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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/node/33576/psn-pdf
December 15, 2024 - Wrong-Site, Wrong-Procedure, and Wrong-Patient
Surgery
December 15, 2024
Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editoria…
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psnet.ahrq.gov/node/41835/psn-pdf
May 19, 2015 - Interventions for reducing wrong-site surgery and
invasive procedures.
May 19, 2015
Algie CM, Mahar RK, Wasiak J, et al. Interventions for reducing wrong-site surgery and invasive clinical
procedures. Cochrane Database Syst Rev. 2015;3)(3):CD009404. doi:10.1002/14651858.CD009404.pub3.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/47951/psn-pdf
April 24, 2019 - Safe medication management at ambulatory surgery
centers.
April 24, 2019
Ubaldi K. Safe Medication Management at Ambulatory Surgery Centers. AORN J. 2019;109(4):435-442.
doi:10.1002/aorn.12635.
https://psnet.ahrq.gov/issue/safe-medication-management-ambulatory-surgery-centers
Safe medication use can be challengin…
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psnet.ahrq.gov/node/853249/psn-pdf
September 06, 2023 - How does robotic-assisted surgery change OR safety
culture?
September 6, 2023
How does robotic-assisted surgery change OR safety culture? AMA J Ethics. 2023;25(8):E615-E623.
doi:10.1001/amajethics.2023.615.
https://psnet.ahrq.gov/issue/how-does-robotic-assisted-surgery-change-or-safety-culture
The safety culture …
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2025.xlsx
January 01, 2025 - Introduction
Introduction - Generic Patient Safety Concern
The tables in this workbook present generic data on Patient Safety Concerns submitted by AHRQ-listed Patient Safety Organizations (PSOs) to the Network of Patient Safety Databases (NPSD) through December 31, 2024. The tables include distributions of events…
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psnet.ahrq.gov/issue/risk-factors-wrong-site-surgery-study-1166-reports-informed-consent-and-schedule-errors
January 20, 2021 - Study
Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors.
Citation Text:
Taylor MA, Yonash RA. Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. Patient Safety. 2024;6(1):1-11. doi:10.…
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psnet.ahrq.gov/issue/assessment-implementation-national-patient-safety-alert-reduce-wrong-site-surgery
March 28, 2011 - Study
Assessment of the implementation of a national patient safety alert to reduce wrong site surgery.
Citation Text:
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):…
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psnet.ahrq.gov/issue/team-based-care-changing-face-cardiothoracic-surgery
October 07, 2013 - Review
Team-based care: the changing face of cardiothoracic surgery.
Citation Text:
Crawford TC, Conte J, Sanchez JA. Team-Based Care: The Changing Face of Cardiothoracic Surgery. Surg Clin North Am. 2017;97(4):801-810. doi:10.1016/j.suc.2017.03.003.
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psnet.ahrq.gov/issue/composite-measures-profiling-hospitals-bariatric-surgery-performance
January 31, 2013 - Study
Composite measures for profiling hospitals on bariatric surgery performance.
Citation Text:
Dimick JB, Birkmeyer NJ, Finks JF, et al. Composite measures for profiling hospitals on bariatric surgery performance. JAMA Surg. 2014;149(1):10-6. doi:10.1001/jamasurg.2013.4109.
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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/moa.pdf
March 28, 2022 - of hospital-owned outpatient surgery facilities in the U.S., including
all of their in-scope major surgeries … including geographic, hospital and patient characteristics, and the nature of visits
(e.g., types of surgeries
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psnet.ahrq.gov/web-mm/beeline-spine
March 01, 2014 - SPOTLIGHT CASE
Beeline to Spine
Citation Text:
Smetana GW. Beeline to Spine. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
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psnet.ahrq.gov/node/837337/psn-pdf
June 08, 2022 - Patients' perceptions of importance for self-administered
correct site surgery checklist: a multisite study.
June 8, 2022
Krenzischek DA, Card E, Mamaril M, et al. Patients' perceptions of importance for self-administered correct
site surgery checklist: a multisite study. J Perianesth Nurs. 2022;37(6):827-833.
doi…
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psnet.ahrq.gov/node/44781/psn-pdf
January 13, 2016 - Improving Pediatric Surgery Quality and Outcomes in the
21st Century.
January 13, 2016
Heiss K, ed. Semin Pediatr Surg. 2015;24:265-326.
https://psnet.ahrq.gov/issue/improving-pediatric-surgery-quality-and-outcomes-21st-century
Articles in this special issue introduce quality improvement principles, such as system…
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psnet.ahrq.gov/node/47599/psn-pdf
January 27, 2019 - Association of opioid prescribing with opioid
consumption after surgery in Michigan.
January 27, 2019
Howard R, Fry B, Gunaseelan V, et al. Association of Opioid Prescribing With Opioid Consumption After
Surgery in Michigan. JAMA Surg. 2019;154(1):e184234. doi:10.1001/jamasurg.2018.4234.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/issue/nontechnical-skills-pediatric-surgery-factors-influencing-operative-performance
June 12, 2008 - Commentary
Nontechnical skills in pediatric surgery: factors influencing operative performance.
Citation Text:
Youngson GG. Nontechnical skills in pediatric surgery: Factors influencing operative performance. J Pediatr Surg. 2016;51(2):226-30. doi:10.1016/j.jpedsurg.2015.10.062.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustspreading.pptx
December 01, 2017 - Presentation: Sustaining and Spreading Surgical Improvments
Sustaining and Spreading Surgical Safety Improvements
AHRQ Safety Program for Surgery
Sustainability
AHRQ Pub. No. 16(18)-0004-15-EF
December 2017
AHRQ Safety Program for Surgery – Sustainability
SAY:
This module will cover Sustaining and Spreading Surgic…
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psnet.ahrq.gov/node/49498/psn-pdf
January 01, 2006 - history of
VTE who do not receive prophylaxis will develop postoperative DVT.(4) Nearly one in five surgeries
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hcup-us.ahrq.gov/db/state/sasddist/sasddist_filecompdc.jsp
May 01, 2024 - SASD File Composition - District of Columbia
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