et al. Feelings of trust and of safety are related facets of the patient's experience in surger…
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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/issue/discrimination-abuse-harassment-and-burnout-surgical-residency-training
May 06, 2020 - Study
Classic
Discrimination, abuse, harassment, and burnout in surgical residency training.
Citation Text:
Hu Y-Y, Ellis RJ, Hewitt B, et al. Discrimination, Abuse, Harassment, and Burnout in Surgical Residency Training. New Engl J Med. 2019;381(18):1741-1752. …
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psnet.ahrq.gov/issue/systematic-review-interventions-used-enhance-implementation-and-compliance-world-health
March 08, 2023 - Review
A systematic review of interventions used to enhance implementation of and compliance with the World Health Organization surgical safety checklist in adult surgery.
Citation Text:
Liu LQ, Mehigan S. A systematic review of interventions used to enhance implementation of and complia…
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psnet.ahrq.gov/issue/association-between-night-time-surgery-and-occurrence-intraoperative-adverse-events-and
October 13, 2021 - Study
Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications.
Citation Text:
Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications. Cortegi…