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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/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/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/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/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/node/33603/psn-pdf
September 15, 2024 - Surgical Site Infections
September 15, 2024
Surgical Site Infections. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/surgical-site-infections
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4e_pdi06-heartsurgery-bestpractices.pdf
May 16, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4e
Selected Best Practices and Suggestions for Improvement
PDI 06: RACHS-1 Pediatric Heart Surgery Mortality
Why focus on pediatric heart surger…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4s_combo_pdi06-heartsurgery-bestpractices.pdf
May 16, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4s
Selected Best Practices and Suggestions for Improvement
PDI 06: RACHS-1 Pediatric Heart Surgery Mortality
Why focus on pediatric heart surgery morta…
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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/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/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/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/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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psnet.ahrq.gov/node/49393/psn-pdf
April 01, 2003 - Which End Is Which?
April 1, 2003
Campbell AR. Which End Is Which? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/which-end-which
The Case
A 39-year-old woman with chronic peri-anal fistulas and infected anal sinuses underwent laparoscopic
diverting colostomy to divert her fecal stream and allow the perine…
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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/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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hcup-us.ahrq.gov/db/state/sasddist/sasddist_filecompga.jsp
December 01, 2016 - SASD File Composition - Georgia
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