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psnet.ahrq.gov/issue/association-surgical-resident-wellness-medical-errors-and-patient-outcomes
November 20, 2019 - Study
Association of surgical resident wellness with medical errors and patient outcomes.
Citation Text:
Hewitt DB, Ellis RJ, Chung JW, et al. Association of surgical resident wellness with medical errors and patient outcomes. Ann Surg. 2021;274(2):396-402. doi:10.1097/sla.00000000000039…
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psnet.ahrq.gov/issue/towards-reduction-medication-errors-orthopedics-and-spinal-surgery-outcomes-using-pharmacist
January 30, 2008 - Study
Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led approach.
Citation Text:
Weiner BK, Venarske J, Yu M, et al. Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led…
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psnet.ahrq.gov/issue/improving-patient-safety-operating-theatre-and-perioperative-care-obstacles-interventions-and
April 21, 2015 - Review
Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress.
Citation Text:
Sevdalis N, Hull L, Birnbach DJ. Improving patient safety in the operating theatre and perioperative care: obstacles, inter…
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psnet.ahrq.gov/issue/surgical-leadership-culture-safety-inter-professional-study-metrics-and-tools-improving
September 14, 2022 - Study
Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for improving clinical practice.
Citation Text:
Gogalniceanu P, Kunduzi B, Ruckley C, et al. Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for…
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psnet.ahrq.gov/issue/early-impact-2011-acgme-duty-hour-regulations-surgical-outcomes
May 01, 2015 - Study
Early impact of the 2011 ACGME duty hour regulations on surgical outcomes.
Citation Text:
Scally CP, Ryan AM, Thumma JR, et al. Early impact of the 2011 ACGME duty hour regulations on surgical outcomes. Surgery. 2015;158(6):1453-61. doi:10.1016/j.surg.2015.05.002.
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psnet.ahrq.gov/issue/human-error-not-communication-and-systems-underlies-surgical-complications
November 18, 2020 - Study
Human error, not communication and systems, underlies surgical complications.
Citation Text:
Fabri PJ, Zayas-Castro JL. Human error, not communication and systems, underlies surgical complications. Surgery. 2008;144(4):557-63; discussion 563-5. doi:10.1016/j.surg.2008.06.011.
C…
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psnet.ahrq.gov/issue/disruptive-behavior-operating-room-prospective-observational-study-triggers-and-effects-tense
October 29, 2014 - Study
"Disruptive behavior" in the operating room: A prospective observational study of triggers and effects of tense communication episodes in surgical teams.
Citation Text:
Keller S, Tschan F, Semmer NK, et al. “Disruptive behavior” in the operating room: A prospective observational st…
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psnet.ahrq.gov/issue/day-discharge-does-not-impact-hospital-readmission-after-major-cardiac-surgery
October 16, 2019 - Study
Day of discharge does not impact hospital readmission after major cardiac surgery.
Citation Text:
Sanaiha Y, Ou R, Ramos G, et al. Day of Discharge Does Not Impact Hospital Readmission After Major Cardiac Surgery. Ann Thorac Surg. 2018;106(6):1767-1773. doi:10.1016/j.athoracsur.201…
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psnet.ahrq.gov/issue/effect-lawsuits-professional-well-being-and-medical-error-rates-among-orthopaedic-surgeons
May 18, 2022 - Study
Effect of lawsuits on professional well-being and medical error rates among orthopaedic surgeons.
Citation Text:
Adelani MA, Hong Z, Miller AN. Effect of lawsuits on professional well-being and medical error rates among orthopaedic surgeons. J Am Acad Orthop Surg. 2023;31(16):893-9…
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psnet.ahrq.gov/issue/box-ticking-black-box-evolution-operating-room-safety
October 29, 2017 - Commentary
From box ticking to the black box: the evolution of operating room safety.
Citation Text:
Goldenberg MG, Elterman D. From box ticking to the black box: the evolution of operating room safety. World J Urol. 2019;38(6):1369-1372. doi:10.1007/s00345-019-02886-5.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/059-calendar-chg-cloths-5-days.docx
April 01, 2025 - 5-Day CHG Cloths Surgery Prep Calendar
Chlorhexidine gluconate (CHG) cloths
· Use the CHG once a night, after a shower for 5 days before your surgery.
· On the morning of your surgery, shower and use the CHG one more time before you go in for your procedure.
· Don’t rinse! Let it dry off. It will feel sticky.
· Don’t …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/060-calendar-chg-shower-5-days.docx
April 01, 2025 - 5-Day CHG Shower Surgery Prep Calendar
Chlorhexidine gluconate (CHG) shower
· Use the CHG once a night, after a shower for 5 days before your surgery.
· On the morning of your surgery, shower and use the CHG one more time before you go in for your procedure.
· Turn the water off before applying.
· Leave the soap on yo…
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psnet.ahrq.gov/node/43241/psn-pdf
June 11, 2014 - "It is the left eye, right?"
June 11, 2014
Pikkel D, Sharabi-Nov A, Pikkel J. "It is the left eye, right?". Risk Manag Healthc Policy. 2014;7:77-80.
doi:10.2147/RMHP.S60728.
https://psnet.ahrq.gov/issue/it-left-eye-right
In this study, cataract surgeons were asked to identify the correct eye for surgery when given…
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psnet.ahrq.gov/node/44337/psn-pdf
July 22, 2015 - Patient Safety Supplement.
July 22, 2015
Middleton J, ed. Nursing Times and Health Service Journal. July 2015:s1-s20.
https://psnet.ahrq.gov/issue/patient-safety-supplement
Drawing from presentations at an annual conference in the United Kingdom, articles in this supplement
discuss barcode technologies, the Sign u…
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psnet.ahrq.gov/node/43561/psn-pdf
September 24, 2014 - At surgery clinic, rush to save Joan Rivers's life.
September 24, 2014
Hartocollis A, Goodman JD. New York Times. September 9, 2014.
https://psnet.ahrq.gov/issue/surgery-clinic-rush-save-joan-riverss-life
Office-based anesthesia is becoming more common despite concerns regarding its safety. This newspaper
article …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/48-prep-colorectal-facilitator.docx
June 01, 2023 - Oral Antibiotics and Mechanical Bowel Prep for SSI Prevention for Colorectal Surgery: Facilitator Guide AHRQ Safety Program for Improving Surgical
Care and Recovery
Slide Title and Commentary
Slide Number and Slide
Title slide: Oral Antibiotics and Mechanical Bowel Prep for SSI Prevention for Colorectal Surgery
H…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4h_combo_psi11-postoprespfailure-bestpractices.pdf
May 20, 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.4h
Selected Best Practices and Suggestions for Improvement
PSI 11: Postoperative Respiratory Failure
Why Focus on Postoperative Respiratory Failure? …
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psnet.ahrq.gov/node/47835/psn-pdf
April 24, 2019 - Facilitation of surgical innovation: is it possible to speed
the introduction of new technology while simultaneously
improving patient safety?
April 24, 2019
Marcus RK, Lillemoe HA, Caudle AS, et al. Facilitation of Surgical Innovation: Is It Possible to Speed the
Introduction of New Technology While Simultaneousl…
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psnet.ahrq.gov/node/42969/psn-pdf
October 31, 2014 - Reducing the burden of surgical harm: a systematic
review of the interventions used to reduce adverse events
in surgery.
October 31, 2014
Howell A-M, Panesar S, Burns EM, et al. Reducing the burden of surgical harm: a systematic review of the
interventions used to reduce adverse events in surgery. Ann Surg. 2014;2…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/6LdjRdFR8Pj8KCrgLyaWZZ
December 01, 2012 - One third of
women with a false-positive result had an oophorectomy,
with an overall ratio of surgeries … se-
rum CA-125 testing (positive threshold of �35 kU/L
[�35 U/mL]) and reported that an estimated 33 surgeries