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psnet.ahrq.gov/node/43105/psn-pdf
April 02, 2014 - Application of surgical safety standards to robotic
surgery: five principles of ethics for nonmaleficence.
April 2, 2014
Larson JA, Johnson MH, Bhayani SB. Application of surgical safety standards to robotic surgery: five
principles of ethics for nonmaleficence. J Am Coll Surg. 2014;218(2):290-3.
doi:10.1016/j.jam…
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psnet.ahrq.gov/node/37182/psn-pdf
March 03, 2011 - Getting surgery right.
March 3, 2011
Clarke JR, Johnston J, Finley ED. Getting surgery right. Ann Surg. 2007;246(3):395-403, discussion 403-5.
https://psnet.ahrq.gov/issue/getting-surgery-right
This study examined instances of wrong-site surgery reported to authorities in Pennsylvania and sought to
determine facto…
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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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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/cognitive-engineering-improve-patient-safety-and-outcomes-cardiothoracic-surgery
January 23, 2017 - Commentary
Cognitive engineering to improve patient safety and outcomes in cardiothoracic surgery
Citation Text:
Zenati MA, Kennedy-Metz L, Dias RD. Cognitive Engineering to Improve Patient Safety and Outcomes in Cardiothoracic Surgery. Semin Thorac Cardiovasc Surg. 2019. doi:10.1053/j.s…
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psnet.ahrq.gov/issue/application-human-factors-analysis-and-classification-system-methodology-cardiovascular
January 06, 2012 - Study
Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room.
Citation Text:
Elbardissi AW, Wiegmann DA, Dearani JA, et al. Application of the human factors analysis and classification system methodology to the cardi…
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psnet.ahrq.gov/issue/interventions-reducing-wrong-site-surgery-and-invasive-procedures
September 07, 2011 - Review
Interventions for reducing wrong-site surgery and invasive procedures.
Citation Text:
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…
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psnet.ahrq.gov/issue/identifying-risks-and-opportunities-outpatient-surgical-patient-safety-qualitative-analysis
November 10, 2010 - Study
Identifying risks and opportunities in outpatient surgical patient safety: a qualitative analysis of Veterans Health Administration staff perceptions.
Citation Text:
Mull HJ, Rosen AK, Charns MP, et al. Identifying Risks and Opportunities in Outpatient Surgical Patient Safety: A Qu…
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psnet.ahrq.gov/node/45573/psn-pdf
November 16, 2016 - High reliability of care in orthopedic surgery: are we there
yet?
November 16, 2016
Anoushiravani AA, Sayeed Z, El-Othmani MM, et al. High Reliability of Care in Orthopedic Surgery: Are We
There Yet? Orthop Clin North Am. 2016;47(4):689-95. doi:10.1016/j.ocl.2016.05.011.
https://psnet.ahrq.gov/issue/high-reliabili…
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psnet.ahrq.gov/node/837306/psn-pdf
June 01, 2022 - Mortality due to hospital-acquired infection after cardiac
surgery.
June 1, 2022
Massart N, Mansour A, Ross JT, et al. Mortality due to hospital-acquired infection after cardiac surgery. J
Thorac Cardiovasc Surg. 2022;163(6):2131-2140.e3. doi:10.1016/j.jtcvs.2020.08.094.
https://psnet.ahrq.gov/issue/mortality-due-…
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psnet.ahrq.gov/node/47869/psn-pdf
April 17, 2019 - Minimizing Opioid Prescribing in Surgery (MOPiS)
initiative: an analysis of implementation barriers.
April 17, 2019
Coughlin JM, Shallcross ML, Schäfer WLA, et al. Minimizing Opioid Prescribing in Surgery (MOPiS)
Initiative: An Analysis of Implementation Barriers. J Surg Res. 2019;239:309-319.
doi:10.1016/j.jss.20…
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psnet.ahrq.gov/node/837901/psn-pdf
August 24, 2022 - Trial and error: learning from malpractice claims in
childhood surgery.
August 24, 2022
Prieto JM, Falcone B, Greenberg P, et al. Trial and error: learning from malpractice claims in childhood
surgery. J Surg Res. 2022;279:84-88. doi:10.1016/j.jss.2022.05.033.
https://psnet.ahrq.gov/issue/trial-and-error-learning-…
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psnet.ahrq.gov/node/35918/psn-pdf
July 23, 2010 - Spinal surgery and patient safety: a systems approach.
July 23, 2010
Wong DA. Spinal surgery and patient safety: a systems approach. J Am Acad Orthop Surg.
2006;14(4):226-32.
https://psnet.ahrq.gov/issue/spinal-surgery-and-patient-safety-systems-approach
The author reviews the epidemiology of surgical adverse even…
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psnet.ahrq.gov/issue/defining-technical-errors-laparoscopic-surgery-systematic-review
September 11, 2013 - Review
Defining technical errors in laparoscopic surgery: a systematic review.
Citation Text:
Bonrath EM, Dedy NJ, Zevin B, et al. Defining technical errors in laparoscopic surgery: a systematic review. Surg Endosc. 2013;27(8):2678-91. doi:10.1007/s00464-013-2827-5.
Copy Citation
…
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psnet.ahrq.gov/issue/patient-safety-north-america-beyond-operate-through-your-initials-and-sign-your-site
March 18, 2009 - Meeting/Conference Proceedings
Patient safety in North America: beyond "operate through your initials" and "sign your site."
Citation Text:
Wong DA, Lewis B, Herndon JH, et al. Patient Safety in North America: Beyond “Operate Through Your Initials” and “Sign Your Site”*. doi:10.2106/jb…
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psnet.ahrq.gov/issue/surgical-site-signing-and-time-out-issues-compliance-or-complacence
January 07, 2011 - Study
Surgical site signing and "time out": issues of compliance or complacence.
Citation Text:
Johnston G, Ekert L, Pally E. Surgical site signing and "time out": issues of compliance or complacence. J Bone Joint Surg Am. 2009;91(11):2577-80. doi:10.2106/JBJS.H.01615.
Copy Citation …
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psnet.ahrq.gov/issue/wrong-site-surgery-near-misses-and-actual-occurrences
November 30, 2012 - Study
Wrong site surgery near misses and actual occurrences.
Citation Text:
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.
Copy Citation
Format:
DOI Google Scholar …
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psnet.ahrq.gov/node/49724/psn-pdf
January 01, 2015 - Bowel Injury After Laparoscopic Surgery
January 1, 2015
Moorthy K. Bowel Injury After Laparoscopic Surgery. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
The Case
A 30-year-old man presented to the hospital for a scheduled laparoscopic inguinal hernia repair with mes…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/renal-artery-stenosis_appendixes.pdf
April 01, 2005 - Draft Comparative Effectiveness Review Appendicies
Appendix A. Search Strategy
MEDLINE 1966-August Week 4 2005
# Search History Results
1 exp Hypertension, Renal/ 15140
2 exp Renal Artery Obstruction/ 7388
3 renal arter$ stenosis.tw. 3264
4 renal arter$ dis$.tw. 390
5 renovascular dis$.tw. 613
6 reno vasc…
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psnet.ahrq.gov/node/49537/psn-pdf
June 01, 2007 - Beeline to Spine
June 1, 2007
Smetana GW. Beeline to Spine. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/beeline-spine
Case Objectives
Understand the elements of preoperative medical evaluation.
Appreciate the limited role for preoperative laboratory testing.
Appreciate the importance of communication a…