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psnet.ahrq.gov/node/43796/psn-pdf
June 02, 2015 - Embedding quality and safety in otolaryngology–head
and neck surgery education.
June 2, 2015
McCormick ME, Stadler ME, Shah RK. Embedding quality and safety in otolaryngology-head and neck
surgery education. Otolaryngol Head Neck Surg. 2015;152(5):778-782. doi:10.1177/0194599814561601.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/40714/psn-pdf
October 04, 2011 - Outcome of 6 years of protocol use for preventing wrong
site office surgery.
October 4, 2011
Starling J, Coldiron BM. Outcome of 6 years of protocol use for preventing wrong site office surgery. J Am
Acad Dermatol. 2011;65(4):807-810. doi:10.1016/j.jaad.2011.05.011.
https://psnet.ahrq.gov/issue/outcome-6-years-pro…
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psnet.ahrq.gov/node/39747/psn-pdf
August 11, 2010 - Wrong-site sinus surgery in otolaryngology.
August 11, 2010
Shah RK, Nussenbaum B, Kienstra M, et al. Wrong-site sinus surgery in otolaryngology. Otolaryngol Head
Neck Surg. 2010;143(1):37-41. doi:10.1016/j.otohns.2010.04.003.
https://psnet.ahrq.gov/issue/wrong-site-sinus-surgery-otolaryngology
This survey of otol…
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psnet.ahrq.gov/node/60857/psn-pdf
August 26, 2020 - The Commentary
by Claire Manske, MD
Background
Digital tourniquets are commonplace in surgeries
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hcup-us.ahrq.gov/db/state/sasddist/sasddist_filecompky.jsp
August 01, 2006 - SASD File Composition - Kentucky
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/node/38892/psn-pdf
August 26, 2009 - Wrong site surgery near misses and actual occurrences.
August 26, 2009
Blanco M, Clarke JR, Martindell D. Wrong site surgery near misses and actual occurrences. AORN J.
2009;90(2):215-8, 221-2. doi:10.1016/j.aorn.2009.07.010.
https://psnet.ahrq.gov/issue/wrong-site-surgery-near-misses-and-actual-occurrences
This a…
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psnet.ahrq.gov/node/47134/psn-pdf
March 04, 2019 - Association of hydrocodone schedule change with opioid
prescriptions following surgery.
March 4, 2019
Habbouche J, Lee JS, Steiger R, et al. Association of Hydrocodone Schedule Change With Opioid
Prescriptions Following Surgery. JAMA Surg. 2018;153(12):1111-1119. doi:10.1001/jamasurg.2018.2651.
https://psnet.ahrq.…
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapd.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Appendix D. Site Visit Process Comparison
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Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduction
Ch…
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psnet.ahrq.gov/issue/intraoperative-adverse-events-and-related-postoperative-complications-spine-surgery
March 20, 2013 - Study
Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols.
Citation Text:
Intraoperative adverse events and related postoperative complications in spine surgery: implicatio…
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psnet.ahrq.gov/issue/patient-safety-improvement-interventions-childrens-surgery-systematic-review
March 14, 2012 - Review
Patient safety improvement interventions in children's surgery: a systematic review.
Citation Text:
Macdonald AL, Sevdalis N. Patient safety improvement interventions in children's surgery: A systematic review. J Pediatr Surg. 2017;52(3):504-511. doi:10.1016/j.jpedsurg.2016.09.058…
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psnet.ahrq.gov/node/73251/psn-pdf
May 12, 2021 - Preventable morbidity and mortality among non-trauma
emergency surgery patients: the role of personal
performance and system flaws in adverse events.
May 12, 2021
Velmahos CS, Kokoroskos N, Tarabanis C, et al. Preventable morbidity and mortality among non-trauma
emergency surgery patients: the role of personal per…
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www.ahrq.gov/research/findings/final-reports/stpra/stpraaparef.html
September 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Appendix A. References
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduction
Chapter 2. ST-PRA Dev…
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psnet.ahrq.gov/issue/sops-ambulatory-surgery-center-survey-what-you-need-know
December 24, 2008 - Meeting/Conference Proceedings
SOPS Ambulatory Surgery Center Survey: What You Need to Know.
Citation Text:
SOPS Ambulatory Surgery Center Survey: What You Need to Know. Agency for Healthcare Policy and Research: April 27, 2023.
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psnet.ahrq.gov/node/41843/psn-pdf
November 21, 2012 - Sharing lessons learned to prevent incorrect surgery.
November 21, 2012
Neily J, Mills PD, Paull DE, et al. Sharing lessons learned to prevent incorrect surgery. Am Surg.
2012;78(11):1276-1280.
https://psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-incorrect-surgery
The Veterans Affairs (VA) system has publi…
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psnet.ahrq.gov/node/45601/psn-pdf
April 13, 2017 - Patient safety improvement interventions in children's
surgery: a systematic review.
April 13, 2017
Macdonald AL, Sevdalis N. Patient safety improvement interventions in children's surgery: A systematic
review. J Pediatr Surg. 2017;52(3):504-511. doi:10.1016/j.jpedsurg.2016.09.058.
https://psnet.ahrq.gov/issue/pat…
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psnet.ahrq.gov/node/847735/psn-pdf
May 30, 2023 - SOPS Ambulatory Surgery Center Survey: What You Need
to Know.
May 30, 2023
Agency for Healthcare Policy and Research: April 27, 2023.
https://psnet.ahrq.gov/issue/sops-ambulatory-surgery-center-survey-what-you-need-know
Ambulatory surgery centers (ASC) experience a variety of error types that can be exacerbated by…
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psnet.ahrq.gov/node/42564/psn-pdf
September 11, 2013 - Error rating tool to identify and analyse technical errors
and events in laparoscopic surgery.
September 11, 2013
Bonrath EM, Zevin B, Dedy NJ, et al. Error rating tool to identify and analyse technical errors and events in
laparoscopic surgery. Br J Surg. 2013;100(8):1080-8. doi:10.1002/bjs.9168.
https://psnet.ah…
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psnet.ahrq.gov/node/45236/psn-pdf
June 15, 2016 - Advancing Patient Safety in Cataract Surgery: A Betsy
Lehman Center Expert Panel Report.
June 15, 2016
Boston, MA: Betsy Lehman Center for Patient Safety and Medical Error Reduction; 2016.
https://psnet.ahrq.gov/issue/advancing-patient-safety-cataract-surgery-betsy-lehman-center-expert-panel-
report
Cataract surg…
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psnet.ahrq.gov/issue/patient-safety-it-takes-team
April 08, 2020 - Multi-use Website
Patient safety: it takes a team.
Citation Text:
Patient safety: it takes a team. Rosemont, IL: American Academy of Orthopaedic Surgeons.
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - Ultimately, he developed osteomyelitis, requiring multiple surgeries and a long hospital stay due to