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Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. | PSNet

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April 27, 2022 - SPOTLIGHT CASE Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. Citation Text: Zakaluzny S. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns.. PSNet [internet]. Rockville (MD):…

The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. | PSNet

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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…

Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism | PSNet

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December 31, 2024 - seven days after surgery. 3-5 , 24 In an observational study of nearly 46,000 consecutive orthopedic surgeries

Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To? | PSNet

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March 31, 2021 - Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To? Citation Text: Rinderknecht T, Utter GH. Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depar…

Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. | PSNet

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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…

Wide variation and overprescription of opioids after elective surgery. | PSNet

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April 24, 2018 - Study Classic Wide variation and overprescription of opioids after elective surgery. Citation Text: 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.00000…

Pre-surgery briefings and safety climate in the operating theatre. | PSNet

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September 27, 2016 - Study Pre-surgery briefings and safety climate in the operating theatre. Citation Text: Allard J, Bleakley A, Hobbs A, et al. Pre-surgery briefings and safety climate in the operating theatre. BMJ Qual Saf. 2011;20(8):711-7. doi:10.1136/bmjqs.2009.032672. Copy Citation Format: …

Readiness of US general surgery residents for independent practice. | PSNet

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April 24, 2018 - Study Classic Readiness of US general surgery residents for independent practice. Citation Text: George BC, Bohnen JD, Williams RG, et al. Readiness of US General Surgery Residents for Independent Practice. Ann Surg. 2017;266(4):582-594. doi:10.1097/SLA.00000000…

Human factor in cardiac surgery: errors and near misses in a high technology medical domain. | PSNet

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June 09, 2010 - Review Classic Human factor in cardiac surgery: errors and near misses in a high technology medical domain. Citation Text: Carthey J, de Leval MR, Reason JT. The human factor in cardiac surgery: errors and near misses in a high technology medical domain. Ann Tho…

Effectiveness of interventions to improve patient handover in surgery: a systematic review. | PSNet

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June 25, 2018 - Review Effectiveness of interventions to improve patient handover in surgery: a systematic review. Citation Text: Pucher PH, Johnston MJ, Aggarwal R, et al. Effectiveness of interventions to improve patient handover in surgery: A systematic review. Surgery. 2015;158(1):85-95. doi:10.1016…

A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. | PSNet

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September 09, 2015 - Review A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. Citation Text: Johnston MJ, Arora S, King D, et al. A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. Surgery. 20…

Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984--1995. | PSNet

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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…

Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis. | PSNet

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February 02, 2022 - Review Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a systematic review and meta-analysis. Citation Text: Malahias M-A, Antoniadou T, Jang SJ, et al. Outcomes and patient safety in overlapping vs. nonoverlapping total joint arthroplasty: a syste…

Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit. | PSNet

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July 14, 2010 - Study Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit. Citation Text: Joy BF, Elliott E, Hardy C, et al. Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit*. P…

Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. | PSNet

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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…

Handoffs and transitions of care: a systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma. | PSNet

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September 23, 2020 - Review Handoffs and transitions of care: a systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma. Citation Text: Appelbaum RD, Puzio TJ, Bauman Z, et al. Handoffs and transitions of care: a systematic review, meta-analy…

What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety. | PSNet

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October 04, 2023 - Commentary What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety. Citation Text: Davidson M, Brennan PA. Leading article: What has an Airbus A380 Captain got to do with OMFS? Lessons from aviation to improve patient safety. Br J Oral Maxillo…

Impact of automated alerts on discharge opioid overprescribing after general surgery. | PSNet

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September 29, 2017 - Study Impact of automated alerts on discharge opioid overprescribing after general surgery. Citation Text: Rizk E, Kaur N, Duong PY, et al. Impact of automated alerts on discharge opioid overprescribing after general surgery. Am J Health Syst Pharm. 2024;81(24):1288-1296. doi:10.1093/ajh…

The impact of organisational and individual factors on team communication in surgery: a qualitative study. | PSNet

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March 23, 2011 - Study The impact of organisational and individual factors on team communication in surgery: a qualitative study. Citation Text: Gillespie BM, Chaboyer W, Longbottom P, et al. The impact of organisational and individual factors on team communication in surgery: a qualitative study. Int …

Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery. | PSNet

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March 02, 2011 - Commentary Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery. Citation Text: Knight N, Aucar J. Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong…

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