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psnet.ahrq.gov/issue/beyond-count-preventing-retention-foreign-objects
November 28, 2018 - May 27, 2009
Sponges, surgical instruments miscounted in 13% of surgeries.
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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/issue/operating-room-fire-hospital-burns-patient-prompts-changes
September 21, 2022 - February 5, 2014
Doctors perform thousands of unnecessary surgeries.
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psnet.ahrq.gov/issue/what-can-physicians-do-help-curb-opioid-crisis
December 18, 2019 - December 4, 2019
Surgeons must tell patients of double-booked surgeries, new guidelines
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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/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/cms-seeks-add-9-hospital-acquired-conditions-no-pay-list
November 10, 2010 - June 25, 2008
Sponges, surgical instruments miscounted in 13% of surgeries.
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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/hospitals-shine-light-mistakes-publicly-saying-were-sorry
November 10, 2010 - June 25, 2008
Sponges, surgical instruments miscounted in 13% of surgeries.
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psnet.ahrq.gov/issue/im-sorry-why-so-hard-doctors-say
November 10, 2010 - June 25, 2008
Sponges, surgical instruments miscounted in 13% of surgeries.
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psnet.ahrq.gov/issue/top-10-ways-improve-patient-safety-now
November 10, 2010 - June 25, 2008
Sponges, surgical instruments miscounted in 13% of surgeries.
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psnet.ahrq.gov/issue/bringing-surgeons-down-earth
August 17, 2016 - December 22, 2010
'Wrong site' surgeries on the rise.
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psnet.ahrq.gov/issue/look-alike-sound-alike-drugs-trigger-dangers
June 29, 2016 - November 8, 2017
Surgeons must tell patients of double-booked surgeries, new guidelines
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psnet.ahrq.gov/issue/towel-safety-message
October 24, 2012 - July 6, 2011
Wrong body part, wrong patient surgeries continue despite new procedures
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psnet.ahrq.gov/issue/crisis-do-not-revive-requests-dont-always-work
December 16, 2015 - August 17, 2016
5 cataract surgeries, 5 people blinded: what went wrong?
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psnet.ahrq.gov/issue/investigation-urology-intraoperative-events-leading-root-cause-analysis-national-va-medical
June 02, 2021 - events were improperly functioning equipment (e.g., broken scopes or smoking light cords), wrong site 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/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/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/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 .