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psnet.ahrq.gov/node/46643/psn-pdf
January 10, 2018 - The role of checklists and human factors for improved
patient safety in plastic surgery.
January 10, 2018
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/PRS.0000000000003892.
https://psnet…
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psnet.ahrq.gov/node/41515/psn-pdf
July 02, 2014 - Anticipated consequences of the 2011 duty hours
standards: views of internal medicine and surgery
program directors.
July 2, 2014
Shea JA, Willett LL, Borman KR, et al. Anticipated consequences of the 2011 duty hours standards: views
of internal medicine and surgery program directors. Acad Med. 2012;87(7):895-903.…
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psnet.ahrq.gov/node/41887/psn-pdf
January 07, 2015 - Bariatric surgery with operating room teams that stayed
fixed during the day: a multicenter study analyzing the
effects on patient outcomes, teamwork and safety
climate, and procedure duration.
January 7, 2015
Stepaniak PS, Heij C, Buise MP, et al. Bariatric surgery with operating room teams that stayed fixed duri…
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psnet.ahrq.gov/node/72578/psn-pdf
December 16, 2020 - Miscarriage treatment-related morbidities and adverse
events in hospitals, ambulatory surgery centers, and
office-based settings.
December 16, 2020
Roberts SCM, Beam N, Liu G, et al. Miscarriage treatment-related morbidities and adverse events in
hospitals, ambulatory surgery centers, and office-based settings. J …
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psnet.ahrq.gov/node/36851/psn-pdf
September 24, 2016 - Quantifying distraction and interruption in urological
surgery.
September 24, 2016
Healey A, Primus CP, Koutantji M. Quantifying distraction and interruption in urological surgery. Qual Saf
Health Care. 2007;16(2):135-9.
https://psnet.ahrq.gov/issue/quantifying-distraction-and-interruption-urological-surgery
The …
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hcup-us.ahrq.gov/db/state/sasddist/sasddist_filecompnd.jsp
August 01, 2025 - SASD File Composition - North Dakota
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www.ahrq.gov/sites/default/files/2024-03/gawande-report.pdf
January 01, 2024 - rapid-cycle testing of the checklist, the intraoperative observers collected data in
consecutive shunt surgeries … shunt checklist into the operating rooms, specially trained data collectors observed
consecutive shunt surgeries … adoption of the WHO Checklist, there has been pressure to create customized
checklists, particularly for surgeries
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psnet.ahrq.gov/node/37390/psn-pdf
December 05, 2007 - Third wrong-sided brain surgery at R.I. hospital.
December 5, 2007
Associated Press; AP.
https://psnet.ahrq.gov/issue/third-wrong-sided-brain-surgery-ri-hospital
This news article reports repeated incidents of wrong-side surgery at the same facility, and state and
hospital reactions to the errors.
https://psnet.a…
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psnet.ahrq.gov/node/60732/psn-pdf
July 29, 2020 - Restructuring of a general surgery residency program in
an epicenter of the coronavirus disease 2019 pandemic:
lessons from New York City.
July 29, 2020
Juprasert JM, Gray KD, Moore MD, et al. Restructuring of a general surgery residency program in an
epicenter of the coronavirus disease 2019 pandemic: lessons fro…
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psnet.ahrq.gov/node/846448/psn-pdf
March 22, 2023 - Understanding patient and clinician reported nonroutine
events in ambulatory surgery.
March 22, 2023
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.0000000000001089.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/837805/psn-pdf
August 10, 2022 - Adverse events in infants less than 6 months of age after
ambulatory surgery and diagnostic imaging requiring
anesthesia.
August 10, 2022
Uffman JC, Kim SS, Quan LN, et al. Adverse events in infants less than 6 months of age after ambulatory
surgery and diagnostic imaging requiring anesthesia. Pediatr Qual Saf. 20…
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psnet.ahrq.gov/node/47987/psn-pdf
May 08, 2019 - Association between night-time surgery and occurrence
of intraoperative adverse events and postoperative
pulmonary complications.
May 8, 2019
Cortegiani A, Gregoretti C, Neto AS, et al; LAS VEGAS Investigators, PROVE Network, Clinical Trial
Network of the European Society of Anaesthesiology. Br J Anaesth. 2019;122…
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psnet.ahrq.gov/node/48071/psn-pdf
June 12, 2019 - Doctors were alarmed: would I have my children have
surgery here?
June 12, 2019
Gabler E. New York Times. May 31, 2019.
https://psnet.ahrq.gov/issue/doctors-were-alarmed-would-i-have-my-children-have-surgery-here
Pediatric cardiac surgery is highly technical and risky. This newspaper article reports on a poorly
p…
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psnet.ahrq.gov/node/42252/psn-pdf
May 08, 2013 - Patient safety in orthopedic surgery: prioritizing key areas
of iatrogenic harm through an analysis of 48,095 incidents
reported to a national database of errors.
May 8, 2013
Panesar S, Carson-Stevens A, Salvilla SA, et al. Patient safety in orthopedic surgery: prioritizing key areas
of iatrogenic harm through an …
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psnet.ahrq.gov/node/50660/psn-pdf
November 13, 2019 - Impact of weekend effect on postoperative mortality in
patients undergoing emergency General surgery
procedures: meta-analysis of prospectively maintained
national databases across the world.
November 13, 2019
Hajibandeh S, Hajibandeh S, Satyadas T. Impact of weekend effect on postoperative mortality in patients
…
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psnet.ahrq.gov/node/60874/psn-pdf
September 02, 2020 - A national mixed-methods evaluation of preparedness for
general surgery residency and the association with
resident burnout.
September 2, 2020
Engelhardt KE, Bilimoria KY, Johnson JK, et al. A national mixed-methods evaluation of preparedness for
general surgery residency and the association with resident burnout.…
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psnet.ahrq.gov/node/44356/psn-pdf
October 03, 2017 - Breaking the silence of the switch—increasing
transparency about trainee participation in surgery.
October 3, 2017
McAlister C. Breaking the Silence of the Switch--Increasing Transparency about Trainee Participation in
Surgery. N Engl J Med. 2015;372(26):2477-9. doi:10.1056/NEJMp1502901.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/45733/psn-pdf
December 07, 2016 - Global patient outcomes after elective surgery:
prospective cohort study in 27 low-, middle- and high-
income countries.
December 7, 2016
group ISOS. Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle-
and high-income countries. Br J Anaesth. 2016;117(5):601-609. doi:10.109…
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psnet.ahrq.gov/node/43855/psn-pdf
April 15, 2016 - Perioperative safety in plastic surgery: is the World
Health Organization checklist useful in a broad practice?
April 15, 2016
Biskup N, Workman AD, Kutzner E, et al. Perioperative Safety in Plastic Surgery: Is the World Health
Organization Checklist Useful in a Broad Practice? Ann Plast Surg. 2016;76(5):550-5.
do…
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psnet.ahrq.gov/node/42423/psn-pdf
July 17, 2013 - National trends in hospital-acquired preventable adverse
events after major cancer surgery in the USA.
July 17, 2013
Sukumar S, Roghmann F, Trinh VQ, et al. National trends in hospital-acquired preventable adverse events
after major cancer surgery in the USA. BMJ Open. 2013;3(6). doi:10.1136/bmjopen-2013-002843.
h…