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psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
January 29, 2021 - Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery
Citation Text:
Bohringer C, Chavez G. Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qual…
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psnet.ahrq.gov/issue/artificial-intelligence-and-surgical-decision-making
September 11, 2019 - Review
Classic
Artificial intelligence and surgical decision-making.
Citation Text:
Loftus TJ, Tighe PJ, Filiberto AC, et al. Artificial intelligence and surgical decision-making. JAMA Surg. 2019;155(2):148-158. doi:10.1001/jamasurg.2019.4917.
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psnet.ahrq.gov/issue/advances-perioperative-quality-and-safety
April 11, 2018 - Commentary
Advances in perioperative quality and safety.
Citation Text:
Anderson KT, Appelbaum R, Bartz-Kurycki MA, et al. Advances in perioperative quality and safety. Semin Pediatr Surg. 2018;27(2):92-101. doi:10.1053/j.sempedsurg.2018.02.006.
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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/prospective-study-patient-safety-operating-room
July 25, 2012 - Study
Classic
A prospective study of patient safety in the operating room.
Citation Text:
Christian CK, Gustafson ML, Roth EM, et al. A prospective study of patient safety in the operating room. Surgery. 2006;139(2):159-173.
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psnet.ahrq.gov/issue/introducing-new-technology-operating-room-measuring-impact-job-performance-and-satisfaction
May 18, 2022 - Study
Introducing new technology into the operating room: measuring the impact on job performance and satisfaction.
Citation Text:
Stahl JE, Egan MT, Goldman JM, et al. Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. Surgery…
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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/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/enhancing-communication-surgery-through-team-training-interventions-systematic-literature
August 11, 2021 - Review
Enhancing communication in surgery through team training interventions: a systematic literature review.
Citation Text:
Gillespie BM, Chaboyer W, Murray P. Enhancing communication in surgery through team training interventions: a systematic literature review. AORN J. 2010;92(6):6…
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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/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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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/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/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/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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psnet.ahrq.gov/issue/preventing-adverse-events-cataract-surgery-recommendations-massachusetts-expert-panel
July 16, 2019 - Study
Preventing adverse events in cataract surgery: recommendations from a Massachusetts expert panel.
Citation Text:
Nanji KC, Roberto SA, Morley MG, et al. Preventing Adverse Events in Cataract Surgery: Recommendations From a Massachusetts Expert Panel. Anesth Analg. 2018;126(5):1537-…
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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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hcup-us.ahrq.gov/db/vars/pointoforiginub04/kidnote.jsp
October 04, 2025 - Healthcare Cost and Utilization Project (HCUP) KID Notes
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/node/43055/psn-pdf
May 01, 2017 - AHRQ's Safety Program for Ambulatory Surgery.
May 1, 2017
Health Research & Educational Trust. Rockville, MD: Agency for Healthcare Research and Quality; May
2017. AHRQ Publication No. 16(17)-0019-1-EF.
https://psnet.ahrq.gov/issue/ahrqs-safety-program-ambulatory-surgery
This report provides information about a na…
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psnet.ahrq.gov/node/40660/psn-pdf
October 04, 2011 - Incidence, nature and impact of error in surgery.
October 4, 2011
Bosma E, Veen EJ, Roukema JA. Incidence, nature and impact of error in surgery. Br J Surg.
2011;98(11):1654-1659. doi:10.1002/bjs.7594.
https://psnet.ahrq.gov/issue/incidence-nature-and-impact-error-surgery
This study noted a 6% error rate for patie…