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psnet.ahrq.gov/issue/double-booked-when-surgeons-operate-two-patients-once
March 29, 2017 - Scheduling overlapping surgeries has gained recognition as a controversial practice in surgical care
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psnet.ahrq.gov/issue/concept-analysis-wrong-site-surgery
June 11, 2014 - Despite large-scale efforts to prevent wrong-site surgeries , they continue to occur.
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psnet.ahrq.gov/issue/doctors-smartphones-and-ipads-may-be-distracting
May 15, 2024 - COVID-19 pandemic
October 27, 2021
Surgeons must tell patients of double-booked surgeries
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psnet.ahrq.gov/issue/preventable-errors-operating-room-part-2-retained-foreign-objects-sharps-injuries-and-wrong
April 25, 2018 - Building on part one of this two-part series, the authors discuss wrong-site surgeries and needle stick
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psnet.ahrq.gov/issue/determining-state-knowledge-implementing-universal-protocol-recommendations-integrative
March 15, 2016 - to successful implementation of the Joint Commission's Universal Protocol to prevent wrong-site surgeries
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psnet.ahrq.gov/issue/checklist-implementation-office-based-surgery-team-effort
August 13, 2014 - This commentary discusses how use of a checklist can improve safety of office-based surgeries .
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psnet.ahrq.gov/issue/doctors-say-they-need-protection-apologize
August 24, 2016 - Cite
Related Resources From the Same Author(s)
5 cataract surgeries
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psnet.ahrq.gov/issue/model-patient-how-simulators-are-changing-way-doctors-are-trained
August 24, 2016 - October 19, 2011
Surgeons must tell patients of double-booked surgeries, new guidelines
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psnet.ahrq.gov/node/42454/psn-pdf
September 09, 2013 - net reimbursements for patients
who experienced surgical complications compared with patients whose surgeries
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psnet.ahrq.gov/issue/heartbroken
January 17, 2024 - June 9, 2011
MGH halts a pediatric program: Heart surgeries on hold after errors.
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psnet.ahrq.gov/issue/alarm-fatigue-hazards-sirens-are-calling
November 16, 2022 - March 30, 2016
Surgeons must tell patients of double-booked surgeries, new guidelines
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psnet.ahrq.gov/issue/covid-19-leads-increased-need-dialysis-machines
April 29, 2020 - July 1, 2020
How the coronavirus is delaying life-altering surgeries.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.341_slideshow.ppt
March 01, 2015 - S36. http://ncbi.nlm.nih.gov/pubmed/20407349
7
Contributing Factors & Root Causes
Most wrong-site surgeries … The Universal Protocol was designed to engage institutions in implementing a standardized approach to surgeries
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psnet.ahrq.gov/issue/wrong-foot-and-other-tales-surgical-error
January 18, 2023 - July 6, 2011
Wrong body part, wrong patient surgeries continue despite new procedures
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psnet.ahrq.gov/issue/communication-matters-when-it-comes-adverse-events-associations-adverse-events-during-implant
December 15, 2021 - This survey of German patients undergoing implant surgeries (e.g., hip and knee replacements, dental
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psnet.ahrq.gov/issue/contemporary-analysis-closed-claims-related-wrong-site-surgery
March 03, 2021 - wrong-site surgery between 2013 and 2020 concluded that the risk of wrong-site surgery increases with spinal surgeries
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psnet.ahrq.gov/issue/errors-otolaryngology-revisited
August 11, 2010 - For instance, wrong-site surgeries continue to occur despite garnering major attention over the past
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.368_slideshow.ppt
February 01, 2016 - The patient ultimately required several additional surgeries and a prolonged hospital stay.
6
Background … Prostatectomy
Robotic-assisted laparoscopic prostatectomy (RALP) is one of the most common robotic surgeries … Device failures associated with patient injuries during robot-assisted laparoscopic surgeries: a comprehensive
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psnet.ahrq.gov/issue/long-way-go
June 13, 2011 - January 31, 2019
Surgeons must tell patients of double-booked surgeries, new guidelines
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psnet.ahrq.gov/issue/bringing-surgeons-down-earth
August 17, 2016 - December 22, 2010
'Wrong site' surgeries on the rise.