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psnet.ahrq.gov/issue/application-who-surgical-safety-checklist-outside-operating-theatre-medicine-can-learn March 17, 2021 - Study 
 
 
 
 
 
 
 
 
 
 Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. 
 
 
 
 
 Citation Text: 
 Braham DL, Richardson AL, Malik IS. Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. Clin …  
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psnet.ahrq.gov/issue/global-oximetry-international-anaesthesia-quality-improvement-project November 12, 2014 - Study 
 
 
 
 
 
 
 
 
 
 Global oximetry: an international anaesthesia quality improvement project.   
 
 
 
 
 Citation Text: 
 Walker IA, Merry AF, Wilson IH, et al. Global oximetry: an international anaesthesia quality improvement project. Anaesthesia. 2009;64(10):1051-60. doi:10.1111/j.1365-2044.2009.06067.x. 
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psnet.ahrq.gov/issue/coping-errors-operating-room-intraoperative-strategies-postoperative-strategies-and-sex September 09, 2020 - Study 
 
 
 
 
 
 
 
 
 
 Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences. 
 
 
 
 
 Citation Text: 
 D'Angelo JD, Lund S, Busch RA, et al. Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex difference…  
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psnet.ahrq.gov/issue/analysis-errors-enacted-surgical-trainees-during-skills-training-courses August 20, 2018 - Study 
 
 
 
 
 
 
 
 
 
 Analysis of errors enacted by surgical trainees during skills training courses.   
 
 
 
 
 Citation Text: 
 Tang B, Hanna GB, Cuschieri A. Analysis of errors enacted by surgical trainees during skills training courses. Surgery. 2005;138(1):14-20. 
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psnet.ahrq.gov/issue/can-we-make-postoperative-patient-handovers-safer-systematic-review-literature June 10, 2015 - Review 
 
 
 
 
 
 
 
 
 
 Can we make postoperative patient handovers safer? A systematic review of the literature.   
 
 
 
 
 Citation Text: 
 Segall N, Bonifacio AS, Schroeder RA, et al. Can we make postoperative patient handovers safer? A systematic review of the literature. Anesth Analg. 2012;115(1):102-15. doi:1…  
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psnet.ahrq.gov/issue/analysis-human-performance-deficiencies-associated-surgical-adverse-events April 15, 2016 - Study 
 
 
 
 
 
 
 
 
 
            Emerging Classic
           
 
 Analysis of human performance deficiencies associated with surgical adverse events. 
 
 
 
 
 Citation Text: 
 Suliburk JW, Buck QM, Pirko CJ, et al. Analysis of Human Performance Deficiencies Associated With Surgical Adverse Events. JAMA Netw Open. 2…  
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psnet.ahrq.gov/issue/infection-control-assessment-ambulatory-surgical-centers October 19, 2012 - Study 
 
 
 
 
 
 
 
 
 
 Infection control assessment of ambulatory surgical centers.   
 
 
 
 
 Citation Text: 
 Schaefer MK, Jhung M, Dahl M, et al. Infection control assessment of ambulatory surgical centers. JAMA. 2010;303(22):2273-9. doi:10.1001/jama.2010.744. 
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psnet.ahrq.gov/issue/hospital-costs-associated-adverse-events-gynecological-oncology March 09, 2022 - Study 
 
 
 
 
 
 
 
 
 
 Hospital costs associated with adverse events in gynecological oncology.   
 
 
 
 
 Citation Text: 
 Kondalsamy-Chennakesavan S, Gordon LG, Sanday K, et al. Hospital costs associated with adverse events in gynecological oncology. Gynecol Oncol. 2011;121(1):70-5. doi:10.1016/j.ygyno.2010.11.03…  
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psnet.ahrq.gov/issue/validity-selected-patient-safety-indicators-opportunities-and-concerns June 04, 2014 - Study 
 
 
 
 
 
 
 
 
 
 Validity of selected patient safety indicators: opportunities and concerns.   
 
 
 
 
 Citation Text: 
 Kaafarani HMA, Borzecki AM, Itani KMF, et al. Validity of Selected Patient Safety Indicators: Opportunities and Concerns. J Am Coll Surg. 2010;212(6):924-934. doi:10.1016/j.jamcollsurg.2010…  
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psnet.ahrq.gov/issue/evidence-review-conducted-agency-healthcare-research-and-quality-safety-program-improving June 21, 2015 - Review 
 
 
 
 
 
 
 
 
 
 Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery.  
 
 
 
 
 Citation Text: 
 Ban KA, Gibbons MM, Ko CY, et al. Evidence Review Conducted for the Agency for Heal…  
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psnet.ahrq.gov/issue/mapping-changes-surgical-mortality-over-9-years-peer-review-audit March 04, 2011 - Study 
 
 
 
 
 
 
 
 
 
 Mapping changes in surgical mortality over 9 years by peer review audit.   
 
 
 
 
 Citation Text: 
 Thompson A, Ashraf Z, Burton H, et al. Mapping changes in surgical mortality over 9 years by peer review audit. Br J Surg. 2005;92(11):1449-52. 
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psnet.ahrq.gov/issue/introduction-neurosurgical-postoperative-checklist-improved-quality-care-and-patient-safety August 03, 2022 - Study 
 
 
 
 
 
 
 
 
 
 The introduction of a Neurosurgical Postoperative Checklist improved quality of care and patient safety. 
 
 
 
 
 Citation Text: 
 Hall AJ, Toner NS, Bhatt PM. The introduction of a Neurosurgical Postoperative Checklist improved quality of care and patient safety. Br J Neurosurg. 2019;33(5):4…  
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psnet.ahrq.gov/issue/postoperative-opioid-prescribing-and-pain-scores-hospital-consumer-assessment-healthcare January 29, 2020 - Study 
 
 
 
 
 
 
 
 
 
 Postoperative opioid prescribing and the pain scores on Hospital Consumer Assessment of Healthcare Providers and Systems survey. 
 
 
 
 
 Citation Text: 
 Lee JS, Hu HM, Brummett CM, et al. Postoperative Opioid Prescribing and the Pain Scores on Hospital Consumer Assessment of Healthcare Prov…  
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psnet.ahrq.gov/issue/student-perceptions-medical-errors-incorporating-explicit-professionalism-curriculum-third August 04, 2021 - Study 
 
 
 
 
 
 
 
 
 
 Student perceptions of medical errors: incorporating an explicit professionalism curriculum in the third-year surgery clerkship.   
 
 
 
 
 Citation Text: 
 Newell P, Harris S, Aufses A, et al. Student perceptions of medical errors: incorporating an explicit professionalism curriculum in the …  
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psnet.ahrq.gov/issue/s-teams-truly-multiprofessional-course-focusing-nontechnical-skills-improve-patient-safety November 30, 2022 - Commentary 
 
 
 
 
 
 
 
 
 
 S-TEAMS: a truly multiprofessional course focusing on nontechnical skills to improve patient safety in the operating theater. 
 
 
 
 
 Citation Text: 
 Stewart-Parker E, Galloway R, Vig S. S-TEAMS: A Truly Multiprofessional Course Focusing on Nontechnical Skills to Improve Patient Safety…  
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psnet.ahrq.gov/issue/preventing-medication-errors-pediatric-anesthesia-systematic-scoping-review January 26, 2022 - Review 
 
 
 
 
 
 
 
 
 
 Preventing medication errors in pediatric anesthesia: a systematic scoping review. 
 
 
 
 
 Citation Text: 
 Shawahna R, Jaber M, Jumaa E, et al. Preventing medication errors in pediatric anesthesia: a systematic scoping review. J Patient Saf. 2022;18(7):e1047-e1060. doi:10.1097/pts.00000000…  
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psnet.ahrq.gov/issue/improving-safety-operating-room-systematic-literature-review-retained-surgical-sponges March 05, 2025 - Review 
 
 
 
 
 
 
 
 
 
 Improving safety in the operating room: a systematic literature review of retained surgical sponges.   
 
 
 
 
 Citation Text: 
 Wan W, Le T, Riskin L, et al. Improving safety in the operating room: a systematic literature review of retained surgical sponges. Curr Opin Anaesthesiol. 2009;22(…  
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psnet.ahrq.gov/issue/costs-associated-surgical-site-infections-veterans-affairs-hospitals June 18, 2014 - Study 
 
 
 
 
 
 
 
 
 
 Costs associated with surgical site infections in Veterans Affairs hospitals. 
 
 
 
 
 Citation Text: 
 Schweizer ML, Cullen JJ, Perencevich E, et al. Costs Associated With Surgical Site Infections in Veterans Affairs Hospitals. JAMA Surg. 2014;149(6):575-81. doi:10.1001/jamasurg.2013.4663. 
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psnet.ahrq.gov/issue/case-34-2010-65-year-old-woman-incorrect-operation-left-hand March 13, 2013 - Commentary 
 
 
 
 
 
 
 
 
 
 Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand.   
 
 
 
 
 Citation Text: 
 Ring DC, Herndon JH, Meyer GS. Case records of The Massachusetts General Hospital: Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. N Engl J Med. 201…  
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psnet.ahrq.gov/issue/improving-team-members-attention-during-or-briefing-or-time-out November 10, 2021 - Study 
 
 
 
 
 
 
 
 
 
 Improving team members' attention during the OR briefing or time out. 
 
 
 
 
 Citation Text: 
 Braverman A. Improving team members' attention during the OR briefing or time out. AORN Journal. 2024;119(6):421-427. doi:10.1002/aorn.14144. 
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