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psnet.ahrq.gov/node/36430/psn-pdf
March 28, 2011 - Experience of wrong site surgery and surgical marking
practices among clinicians in the UK.
March 28, 2011
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.
https://psnet.ahrq.gov/issue/experien…
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psnet.ahrq.gov/node/851660/psn-pdf
July 26, 2023 - From aviation to pediatric surgery.
July 26, 2023
Arredondo Montero J, Bardají Pascual C. From aviation to pediatric surgery. Clin Pediatr (Phila).
2024;63(4):557-559. doi:10.1177/00099228231176631.
https://psnet.ahrq.gov/issue/aviation-pediatric-surgery
Human factors strategies are increasingly applied in health …
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psnet.ahrq.gov/node/42591/psn-pdf
July 16, 2015 - Underreporting of robotic surgery complications.
July 16, 2015
Cooper M, Ibrahim AM, Lyu H, et al. Underreporting of robotic surgery complications. J Healthc Qual.
2015;37(2):133-8. doi:10.1111/jhq.12036.
https://psnet.ahrq.gov/issue/underreporting-robotic-surgery-complications
By cross-referencing court records a…
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psnet.ahrq.gov/node/44264/psn-pdf
May 03, 2016 - Introducing the AHRQ Ambulatory Surgery Center Survey
on Patient Safety Culture.
May 3, 2016
Agency for Healthcare Research and Quality. July 15, 2015.
https://psnet.ahrq.gov/issue/introducing-ahrq-ambulatory-surgery-center-survey-patient-safety-culture
Ambulatory surgery centers have been the focus of patient saf…
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www.ahrq.gov/patient-safety/resources/learning-lab/failure-rescue-long-desc.html
April 01, 2021 - Failure to Rescue Patient Safety Learning Lab (FTR PSLL)
Principal Investigator: George Blike, M.D., Dartmouth-Hitchcock, Lebanon, NH
AHRQ Grant No.: HS024403
Project Period: 09/30/15-03/31/20
Description: The overall goal of this project was to create the ideal hospital rescue system. Minimizing fai…
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psnet.ahrq.gov/issue/expert-panel-weight-loss-surgery-betsy-lehman-center-patient-safety-and-medical-error
April 03, 2019 - Special or Theme Issue
Evidence-based Recommendations for Best Practices in Weight Loss Surgery.
Citation Text:
Evidence-based Recommendations for Best Practices in Weight Loss Surgery. Expert Panel on Weight Loss Surgery, Betsy Lehman Center for Patient Safety and Medical Error Reduct…
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psnet.ahrq.gov/issue/patient-safetyquality-improvement-primer
September 13, 2017 - Special or Theme Issue
Patient Safety/Quality Improvement Primer.
Citation Text:
Patient Safety/Quality Improvement Primer. Otolaryngol Head Neck Surg. 2018-2023.
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psnet.ahrq.gov/issue/preventing-wrong-site-surgery-minnesota-5-year-journey
December 19, 2007 - Newspaper/Magazine Article
Preventing wrong-site surgery in Minnesota: a 5-year journey.
Citation Text:
Preventing wrong-site surgery in Minnesota: a 5-year journey. Rydrych D, Apold J, Harder K. Patient Saf Qual Healthc. November/December 2012;9:24-27,30-32,34.
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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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psnet.ahrq.gov/node/841773/psn-pdf
December 21, 2022 - Inappropriate prescribing of opioids for patients
undergoing surgery.
December 21, 2022
Varady NH, Worsham CM, Chen AF, et al. Inappropriate prescribing of opioids for patients undergoing
surgery. Proc Natl Acad Sci USA. 2022;119(49):e2210226119. doi:10.1073/pnas.2210226119.
https://psnet.ahrq.gov/issue/inappropri…
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psnet.ahrq.gov/node/35584/psn-pdf
April 06, 2011 - What is the patient really taking? Discrepancies between
surgery and anesthesiology preoperative medication
histories.
April 6, 2011
Burda SA, Hobson D, Pronovost PJ. What is the patient really taking? Discrepancies between surgery and
anesthesiology preoperative medication histories. Qual Saf Health Care. 2005;14…
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psnet.ahrq.gov/node/50643/psn-pdf
November 06, 2019 - Same Day Surgery in the US; Findings of Two Inaugural
Leapfrog Surveys 2019.
November 6, 2019
Washington DC: Leapfrog Group; 2019.
https://psnet.ahrq.gov/issue/same-day-surgery-us-findings-two-inaugural-leapfrog-surveys-2019
Ambulatory surgery centers (ASC) are established venues for surgical care despite lack of …
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psnet.ahrq.gov/node/73713/psn-pdf
September 15, 2021 - Agency information collection activities: Ambulatory
Surgery Center Survey on Patient Safety Culture
Database; comment request.
September 15, 2021
Agency for Healthcare Quality and Research. Fed Register. August 31, 2021;86:48703-48705.
https://psnet.ahrq.gov/issue/agency-information-collection-activities-ambulato…
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psnet.ahrq.gov/node/38541/psn-pdf
May 21, 2009 - The relationship between inpatient cardiac surgery
mortality and nurse numbers and educational level:
analysis of administrative data.
May 21, 2009
Van den Heede K, Lesaffre E, Diya L, et al. The relationship between inpatient cardiac surgery mortality
and nurse numbers and educational level: analysis of administr…
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psnet.ahrq.gov/node/40489/psn-pdf
June 01, 2011 - Handover after pediatric heart surgery: a simple tool
improves information exchange.
June 1, 2011
Zavalkoff SR, Razack SI, Lavoie J, et al. Handover after pediatric heart surgery: a simple tool improves
information exchange. Pediatr Crit Care Med. 2011;12(3):309-13. doi:10.1097/PCC.0b013e3181fe27b6.
https://psnet.…
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psnet.ahrq.gov/node/38846/psn-pdf
August 05, 2009 - Seeking a safer surgery: some states crack down on
doctors who perform unregulated outpatient procedures.
August 5, 2009
Landro L.
https://psnet.ahrq.gov/issue/seeking-safer-surgery-some-states-crack-down-doctors-who-perform-
unregulated-outpatient
This article discusses growing legal oversight on outpatient surg…
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psnet.ahrq.gov/node/72520/psn-pdf
January 01, 2021 - Guidelines for opioid prescribing in children and
adolescents after surgery: an expert panel opinion.
December 2, 2020
Kelley-Quon LI, Kirkpatrick MG, Ricca RL, et al. Guidelines for opioid prescribing in children and
adolescents after surgery: an expert panel opinion. JAMA Surg. 2021;156(1):76.
doi:10.1001/jamasu…
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psnet.ahrq.gov/node/41794/psn-pdf
January 31, 2013 - Safety culture and complications after bariatric surgery.
January 31, 2013
Birkmeyer NJO, Finks JF, Greenberg CK, et al. Safety culture and complications after bariatric surgery.
Ann Surg. 2013;257(2):260-5. doi:10.1097/SLA.0b013e31826c0085.
https://psnet.ahrq.gov/issue/safety-culture-and-complications-after-bariat…
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psnet.ahrq.gov/node/847538/psn-pdf
April 12, 2023 - Crisis scenarios for simulation-based nontechnical skills
training for cardiac surgery teams: a national survey
among cardiac anesthesiologists, cardiac surgeons,
clinical perfusionists, and cardiac operating room nurses.
April 12, 2023
Kemper T, van Haperen M, Eberl S, et al. Crisis scenarios for simulation-based…
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psnet.ahrq.gov/node/866908/psn-pdf
October 09, 2024 - Risk factors for wrong-site surgery: a study of 1,166
reports of informed consent and schedule errors.
October 9, 2024
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:10.33940/001c.117084.
https://psnet…