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psnet.ahrq.gov/node/38545/psn-pdf
April 22, 2009 - Burns surgery handover study: trainees' assessment of
current practice in the British Isles.
April 22, 2009
Al-Benna S, Al-Ajam Y, Alzoubaidi D. Burns surgery handover study: trainees' assessment of current
practice in the British Isles. Burns. 2009;35(4):509-12. doi:10.1016/j.burns.2008.11.008.
https://psnet.ahrq…
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psnet.ahrq.gov/node/37095/psn-pdf
September 04, 2010 - Prospective error recording in surgery: an analysis of
1108 elective neurosurgical cases.
September 4, 2010
Stone S, Bernstein M. Prospective error recording in surgery: an analysis of 1108 elective neurosurgical
cases. Neurosurgery. 2007;60(6):1075-80; discussion 1080-2.
https://psnet.ahrq.gov/issue/prospective-e…
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psnet.ahrq.gov/node/40775/psn-pdf
September 14, 2011 - Ambulatory surgery facilities: a comprehensive review of
medication error reports in Pennsylvania.
September 14, 2011
Grissinger M, Dabliz R. Pa Patient Saf Advis 2011 Sep;8(3):85-93.
https://psnet.ahrq.gov/issue/ambulatory-surgery-facilities-comprehensive-review-medication-error-reports-
pennsylvania
Anal…
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psnet.ahrq.gov/node/36041/psn-pdf
June 21, 2006 - Intraoperative adverse events and related postoperative
complications in spine surgery: implications for
enhancing patient safety founded on evidence-based
protocols.
June 21, 2006
Rampersaud YR; Moro ER; Neary MA; White K; Lewis SJ; Massicotte EM; Fehlings MG.
https://psnet.ahrq.gov/issue/intraoperative-adverse-…
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psnet.ahrq.gov/node/42695/psn-pdf
August 02, 2015 - Composite measures for profiling hospitals on bariatric
surgery performance.
August 2, 2015
Dimick JB, Birkmeyer NJ, Finks JF, et al. Composite measures for profiling hospitals on bariatric surgery
performance. JAMA Surg. 2014;149(1):10-6. doi:10.1001/jamasurg.2013.4109.
https://psnet.ahrq.gov/issue/composite-meas…
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psnet.ahrq.gov/node/38713/psn-pdf
June 17, 2009 - Development and pilot evaluation of a preoperative
briefing protocol for cardiovascular surgery.
June 17, 2009
Henrickson SE, Wadhera RK, Elbardissi AW, et al. Development and pilot evaluation of a preoperative
briefing protocol for cardiovascular surgery. J Am Coll Surg. 2009;208(6):1115-23.
doi:10.1016/j.jamcoll…
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psnet.ahrq.gov/node/39988/psn-pdf
November 10, 2010 - Development of trigger tools for surveillance of adverse
events in ambulatory surgery.
November 10, 2010
Kaafarani HMA, Rosen AK, Nebeker JR, et al. Development of trigger tools for surveillance of adverse
events in ambulatory surgery. Qual Saf Health Care. 2010;19(5):425-9. doi:10.1136/qshc.2008.031591.
https://p…
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psnet.ahrq.gov/node/38649/psn-pdf
May 20, 2009 - Managing the adverse event occurring during elective,
ambulatory pediatric surgery.
May 20, 2009
Skarsgard ED. Managing the adverse event occurring during elective, ambulatory pediatric surgery. Semin
Pediatr Surg. 2009;18(2):122-4. doi:10.1053/j.sempedsurg.2009.02.013.
https://psnet.ahrq.gov/issue/managing-advers…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-274-tethered-spinal-cord-executive-summary.pdf
October 01, 2024 - Executive summary_Comparative Effectiveness Review No. 274: Diagnosis and Treatment of Tethered Spinal Cord
Comparative Effectiveness Review
Number 274
Diagnosis and Treatment of
Tethered Spinal Cord
Executive Summary
Main Points
Background and Purpose
Tethered spinal cord is a condition in …
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psnet.ahrq.gov/issue/evaluation-policies-limiting-opioid-exposure-opioid-prescribing-and-patient-pain-opioid-naive
May 18, 2022 - Study
Evaluation of policies limiting opioid exposure on opioid prescribing and patient pain in opioid-naive patients undergoing elective surgery in a large American health system.
Citation Text:
Rennert L, Howard KA, Walker KB, et al. Evaluation of policies limiting opioid exposure on o…
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/premortem-fac-notes.html
December 01, 2017 - Sustainability and the Premortem Tool: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Sustainability and the Premortem Tool
Say:
This module will cover Sustainability and the Premortem Tool.
Projects can fail for many reasons, and the safe surgery project is no exception to this possibilit…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/130-ss-swiss-cheese-fg.docx
April 01, 2025 - of System Failure
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
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psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
July 01, 2004 - Hip Fractures in Older Patients: the Case for Geriatrics Comanagement
Citation Text:
Rogers S, Ward D. Hip Fractures in Older Patients: the Case for Geriatrics Comanagement. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy…
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psnet.ahrq.gov/node/33956/psn-pdf
March 07, 2005 - The Report of the Manitoba Pediatric Cardiac Surgery
Inquest: An Inquiry into Twelve Deaths at the Winnipeg
Health Sciences Center in 1994.
March 7, 2005
Inquest, Manitoba Pediatric Cardiac Surgery. Winnepeg, Manitoba: Provincial Court of Manitoba; 1999.
ISBN 0771115164.
https://psnet.ahrq.gov/issue/report-manito…
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psnet.ahrq.gov/node/40142/psn-pdf
April 04, 2011 - Prevention of 3 "never events" in the operating room:
fires, gossypiboma, and wrong-site surgery.
April 4, 2011
Zahiri HR, Stromberg J, Skupsky H, et al. Prevention of 3 "never events" in the operating room: fires,
gossypiboma, and wrong-site surgery. Surg Innov. 2011;18(1):55-60. doi:10.1177/1553350610389196.
htt…
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psnet.ahrq.gov/node/41594/psn-pdf
January 18, 2013 - Do micropauses prevent surgeon's fatigue and loss of
accuracy associated with prolonged surgery? An
experimental prospective study.
January 18, 2013
Dorion D, Darveau S. Do micropauses prevent surgeon's fatigue and loss of accuracy associated with
prolonged surgery? An experimental prospective study. Ann Surg. 201…
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psnet.ahrq.gov/node/39177/psn-pdf
May 04, 2010 - The impact of organisational and individual factors on
team communication in surgery: a qualitative study.
May 4, 2010
Gillespie BM, Chaboyer W, Longbottom P, et al. The impact of organisational and individual factors on
team communication in surgery: a qualitative study. Int J Nurs Stud. 2010;47(6):732-41.
doi:10…
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psnet.ahrq.gov/node/39024/psn-pdf
October 21, 2009 - Quality and safety initiatives in the future practice of
surgery: meeting patient demands for enhanced
professionalism.
October 21, 2009
Russell TR. Quality and safety initiatives in the future practice of surgery: meeting patient demands for
enhanced professionalism. Surg Today. 2009;39(9):739-45. doi:10.1007/s00…
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psnet.ahrq.gov/node/35668/psn-pdf
July 10, 2008 - Duration of anesthesia as an indicator of morbidity and
mortality in office-based facial plastic surgery: a review of
1200 consecutive cases.
July 10, 2008
Gordon NA, Koch ME. Duration of anesthesia as an indicator of morbidity and mortality in office-based
facial plastic surgery: a review of 1200 consecutive case…
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psnet.ahrq.gov/node/50577/psn-pdf
October 23, 2019 - Medicare's Oversight of Ambulatory Surgery Centers
Report.
October 23, 2019
Washington, DC: Office of the Inspector General; September 2019. Report No. OEI-01-15-00400.
https://psnet.ahrq.gov/issue/medicares-oversight-ambulatory-surgery-centers-report
Ambulatory surgery centers (ASC) play an increasing role in com…