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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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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/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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effectivehealthcare.ahrq.gov/health-topics/weight-loss-surgery
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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/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/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/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/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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/glucose_control_factsheet.docx
December 01, 2017 - Glucose Control Factsheet
Glucose Control Factsheet
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, this means levels between 70 an…
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psnet.ahrq.gov/node/42677/psn-pdf
July 16, 2015 - Using "near misses" analysis to prevent wrong-site
surgery.
July 16, 2015
Yoon RS, Alaia MJ, Hutzler LH, et al. Using "near misses" analysis to prevent wrong-site surgery. J Healthc
Qual. 2015;37(2):126-32. doi:10.1111/jhq.12037.
https://psnet.ahrq.gov/issue/using-near-misses-analysis-prevent-wrong-site-surgery
B…
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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/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/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/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/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/issue/human-factor-cardiac-surgery-errors-and-near-misses-high-technology-medical-domain
June 09, 2010 - Review
Classic
Human factor in cardiac surgery: errors and near misses in a high technology medical domain.
Citation Text:
Carthey J, de Leval MR, Reason JT. The human factor in cardiac surgery: errors and near misses in a high technology medical domain. Ann Tho…
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psnet.ahrq.gov/issue/understanding-patient-and-clinician-reported-nonroutine-events-ambulatory-surgery
December 16, 2020 - Study
Understanding patient and clinician reported nonroutine events in ambulatory surgery.
Citation Text:
Salwei ME, Anders S, Slagle JM, et al. Understanding patient and clinician reported nonroutine events in ambulatory surgery. J Patient Saf. 2023;19(2):e38-e45. doi:10.1097/pts.00000…
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psnet.ahrq.gov/issue/design-and-impact-novel-surgery-specific-second-victim-peer-support-program
March 09, 2022 - Study
Emerging Classic
Design and impact of a novel surgery-specific second victim peer support program.
Citation Text:
El Hechi MW, Bohnen JD, Westfal M, et al. Design and Impact of a Novel Surgery-Specific Second Victim Peer Support Program. J Am Coll Surg. 2…
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psnet.ahrq.gov/issue/association-hydrocodone-schedule-change-opioid-prescriptions-following-surgery
June 07, 2017 - Study
Association of hydrocodone schedule change with opioid prescriptions following surgery.
Citation Text:
Habbouche J, Lee JS, Steiger R, et al. Association of Hydrocodone Schedule Change With Opioid Prescriptions Following Surgery. JAMA Surg. 2018;153(12):1111-1119. doi:10.1001/jamas…