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psnet.ahrq.gov/node/43416/psn-pdf
August 13, 2014 - Compliance with a time-out procedure intended to
prevent wrong surgery in hospitals: results of a national
patient safety programme in the Netherlands.
August 13, 2014
van Schoten SM, Kop V, de Blok C, et al. Compliance with a time-out procedure intended to prevent wrong
surgery in hospitals: results of a national…
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psnet.ahrq.gov/node/73664/psn-pdf
September 01, 2021 - Chief resident indirect supervision in training safety
study: is a chief resident general surgery service safe for
patients?
September 1, 2021
Speaks L, Helmer SD, Quinn KR, et al. Chief resident indirect supervision in training safety study: is a chief
resident general surgery service safe for patients? J Surg Ed…
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psnet.ahrq.gov/node/60640/psn-pdf
July 01, 2020 - Standardizing opioid prescriptions to patients after
ambulatory oncologic surgery reduces overprescription.
July 1, 2020
Fearon NJ, Benfante N, Assel M, et al. Standardizing Opioid Prescriptions to Patients After Ambulatory
Oncologic Surgery Reduces Overprescription. Jt Comm J Qual Patient Saf. 2020;46(7):410-416.
…
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psnet.ahrq.gov/node/839813/psn-pdf
November 09, 2022 - Transparency, public reporting, and a culture of change
to quality and safety in cardiac surgery.
November 9, 2022
Ibrahim M, Szeto WY, Gutsche J, et al. Transparency, public reporting, and a culture of change to quality
and safety in cardiac surgery. Ann Thorac Surg. 2022;114(3):626-635.
doi:10.1016/j.athoracsur.…
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psnet.ahrq.gov/node/46603/psn-pdf
April 12, 2019 - Comparison of internal medicine and general surgery
residents' assessments of risk of postsurgical
complications in surgically complex patients.
April 12, 2019
Healy JM, Davis KA, Pei KY. Comparison of Internal Medicine and General Surgery Residents'
Assessments of Risk of Postsurgical Complications in Surgically …
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psnet.ahrq.gov/node/846709/psn-pdf
March 29, 2023 - The safety and acceptability of using telehealth for follow-
up of patients following cancer surgery: a systematic
review.
March 29, 2023
Xiao K, Yeung JC, Bolger JC. The safety and acceptability of using telehealth for follow-up of patients
following cancer surgery: a systematic review. Eur J Surg Oncol. 2023;49(…
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psnet.ahrq.gov/node/40594/psn-pdf
July 06, 2011 - The pain of wrong site surgery.
July 6, 2011
Boodman SG. Washington Post. June 21, 2011:E1.
https://psnet.ahrq.gov/issue/pain-wrong-site-surgery
This newspaper article reports on a case of wrong-site surgery and explores initiatives to prevent such
errors, including the Universal Protocol and Partnership for Patie…
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psnet.ahrq.gov/node/37500/psn-pdf
January 30, 2008 - The prevalence of wrong level surgery among spine
surgeons.
January 30, 2008
Mody MG, Nourbakhsh A, Stahl DL, et al. The prevalence of wrong level surgery among spine surgeons.
Spine (Phila Pa 1976). 2008;33(2):194-198. doi:10.1097/BRS.0b013e31816043d1.
https://psnet.ahrq.gov/issue/prevalence-wrong-level-surgery-a…
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psnet.ahrq.gov/issue/lax-oversight-leaves-surgery-center-regulators-and-patients-dark
May 17, 2017 - Newspaper/Magazine Article
Lax oversight leaves surgery center regulators and patients in the dark.
Citation Text:
Lax oversight leaves surgery center regulators and patients in the dark. Jewett C, Alesia M. Kaiser Health News. August 9, 2018.
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S…
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psnet.ahrq.gov/web-mm/which-end-which
February 09, 2011 - Which End Is Which?
Citation Text:
Campbell AR. Which End Is Which?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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psnet.ahrq.gov/node/49468/psn-pdf
December 16, 2004 - Mark My Limb
December 1, 2004
Jacott WE, O'Leary D. Mark My Limb. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/mark-my-limb
The Case
A patient went to the operating room (OR) for surgery on the lower leg. Per the Universal Protocol, the
surgeon marked the proper leg prior to bringing the patient to the O…
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psnet.ahrq.gov/issue/national-aeronautics-and-space-administration-threat-and-error-model-applied-pediatric
March 07, 2018 - Study
National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths.
Citation Text:
Hickey EJ, Nosikova Y, Pham-Hung E, et al. National Aeronautics and Space Administration "threat and error" model…
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psnet.ahrq.gov/issue/determinants-adverse-events-vascular-surgery
March 21, 2012 - August 23, 2023
Variation in the reporting of elective surgeries and its influence on
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psnet.ahrq.gov/issue/physician-prescribing-opioids-patients-increased-risk-overdose-benzodiazepine-use-united
September 27, 2016 - , 2020
Ethical considerations and patient safety concerns for cancelling non-urgent surgeries
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psnet.ahrq.gov/issue/voluntary-electronic-reporting-medical-errors-and-adverse-events
March 21, 2017 - , 2021
Ethical considerations and patient safety concerns for cancelling non-urgent surgeries
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psnet.ahrq.gov/issue/institute-medicine-report-medical-errors-could-it-do-harm
February 18, 2011 - February 10, 2015
Variation in the reporting of elective surgeries and its influence
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psnet.ahrq.gov/issue/pragmatic-insights-patient-safety-priorities-and-intervention-strategies-ambulatory-settings
January 06, 2018 - February 21, 2018
Concurrent and Overlapping Surgeries: Additional Measures Warranted
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psnet.ahrq.gov/issue/preventing-medical-injury
February 18, 2011 - February 18, 2011
Variation in the reporting of elective surgeries and its influence
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psnet.ahrq.gov/issue/simulation-systems-testing-program-using-hfmea-methodology-can-effectively-identify-and
January 03, 2017 - June 8, 2022
Variation in the reporting of elective surgeries and its influence on patient
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psnet.ahrq.gov/issue/global-oncology-pharmacy-response-covid-19-pandemic-medication-access-and-safety
January 23, 2017 - , 2017
Ethical considerations and patient safety concerns for cancelling non-urgent surgeries