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psnet.ahrq.gov/issue/surgeons-dont-know-what-they-dont-know-about-safe-use-energy-surgery
April 05, 2017 - Study
Surgeons don't know what they don't know about the safe use of energy in surgery.
Citation Text:
Feldman LS, Fuchshuber PR, Jones DB, et al. Surgeons don't know what they don't know about the safe use of energy in surgery. Surg Endosc. 2012;26(10):2735-9.
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psnet.ahrq.gov/issue/sages-fuse-program-bridging-patient-safety-gap
April 05, 2017 - Commentary
The SAGES FUSE program: bridging a patient safety gap.
Citation Text:
Fuchshuber PR, Robinson TN, Feldman LS, et al. The SAGES FUSE program: bridging a patient safety gap. Bull Am Coll Surg. 2014;99(9):18-27.
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psnet.ahrq.gov/issue/managing-adverse-event-occurring-during-elective-ambulatory-pediatric-surgery
March 01, 2023 - Commentary
Managing the adverse event occurring during elective, ambulatory pediatric surgery.
Citation Text:
Skarsgard ED. Managing the adverse event occurring during elective, ambulatory pediatric surgery. Semin Pediatr Surg. 2009;18(2):122-4. doi:10.1053/j.sempedsurg.2009.02.013.
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psnet.ahrq.gov/issue/or-and-just-culture
February 01, 2017 - Commentary
The OR and a "just culture."
Citation Text:
Hamlin L. The OR and a "just culture". AORN J. 2009;90(4):495-498. doi:10.1016/j.aorn.2009.09.003.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/role-documents-and-documentation-communication-failure-across-perioperative-pathway
November 06, 2015 - Review
The role of documents and documentation in communication failure across the perioperative pathway. A literature review.
Citation Text:
Braaf S, Manias E, Riley R. The role of documents and documentation in communication failure across the perioperative pathway. A literature revi…
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psnet.ahrq.gov/issue/safety-issues-combined-gynecologic-and-plastic-surgical-procedures
January 06, 2018 - Review
Safety issues in combined gynecologic and plastic surgical procedures.
Citation Text:
Kryger ZB, Dumanian GA, Howard MA. Safety issues in combined gynecologic and plastic surgical procedures. Int J Gynaecol Obstet. 2007;99(3):257-63.
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psnet.ahrq.gov/issue/learning-bristol-report-public-inquiry-childrens-heart-surgery-bristol-royal-infirmary-1984
October 20, 2021 - Book/Report
Classic
Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984--1995.
Citation Text:
Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Brist…
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psnet.ahrq.gov/issue/variation-surgical-time-out-and-site-marking-within-pediatric-otolaryngology
October 27, 2010 - Study
Variation in surgical time-out and site marking within pediatric otolaryngology.
Citation Text:
Shah RK, Arjmand E, Roberson DW, et al. Variation in surgical time-out and site marking within pediatric otolaryngology. Arch Otolaryngol Head Neck Surg. 2011;137(1):69-73. doi:10.1001/a…
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psnet.ahrq.gov/node/33848/psn-pdf
December 01, 2017 - The Evolution of Patient Safety in Surgery
December 1, 2017
Wachter R. The Evolution of Patient Safety in Surgery. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
Perspective
In 1979, 20 years before the Institute of Medicine's To Err Is Human report (1) catalyzed the cr…
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psnet.ahrq.gov/issue/national-cluster-randomized-trial-duty-hour-flexibility-surgical-training
September 09, 2015 - Study
Classic
National cluster-randomized trial of duty-hour flexibility in surgical training.
Citation Text:
Bilimoria KY, Chung JW, Hedges L, et al. National Cluster-Randomized Trial of Duty-Hour Flexibility in Surgical Training. New Engl J Med. 2016;374(8):71…
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psnet.ahrq.gov/issue/ways-you-can-help-your-family-prevent-medical-errors
December 24, 2008 - Fact Sheet/FAQs
Ways You Can Help Your Family Prevent Medical Errors!
Citation Text:
Ways You Can Help Your Family Prevent Medical Errors! Agency for Healthcare Research and Quality; AHRQ.
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psnet.ahrq.gov/issue/20-tips-help-prevent-medical-errors
December 24, 2008 - Government Resource
20 Tips to Help Prevent Medical Errors.
Citation Text:
20 Tips to Help Prevent Medical Errors. Agency for Healthcare Research and Quality; AHRQ.
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psnet.ahrq.gov/issue/operating-room-hazards-and-approaches-improve-patient-safety
September 13, 2023 - Review
Patient safety in the operating room.
Citation Text:
Patient safety in the operating room. Wahr JA. UpToDate. September 21, 2023.
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psnet.ahrq.gov/node/866435/psn-pdf
August 07, 2024 - Handoffs and transitions of care: a systematic review,
meta-analysis, and practice management guideline from
the Eastern Association for the Surgery of Trauma.
August 7, 2024
Appelbaum RD, Puzio TJ, Bauman Z, et al. Handoffs and transitions of care: a systematic review, meta-
analysis, and practice management guid…
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psnet.ahrq.gov/node/853057/psn-pdf
August 30, 2023 - Just what the doctor ordered: missed ordering of venous
thromboembolism chemoprophylaxis is associated with
increased VTE events in high-risk general surgery
patients.
August 30, 2023
Baimas-George MR, Ross SW, Yang H, et al. Just what the doctor ordered: missed ordering of venous
thromboembolism chemoprophylaxis…
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psnet.ahrq.gov/node/43173/psn-pdf
June 04, 2014 - Barriers to the implementation of checklists in the office-
based procedural setting.
June 4, 2014
Shapiro FE, Fernando RJ, Urman RD. Barriers to the implementation of checklists in the office-based
procedural setting. J Healthc Risk Manag. 2014;33(4):35-43. doi:10.1002/jhrm.21141.
https://psnet.ahrq.gov/issue/bar…
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psnet.ahrq.gov/node/47828/psn-pdf
April 18, 2019 - Association between long-term opioid use in family
members and persistent opioid use after surgery among
adolescents and young adults.
April 18, 2019
Harbaugh CM, Lee JS, Chua K-P, et al. Association Between Long-term Opioid Use in Family Members
and Persistent Opioid Use After Surgery Among Adolescents and Young …
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psnet.ahrq.gov/node/73921/psn-pdf
October 06, 2021 - A systematic review of interventions used to enhance
implementation of and compliance with the World Health
Organization surgical safety checklist in adult surgery.
October 6, 2021
Liu LQ, Mehigan S. A systematic review of interventions used to enhance implementation of and
compliance with the World Health Organiz…
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psnet.ahrq.gov/node/41054/psn-pdf
January 27, 2012 - The impact of nontechnical skills on technical
performance in surgery: a systematic review.
January 27, 2012
Hull L, Arora S, Aggarwal R, et al. The impact of nontechnical skills on technical performance in surgery: a
systematic review. J Am Coll Surg. 2012;214(2):214-230. doi:10.1016/j.jamcollsurg.2011.10.016.
ht…
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psnet.ahrq.gov/node/47845/psn-pdf
April 24, 2019 - Differential safety between top-ranked cancer hospitals
and their affiliates for complex cancer surgery.
April 24, 2019
Hoag JR, Resio BJ, Monsalve AF, et al. Differential Safety Between Top-Ranked Cancer Hospitals and
Their Affiliates for Complex Cancer Surgery. JAMA Netw Open. 2019;2(4):e191912.
doi:10.1001/jama…