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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/or_briefing_audit.docx
December 01, 2017 - Tool: OR Briefing and Debriefing Audit Tool
AHRQ Safety Program for Surgery
Operating Room Briefing and Debriefing Audit Tool
Introduction
Problem Statement
One of the strongest determinants of safety culture is whether local and hospital leadership respond to staff patient safety concerns. Frontline providers unde…
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psnet.ahrq.gov/issue/prevention-3-never-events-operating-room-fires-gossypiboma-and-wrong-site-surgery
February 10, 2012 - Review
Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery.
Citation Text:
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-…
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psnet.ahrq.gov/issue/documentation-drug-allergy-drug-chart-patients-presenting-surgery
August 20, 2018 - Study
Documentation of drug allergy on drug chart in patients presenting for surgery.
Citation Text:
Farooq M, Kirke C, Foley K. Documentation of drug allergy on drug chart in patients presenting for surgery. Ir J Med Sci. 2008;177(3):243-5. doi:10.1007/s11845-008-0166-7.
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psnet.ahrq.gov/issue/preventable-mortality-after-common-urological-surgery-failing-rescue
July 17, 2013 - Study
Preventable mortality after common urological surgery: failing to rescue?
Citation Text:
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.
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psnet.ahrq.gov/issue/patient-safety-curriculum-surgical-residency-programs-results-national-consensus-conference
September 16, 2009 - Commentary
Patient safety curriculum for surgical residency programs: results of a national consensus conference.
Citation Text:
Sachdeva AK, Philibert I, Leach DC, et al. Patient safety curriculum for surgical residency programs: results of a national consensus conference. Surgery. 20…
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psnet.ahrq.gov/issue/human-factors-surgery-three-mile-island-operating-room
July 12, 2019 - Review
Human factors in surgery: from Three Mile Island to the operating room.
Citation Text:
D'Addessi A, Bongiovanni L, Volpe A, et al. Human factors in surgery: from Three Mile Island to the operating room. Urol Int. 2009;83(3):249-57. doi:10.1159/000241662.
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psnet.ahrq.gov/issue/observational-teamwork-assessment-surgery-feasibility-clinical-and-nonclinical-assessor
January 19, 2016 - Study
Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor calibration with short-term training.
Citation Text:
Russ S, Hull L, Rout S, et al. Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor cali…
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psnet.ahrq.gov/issue/patient-safety-office-based-setting
August 20, 2018 - Commentary
Patient safety in the office-based setting.
Citation Text:
Horton B, Reece EM, Broughton G, et al. Patient safety in the office-based setting. Plast Reconstr Surg. 2006;117(4):61e-80e.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…
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psnet.ahrq.gov/issue/error-training-missing-link-surgical-education
December 21, 2014 - Review
Error training: missing link in surgical education.
Citation Text:
DaRosa DA, Pugh CM. Error training: missing link in surgical education. Surgery. 2012;151(2):139-45. doi:10.1016/j.surg.2011.08.008.
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DOI Google Scholar PubMed BibTeX EndNote X3…
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psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklists-improving-patient-safety
May 29, 2019 - Commentary
Effectiveness of surgical safety checklists in improving patient safety.
Citation Text:
Ragusa PS, Bitterman A, Auerbach B, et al. Effectiveness of Surgical Safety Checklists in Improving Patient Safety. Orthopedics. 2016;39(2):e307-10. doi:10.3928/01477447-20160301-02.
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psnet.ahrq.gov/node/49473/psn-pdf
March 01, 2005 - On O.R. Off?
March 1, 2005
Leonard M. On O.R. Off? PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/or
The Case
An elderly man was admitted to the vascular surgery service with rest pain in his leg. Angiography
demonstrated peripheral artery disease with anatomy suitable for revascularization. A consulting
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psnet.ahrq.gov/node/60004/psn-pdf
January 01, 2021 - Association of overlapping cardiac surgery with short-
term patient outcomes.
March 3, 2020
Glauser G, Goodrich S, McClintock SD, et al. Association of overlapping cardiac surgery with short-term
patient outcomes. J Thorac Cardiovasc Surg. 2021;162(1):155-164.e2. doi:10.1016/j.jtcvs.2019.11.136.
https://psnet.ahrq…
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psnet.ahrq.gov/node/39042/psn-pdf
July 13, 2010 - Global oximetry: an international anaesthesia quality
improvement project.
July 13, 2010
Walker IA, Merry AF, Wilson IH, et al. Global oximetry: an international anaesthesia quality improvement
project. Anaesthesia. 2009;64(10):1051-60. doi:10.1111/j.1365-2044.2009.06067.x.
https://psnet.ahrq.gov/issue/global-oxim…
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psnet.ahrq.gov/node/45614/psn-pdf
November 29, 2016 - More than half a million heart surgery patients at risk of a
dangerous infection.
November 29, 2016
Sun LH.
https://psnet.ahrq.gov/issue/more-half-million-heart-surgery-patients-risk-dangerous-infection
Medical devices can contribute to the spread of health care–associated infections. This news article
discusses …
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psnet.ahrq.gov/node/44273/psn-pdf
July 01, 2015 - Current issues in patient safety in surgery: a review.
July 1, 2015
Kim FJ, da Silva RD, Gustafson D, et al. Current issues in patient safety in surgery: a review. Patient Saf
Surg. 2015;9:26. doi:10.1186/s13037-015-0067-4.
https://psnet.ahrq.gov/issue/current-issues-patient-safety-surgery-review
Universal strateg…
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psnet.ahrq.gov/node/41017/psn-pdf
February 01, 2013 - Safe surgery: how accurate are we at predicting intra-
operative blood loss?
February 1, 2013
Solon JG, Egan C, McNamara DA. Safe surgery: how accurate are we at predicting intra-operative blood
loss? J Eval Clin Pract. 2013;19(1):100-5. doi:10.1111/j.1365-2753.2011.01779.x.
https://psnet.ahrq.gov/issue/safe-surge…
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hcup-us.ahrq.gov/tech_assist/index_mno.jsp
August 01, 2020 - HCUP-US Index Page
An official website of the Department of Health & Human Services
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hcup-us.ahrq.gov/db/state/sasddist/sasddist_filecompme.jsp
August 01, 2006 - SASD File Composition - Maine
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updates
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psnet.ahrq.gov/issue/parkland-knee-surgery-done-doctor-training-leads-amputation-questions
August 11, 2010 - Newspaper/Magazine Article
Parkland knee surgery done by doctor in training leads to amputation, questions.
Citation Text:
Parkland knee surgery done by doctor in training leads to amputation, questions. Egerton B. Dallas Morning News. November 14, 2010;A01.
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psnet.ahrq.gov/issue/surgical-patient-safety-essential-information-surgeons-todays-environment
October 15, 2018 - Book/Report
Surgical Patient Safety Essential Information for Surgeons in Today's Environment.
Citation Text:
Surgical Patient Safety Essential Information for Surgeons in Today's Environment. Manuel BM, Nora PF, eds. Chicago, IL: American College of Surgeons; 2004. ISBN 978188069616…