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psnet.ahrq.gov/node/36991/psn-pdf
September 14, 2011 - Postoperative video debriefing reduces technical errors in
laparoscopic surgery.
September 14, 2011
Hamad GG, Brown MT, Clavijo-Alvarez JA. Postoperative video debriefing reduces technical errors in
laparoscopic surgery. Am J Surg. 2007;194(1):110-4.
https://psnet.ahrq.gov/issue/postoperative-video-debriefing-redu…
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psnet.ahrq.gov/node/41374/psn-pdf
September 24, 2016 - Interruptions and miscommunications in surgery: an
observational study.
September 24, 2016
Gillespie BM, Chaboyer W, Fairweather N. Interruptions and miscommunications in surgery: an
observational study. AORN J. 2012;95(5):576-90. doi:10.1016/j.aorn.2012.02.012.
https://psnet.ahrq.gov/issue/interruptions-and-misco…
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hcup-us.ahrq.gov/db/nation/nass/nassdbdocumentation.jsp
June 01, 2025 - Nationwide Ambulatory Surgery Sample (NASS) Database Documentation
The largest all-payer ambulatory surgery database in the United States, the Nationwide Ambulatory Surgery Sample (NASS) produces national estimates of major ambulatory surgery encounters in hospital-owned facilities. The NASS contains clinical and r…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4f_pdi08-postophemorrhage-bestpractices.pdf
May 16, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4f
Selected Best Practices and Suggestions for Improvement
PDI 08: Perioperative Hemorrhage or Hematoma
Why focus on perioperative hemorrhage an…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4t_combo_pdi08-postophemorrhage-bestpractices.pdf
May 16, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4t
Selected Best Practices and Suggestions for Improvement
PDI 08: Perioperative Hemorrhage or Hematoma
Why focus on perioperative hemorrhage and hematoma…
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psnet.ahrq.gov/node/43262/psn-pdf
April 06, 2015 - Escalation of care in surgery: a systematic risk
assessment to prevent avoidable harm in hospitalized
patients.
April 6, 2015
Johnston MJ, Arora S, Anderson O, et al. Escalation of care in surgery: a systematic risk assessment to
prevent avoidable harm in hospitalized patients. Ann Surg. 2015;261(5):831-838.
doi:…
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psnet.ahrq.gov/node/36836/psn-pdf
January 29, 2015 - Learning from Bristol: The Report of the Public Inquiry
into Children's Heart Surgery at the Bristol Royal
Infirmary 1984--1995.
January 29, 2015
Bristol Royal Infirmary Inquiry; The Stationery Office. London, England: Crown Copyright; 2002.
https://psnet.ahrq.gov/issue/learning-bristol-report-public-inquiry-child…
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psnet.ahrq.gov/node/46615/psn-pdf
January 23, 2019 - The surgical safety checklist and patient outcomes after
surgery: a prospective observational cohort study,
systematic review and meta-analysis.
January 23, 2019
Abbott TEF, Ahmad T, Phull MK, et al. The surgical safety checklist and patient outcomes after surgery: a
prospective observational cohort study, systema…
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psnet.ahrq.gov/node/866686/psn-pdf
September 11, 2024 - Impact of automated alerts on discharge opioid
overprescribing after general surgery.
September 11, 2024
Rizk E, Kaur N, Duong PY, et al. Impact of automated alerts on discharge opioid overprescribing after
general surgery. Am J Health Syst Pharm. 2024;81(24):1288-1296. doi:10.1093/ajhp/zxae185.
https://psnet.ahrq…
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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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psnet.ahrq.gov/node/39435/psn-pdf
April 07, 2010 - Patient safety in surgery: non-technical aspects of safe
surgical performance.
April 7, 2010
Youngson GG, Flin R. Patient safety in surgery: non-technical aspects of safe surgical performance.
Patient Saf Surg. 2010;4(1):4. doi:10.1186/1754-9493-4-4.
https://psnet.ahrq.gov/issue/patient-safety-surgery-non-technica…
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psnet.ahrq.gov/node/39094/psn-pdf
June 09, 2011 - Human factors in surgery: from Three Mile Island to the
operating room.
June 9, 2011
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.
https://psnet.ahrq.gov/issue/human-factors-surgery-three-mile-…
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psnet.ahrq.gov/node/38192/psn-pdf
November 05, 2008 - Evaluation of critical incidents in general surgery.
November 5, 2008
Zingg U, Zala-Mezoe E, Kuenzle B, et al. Evaluation of critical incidents in general surgery. Br J Surg.
2008;95(11):1420-5. doi:10.1002/bjs.6296.
https://psnet.ahrq.gov/issue/evaluation-critical-incidents-general-surgery
This study developed an…
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psnet.ahrq.gov/web-mm/listen-family
April 15, 2015 - Listen to the Family
Citation Text:
Campbell D. Listen to the Family. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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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/node/41468/psn-pdf
October 19, 2012 - Surgeons don't know what they don't know about the safe
use of energy in surgery.
October 19, 2012
Feldman LS, Fuchshuber PR, Jones DB, et al. Surgeons don't know what they don't know about the safe
use of energy in surgery. Surg Endosc. 2012;26(10):2735-9.
https://psnet.ahrq.gov/issue/surgeons-dont-know-what-they…
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psnet.ahrq.gov/node/39285/psn-pdf
February 10, 2010 - Factors compromising safety in surgery: stressful events
in the operating room.
February 10, 2010
Arora S, Hull L, Sevdalis N, et al. Factors compromising safety in surgery: stressful events in the operating
room. Am J Surg. 2010;199(1):60-5. doi:10.1016/j.amjsurg.2009.07.036.
https://psnet.ahrq.gov/issue/factors-…
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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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hcup-us.ahrq.gov/reports/methods/2005_06.pdf
January 01, 2005 - NUMBER OF SURGERIES BY STATE AND BODY SYSTEM, 2001 SASD
contact.pdf
EXECUTIVE SUMMARY
INTRODUCTION … NUMBER OF SURGERIES BY STATE AND BODY SYSTEM, 2001 SASD
Subhead: Methods Applying AHRQ Quality Indicators