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psnet.ahrq.gov/web-mm/dont-bite-your-tongue
September 18, 2024 - Various ancillary monitoring modalities used during some complex surgeries may have significant effects
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hcup-us.ahrq.gov/reports/methods/2004_6_appendix_D.pdf
January 01, 2004 - 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: Healthcare Cost and Utilization Project
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psnet.ahrq.gov/node/33777/psn-pdf
January 01, 2015 - Innovation and Lean Thinking: Mutually Supportive
Partners in the Transformation of Health Care
January 1, 2015
Plsek PE. Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health
Care. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually…
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www.ahrq.gov/teamstepps-program/evidence-base/surgical.html
July 01, 2023 - TeamSTEPPS Research/Evidence Base: Surgical Care and OR
Aaberg OR, Ballangrud R, Husebo SIE, Hall-Lord ML. An interprofessional team training intervention with an implementation phase in a surgical ward: A controlled quasi-experimental study. J Interprof Care . 2019:1-10. Epub 2019/12/19. doi: 10.1080/13561820…
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psnet.ahrq.gov/node/72862/psn-pdf
March 17, 2021 - Cutaneous Procedures Adverse Events Reporting
(CAPER).
March 17, 2021
The American Society for Dermatologic Surgery Association and the Northwestern University Department
of Dermatology.
https://psnet.ahrq.gov/issue/cutaneous-procedures-adverse-events-reporting-caper
Voluntary reporting systems collect adverse ev…
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www.ahrq.gov/sites/default/files/2024-04/singer-report.pdf
January 01, 2024 - Final Progress Report: Factors Associated with Effective Implementation of a Surgical Safety Checklist
Factors Associated with Effective Implementation of a Surgical Safety Checklist
Sara J. Singer, MBA, PhD, Principal Investigator
Team Members:
William Berry
Dante Foster Conley
Lizabeth Edmondson
Atul Gawa…
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/appc.html
May 01, 2016 - Postoperative bleeding concerns (within 24 hours for most surgeries; within 48 hours of transplant surgery
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appc.html
May 01, 2016 - Postoperative bleeding concerns (within 24 hours for most surgeries; within 48 hours of transplant surgery
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psnet.ahrq.gov/issue/burden-healthcare-utilization-cost-and-mortality-associated-select-surgical-site-infections
October 09, 2024 - Study
The burden of healthcare utilization, cost, and mortality associated with select surgical site infections.
Citation Text:
Shambhu S, Gordon AS, Liu Y, et al. The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. Jt Comm J Qual Pa…
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psnet.ahrq.gov/issue/prescription-opioid-analgesics-commonly-unused-after-surgery-systematic-review
March 30, 2022 - Review
Prescription opioid analgesics commonly unused after surgery: a systematic review.
Citation Text:
Bicket MC, Long JJ, Pronovost PJ, et al. Prescription Opioid Analgesics Commonly Unused After Surgery. JAMA Surg. 2017;152(11):1066-1071. doi:10.1001/jamasurg.2017.0831.
Copy Citati…
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psnet.ahrq.gov/issue/evaluation-preoperative-checklist-and-team-briefing-among-surgeons-nurses-and
August 28, 2013 - Study
Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication.
Citation Text:
Lingard LA. Evaluation of a Preoperative Checklist and Team Briefing Among Surgeons, Nurses, and Anesthesiologists to Reduce Fa…
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psnet.ahrq.gov/issue/preventable-morbidity-and-mortality-among-non-trauma-emergency-surgery-patients-role-personal
January 26, 2022 - Study
Preventable morbidity and mortality among non-trauma emergency surgery patients: the role of personal performance and system flaws in adverse events.
Citation Text:
Velmahos CS, Kokoroskos N, Tarabanis C, et al. Preventable morbidity and mortality among non-trauma emergency surgery…
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psnet.ahrq.gov/issue/bariatric-surgery-operating-room-teams-stayed-fixed-during-day-multicenter-study-analyzing
December 21, 2014 - Study
Bariatric surgery with operating room teams that stayed fixed during the day: a multicenter study analyzing the effects on patient outcomes, teamwork and safety climate, and procedure duration.
Citation Text:
Stepaniak PS, Heij C, Buise MP, et al. Bariatric surgery with operating r…
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psnet.ahrq.gov/issue/relationship-emotional-climate-work-and-threat-patient-outcome-high-volume-thoracic-surgery
July 05, 2013 - Study
The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room team.
Citation Text:
Nurok M, Evans LA, Lipsitz S, et al. The relationship of the emotional climate of work and threat to patient outcome in a high-vo…
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psnet.ahrq.gov/issue/combined-teamwork-training-and-work-standardisation-intervention-operating-theatres
January 20, 2015 - Study
A combined teamwork training and work standardisation intervention in operating theatres: controlled interrupted time series study.
Citation Text:
Morgan L, Pickering S, Hadi M, et al. A combined teamwork training and work standardisation intervention in operating theatres: control…
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psnet.ahrq.gov/issue/novel-method-reproducibly-measuring-effects-interventions-improve-emotional-climate-indices
March 16, 2011 - Study
A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center.
Citation Text:
Nurok M, Lipsitz S, Satwicz P, et al. A novel me…
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psnet.ahrq.gov/issue/successful-implementation-department-veterans-affairs-national-surgical-quality-improvement
March 28, 2012 - Study
Successful implementation of the Department of Veterans Affairs' National Surgical Quality Improvement Program in the private sector: the Patient Safety in Surgery study.
Citation Text:
Khuri SF, Henderson WG, Daley J, et al. Successful implementation of the Department of Veteran…
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psnet.ahrq.gov/issue/leveraging-science-teamwork-sustain-handoff-improvements-cardiovascular-surgery
November 28, 2018 - Study
Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery.
Citation Text:
Keebler JR, Lynch I, Ngo F, et al. Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. Jt Comm J Qual Patient Saf. 2023;49(8):373-3…
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psnet.ahrq.gov/issue/implementation-science-neglected-opportunity-accelerate-improvements-safety-and-quality
February 14, 2018 - Review
Implementation science: a neglected opportunity to accelerate improvements in the safety and quality of surgical care.
Citation Text:
Hull L, Athanasiou T, Russ S. Implementation Science: A Neglected Opportunity to Accelerate Improvements in the Safety and Quality of Surgical Care…
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psnet.ahrq.gov/issue/common-general-surgical-never-events-analysis-nhs-england-never-event-data
April 14, 2021 - Study
Common general surgical never events: analysis of NHS England never event data.
Citation Text:
Omar I, Singhal R, Wilson M, et al. Common general surgical never events: analysis of NHS England never event data. Int J Qual Health Care. 2021;33(1):mzab045. doi:10.1093/intqhc/mzab045.…