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psnet.ahrq.gov/node/44104/psn-pdf
July 16, 2015 - Errors upstream and downstream to the Universal
Protocol associated with wrong surgery events in the
Veterans Health Administration.
July 16, 2015
Paull DE, Mazzia L, Neily J, et al. Errors upstream and downstream to the Universal Protocol associated
with wrong surgery events in the Veterans Health Administration.…
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psnet.ahrq.gov/node/838012/psn-pdf
September 07, 2022 - The physiology of failure: identifying risk factors for
mortality in emergency general surgery patients using a
regional health system integrated electronic medical
record.
September 7, 2022
Baimas-George M, Ross SW, Hetherington T, et al. The physiology of failure: identifying risk factors for
mortality in emerg…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/tethered-spinal-cord-protocol.pdf
July 19, 2023 - having TSC
KQ2-3
Interventions
KQ2:
Prophylactic
surgery
KQ3: Surgical
detethering, other
surgeries … For KQ4 (repeat surgery), we will document the sequence of events in terms of timing of
the surgeries
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psnet.ahrq.gov/issue/doing-right-things-correct-wrong-site-surgery
October 21, 2020 - Newspaper/Magazine Article
Doing the "right" things to correct wrong-site surgery.
Citation Text:
Doing the "right" things to correct wrong-site surgery. Patient Safety Advisory
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www.ahrq.gov/sops/databases/asc/databases/submission.html
September 01, 2024 - Participating in the SOPS Ambulatory Surgery Center Database
The SOPS ® Ambulatory Surgery Center Database is a central repository for survey data from ambulatory surgery centers (ASCs) in the United States or in a U.S. territory that administer the AHRQ survey and choose to submit their data. The SOPS ASC D…
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psnet.ahrq.gov/issue/overlapping-surgery-arthroplasty-systematic-review-and-meta-analysis
October 19, 2022 - Review
Overlapping surgery in arthroplasty - a systematic review and meta-analysis.
Citation Text:
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.
…
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psnet.ahrq.gov/issue/disruptions-surgical-flow-and-their-relationship-surgical-errors-exploratory-investigation
August 26, 2011 - Study
Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation.
Citation Text:
Wiegmann DA, Elbardissi AW, Dearani JA, et al. Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. Surgery. 2007;…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-n-part1.pptx
June 02, 2025 - Improving Communication and Teamwork in the Surgical Environment
Appendix N. Part 1: A Clear View of Flexible Endoscope Processing:
Transport, Leak Testing, Cleaning
AHRQ Safety Program for Ambulatory Surgery
Implementation Guide
Susan Klacik B.S., CRCST, CIS, FCS
Endoscope Transport, Leak Testing, Cleaning| ‹#›…
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hcup-us.ahrq.gov/reports/RoboticAmbulatorySurgery.pdf
October 20, 2021 - RoboticAmbulatorySurgery
UTILIZATION OF ROBOTIC TECHNOLOGY IN
HOSPITAL AMBULATORY SURGERY SETTINGS
Recommended Citation: Fingar KR, Stocks C, Gibson TB, McDermott KW, Pickens G, Utter
GH, Karaca Z. Utilization of Robotic Technology in Hospital Ambulatory Surgery Settings.
ONLINE. October 20, 2021. U.S. Agency f…
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psnet.ahrq.gov/node/41067/psn-pdf
February 10, 2012 - Determining the safety of office-based surgery: what 10
years of Florida data and 6 years of Alabama data reveal.
February 10, 2012
Starling J, Thosani MK, Coldiron BM. Determining the safety of office-based surgery: what 10 years of
Florida data and 6 years of Alabama data reveal. Dermatol Surg. 2012;38(2):171-7. …
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psnet.ahrq.gov/node/47826/psn-pdf
March 27, 2019 - Office-based surgery and patient outcomes.
March 27, 2019
Young S, Shapiro FE, Urman RD. Office-based surgery and patient outcomes. Curr Opin Anaesthesiol.
2018;31(6):707-712. doi:10.1097/ACO.0000000000000655.
https://psnet.ahrq.gov/issue/office-based-surgery-and-patient-outcomes
Office-based surgery is increasing…
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hcup-us.ahrq.gov/reports/statbriefs/sb212-MRSA-Hospital-Stays-California-2013.jsp
October 01, 2016 - State Ambulatory Surgery and Services Databases (SASD) include encounter-level data for ambulatory surgeries
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-slideset.pptx
May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment
Sustainability Module
AHRQ Safety Program for Ambulatory Surgery
AHRQ Pub. No. 16(17)-0019-2-EF
May 2017
Sustainability | ‹#›
AHRQ Safety Program for Ambulatory Surgery
1
Learning Objectives
Sustainability | ‹#›
AHRQ Safety Program for Ambula…
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psnet.ahrq.gov/node/46540/psn-pdf
August 08, 2018 - Preventing adverse events in cataract surgery:
recommendations from a Massachusetts expert panel.
August 8, 2018
Nanji KC, Roberto SA, Morley MG, et al. Preventing Adverse Events in Cataract Surgery:
Recommendations From a Massachusetts Expert Panel. Anesth Analg. 2018;126(5):1537-1547.
doi:10.1213/ANE.00000000000…
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psnet.ahrq.gov/issue/seeking-safer-surgery-some-states-crack-down-doctors-who-perform-unregulated-outpatient
August 17, 2016 - Newspaper/Magazine Article
Seeking a safer surgery: some states crack down on doctors who perform unregulated outpatient procedures.
Citation Text:
Seeking a safer surgery: some states crack down on doctors who perform unregulated outpatient procedures. Landro L.
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…
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psnet.ahrq.gov/node/43408/psn-pdf
May 01, 2015 - The "weekend effect" in pediatric surgery—increased
mortality for children undergoing urgent surgery during
the weekend.
May 1, 2015
Goldstein SD, Papandria DJ, Aboagye J, et al. The "weekend effect" in pediatric surgery - increased
mortality for children undergoing urgent surgery during the weekend. J Pediatr Sur…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/blood-clots-hip-knee-surgery_surveillance.pdf
December 01, 2012 - Not all three surgeries had incidence
data reported in clinical trials; therefore, the
symbol “--” … Not all three surgeries had incidence data reported in clinical trials;
therefore, the symbol “--” is
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hcup-us.ahrq.gov/db/state/sasddist/sasddist_filecompny.jsp
August 01, 2006 - SASD File Composition - New York
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updates
…
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psnet.ahrq.gov/node/45099/psn-pdf
December 07, 2018 - Improving Patient Safety in Ambulatory Surgery Centers:
A Resource List for Users of the AHRQ Ambulatory
Surgery Center Survey on Patient Safety Culture.
December 7, 2018
Rockville, MD; Agency for Healthcare Quality and Research; March 2016.
https://psnet.ahrq.gov/issue/improving-patient-safety-ambulatory-surgery-…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpra.pdf
March 01, 2012 - These risks can result in surgical mishaps, ranging from infections to wrong site surgeries. … This is a major limitation to the analysis of surgical complications,
including SSIs, stemming from surgeries … Project (HCUP)
State Ambulatory Surgery Databases (SASD) were analyzed to identify the most common
surgeries