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psnet.ahrq.gov/node/41116/psn-pdf
May 24, 2012 - Variations in surgical outcomes associated with hospital
compliance with safety practices.
May 24, 2012
Brooke BS, Dominici F, Pronovost P, et al. Variations in surgical outcomes associated with hospital
compliance with safety practices. Surgery. 2012;151(5):651-9. doi:10.1016/j.surg.2011.12.001.
https://psnet.ahr…
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hcup-us.ahrq.gov/datainnovations/2015HCUPStateDatabases04072017.pdf
April 07, 2017 - State Ambulatory Surgery and Services Databases
The SASD include encounter-level data for ambulatory surgeries
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psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
August 20, 2018 - A Double “Never Event”: Wrong Patient and Wrong Side.
Citation Text:
Bellini A, Salcedo ES. A Double “Never Event”: Wrong Patient and Wrong Side.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
March 25, 2020 - SPOTLIGHT CASE
Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery
Citation Text:
Bohringer C, Fierro M, Venugopal S. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Dep…
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effectivehealthcare.ahrq.gov/health-topics/coronary-artery-bypass-surgery
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psnet.ahrq.gov/issue/dedicated-teams-optimize-quality-and-safety-surgery-systematic-review
October 27, 2021 - Review
Dedicated teams to optimize quality and safety of surgery: a systematic review.
Citation Text:
Lentz CM, De Lind Van Wijngaarden RAF, Willeboordse F, et al. Dedicated teams to optimize quality and safety of surgery: a systematic review. Int J Qual Health Care. 2022;34(4):mzac078.…
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psnet.ahrq.gov/issue/educational-targets-reduce-medication-errors-general-surgery-residents
October 19, 2022 - Study
Educational targets to reduce medication errors by general surgery residents.
Citation Text:
Chaitoff A, Strong AT, Bauer SR, et al. Educational Targets to Reduce Medication Errors by General Surgery Residents. J Surg Educ. 2019;76(6):1612-1621. doi:10.1016/j.jsurg.2019.04.009.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/closing-slides-46-48.pdf
June 02, 2025 - Ambulatory Surgery Center SOPS: What You Need to Know Webcast
QUESTIONS & ANSWERS
46
https://www.ahrq.gov/sops
Using the Webcast Console to
Submit Questions
• Question and Answer
► Select Q&A
► Type question in the
box that opens
Type question here
47
Thank you!
Please complete the webcast
evaluation
…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/caren-ginsberg-slides-6-11.pdf
June 02, 2025 - Ambulatory Surgery Center SOPS: What You Need to Know Webcast
Overview of AHRQ’s Patient Safety
Priorities
Caren Ginsberg, PhD
Director, SOPS and CAHPS Division
Center for Quality Improvement and Patient Safety, AHRQ
6
https://www.ahrq.gov/sops
AHRQ’s Core Competencies
• Research: Invest in research and evid…
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psnet.ahrq.gov/issue/there-evidence-july-effect-among-patients-undergoing-hysterectomy-surgery
April 24, 2018 - Study
Is there evidence of a July effect among patients undergoing hysterectomy surgery?
Citation Text:
Varma S, Mehta A, Hutfless S, et al. Is there evidence of a July effect among patients undergoing hysterectomy surgery? Am J Obstet Gynecol. 2018;219(2):176.e1-176.e9. doi:10.1016/j.aj…
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psnet.ahrq.gov/issue/documentation-clinical-review-and-vital-signs-after-major-surgery
September 30, 2010 - Study
Documentation of clinical review and vital signs after major surgery.
Citation Text:
McGain F, Cretikos MA, Jones D, et al. Documentation of clinical review and vital signs after major surgery. Med J Aust. 2008;189(7):380-3.
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psnet.ahrq.gov/issue/measuring-and-managing-quality-surgery-statistical-vs-incidental-approaches
August 04, 2021 - Commentary
Classic
Measuring and managing quality of surgery. Statistical vs incidental approaches.
Citation Text:
McGuire HH, Horsley JS, Salter DR, et al. Measuring and managing quality of surgery. Statistical vs incidental approaches. Arch Surg. 1992;127(6):7…
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psnet.ahrq.gov/issue/prospective-study-paediatric-cardiac-surgical-microsystems-assessing-relationships-between
February 14, 2024 - Study
A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient outcomes.
Citation Text:
Schraagen JM, Schouten T, Smit M, et al. A prospective study of paediatric cardiac surgical microsystems: assessi…
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psnet.ahrq.gov/issue/probabilistic-risk-assessment-accidental-abo-incompatible-thoracic-organ-transplantation-and
June 24, 2020 - Study
Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003.
Citation Text:
Cook RI, Wreathall J, Smith A, et al. Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 200…
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psnet.ahrq.gov/issue/anticipated-consequences-2011-duty-hours-standards-views-internal-medicine-and-surgery
August 22, 2018 - Study
Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors.
Citation Text:
Shea JA, Willett LL, Borman KR, et al. Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program dire…
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psnet.ahrq.gov/issue/burns-surgery-handover-study-trainees-assessment-current-practice-british-isles
February 01, 2013 - Study
Burns surgery handover study: trainees' assessment of current practice in the British Isles.
Citation Text:
Al-Benna S, Al-Ajam Y, Alzoubaidi D. Burns surgery handover study: trainees' assessment of current practice in the British Isles. Burns. 2009;35(4):509-12. doi:10.1016/j.bu…
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psnet.ahrq.gov/issue/patient-handover-surgery-intensive-care-using-formula-1-pit-stop-and-aviation-models-improve
October 03, 2011 - Study
Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality.
Citation Text:
Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to …
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psnet.ahrq.gov/issue/association-hospital-participation-surgical-outcomes-monitoring-program-inpatient
August 20, 2018 - Study
Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality.
Citation Text:
Etzioni DA, Wasif N, Dueck AC, et al. Association of hospital participation in a surgical outcomes monitoring program with inpatient complicati…
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psnet.ahrq.gov/issue/relationship-between-inpatient-cardiac-surgery-mortality-and-nurse-numbers-and-educational
September 29, 2017 - Study
The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level: analysis of administrative data.
Citation Text:
Van den Heede K, Lesaffre E, Diya L, et al. The relationship between inpatient cardiac surgery mortality and nurse numbers and edu…
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psnet.ahrq.gov/issue/what-safety-nonemergent-operative-procedures-performed-night
July 20, 2022 - Study
What is the safety of nonemergent operative procedures performed at night?
Citation Text:
Turrentine FE, Wang H, Young JS, et al. What is the safety of nonemergent operative procedures performed at night? A study of 10,426 operations at an academic tertiary care hospital using th…