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psnet.ahrq.gov/issue/statement-prevention-retained-foreign-bodies-after-surgery October 15, 2018 - Organizational Policy/Guidelines 
 
 
 
 
 
 
 
 
 
 Statement on the prevention of retained foreign bodies after surgery.   
 
 
 
 
 Citation Text: 
 Statement on the prevention of retained foreign bodies after surgery.   Chicago, IL: American College of Surgeons; October 2016. 
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psnet.ahrq.gov/issue/outcomes-overlapping-surgery-large-academic-medical-center May 03, 2023 - Study 
 
 
 
 
 
 
 
 
 
 Outcomes with overlapping surgery at a large academic medical center. 
 
 
 
 
 Citation Text: 
 Ponce BA, Wills BW, Hudson PW, et al. Outcomes With Overlapping Surgery at a Large Academic Medical Center. Ann Surg. 2019;269(3):465-470. doi:10.1097/SLA.0000000000002701. 
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psnet.ahrq.gov/issue/pre-surgery-briefings-and-safety-climate-operating-theatre September 27, 2016 - Study 
 
 
 
 
 
 
 
 
 
 Pre-surgery briefings and safety climate in the operating theatre.     
 
 
 
 
 Citation Text: 
 Allard J, Bleakley A, Hobbs A, et al. Pre-surgery briefings and safety climate in the operating theatre. BMJ Qual Saf. 2011;20(8):711-7. doi:10.1136/bmjqs.2009.032672. 
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psnet.ahrq.gov/issue/do-no-harm-stories-life-death-and-brain-surgery January 07, 2019 - Book/Report 
 
 
 
 
 
 
 
 
 
 Do No Harm: Stories of Life, Death, and Brain Surgery. 
 
 
 
 
 Citation Text: 
 Do No Harm: Stories of Life, Death, and Brain Surgery. Marsh H. New York, NY: Thomas Dunne Books; 2015. ISBN: 9781250065810. 
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2023-child-hcahps-infographic.pdf January 01, 2023 - 2023 CAHPS Child Hospital Surgery Database Executive Summary
2023 Child Hospital 
Survey Database 
The 2023 Consumer Assessment of Healthcare Providers 
and Systems (CAHPS®) Child Hospital Survey Database 
includes 8,107 survey responses voluntarily submitted by 
35 hospit als . 
High Scoring 
Measures 
Communica…  
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psnet.ahrq.gov/issue/wide-variation-and-overprescription-opioids-after-elective-surgery April 24, 2018 - Study 
 
 
 
 
 
 
 
 
 
            Classic
           
 
 Wide variation and overprescription of opioids after elective surgery. 
 
 
 
 
 Citation Text: 
 Thiels CA, Anderson SS, Ubl DS, et al. Wide Variation and Overprescription of Opioids After Elective Surgery. Ann Surg. 2017;266(4):564-573. doi:10.1097/SLA.00000…  
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www.ahrq.gov/sites/default/files/2024-07/martinez-report.pdf January 01, 2024 - Final Progress Report: Organization of Care and Outcomes in Cardiac Surgery
Program Director/Principal Investigator (Last, First, Middle): Martinez, Elizabeth A. 
Final Progress Report
Title of Project: Organization of Care and Outcomes in Cardiac 
Surgery
Principal Investigator: Elizabeth A. Martinez, MD, MHS
T…  
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psnet.ahrq.gov/issue/when-surgery-goes-wrong-weighing-risks December 18, 2019 - Newspaper/Magazine Article 
 
 
 
 
 
 
 
 
 
 When surgery goes wrong: weighing up the risks.   
 
 
 
 
 Citation Text: 
 When surgery goes wrong: weighing up the risks.   Feinmann J. The Independent. November 14, 2006. 
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psnet.ahrq.gov/issue/patient-safety-dermatologic-surgery-part-1-patient-safety-procedural-dermatology-part-2 October 04, 2023 - Review 
 
 
 
 
 
 
 
 
 
 Patient safety in dermatologic surgery: parts 1 and 2. 
 
 
 
 
 Citation Text: 
 Patient safety in dermatologic surgery: parts 1 and 2. Lolis M, Dunbar SW, Goldberg DJ, et al. J Am Acad Dermatol. 2015;73(1):1-26.
 
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psnet.ahrq.gov/issue/improving-pediatric-surgery-quality-and-outcomes-21st-century June 26, 2013 - Special or Theme Issue 
 
 
 
 
 
 
 
 
 
 Improving Pediatric Surgery Quality and Outcomes in the 21st Century. 
 
 
 
 
 Citation Text: 
 Improving Pediatric Surgery Quality and Outcomes in the 21st Century. Heiss K, ed. Semin Pediatr Surg. 2015;24:265-326.
 
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psnet.ahrq.gov/issue/implementation-safety-checklists-surgery-realist-synthesis-evidence November 20, 2015 - Review 
 
 
 
 
 
 
 
 
 
 Implementation of safety checklists in surgery: a realist synthesis of evidence. 
 
 
 
 
 Citation Text: 
 Gillespie BM, Marshall AP. Implementation of safety checklists in surgery: a realist synthesis of evidence. Implement Sci. 2015;10:137. doi:10.1186/s13012-015-0319-9. 
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psnet.ahrq.gov/issue/current-challenges-and-future-perspectives-patient-safety-surgery December 21, 2014 - Commentary 
 
 
 
 
 
 
 
 
 
 Current challenges and future perspectives for patient safety in surgery.  
 
 
 
 
 Citation Text: 
 Stahel PF, Mauffrey C, Butler N. Current challenges and future perspectives for patient safety in surgery. Patient Saf Surg. 2014;8(1):9. doi:10.1186/1754-9493-8-9. 
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psnet.ahrq.gov/issue/third-wrong-sided-brain-surgery-ri-hospital April 10, 2024 - Newspaper/Magazine Article 
 
 
 
 
 
 
 
 
 
 Third wrong-sided brain surgery at R.I. hospital.  
 
 
 
 
 Citation Text: 
 Third wrong-sided brain surgery at R.I. hospital.  Associated Press; AP. 
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psnet.ahrq.gov/issue/patient-safety-climate-among-orthopaedic-surgery-residents December 21, 2014 - Study 
 
 
 
 
 
 
 
 
 
 Patient safety climate among orthopaedic surgery residents.   
 
 
 
 
 Citation Text: 
 Kadzielski J, McCormick F, Zurakowski D, et al. Patient safety climate among orthopaedic surgery residents. J Bone Joint Surg Am. 2011;93(11):e62. doi:10.2106/JBJS.J.01478. 
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effectivehealthcare.ahrq.gov/health-topics/weight-loss-surgery 
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psnet.ahrq.gov/issue/readiness-us-general-surgery-residents-independent-practice April 24, 2018 - Study 
 
 
 
 
 
 
 
 
 
            Classic
           
 
 Readiness of US general surgery residents for independent practice. 
 
 
 
 
 Citation Text: 
 George BC, Bohnen JD, Williams RG, et al. Readiness of US General Surgery Residents for Independent Practice. Ann Surg. 2017;266(4):582-594. doi:10.1097/SLA.00000000…  
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psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery January 29, 2021 - Airway Obstruction during Anterior Cervical Spine Surgery 
 
 
 
 
 Citation Text: 
 Bohringer C, Vo L. Airway Obstruction during Anterior Cervical Spine Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. 
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psnet.ahrq.gov/issue/ambulatory-surgery-center-survey-patient-safety-culture December 24, 2008 - Measurement Tool/Indicator 
 
 
 
 
 
 
 
 
 
 Ambulatory Surgery Center Survey on Patient Safety Culture. 
 
 
 
 
 Citation Text: 
 Ambulatory Surgery Center Survey on Patient Safety Culture. Rockville, MD: Agency for Healthcare Research and Quality; October 2020. 
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psnet.ahrq.gov/issue/structured-handover-general-surgery-audit-current-practice August 08, 2018 - Study 
 
 
 
 
 
 
 
 
 
 Structured handover in general surgery: an audit of current practice. 
 
 
 
 
 Citation Text: 
 Jones HG, Watt B, Lewis L, et al. Structured Handover in General Surgery: An Audit of Current Practice. J Patient Saf. 2019;15(1):7-10. doi:10.1097/PTS.0000000000000201. 
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psnet.ahrq.gov/issue/evolution-patient-safety-procedures-oral-surgery-department November 16, 2022 - Commentary 
 
 
 
 
 
 
 
 
 
 The evolution of patient safety procedures in an oral surgery department 
 
 
 
 
 Citation Text: 
 Graham C, Reid S, Lord TC, et al. The evolution of patient safety procedures in an oral surgery department. Br Dent J. 2019;226(1):32-38. doi:10.1038/sj.bdj.2019.5. 
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