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psnet.ahrq.gov/issue/standardise-educate-harmonise-commissioning-conditions-safer-surgery
August 02, 2023 - Book/Report
Standardise, Educate, Harmonise: Commissioning the Conditions for Safer Surgery.
Citation Text:
Standardise, Educate, Harmonise: Commissioning the Conditions for Safer Surgery. NHS England Never Events Taskforce. London, UK: NHS England; February 27, 2014.
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psnet.ahrq.gov/issue/complications-surgery-root-cause-analysis-and-preventive-measures
November 24, 2021 - Commentary
Complications in surgery: root cause analysis and preventive measures.
Citation Text:
Chung KC, Kotsis S. Complications in surgery: root cause analysis and preventive measures. Plast Reconstr Surg. 2012;129(6):1421-1427. doi:10.1097/PRS.0b013e31824ecda0.
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psnet.ahrq.gov/issue/just-flash-simple-surgery-can-turn-deadly
August 17, 2016 - Newspaper/Magazine Article
In just a flash, simple surgery can turn deadly.
Citation Text:
In just a flash, simple surgery can turn deadly. Landro L.
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psnet.ahrq.gov/issue/integrating-simulation-surgery-teaching-tool-and-credentialing-standard
July 02, 2008 - Commentary
Integrating simulation in surgery as a teaching tool and credentialing standard.
Citation Text:
Rehrig ST, Powers K, Jones DB. Integrating simulation in surgery as a teaching tool and credentialing standard. J Gastrointest Surg. 2008;12(2):222-33.
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digital.ahrq.gov/medical-condition/epilepsy
January 01, 2023 - Epilepsy
Automated, machine learning-based alerts increase epilepsy surgery referrals: A randomized controlled trial.
Citation
Wissel BD, Greiner HM, Glauser TA, Mangano FT, Holland-Bouley KD, Zhang N, Szczesniak RD, Santel D, Pestian JP, Dexheimer JW. Automated, machine learn…
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www.ahrq.gov/research/findings/final-reports/stpra/stpraexh5.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Exhibit 5. List of members, technical expert panel
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduc…
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psnet.ahrq.gov/issue/classification-opioid-dependence-abuse-or-overdose-opioid-naive-patients-never-event
September 21, 2022 - Commentary
Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event".
Citation Text:
Barth RJ, Waljee JF. Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event". JAMA Surg. 2020;155(7):543-544. doi:10.…
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psnet.ahrq.gov/issue/error-rating-tool-identify-and-analyse-technical-errors-and-events-laparoscopic-surgery
October 09, 2013 - Study
Error rating tool to identify and analyse technical errors and events in laparoscopic surgery.
Citation Text:
Bonrath EM, Zevin B, Dedy NJ, et al. Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. Br J Surg. 2013;100(8):1080-8. doi:10.1…
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psnet.ahrq.gov/issue/global-patient-outcomes-after-elective-surgery-prospective-cohort-study-27-low-middle-and
January 23, 2019 - Study
Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.
Citation Text:
group ISOS. Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries. Br J Anaesth. 2…
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psnet.ahrq.gov/issue/hospitals-cultures-entrapment-re-analysis-bristol-royal-infirmary
May 21, 2019 - Commentary
Classic
Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal Infirmary.
Citation Text:
Weick KE, Sutcliffe KM. Hospitals as Cultures of Entrapment: A Re-Analysis of the Bristol Royal Infirmary. Calif Manage Rev. 2012;45(2):73-84. do…
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psnet.ahrq.gov/issue/effectiveness-interventions-improve-patient-handover-surgery-systematic-review
June 25, 2018 - Review
Effectiveness of interventions to improve patient handover in surgery: a systematic review.
Citation Text:
Pucher PH, Johnston MJ, Aggarwal R, et al. Effectiveness of interventions to improve patient handover in surgery: A systematic review. Surgery. 2015;158(1):85-95. doi:10.1016…
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psnet.ahrq.gov/issue/improving-safety-and-quality-care-enhanced-teamwork-through-operating-room-briefings
May 11, 2019 - Commentary
Improving safety and quality of care with enhanced teamwork through operating room briefings.
Citation Text:
Hicks CW, Rosen MA, Hobson DB, et al. Improving safety and quality of care with enhanced teamwork through operating room briefings. JAMA Surg. 2014;149(8):863-8. doi:10…
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psnet.ahrq.gov/issue/role-checklists-and-human-factors-improved-patient-safety-plastic-surgery
November 02, 2016 - Commentary
The role of checklists and human factors for improved patient safety in plastic surgery.
Citation Text:
Oppikofer C, Schwappach DLB. The Role of Checklists and Human Factors for Improved Patient Safety in Plastic Surgery. Plast Reconstr Surg. 2017;140(6):812e-817e. doi:10.1097…
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/glucose-control-factsheet.html
December 01, 2017 - Glucose Control Factsheet
AHRQ Safety Program for Surgery
Facts About Glucose Control and the Prevention of Surgical Site Infections
Definition of Tight Glucose Control
Tight glucose control refers to getting as close to a normal (nondiabetic) blood glucose level as you safely can. Ideally, th…
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hcup-us.ahrq.gov/db/state/sasddist/sasddist_filecompfl.jsp
August 01, 2006 - SASD File Composition - Florida
An official website of the Department of Health & Human Services
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hcup-us.ahrq.gov/db/state/sasddist/sasddist_filecompsc.jsp
March 01, 2007 - SASD File Composition - South Carolina
An official website of the Department of Health & Human Services
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Careers
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Espanol
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hcup-us.ahrq.gov/db/state/sasddist/sasddist_filecompwi.jsp
August 01, 2006 - SASD File Composition - Wisconsin
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/node/42006/psn-pdf
January 30, 2013 - Strong for Surgery.
January 30, 2013
American College of Surgeons.
https://psnet.ahrq.gov/issue/strong-surgery
This Web site offers resources for both practitioners and patients to optimize safety through pre-procedure
planning.
https://psnet.ahrq.gov/issue/strong-surgery
https://psnet.ahrq.gov/issue/quick-tips-w…
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psnet.ahrq.gov/node/46033/psn-pdf
July 05, 2017 - Effect of day of the week on short- and long-term
mortality after emergency general surgery.
July 5, 2017
Gillies MA, Lone NI, Pearse RM, et al. Effect of day of the week on short- and long-term mortality after
emergency general surgery. Br J Surg. 2017;104(7):936-945. doi:10.1002/bjs.10507.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/44049/psn-pdf
September 12, 2016 - A systematic review to identify the factors that affect
failure to rescue and escalation of care in surgery.
September 12, 2016
Johnston MJ, Arora S, King D, et al. A systematic review to identify the factors that affect failure to rescue
and escalation of care in surgery. Surgery. 2015;157(4):752-63. doi:10.1016/j…