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psnet.ahrq.gov/node/37074/psn-pdf
October 03, 2011 - Perioperative patient safety: correct patient, correct
surgery, correct side--a multifaceted, cross-
organizational, interventional study.
October 3, 2011
Zohar E, Noga Y, Davidson E, et al. Perioperative patient safety: correct patient, correct surgery, correct
side--a multifaceted, cross-organizational, interven…
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psnet.ahrq.gov/node/33953/psn-pdf
February 05, 2018 - Evidence-based Recommendations for Best Practices in
Weight Loss Surgery.
February 5, 2018
Expert Panel on Weight Loss Surgery, Betsy Lehman Center for Patient Safety and Medical Error
Reduction. Obesity Res. 2005;13(2):203-379.
https://psnet.ahrq.gov/issue/expert-panel-weight-loss-surgery-betsy-lehman-center-pat…
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psnet.ahrq.gov/node/40490/psn-pdf
June 01, 2011 - Standardized multidisciplinary protocol improves
handover of cardiac surgery patients to the intensive care
unit.
June 1, 2011
Joy BF, Elliott E, Hardy C, et al. Standardized multidisciplinary protocol improves handover of cardiac
surgery patients to the intensive care unit*. Pediatric Critical Care Medicine. 2010…
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psnet.ahrq.gov/node/42774/psn-pdf
May 28, 2015 - Patient safety in plastic surgery: identifying areas for
quality improvement efforts.
May 28, 2015
Hernandez-Boussard T, McDonald KM, Rhoads KF, et al. Patient safety in plastic surgery: identifying areas
for quality improvement efforts. Ann Plast Surg. 2015;74(5):597-602.
doi:10.1097/SAP.0b013e318297791e.
https:…
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psnet.ahrq.gov/node/39983/psn-pdf
December 06, 2010 - Patient safety during anaesthesia: incorporation of the
WHO safe surgery guidelines into clinical practice.
December 6, 2010
Schlack WS, Boermeester MA. Patient safety during anaesthesia: incorporation of the WHO safe surgery
guidelines into clinical practice. Curr Opin Anaesthesiol. 2010;23(6):754-8.
doi:10.1097/…
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psnet.ahrq.gov/web-mm/which-end-which
February 09, 2011 - Which End Is Which?
Citation Text:
Campbell AR. Which End Is Which?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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psnet.ahrq.gov/node/49468/psn-pdf
December 16, 2004 - Mark My Limb
December 1, 2004
Jacott WE, O'Leary D. Mark My Limb. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/mark-my-limb
The Case
A patient went to the operating room (OR) for surgery on the lower leg. Per the Universal Protocol, the
surgeon marked the proper leg prior to bringing the patient to the O…
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hcup-us.ahrq.gov/db/state/sasddist/sasddist_filecompne.jsp
August 01, 2006 - SASD File Composition - Nebraska
An official website of the Department of Health & Human Services
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Careers
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-slides.html
December 01, 2017 - Building Your SSI Prevention Bundle: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Onboarding
Building Your SSI Prevention Bundle
Slide 2: Learning Objectives
After this session, you will be able to–
Develop and implement a surgical site infection (S…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/daily-huddles.pptx
May 01, 2017 - Module 2: PowerPoint Presentation
Management Practices for Sustainability
Module 2: Daily Huddles
AHRQ Safety Program for Ambulatory Surgery
AHRQ Pub. No. 16(17)-0019-4-EF
May 2017
Module 2: Daily Huddles | ‹#›
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
1
A Frontline Ma…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-proc-related-catheter-use-slides.html
December 01, 2017 - Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use
Slide presentation
Slide 1
Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use
David A. Pegues, MD
Professor of Medicine, Division of Infectious Diseases
Medical Director, Healthcare Epidemiol…
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psnet.ahrq.gov/issue/applying-trigger-tools-detect-adverse-events-associated-outpatient-surgery
November 10, 2015 - Study
Applying trigger tools to detect adverse events associated with outpatient surgery.
Citation Text:
Rosen AK, Mull HJ, Kaafarani HMA, et al. Applying trigger tools to detect adverse events associated with outpatient surgery. J Patient Saf. 2011;7(1):45-59. doi:10.1097/PTS.0b013e3182…
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psnet.ahrq.gov/issue/why-isnt-time-out-being-implemented-exploratory-study
May 04, 2010 - Study
Why isn't 'time out' being implemented? An exploratory study.
Citation Text:
Gillespie BM, Chaboyer W, Wallis M, et al. Why isn't 'time out' being implemented? An exploratory study. Qual Saf Health Care. 2010;19(2):103-6. doi:10.1136/qshc.2008.030593.
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psnet.ahrq.gov/issue/experience-wrong-site-surgery-and-surgical-marking-practices-among-clinicians-uk
October 20, 2010 - Study
Experience of wrong site surgery and surgical marking practices among clinicians in the UK.
Citation Text:
Giles SJ, Rhodes P, Clements G, et al. Experience of wrong site surgery and surgical marking practices among clinicians in the UK. Qual Saf Health Care. 2006;15(5):363-8.
…
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psnet.ahrq.gov/node/40296/psn-pdf
October 01, 2014 - Applying trigger tools to detect adverse events
associated with outpatient surgery.
October 1, 2014
Rosen AK, Mull HJ, Kaafarani HMA, et al. Applying trigger tools to detect adverse events associated with
outpatient surgery. J Patient Saf. 2011;7(1):45-59. doi:10.1097/PTS.0b013e31820d164b.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/37902/psn-pdf
July 09, 2008 - Relationship between preventability of death after
coronary artery bypass graft surgery and all-cause risk-
adjusted mortality rates.
July 9, 2008
Guru V, Tu J, Etchells E, et al. Relationship between preventability of death after coronary artery bypass
graft surgery and all-cause risk-adjusted mortality rates. Ci…
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psnet.ahrq.gov/node/37328/psn-pdf
January 05, 2012 - Training operating room teams in damage control surgery
for trauma: a followup study of the Norwegian model.
January 5, 2012
Hansen KS, Uggen PE, Brattebø G, et al. Training operating room teams in damage control surgery for
trauma: a followup study of the Norwegian model. J Am Coll Surg. 2007;205(5):712-6.
https:…
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psnet.ahrq.gov/node/50709/psn-pdf
December 04, 2019 - Cognitive engineering to improve patient safety and
outcomes in cardiothoracic surgery
December 4, 2019
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.semtcvs.2019.10.011.
https://psnet.ah…
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psnet.ahrq.gov/node/44752/psn-pdf
April 20, 2016 - Nontechnical skills in pediatric surgery: factors
influencing operative performance.
April 20, 2016
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.
https://psnet.ahrq.gov/issue/nontechnical-skil…
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psnet.ahrq.gov/node/38736/psn-pdf
June 24, 2009 - Improving patient safety by understanding past
experiences in day surgery and PACU.
June 24, 2009
Ross J, Ranum D. Improving patient safety by understanding past experiences in day surgery and PACU. J
Perianesth Nurs. 2009;24(3):144-51. doi:10.1016/j.jopan.2009.03.001.
https://psnet.ahrq.gov/issue/improving-patien…