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psnet.ahrq.gov/issue/transparency-public-reporting-and-culture-change-quality-and-safety-cardiac-surgery
February 17, 2021 - Commentary
Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery.
Citation Text:
Ibrahim M, Szeto WY, Gutsche J, et al. Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. Ann Thorac Surg. 2022;114(3…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-cusp.html
May 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
The Comprehensive Unit-based Safety Program (CUSP)
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Table of Contents
Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Overview
The Comprehensiv…
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psnet.ahrq.gov/issue/prevalence-types-and-sources-bullying-reported-us-general-surgery-residents-2019
May 06, 2020 - Study
Prevalence, types, and sources of bullying reported by US general surgery residents in 2019.
Citation Text:
Zhang LM, Ellis RJ, Ma M, et al. Prevalence, types, and sources of bullying reported by US general surgery residents in 2019. JAMA. 2020;323(20):2093-2095. doi:10.1001/jama.2…
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psnet.ahrq.gov/issue/association-use-mandatory-prescription-drug-monitoring-program-prescribing-practices-patients
March 01, 2023 - Study
Emerging Classic
Association of the use of a mandatory prescription drug monitoring program with prescribing practices for patients undergoing elective surgery.
Citation Text:
Stucke RS, Kelly JL, Mathis KA, et al. Association of the Use of a Mandatory Pre…
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psnet.ahrq.gov/issue/will-covid-19-pandemic-transform-infection-prevention-and-control-surgery-seeking-leverage
February 09, 2022 - Commentary
Will the COVID-19 pandemic transform infection prevention and control in surgery? Seeking leverage points for organizational learning.
Citation Text:
Will the COVID-19 pandemic transform infection prevention and control in surgery? Seeking leverage points for organizational le…
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psnet.ahrq.gov/issue/diffusion-surgical-innovations-patient-safety-and-minimally-invasive-radical-prostatectomy
June 06, 2008 - Study
Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy.
Citation Text:
Parsons K, Messer K, Palazzi K, et al. Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy. JAMA Surg. 2014;149(8):845-51. doi…
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psnet.ahrq.gov/issue/medical-malpractice-lawsuits-involving-surgical-residents
August 20, 2018 - Study
Medical malpractice lawsuits involving surgical residents.
Citation Text:
Thiels CA, Choudhry AJ, Ray-Zack MD, et al. Medical Malpractice Lawsuits Involving Surgical Residents. JAMA Surg. 2017;153(1). doi:10.1001/jamasurg.2017.2979.
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psnet.ahrq.gov/issue/development-and-interrater-agreement-novel-classification-system-combining-medical-and
September 20, 2011 - Study
Development and interrater agreement of a novel classification system combining medical and surgical adverse event reporting.
Citation Text:
Stone A, Jiang ST, Stahl MC, et al. Development and interrater agreement of a novel classification system combining medical and surgical adve…
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psnet.ahrq.gov/issue/impact-improving-teamwork-patient-outcomes-surgery-systematic-review
May 13, 2020 - Review
The impact of improving teamwork on patient outcomes in surgery: a systematic review.
Citation Text:
Sun R, Marshall DC, Sykes MC, et al. The impact of improving teamwork on patient outcomes in surgery: A systematic review. Int J Surg. 2018;53:171-177. doi:10.1016/j.ijsu.2018.03.0…
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psnet.ahrq.gov/issue/incidence-adverse-events-integrated-us-healthcare-system-retrospective-observational-study
April 08, 2011 - Study
Incidence of adverse events in an integrated US healthcare system: a retrospective observational study of 82,784 surgical hospitalizations.
Citation Text:
Zeeshan MF, Dembe AE, Seiber EE, et al. Incidence of adverse events in an integrated US healthcare system: a retrospective obse…
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psnet.ahrq.gov/web-mm/or
August 22, 2013 - On O.R. Off?
Citation Text:
Leonard M. On O.R. Off?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Do…
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psnet.ahrq.gov/node/49620/psn-pdf
February 01, 2011 - Silent Pain in the Neck
February 1, 2011
Bittner EA. Silent Pain in the Neck. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/silent-pain-neck
The Case
A 60-year-old man with no significant past medical history underwent an elective anterior cervical
discectomy for persistent right arm weakness due to cervi…
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psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
February 10, 2010 - Residual Anesthesia: Tepid Burn
Citation Text:
Kurrek MM, Twersky RS. Residual Anesthesia: Tepid Burn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdf
January 01, 2003 - The Use of Surgical Simulators to Reduce Errors
165
The Use of Surgical Simulators
to Reduce Errors
Marvin P. Fried, Richard Satava, Suzanne Weghorst,
Anthony Gallagher, Clarence Sasaki, Douglas Ross,
Mika Sinanan, Hernando Cuellar, Jose I. Uribe,
Michael Zeltsan, Harman Arora
Abstract
The training of…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/introduction-slides-1-5.pdf
June 02, 2025 - Ambulatory Surgery Center SOPS: What You Need to Know Webcast
Ambulatory Surgery Center SOPS:
What You Need to Know
Webcast
Thursday, January 10
11:30 am - 12:30 pm ET
https://www.ahrq.gov/sops
Need Help?
• No sound from computer speakers?
• Trouble with your connection
or slides not moving?
► Log out and l…
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www.ahrq.gov/research/findings/final-reports/stpra/stpraexh3.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Exhibit 3. Inclusion and exclusion criteria for literature review
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Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chap…
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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
Search All AHRQ Websites
Careers
Contact Us
Espanol
…
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psnet.ahrq.gov/node/35122/psn-pdf
December 10, 2008 - Walk inside, have surgery. But is it safe?
December 10, 2008
Brooks A.
https://psnet.ahrq.gov/issue/walk-inside-have-surgery-it-safe
This article provides a brief review of safety concerns associated with free-standing surgical centers.
https://psnet.ahrq.gov/issue/walk-inside-have-surgery-it-safe
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0283_03-10-2008.pdf
January 01, 2008 - Effective Health Care
Topic Number(s): 0049
Document Completion Date: 6-9-09
1
Results of Topic Selection Process & Next Steps
Laparoscopic adjustable gastric banding (LAGB) for metabolic conditions will go forward for refinement
as a comparative effectiveness or effectiveness review. The scop…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-c.docx
June 02, 2025 - Strategy 2: Communicating to Improve Quality (Tool 3)
AHRQ Safety Program for Ambulatory Surgery
Implementation Guide
Appendix C. Addressing Physician Concerns With the Checklist
Common Concern
Response
Explanation
“I'm already safe, and I don't need to use a tool like the checklist.”
“You are safe, but we …