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www.ahrq.gov/hai/tools/surgery/modules/index.html
December 01, 2017 - Instructional Modules
Toolkit To Promote Safe Surgery
Fifteen instructional modules cover topics spread across the three phases that clinical teams will use in their program: onboarding, implementation, and sustainability. Each module is designed to be delivered as part of a 1-hour subject matter expert-led …
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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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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-rapid-response-surgical-report-cards.pdf
November 01, 2023 - participation
with mortality, complications,
re-operation, readmissions
and costs of general and
vascular surgeries … oncologic resections over 6
years (2006-2011)
Institutions: 316 ACS-
NSQIP hospitals
Cases: 6,076 surgeries … outcomes to
national NSQIP averages
Institution: 1, largest DoD
hospital (SAMMC)
Cases: 19, 265 surgeries … surgery patients
(2011-2014)
Institutions: 9 participating
SoCal VOICe hospitals
Cases: 2,957 surgeries
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psnet.ahrq.gov/node/46891/psn-pdf
December 21, 2018 - Day of discharge does not impact hospital readmission
after major cardiac surgery.
December 21, 2018
Sanaiha Y, Ou R, Ramos G, et al. Day of Discharge Does Not Impact Hospital Readmission After Major
Cardiac Surgery. Ann Thorac Surg. 2018;106(6):1767-1773. doi:10.1016/j.athoracsur.2018.07.031.
https://psnet.ahrq.g…
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www.ahrq.gov/sops/events/webinars/introducing-asc.html
October 01, 2018 - Webcast: Introducing the AHRQ Ambulatory Surgery Center SOPS
July 15, 2015
Summary
Speakers and Presentation Slides
Recording
Transcript
Related Materials
Summary
This free Webcast from the Agency for Healthcare Research and Quality (AHRQ) discussed the development of the new AHRQ Ambulatory S…
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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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hcup-us.ahrq.gov/reports/statbriefs/sb212-MRSA-Hospital-Stays-California-2013.pdf
January 01, 2013 - State Ambulatory Surgery and Services Databases (SASD) include encounter-level data for
ambulatory surgeries
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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/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/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/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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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/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/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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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
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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/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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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/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):…