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Showing results for "surgeries".

2001. Healthcare Cost and Utilization Project (HCUP) NIS Notes
      hcup-us.ahrq.gov/db/vars/pointoforiginub04/nisnote.jsp
      October 04, 2025 - Healthcare Cost and Utilization Project (HCUP) NIS Notes An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs…

2002. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41956/psn-pdf
      December 21, 2014 - Integrating human factors research and surgery: a review. December 21, 2014 Shouhed D, Gewertz BL, Wiegmann D, et al. Integrating human factors research and surgery: a review. Arch Surg. 2012;147(12):1141-1146. doi:10.1001/jamasurg.2013.596. https://psnet.ahrq.gov/issue/integrating-human-factors-research-and-surger…

2003. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41931/psn-pdf
      December 19, 2012 - Preventing wrong-site surgery in Minnesota: a 5-year journey. December 19, 2012 Rydrych D, Apold J, Harder K. Patient Saf Qual Healthc. November/December 2012;9:24-27,30-32,34. https://psnet.ahrq.gov/issue/preventing-wrong-site-surgery-minnesota-5-year-journey Discussing a 5-year effort to report, analyze, and red…

2004. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73380/psn-pdf
      June 09, 2021 - Wrong Site Surgery–Wrong Tooth Extraction. June 9, 2021 Farnborough, UK: Healthcare Safety Investigation Branch; April 2021. https://psnet.ahrq.gov/issue/wrong-site-surgery-wrong-tooth-extraction Wrong-site surgery in dentistry is a frequent and persistent never event. This report examines a case of pediatric wron…

2005. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44110/psn-pdf
      May 13, 2015 - Simulation in Anaesthesia and Surgery. May 13, 2015 Hahnenkamp K, Breuer G, eds. Best Pract Res Clin Anaesthesiol. 2015;29(1):1-96. https://psnet.ahrq.gov/issue/simulation-anaesthesia-and-surgery In the last decade, simulation has emerged as an educational strategy for teaching clinical skills. Articles in this sp…

2006. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40582/psn-pdf
      July 06, 2011 - Patient safety climate among orthopaedic surgery residents. July 6, 2011 Kadzielski J, McCormick F, Zurakowski D, et al. Patient safety climate among orthopaedic surgery residents. J Bone Joint Surg Am. 2011;93(11):e62. doi:10.2106/JBJS.J.01478. https://psnet.ahrq.gov/issue/patient-safety-climate-among-orthopaedic…

2007. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43941/psn-pdf
      February 25, 2015 - How to make surgery safer. February 25, 2015 https://psnet.ahrq.gov/issue/how-make-surgery-safer This newspaper article reports on various ways hospitals are working to make surgical care safer and reduce readmissions due to surgical complications, including checklists, teamwork training courses for surgeons, preo…

2008. Pf-Engagement-Facnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
      May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Patient and Family Engagement in the Surgical Environment Module Facilitator Notes SAY: The purpose of the Patient and Family Engagement in the Ambulatory Surgical Environment module is to augment the existing hospital setting Patient and Family Engagement module of th…

2009. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41266/psn-pdf
      January 03, 2017 - Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional medical center. January 3, 2017 Bandari J, Schumacher K, Simon M, et al. Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional medical center. Jt Comm J Qual P…

2010. Surgical Patient Safety Essential Information for Surgeons in Today's Environment. | PSNet
      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…

2011. Parkland knee surgery done by doctor in training leads to amputation, questions. | PSNet
      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. Copy Citation …

2012. Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania. | PSNet
      psnet.ahrq.gov/issue/ambulatory-surgery-facilities-comprehensive-review-medication-error-reports-pennsylvania
      April 17, 2017 - Newspaper/Magazine Article Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania. Citation Text: Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania.   Grissinger M, Dabliz R. Pa Patient S…

2013. Assessing distractors and teamwork during surgery: developing an event-based method for direct observation. | PSNet
      psnet.ahrq.gov/issue/assessing-distractors-and-teamwork-during-surgery-developing-event-based-method-direct
      February 19, 2020 - Study Assessing distractors and teamwork during surgery: developing an event-based method for direct observation. Citation Text: Seelandt JC, Tschan F, Keller S, et al. Assessing distractors and teamwork during surgery: developing an event-based method for direct observation. BMJ Qual Sa…

2014. Implementing a standardized safe surgery program reduces serious reportable events. | PSNet
      psnet.ahrq.gov/issue/implementing-standardized-safe-surgery-program-reduces-serious-reportable-events
      October 30, 2024 - Study Implementing a standardized safe surgery program reduces serious reportable events. Citation Text: Loftus T, Dahl D, OHare B, et al. Implementing a standardized safe surgery program reduces serious reportable events. J Am Coll Surg. 2015;220(1):12-17.e3. doi:10.1016/j.jamcollsurg.2…

2015. Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. | PSNet
      psnet.ahrq.gov/issue/smartphones-let-surgeons-know-whatsapp-analysis-communication-emergency-surgical-teams
      April 06, 2015 - Study Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. Citation Text: Johnston MJ, King D, Arora S, et al. Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. Am J Surg. 2015;209(1):45-51. doi:…

2016. A paradigm shift to balance safety and quality in pediatric pain management. | PSNet
      psnet.ahrq.gov/issue/paradigm-shift-balance-safety-and-quality-pediatric-pain-management
      July 01, 2020 - Study A paradigm shift to balance safety and quality in pediatric pain management. Citation Text: Avansino JR, Peters LM, Stockfish SL, et al. A paradigm shift to balance safety and quality in pediatric pain management. Pediatrics. 2013;131(3):e921-7. doi:10.1542/peds.2012-1378. Copy C…

2017. Effect of day of the week on short- and long-term mortality after emergency general surgery. | PSNet
      psnet.ahrq.gov/issue/effect-day-week-short-and-long-term-mortality-after-emergency-general-surgery
      January 23, 2019 - Study Effect of day of the week on short- and long-term mortality after emergency general surgery. Citation Text: Gillies MA, Lone NI, Pearse RM, et al. Effect of day of the week on short- and long-term mortality after emergency general surgery. Br J Surg. 2017;104(7):936-945. doi:10.100…

2018. Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. | PSNet
      psnet.ahrq.gov/issue/factors-associated-unanticipated-day-surgery-deaths-department-veterans-affairs-hospitals
      July 12, 2010 - Study Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. Citation Text: Bishop MJ, Souders JE, Peterson CM, et al. Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. Anesth Analg…

2019. Race, postoperative complications, and death in apparently healthy children. | PSNet
      psnet.ahrq.gov/issue/race-postoperative-complications-and-death-apparently-healthy-children
      August 10, 2022 - Study Classic Race, postoperative complications, and death in apparently healthy children. Citation Text: Nafiu OO, Mpody C, Kim SS, et al. Race, postoperative complications, and death in apparently healthy children. Pediatrics. 2020;146(2):e20194113. doi:10.154…

2020. Impact of preoperative briefings on operating room delays. | PSNet
      psnet.ahrq.gov/issue/impact-preoperative-briefings-operating-room-delays
      July 28, 2010 - Study Impact of preoperative briefings on operating room delays. Citation Text: Nundy S, Mukherjee A, Sexton B, et al. Impact of preoperative briefings on operating room delays: a preliminary report. Arch Surg. 2008;143(11):1068-72. doi:10.1001/archsurg.143.11.1068. Copy Citation …