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psnet.ahrq.gov/issue/first-do-no-harm-balancing-competing-priorities-surgical-practice
December 12, 2012 - Study
"First, do no harm": balancing competing priorities in surgical practice.
Citation Text:
Leung A, Luu S, Regehr G, et al. "First, do no harm": balancing competing priorities in surgical practice. Acad Med. 2012;87(10):1368-74.
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psnet.ahrq.gov/issue/continuous-monitoring-adverse-events-influence-quality-care-and-incidence-errors-general
March 09, 2022 - Study
Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in general surgery.
Citation Text:
Rebasa P, Mora L, Luna A, et al. Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in gener…
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psnet.ahrq.gov/issue/proactive-risk-assessment-surgical-site-infections-ambulatory-surgery-centers
April 13, 2022 - Study
Proactive risk assessment of surgical site infections in ambulatory surgery centers.
Citation Text:
Bish EK, Azadeh-Fard N, Steighner LA, et al. Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers. J Patient Saf. 2014;13(2). doi:10.1097/pts.000000000…
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psnet.ahrq.gov/issue/factors-contributing-preventing-operating-room-never-events-machine-learning-analysis
July 26, 2023 - Study
Factors contributing to preventing operating room "never events": a machine learning analysis.
Citation Text:
Arad D, Rosenfeld A, Magnezi R. Factors contributing to preventing operating room “never events”: a machine learning analysis. Patient Saf Surg. 2023;17(1):6. doi:10.1186/s…
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psnet.ahrq.gov/issue/operating-night-does-not-increase-risk-intraoperative-adverse-events
July 01, 2017 - Study
Operating at night does not increase the risk of intraoperative adverse events.
Citation Text:
Eskesen TG, Peponis T, Saillant N, et al. Operating at night does not increase the risk of intraoperative adverse events. Am J Surg. 2018;216(1):19-24. doi:10.1016/j.amjsurg.2017.10.026. …
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
May 01, 2017 - Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes
Slide 1: Patient and Family Engagement in the Surgical Environment Module
Say:
The purpose of the Patient and Family Engagement in the Ambulatory Surgical Environment module is to augment the existing hospital setting Pati…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-tables1-10.pdf
June 02, 2025 - Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Tables 1 - 10
Table 1 [=IMG1]: Codes to Identify Neuroimaging in Administrative Claims
Imaging Modality
Code Type
Codes
Computerized
Tomography (CT) of
Brain/Head
Revenue (UB-92)
350, 351, 352, 353, 354, 355, 356, 35…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-tables1-9.pdf
June 02, 2025 - Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Tables 1-9
Table 1 [=IMG1]: Codes to Identify Neuroimaging in Administrative Claims
Imaging Modality
Code Type
Codes
Computerized Tomography (CT) of
Brain/Head Revenue (UB-92) 350, …
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psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - SPOTLIGHT CASE
Too Many Cooks in the Kitchen
Citation Text:
Dutton RP. Too Many Cooks in the Kitchen. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_deep_root_data.pptx
December 01, 2017 - PowerPoint Presentation; Deep-Root Your Data
Deep-Rooting Your Data
AHRQ Safety Program for Surgery
Sustainability
AHRQ Pub. No. 16(18)-0004-15-EF
December 2017
AHRQ Safety Program for Surgery – Sustainability
SAY:
This module focuses on the concept of deep-rooting and set up sustainable interaction with your qual…
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effectivehealthcare.ahrq.gov/sites/default/files/cer-242-radiation-therapy-brain-metastases-evidence-summary.pdf
June 01, 2021 - Comparative Effectiveness Review
Number 242
Radiation Therapy for Brain Metastases
Evidence Summary
Main Points
• We identified a large number of relevant radiation therapy studies (97 studies
reported in 190 publications). Studies assessed whole brain radiation therapy
(WBRT) and stereotacti…
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psnet.ahrq.gov/node/46459/psn-pdf
August 20, 2018 - Readiness of US general surgery residents for
independent practice.
August 20, 2018
George BC, Bohnen JD, Williams RG, et al. Readiness of US General Surgery Residents for Independent
Practice. Ann Surg. 2017;266(4):582-594. doi:10.1097/SLA.0000000000002414.
https://psnet.ahrq.gov/issue/readiness-us-general-surger…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/smithslides.pdf
July 15, 2015 - Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: Slide Presentation
1
1
Introducing the AHRQ
Ambulatory Surgery Center
Survey on Patient Safety Culture
Webcast
July 15, 2015
3:30 – 4:30 ET
2
2
Need Help?
• No sound from computer speakers?
Join us by phone: (855…
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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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psnet.ahrq.gov/node/40031/psn-pdf
May 18, 2016 - Safe Surgery Guide.
May 18, 2016
Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404073.
https://psnet.ahrq.gov/issue/safe-surgery-guide
This report makes recommendations and provides strategies to ensure safe practice in surgical care.
https://psnet.ahrq.gov/issue/safe-surgery-guide
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/obesity_topic-refinement.pdf
May 22, 2014 - Final Topic Refinement Document - Therapeutic Options for Obesity in the Medicare Population
Final Topic Refinement Document
Therapeutic Options for Obesity in the Medicare Population
(ID: OBET0913)
May 22, 2014
AHRQ Technology Assessment Program
Johns Hopkins University Evidence-based Practice Center
…
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psnet.ahrq.gov/node/49688/psn-pdf
August 21, 2013 - Discharge Instructions in the PACU: Who Remembers?
August 21, 2013
Engel KG. Discharge Instructions in the PACU: Who Remembers? PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
The Case
A 42-year-old woman was diagnosed with a torn anterior cruciate ligament (ACL) in …
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psnet.ahrq.gov/node/50391/psn-pdf
September 25, 2019 - Think Like a Surgeon
September 25, 2019
Cooper Z. Think Like a Surgeon. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/think-surgeon
The Case
A patient with a history of T6 paraplegia due to a motor vehicle accident was brought to the emergency
department due to delirium. He was found to be hypotensive and…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/undescended-testicle_executive.pdf
December 01, 2012 - Success of the ensuing
surgeries was also similar, regardless of exploratory
approach.
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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…