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psnet.ahrq.gov/issue/preventable-errors-operating-room-retained-foreign-bodies-after-surgery-part-i
April 28, 2021 - Review
Preventable errors in the operating room: retained foreign bodies after surgery--part I.
Citation Text:
Gibbs VC, Coakley FD, Reines D. Preventable errors in the operating room: retained foreign bodies after surgery--Part I. Curr Probl Surg. 2007;44(5):281-337.
Copy Citation
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psnet.ahrq.gov/node/41110/psn-pdf
January 18, 2013 - Applying aviation factors to oral and maxillofacial
surgery—the human element.
January 18, 2013
Seager L, Smith DW, Patel A, et al. Applying aviation factors to oral and maxillofacial surgery--the human
element. Br J Oral Maxillofac Surg. 2013;51(1):8-13. doi:10.1016/j.bjoms.2011.11.024.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/43552/psn-pdf
December 16, 2014 - Robotic-assisted surgery: focus on training and
credentialing.
December 16, 2014
Dubeck D. PA-PSRS Patient Saf Advis. September 2014;11:93-101.
https://psnet.ahrq.gov/issue/robotic-assisted-surgery-focus-training-and-credentialing
Research has documented a substantial learning curve for surgeons as they develop sk…
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psnet.ahrq.gov/node/43462/psn-pdf
September 12, 2016 - Preventable mortality after common urological surgery:
failing to rescue?
September 12, 2016
Sammon JD, Pucheril D, Abdollah F, et al. Preventable mortality after common urological surgery: failing to
rescue? BJU Int. 2015;115(4):666-674. doi:10.1111/bju.12833.
https://psnet.ahrq.gov/issue/preventable-mortality-af…
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psnet.ahrq.gov/node/841482/psn-pdf
December 14, 2022 - Errors in surgery: a case control study.
December 14, 2022
Marsh KM, Turrentine FE, Schenk WG, et al. Errors in surgery: a case control study. Ann Surg.
2022;276(5):e347-e352. doi:10.1097/sla.0000000000005664.
https://psnet.ahrq.gov/issue/errors-surgery-case-control-study
The perioperative period represents a vuln…
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psnet.ahrq.gov/node/50734/psn-pdf
December 11, 2019 - The evolution of patient safety procedures in an oral
surgery department
December 11, 2019
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.
https://psnet.ahrq.gov/issue/evolution-patient-safety-proce…
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psnet.ahrq.gov/node/36881/psn-pdf
April 12, 2011 - Duke Surgery Patient Safety: an open-source application
for anonymous reporting of adverse and near-miss
surgical events.
April 12, 2011
Pietrobon R, Lima R, Shah A, et al. Duke Surgery Patient Safety: an open-source application for
anonymous reporting of adverse and near-miss surgical events. Ann Surg Innov Res. …
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psnet.ahrq.gov/node/46726/psn-pdf
January 31, 2018 - Toolkit to Promote Safe Surgery.
January 31, 2018
Rockville, MD: Agency for Healthcare Research and Quality; November 2017.
https://psnet.ahrq.gov/issue/toolkit-promote-safe-surgery
Preventing surgical complications including surgical site infections are a worldwide target for improvement.
This toolkit builds on t…
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psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
March 09, 2022 - May 1, 2011
Inappropriate surgeries resulting from misdiagnosis of early amyotrophic
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt.pptx
May 01, 2017 - Module 5: PowerPoint Presentation
Management Practices for Sustainability
Module 5: Visual Management
AHRQ Safety Program for Ambulatory Surgery
AHRQ Pub. No. 16(17)-0019-4-EF
May 2017
| ‹#›
AHRQ Safety Program for Ambulatory Surgery
1
A Frontline Management System To Promote Safety Standard Work
* Qu…
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effectivehealthcare.ahrq.gov/sites/default/files/10_obesity_potential_high_impact_june_2012.pdf
January 01, 2012 - to increase scientific understanding of the GI system and the mechanism of action of bariatric
surgeries
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digital.ahrq.gov/principal-investigator/tulu-bengisu
January 01, 2023 - Tulu, Bengisu
TJR Guru--a Mobile App for Shared Informed Decisionmaking in Total Joint Replacement Surgery - Final Report
Citation
Tulu, B. TJR Guru--a Mobile App for Shared Informed Decisionmaking in Total Joint Replacement Surgery - Final Report. (Prepared by Worcester Polyt…
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psnet.ahrq.gov/node/38948/psn-pdf
September 16, 2009 - Resident duty hours in surgery for ensuring patient
safety, providing optimum resident education and
training, and promoting resident well-being: a response
from the American College of Surgeons to the Report of
the Institute of Medicine, "Resident Duty Hours:
Enhancing Sleep, Supervision, and Safety."
September …
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psnet.ahrq.gov/node/38294/psn-pdf
March 01, 2011 - Factors associated with unanticipated day of surgery
deaths in Department of Veterans Affairs hospitals.
March 1, 2011
Bishop MJ, Souders JE, Peterson CM, et al. Factors associated with unanticipated day of surgery deaths in
Department of Veterans Affairs hospitals. Anesth Analg. 2008;107(6):1924-35.
doi:10.1213/a…
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psnet.ahrq.gov/node/42014/psn-pdf
February 06, 2013 - Diagnostic errors in orthopedic surgery: evaluation of
resident documentation of neurovascular examinations
for orthopedic trauma patients.
February 6, 2013
Tan EW, Ting BL, Jia X, et al. Diagnostic errors in orthopedic surgery: evaluation of resident documentation
of neurovascular examinations for orthopedic trau…
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psnet.ahrq.gov/node/46157/psn-pdf
June 07, 2017 - Proactive risk assessment of surgical site infections in
ambulatory surgery centers.
June 7, 2017
Bish EK, Azadeh-Fard N, Steighner LA, et al. Proactive Risk Assessment of Surgical Site Infections in
Ambulatory Surgery Centers. J Patient Saf. 2014;13(2). doi:10.1097/pts.0000000000000119.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/40219/psn-pdf
December 29, 2014 - Cardiac surgery errors: results from the UK National
Reporting and Learning System.
December 29, 2014
Martinez EA, Shore AD, Colantuoni E, et al. Cardiac surgery errors: results from the UK National Reporting
and Learning System. Int J Qual Health Care. 2011;23(2):151-8. doi:10.1093/intqhc/mzq084.
https://psnet.ah…
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psnet.ahrq.gov/node/41388/psn-pdf
May 30, 2012 - Observational teamwork assessment for surgery:
feasibility of clinical and nonclinical assessor calibration
with short-term training.
May 30, 2012
Russ S, Hull L, Rout S, et al. Observational teamwork assessment for surgery: feasibility of clinical and
nonclinical assessor calibration with short-term training. Ann…
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psnet.ahrq.gov/node/37469/psn-pdf
January 16, 2008 - Towards the reduction of medication errors in
orthopedics and spinal surgery: outcomes using a
pharmacist-led approach.
January 16, 2008
Weiner BK, Venarske J, Yu M, et al. Towards the reduction of medication errors in orthopedics and spinal
surgery: outcomes using a pharmacist-led approach. Spine (Phila Pa 1976).…
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psnet.ahrq.gov/node/49610/psn-pdf
October 01, 2010 - "Recurrent" Appendicitis
October 1, 2010
Greenberg CC. "Recurrent" Appendicitis. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/recurrent-appendicitis
The Case
An 85-year-old man presented to the emergency department (ED) with right lower quadrant pain. On
physical examination, the patient showed rebound t…