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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-fac-notes.html
December 01, 2017 - They cover all types of surgeries, so there are recommendations for every type of surgery, but they provide
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psnet.ahrq.gov/node/42393/psn-pdf
January 14, 2014 - Wrong site surgery in otolaryngology–head and neck
surgery.
January 14, 2014
Liou T-N, Nussenbaum B. Wrong site surgery in otolaryngology-head and neck surgery. Laryngoscope.
2014;124(1):104-109. doi:10.1002/lary.24140.
https://psnet.ahrq.gov/issue/wrong-site-surgery-otolaryngology-head-and-neck-surgery
This revi…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-slides.html
October 01, 2020 - Reduced wrong-site surgeries and other adverse events.
Increased staff morale.
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hcup-us.ahrq.gov/toolssoftware/surgeryflags_svcproc/SurgeryFlags_Services_Procedures_v2024-1/SF-SvcProc-ChgLg-v20231-v20241.xlsx
July 01, 2024 - Change log for Surgery Flags Software for Services and Procedures, v2024.1
Table_of_Contents
This Excel file enumerates the changes between the following releases of the Surgery Flags for Services and Procedures
Compared versions: v2023.1 (released March 2024) to v2024.1 (released July 2024)
Table of Contents
Com…
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hcup-us.ahrq.gov/toolssoftware/surgeryflags_svcproc/SF-SvcProc-ChgLg-v20221-v20231.xlsx
March 01, 2024 - Surgery Flag Software For Services and Procedures Change Log V2023.1
Table_of_Contents
This Excel file enumerates the changes between the following releases of the Surgery Flags for Services and Procedures
Compared versions: v2022.1 (released May 2022) to v2023.1 (released March 2024)
Table of Contents
Comparison…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc_pilotstudy.pdf
April 01, 2015 - MedPAC reports that
the most frequently provided ASC services are cataract surgeries (16.9%), upper … screener item and three
followup items measuring how often doctors and staff communicate before and after surgeries … In
addition, we targeted both specialty and nonspecialty ASCs performing a wide range of surgeries
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psnet.ahrq.gov/node/851193/psn-pdf
July 05, 2023 - Overlapping surgery in arthroplasty - a systematic review
and meta-analysis.
July 5, 2023
Kim RG, An VVG, Lee SLK, et al. Overlapping surgery in arthroplasty – a systematic review and meta-
analysis. Orthop Traumatol Surg Res. 2023;109(4):103299. doi:10.1016/j.otsr.2022.103299.
https://psnet.ahrq.gov/issue/overlap…
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psnet.ahrq.gov/node/35875/psn-pdf
May 21, 2013 - Universal Protocol for Preventing Wrong Site, Wrong
Procedure, Wrong Person Surgery.
May 21, 2013
The Joint Commission.
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-
surgery
According to an AHRQ-supported study, wrong-site surgery occurred at a rate of approxi…
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psnet.ahrq.gov/issue/report-manitoba-pediatric-cardiac-surgery-inquest-inquiry-twelve-deaths-winnipeg-health
October 05, 2022 - Book/Report
The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths at the Winnipeg Health Sciences Center in 1994.
Citation Text:
The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths at the Winnipeg Health Scienc…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
December 01, 2017 - We know this because wrong-sided surgeries would never happen if timeouts were more effective.
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psnet.ahrq.gov/node/845356/psn-pdf
March 29, 2023 - A novel approach for engagement in team training in
high-technology surgery: the robotic-assisted surgery
olympics.
March 29, 2023
Cohen TN, Anger JT, Kanji FF, et al. A novel approach for engagement in team training in high-technology
surgery: the robotic-assisted surgery olympics. J Patient Saf. 2022;18(6):570-5…
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hcup-us.ahrq.gov/toolssoftware/surgeryflags_svcproc/SF-SvcProc-ChgLg-v20211-v20221.xlsx
May 01, 2022 - SGF-SvcPrc-ChgLg-v20201-v20211
Table_of_Contents
This Excel file enumerates the changes between the following releases of the Surgery Flags for Services and Procedures
Compared versions: v2021.1 (released April 2021) to v2022.1 (released May 2022)
Table of Contents
Comparison of the surgery flag assignments by ty…
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psnet.ahrq.gov/node/38331/psn-pdf
October 20, 2010 - Assessment of the implementation of a national patient
safety alert to reduce wrong site surgery.
October 20, 2010
Rhodes P, Giles SJ, Cook GA, et al. Assessment of the implementation of a national patient safety alert to
reduce wrong site surgery. Qual Saf Health Care. 2008;17(6):409-15. doi:10.1136/qshc.2007.0230…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching/coaching-slideset.pptx
May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment
Coaching Clinical Teams Module
AHRQ Safety Program for Ambulatory Surgery
AHRQ Pub. No. 16(17)-0019-2-EF
May 2017
Coaching Clinical Teams | ‹#›
AHRQ Safety Program for Ambulatory Surgery
1
Objectives
Coaching Clinical Teams | ‹#›
AHRQ Safety…
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effectivehealthcare.ahrq.gov/sites/default/files/diabetes-horizon-scan-high-impact-1506.pdf
June 01, 2015 - Metabolic surgeries for
T2DM have been typically classified as purely restrictive, restrictive/malabsorptive … Researchers hypothesize that the effect of metabolic
surgeries extend beyond those of malabsorptive … likely responsible for the reduction or
reversal of diabetes in these patients.29-31
Metabolic surgeries … Nevertheless, these types of surgeries are already being performed in patients who are obese or
overweight … who are less familiar
with, but must manage, the care of diabetic patients (e.g., inpatient stays, surgeries
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psnet.ahrq.gov/node/35868/psn-pdf
July 10, 2008 - Incidence, patterns, and prevention of wrong-site surgery.
July 10, 2008
Kwaan MR, Studdert DM, Zinner MJ, et al. Incidence, patterns, and prevention of wrong-site surgery. Arch
Surg. 2006;141(4):353-358.
https://psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery
This AHRQ-supported study an…
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digital.ahrq.gov/principal-investigator/dexheimer-judith-w
October 14, 2020 - Dexheimer, Judith W.
Automated, machine learning-based alerts increase epilepsy surgery referrals: A randomized controlled trial.
Citation
Wissel BD, Greiner HM, Glauser TA, Mangano FT, Holland-Bouley KD, Zhang N, Szczesniak RD, Santel D, Pestian JP, Dexheimer JW. Automated, m…
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psnet.ahrq.gov/node/74245/psn-pdf
January 14, 2024 - Surveys on Patient Safety Culture (SOPS) Ambulatory
Surgery Center Survey: User Database Report.
January 14, 2024
Hare R, Tyler ER, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality; December
2023. AHRQ Publication no. 23(24)-0095.
https://psnet.ahrq.gov/issue/surveys-patient-safety-culture…
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psnet.ahrq.gov/node/39546/psn-pdf
May 26, 2010 - Avoiding wrong site surgery: a systematic review.
May 26, 2010
Devine J, Chutkan N, Norvell DC, et al. Avoiding wrong site surgery: a systematic review. Spine (Phila Pa
1976). 2010;35(9 Suppl):S28-36. doi:10.1097/BRS.0b013e3181d833ac.
https://psnet.ahrq.gov/issue/avoiding-wrong-site-surgery-systematic-review
This …
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psnet.ahrq.gov/node/46853/psn-pdf
February 22, 2019 - Outcomes with overlapping surgery at a large academic
medical center.
February 22, 2019
Ponce BA, Wills BW, Hudson PW, et al. Outcomes With Overlapping Surgery at a Large Academic Medical
Center. Ann Surg. 2019;269(3):465-470. doi:10.1097/SLA.0000000000002701.
https://psnet.ahrq.gov/issue/outcomes-overlapping-surg…