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psnet.ahrq.gov/node/36632/psn-pdf
July 28, 2010 - https://psnet.ahrq.gov/issue/operating-room-briefings-and-wrong-site-surgery
Although wrong-site surgeries … The Joint Commission's Universal Protocol for
prevention of wrong-site surgeries requires performing
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psnet.ahrq.gov/node/44165/psn-pdf
May 27, 2015 - studies of delayed
diagnosis, researchers examined a retrospective case series of orthopedic and trauma surgeries … The authors
advocate for a registry of unplanned return surgeries as a patient safety improvement strategy
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psnet.ahrq.gov/issue/most-surgery-wrong-spot-done-spine-11-such-cases-found-state-2006
August 06, 2008 - This article reports on the incidence of wrong site surgeries in Massachusetts and describes complex … July 6, 2011
Wrong body part, wrong patient surgeries continue despite new procedures
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hcup-us.ahrq.gov/db/nation/nass/nassrefinements2019.jsp
October 18, 2021 - Emergency Department Databses (SEDD) in order to capture both planned and emergent major ambulatory surgeries … heart, and orthopedic facilities owned by community hospitals that performed in-scope major ambulatory surgeries … American Hospital Association (AHA) Annual Survey of Hospitals that reported performing outpatient surgeries
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psnet.ahrq.gov/node/45415/psn-pdf
June 25, 2018 - The majority of surgeries were overlapping, and rates of morbidity and mortality did not differ
between … https://psnet.ahrq.gov/issue/clash-name-care
https://psnet.ahrq.gov/issue/concurrent-and-overlapping-surgeries-additional-measures-warranted
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psnet.ahrq.gov/issue/dual-surgeon-operating-improve-patient-safety
July 22, 2020 - Many non-urgent, non-cancer surgeries were postponed or canceled during COVID-19 surges resulting in … the benefits of, and barriers to, dual surgeon operating as a way to increase currency as elective surgeries
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/key-strategies.html
April 01, 2025 - toolkit was specifically developed for: cardiac, hip and knee joint replacement, and spinal fusion surgeries … prophylaxis are actually very similar for cardiac, hip and knee joint replacement, and spinal fusion surgeries
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psnet.ahrq.gov/issue/association-overlapping-surgery-increased-risk-complications-following-hip-surgery
November 21, 2021 - large population-based retrospective study examined outcomes for nonoverlapping versus overlapping hip surgeries … An accompanying editorial acknowledges the mixed results of safety studies for overlapping surgeries
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hcup-us.ahrq.gov/db/state/sasddist/sasddist_filecompmi.jsp
April 01, 2025 - in October 2015, the Michigan Health & Hospital Association (MHA) collects information on ambulatory surgeries … Prior to October 2015, MHA collects information on ambulatory surgeries defined by a principal or secondary … Facilities Included in the Files Provided to HCUP by the Partner
MHA collects data on ambulatory surgeries … MHA does not collect data on ambulatory surgeries performed in nonhospital-owned facilities.
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www.ahrq.gov/talkingquality/resources/comparative-reports/hospitals.html
December 01, 2022 - quality, and resource use information related to inpatient care management, maternity care, high-risk surgeries … coronary artery bypass surgery outcome data, elective percutaneous coronary intervention, volume of cancer surgeries … quality measures, including patient experience, emergency department timeliness, number of procedures and surgeries
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psnet.ahrq.gov/issue/wrong-site-orthopedic-operations-extremities-pennsylvania-experience
July 18, 2018 - Wrong-site surgeries are considered never events by the National Quality Forum and sentinel events … July 6, 2011
Wrong body part, wrong patient surgeries continue despite new procedures
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psnet.ahrq.gov/node/47605/psn-pdf
January 17, 2019 - Commission and National Quality Forum both consider wrong-site, wrong-procedure, and wrong-
patient surgeries … This study measured the incidence of incorrect surgeries in Veterans Health
Administration medical centers
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psnet.ahrq.gov/node/39730/psn-pdf
December 21, 2014 - issue/surgical-case-listing-accuracy-failure-analysis-high-volume-academic-medical-
center
Wrong-site surgeries … While no wrong-site surgeries occurred,
there were nearly 800 cases where this potential was noted and
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psnet.ahrq.gov/node/46805/psn-pdf
September 25, 2018 - This study
examined trends in hospital admission within 7 days of all outpatient surgeries performed … national-surgical-quality-improvement-program
https://psnet.ahrq.gov/issue/awareness-patient-safety-grows-increased-outpatient-surgeries
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psnet.ahrq.gov/node/40024/psn-pdf
December 21, 2014 - prior studies in adults have defined risk factors for retained
instruments, which include emergency surgeries … Gynecologic surgeries emerged as the only type of surgery significantly
associated with an increased
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/hemorrhage-postpartum_clinician.pdf
July 01, 2016 - The success of uterine-sparing
procedures and surgeries—such as uterine balloon tamponade,
embolization … and pelvic vessel ligation—
in controlling bleeding without the need for additional
procedures or surgeries … The strength of evidence for most of these procedures and
surgeries was rated insufficient, as the data … permit conclusions about harms
associated with other procedures, such as uterine tamponade.
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Surgeries … Evidence for the success of uterine balloon tamponade in
controlling bleeding is insufficient.
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Surgeries
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psnet.ahrq.gov/issue/doctor-uses-pre-flight-checklist
May 22, 2019 - May 3, 2006
Quality of Care in Cranial Implant Surgeries at James A. … , 2018
Ethical considerations and patient safety concerns for cancelling non-urgent surgeries
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/076-antimicrobial-prophylaxis-duration-one-pager.docx
April 01, 2025 - Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries … reduces surgical site infections (SSIs),1-4 though this topic has been studied in widely in the following surgeries
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psnet.ahrq.gov/issue/deficiencies-facility-leaders-response-critical-surgical-events-michael-e-debakey-va-medical
November 29, 2023 - This report details five wrong-site surgeries and three instances of retained surgical items at one VA … Additionally, the medical center failed to fully report the provider responsible for three of the wrong-site surgeries
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psnet.ahrq.gov/issue/postoperative-sepsis-united-states
January 12, 2022 - This analysis of more than 6 million inpatient surgeries identified risk factors for the development … July 28, 2010
Quality of Care in Cranial Implant Surgeries at James A.