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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/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/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/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/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/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/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/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/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/risk-and-event-assessment
August 12, 2020 - November 30, 2016
Variation in the reporting of elective surgeries and its influence
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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/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/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/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/when-medical-error-becomes-personal-activism-becomes-painful
August 21, 2019 - Related Resources From the Same Author(s)
Six ways to lower errors—and unnecessary surgeries—in
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psnet.ahrq.gov/issue/perianesthesia-nursing-advocacy-influential-voice-patient-safety
June 08, 2022 - November 11, 2009
The increased incidence of anesthetic adverse events in late afternoon surgeries
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psnet.ahrq.gov/issue/safety-anesthetic-and-perioperative-medication-practices
January 14, 2019 - January 14, 2019
Variation in the reporting of elective surgeries and its influence on
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psnet.ahrq.gov/issue/assessment-perioperative-outcomes-among-surgeons-who-operated-night
March 06, 2019 - No significant associations were found between overnight surgeries and surgical outcomes for procedures
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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