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psnet.ahrq.gov/issue/when-doctors-get-wrong-patient December 14, 2016 - December 2, 2015 
 
 
 
 
 
 
 
 Doctors perform thousands of unnecessary surgeries. 
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psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-procedure-and-wrong-patient-adverse-events-are-they-preventable February 24, 2011 - A  prior study  indicated a rate of approximately 1 case per 112,000 surgeries, but WSPEs may occur in 
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psnet.ahrq.gov/issue/surgical-never-events-united-states September 10, 2014 - More than a decade ago, stories of  wrong site  surgeries and  retained surgical objects  galvanized 
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psnet.ahrq.gov/issue/applying-fault-tree-analysis-prevention-wrong-site-surgery September 09, 2015 - mitigate these vulnerabilities, suggesting that further interventions are required to prevent  wrong-site surgeries 
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psnet.ahrq.gov/issue/retained-foreign-bodies-after-surgery November 23, 2011 - They found that concurrent major surgeries and incorrect instrument and sponge counts played a role in 
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psnet.ahrq.gov/issue/there-july-phenomenon-pediatric-neurosurgery-teaching-hospitals May 23, 2018 - They found no increase in errors in pediatric brain tumor and shunt surgeries during July and August. 
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psnet.ahrq.gov/issue/giving-learning-failures-examination-learning-ones-own-failures-context-heart-surgeons April 03, 2013 - Based on data from cardiothoracic surgeons performing coronary artery bypass graft surgeries, the authors 
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psnet.ahrq.gov/issue/effect-surgical-safety-checklists-pediatric-surgical-complications-ontario December 07, 2016 - These findings are similar to a prior  study  that included mostly adult surgeries. 
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psnet.ahrq.gov/issue/cognitive-bias-and-dissonance-surgical-practice-narrative-review June 25, 2018 - care and how they threaten patient safety, including  delays in diagnosis  and treatment, unnecessary surgeries 
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psnet.ahrq.gov/issue/innovative-approach-surgical-time-out-patient-focused-model July 10, 2008 - review the results of the program since its inception in 2011 which includes no incidents of  wrong-site surgeries 
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psnet.ahrq.gov/issue/biopsy-site-selfies-quality-improvement-pilot-study-assist-correct-surgical-site August 02, 2015 - identify the  correct biopsy site  for subsequent surgical excision, potentially avoiding  wrong-site surgeries 
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psnet.ahrq.gov/issue/surgical-procedure-grid-safety-and-operating-room-communication-multisite-surgery June 17, 2014 - Wrong-patient and wrong-site surgeries  are considered never events. 
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psnet.ahrq.gov/issue/covid-19-exposes-potential-gaps-ppe-training-effectiveness May 26, 2021 - May 6, 2020 
 
 
 
 
 
 
 
 How the coronavirus is delaying life-altering surgeries. 
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psnet.ahrq.gov/issue/dramatic-drop-cancer-diagnoses-amid-covid-pandemic-cause-concern-doctors-say May 06, 2020 - May 6, 2020 
 
 
 
 
 
 
 
 As COVID-19 bears down, doctors confront difficult choices on elective surgeries 
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psnet.ahrq.gov/issue/covid-19-dominates-annual-list-patient-safety-concerns May 26, 2021 - April 15, 2020 
 
 
 
 
 
 
 
 As COVID-19 bears down, doctors confront difficult choices on elective surgeries 
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psnet.ahrq.gov/issue/how-medical-jargon-can-make-covid-health-disparities-even-worse July 28, 2021 - June 3, 2020 
 
 
 
 
 
 
 
 As COVID-19 bears down, doctors confront difficult choices on elective surgeries 
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psnet.ahrq.gov/issue/how-pandemic-reshaping-hospital-architecture-and-design May 06, 2020 - Related Resources From the Same Author(s) 
 
 
 
 
 
 
 How the coronavirus is delaying life-altering surgeries 
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psnet.ahrq.gov/issue/he-thought-what-he-was-doing-was-good-people-why-it-so-difficult-prevent-unnecessary-medical September 02, 2020 - April 29, 2020 
 
 
 
 
 
 
 
 As COVID-19 bears down, doctors confront difficult choices on elective surgeries 
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psnet.ahrq.gov/issue/system-need-repair-addressing-organizational-failures-uss-organ-procurement-and August 10, 2022 - November 10, 2021 
 
 
 
 
 
 
 
 Concurrent and Overlapping Surgeries: Additional Measures Warranted 
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psnet.ahrq.gov/issue/disclosure-adverse-events-patients November 29, 2023 - March 29, 2007 
 
 
 
 
 
 
 
 Quality of Care in Cranial Implant Surgeries at James A.