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psnet.ahrq.gov/node/39591/psn-pdf
March 21, 2016 - Annual Benchmarking Report: Malpractice Risks in
Surgery.
March 21, 2016
Cambridge, MA: CRICO/RMF Strategies; 2010.
https://psnet.ahrq.gov/issue/annual-benchmarking-report-malpractice-risks-surgery
Analyzing data from 3300 surgical malpractice cases, this report describes errors across the continuum of
surgical c…
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psnet.ahrq.gov/issue/burden-healthcare-utilization-cost-and-mortality-associated-select-surgical-site-infections
October 09, 2024 - Study
The burden of healthcare utilization, cost, and mortality associated with select surgical site infections.
Citation Text:
Shambhu S, Gordon AS, Liu Y, et al. The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. Jt Comm J Qual Pa…
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psnet.ahrq.gov/issue/disruptive-behavior-operating-room-prospective-observational-study-triggers-and-effects-tense
October 29, 2014 - Study
"Disruptive behavior" in the operating room: A prospective observational study of triggers and effects of tense communication episodes in surgical teams.
Citation Text:
Keller S, Tschan F, Semmer NK, et al. “Disruptive behavior” in the operating room: A prospective observational st…
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psnet.ahrq.gov/issue/relationship-emotional-climate-work-and-threat-patient-outcome-high-volume-thoracic-surgery
July 05, 2013 - Study
The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room team.
Citation Text:
Nurok M, Evans LA, Lipsitz S, et al. The relationship of the emotional climate of work and threat to patient outcome in a high-vo…
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psnet.ahrq.gov/issue/successful-implementation-department-veterans-affairs-national-surgical-quality-improvement
March 28, 2012 - Study
Successful implementation of the Department of Veterans Affairs' National Surgical Quality Improvement Program in the private sector: the Patient Safety in Surgery study.
Citation Text:
Khuri SF, Henderson WG, Daley J, et al. Successful implementation of the Department of Veteran…
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psnet.ahrq.gov/issue/bariatric-surgery-operating-room-teams-stayed-fixed-during-day-multicenter-study-analyzing
December 21, 2014 - Study
Bariatric surgery with operating room teams that stayed fixed during the day: a multicenter study analyzing the effects on patient outcomes, teamwork and safety climate, and procedure duration.
Citation Text:
Stepaniak PS, Heij C, Buise MP, et al. Bariatric surgery with operating r…
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psnet.ahrq.gov/issue/leveraging-science-teamwork-sustain-handoff-improvements-cardiovascular-surgery
November 28, 2018 - Study
Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery.
Citation Text:
Keebler JR, Lynch I, Ngo F, et al. Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. Jt Comm J Qual Patient Saf. 2023;49(8):373-3…
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psnet.ahrq.gov/issue/combined-teamwork-training-and-work-standardisation-intervention-operating-theatres
January 20, 2015 - Study
A combined teamwork training and work standardisation intervention in operating theatres: controlled interrupted time series study.
Citation Text:
Morgan L, Pickering S, Hadi M, et al. A combined teamwork training and work standardisation intervention in operating theatres: control…
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psnet.ahrq.gov/issue/box-ticking-black-box-evolution-operating-room-safety
October 29, 2017 - Commentary
From box ticking to the black box: the evolution of operating room safety.
Citation Text:
Goldenberg MG, Elterman D. From box ticking to the black box: the evolution of operating room safety. World J Urol. 2019;38(6):1369-1372. doi:10.1007/s00345-019-02886-5.
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psnet.ahrq.gov/issue/association-surgical-resident-wellness-medical-errors-and-patient-outcomes
November 20, 2019 - Study
Association of surgical resident wellness with medical errors and patient outcomes.
Citation Text:
Hewitt DB, Ellis RJ, Chung JW, et al. Association of surgical resident wellness with medical errors and patient outcomes. Ann Surg. 2021;274(2):396-402. doi:10.1097/sla.00000000000039…
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psnet.ahrq.gov/issue/prescription-opioid-analgesics-commonly-unused-after-surgery-systematic-review
March 30, 2022 - Review
Prescription opioid analgesics commonly unused after surgery: a systematic review.
Citation Text:
Bicket MC, Long JJ, Pronovost PJ, et al. Prescription Opioid Analgesics Commonly Unused After Surgery. JAMA Surg. 2017;152(11):1066-1071. doi:10.1001/jamasurg.2017.0831.
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psnet.ahrq.gov/issue/improving-patient-safety-operating-theatre-and-perioperative-care-obstacles-interventions-and
April 21, 2015 - Review
Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress.
Citation Text:
Sevdalis N, Hull L, Birnbach DJ. Improving patient safety in the operating theatre and perioperative care: obstacles, inter…
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psnet.ahrq.gov/issue/evaluation-preoperative-checklist-and-team-briefing-among-surgeons-nurses-and
August 28, 2013 - Study
Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication.
Citation Text:
Lingard LA. Evaluation of a Preoperative Checklist and Team Briefing Among Surgeons, Nurses, and Anesthesiologists to Reduce Fa…
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psnet.ahrq.gov/issue/novel-method-reproducibly-measuring-effects-interventions-improve-emotional-climate-indices
March 16, 2011 - Study
A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center.
Citation Text:
Nurok M, Lipsitz S, Satwicz P, et al. A novel me…
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psnet.ahrq.gov/issue/preventable-morbidity-and-mortality-among-non-trauma-emergency-surgery-patients-role-personal
January 26, 2022 - Study
Preventable morbidity and mortality among non-trauma emergency surgery patients: the role of personal performance and system flaws in adverse events.
Citation Text:
Velmahos CS, Kokoroskos N, Tarabanis C, et al. Preventable morbidity and mortality among non-trauma emergency surgery…
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psnet.ahrq.gov/issue/early-impact-2011-acgme-duty-hour-regulations-surgical-outcomes
May 01, 2015 - Study
Early impact of the 2011 ACGME duty hour regulations on surgical outcomes.
Citation Text:
Scally CP, Ryan AM, Thumma JR, et al. Early impact of the 2011 ACGME duty hour regulations on surgical outcomes. Surgery. 2015;158(6):1453-61. doi:10.1016/j.surg.2015.05.002.
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psnet.ahrq.gov/issue/surgical-leadership-culture-safety-inter-professional-study-metrics-and-tools-improving
September 14, 2022 - Study
Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for improving clinical practice.
Citation Text:
Gogalniceanu P, Kunduzi B, Ruckley C, et al. Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for…
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psnet.ahrq.gov/issue/human-error-not-communication-and-systems-underlies-surgical-complications
November 18, 2020 - Study
Human error, not communication and systems, underlies surgical complications.
Citation Text:
Fabri PJ, Zayas-Castro JL. Human error, not communication and systems, underlies surgical complications. Surgery. 2008;144(4):557-63; discussion 563-5. doi:10.1016/j.surg.2008.06.011.
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psnet.ahrq.gov/issue/day-discharge-does-not-impact-hospital-readmission-after-major-cardiac-surgery
October 16, 2019 - Study
Day of discharge does not impact hospital readmission after major cardiac surgery.
Citation Text:
Sanaiha Y, Ou R, Ramos G, et al. Day of Discharge Does Not Impact Hospital Readmission After Major Cardiac Surgery. Ann Thorac Surg. 2018;106(6):1767-1773. doi:10.1016/j.athoracsur.201…
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psnet.ahrq.gov/issue/towards-reduction-medication-errors-orthopedics-and-spinal-surgery-outcomes-using-pharmacist
January 30, 2008 - Study
Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led approach.
Citation Text:
Weiner BK, Venarske J, Yu M, et al. Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led…