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Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study. | PSNet

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January 18, 2023 - Study Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study. Citation Text: Sutton E, Ibrahim M, Plath W, et al. Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study. BMJ Qual S…

Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study. | PSNet

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October 07, 2020 - Study Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study. Citation Text: Burfeind KG, Zarnegarnia Y, Tekkali P, et al. Potentially inappropriate medication administration is associ…

Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis. | PSNet

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April 03, 2019 - Review Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis. Citation Text: Koch A, Burns J, Catchpole K, et al. Associations of workflow disruptions in the operating room with surgical outcomes: a systematic revie…

An evaluation of information transfer through the continuum of surgical care: a feasibility study. | PSNet

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December 21, 2014 - Study An evaluation of information transfer through the continuum of surgical care: a feasibility study. Citation Text: Nagpal K, Vats A, Ahmed K, et al. An evaluation of information transfer through the continuum of surgical care: a feasibility study. Ann Surg. 2010;252(2):402-7. doi:1…

Variation in surgical time-out and site marking within pediatric otolaryngology. | PSNet

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October 27, 2010 - Study Variation in surgical time-out and site marking within pediatric otolaryngology. Citation Text: Shah RK, Arjmand E, Roberson DW, et al. Variation in surgical time-out and site marking within pediatric otolaryngology. Arch Otolaryngol Head Neck Surg. 2011;137(1):69-73. doi:10.1001/a…

Safety considerations in learning new procedures: a survey of surgeons. | PSNet

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January 23, 2017 - Study Safety considerations in learning new procedures: a survey of surgeons. Citation Text: Jaffe TA, Hasday SJ, Knol M, et al. Safety considerations in learning new procedures: a survey of surgeons. J Surg Res. 2017;218:361-366. doi:10.1016/j.jss.2017.06.058. Copy Citation Format…

Despite Clues, Failed to Rescue | PSNet

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August 02, 2015 - SPOTLIGHT CASE Despite Clues, Failed to Rescue Citation Text: Ghaferi AA. Despite Clues, Failed to Rescue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndN…

DNR in the OR and Afterwards | PSNet

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July 01, 2003 - DNR in the OR and Afterwards Citation Text: Lo B. DNR in the OR and Afterwards. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

Clinical handover of the critically ill postoperative patient: an integrative review. | PSNet

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March 23, 2016 - Review Clinical handover of the critically ill postoperative patient: an integrative review. Citation Text: Gardiner TM, Marshall AP, Gillespie BM. Clinical handover of the critically ill postoperative patient: an integrative review. Aust Crit Care. 2015;28(4):226-34. doi:10.1016/j.aucc.…

Operating at night does not increase the risk of intraoperative adverse events. | PSNet

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July 01, 2017 - Study Operating at night does not increase the risk of intraoperative adverse events. Citation Text: Eskesen TG, Peponis T, Saillant N, et al. Operating at night does not increase the risk of intraoperative adverse events. Am J Surg. 2018;216(1):19-24. doi:10.1016/j.amjsurg.2017.10.026. …

Surgical never events and contributing human factors. | PSNet

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August 20, 2018 - Study Classic Surgical never events and contributing human factors. Citation Text: Thiels CA, Lal TM, Nienow JM, et al. Surgical never events and contributing human factors. Surgery. 2015;158(2):515-21. doi:10.1016/j.surg.2015.03.053. Copy Citation Format:…

Ways You Can Help Your Family Prevent Medical Errors! | PSNet

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December 24, 2008 - Fact Sheet/FAQs Ways You Can Help Your Family Prevent Medical Errors! Citation Text: Ways You Can Help Your Family Prevent Medical Errors! Agency for Healthcare Research and Quality; AHRQ. Copy Citation Save Save to your library Print Download PDF …

Perspectives on perioperative team-based morbidity and mortality conferences: a mixed-methods study. | PSNet

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October 11, 2023 - Study Perspectives on perioperative team-based morbidity and mortality conferences: a mixed-methods study. Citation Text: Samost-Williams A, Rosen R, Cummins E, et al. Perspectives on Perioperative Team-Based Morbidity and Mortality Conferences: A Mixed Methods Study. Jt Comm J Qual Pati…

Implementation science: a neglected opportunity to accelerate improvements in the safety and quality of surgical care. | PSNet

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February 14, 2018 - Review Implementation science: a neglected opportunity to accelerate improvements in the safety and quality of surgical care. Citation Text: Hull L, Athanasiou T, Russ S. Implementation Science: A Neglected Opportunity to Accelerate Improvements in the Safety and Quality of Surgical Care…

From box ticking to the black box: the evolution of operating room safety. | PSNet

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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. Copy Citation …

Discharge Instructions in the PACU: Who Remembers? | PSNet

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August 05, 2009 - Discharge Instructions in the PACU: Who Remembers? Citation Text: Engel KG. Discharge Instructions in the PACU: Who Remembers?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar B…

Right? Left? Neither! | PSNet

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November 16, 2022 - SPOTLIGHT CASE Right? Left? Neither! Citation Text: Chassin MR, Howell EA. Right? Left? Neither!. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XM…

Surgeon, Heal Thyself: Optimising Surgical Performance by Managing Stress. | PSNet

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November 10, 2017 - Book/Report Surgeon, Heal Thyself: Optimising Surgical Performance by Managing Stress. Citation Text: Surgeon, Heal Thyself: Optimising Surgical Performance by Managing Stress. Shiralkar U. Boca Raton, FL: CRC Press; 2017. ISBN: 9781498724036. Copy Citation Save S…

Wrong-site craniotomy: analysis of 35 cases and systems for prevention. | PSNet

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November 16, 2022 - Study Wrong-site craniotomy: analysis of 35 cases and systems for prevention. Citation Text: Cohen FL, Mendelsohn D, Bernstein M. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. J Neurosurg. 2010;113(3):461-73. doi:10.3171/2009.10.JNS091282. Copy Citation …

Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences. | PSNet

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September 09, 2020 - Study Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences. Citation Text: D'Angelo JD, Lund S, Busch RA, et al. Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex difference…

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