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psnet.ahrq.gov/issue/surgical-checklists-systematic-review-impacts-and-implementation
January 06, 2018 - Review
Surgical checklists: a systematic review of impacts and implementation.
Citation Text:
Treadwell JR, Lucas S, Tsou AY. Surgical checklists: a systematic review of impacts and implementation. BMJ Qual Saf. 2014;23(4):299-318. doi:10.1136/bmjqs-2012-001797.
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psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
August 13, 2014 - Study
Analysis of adverse events associated with adult moderate procedural sedation outside the operating room.
Citation Text:
Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate Procedural Sedation Outside the Operating Room. J Patient Sa…
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psnet.ahrq.gov/issue/intraoperative-deaths-who-why-and-can-we-prevent-them
November 04, 2020 - Study
Intraoperative deaths: who, why, and can we prevent them?
Citation Text:
Dorken Gallastegi A, Mikdad S, Kapoen C, et al. Intraoperative deaths: who, why, and can we prevent them? J Surg Res. 2022;274:185-195. doi:10.1016/j.jss.2022.01.007.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide.html
May 01, 2017 - Implementation Guide
The Implementation Guide discusses the importance of using the safe surgery checklist as a teamwork and communication tool to improve patient safety.
Implementation Guide ( PDF , 441 KB; Text Version )
Appendixes
Appendix A. Facility Spreadsheet for One-on-One Conversations ( Word …
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psnet.ahrq.gov/issue/evaluation-reasons-why-surgical-residents-exceeded-2011-duty-hour-requirements-when-offered
September 02, 2020 - Study
Evaluation of reasons why surgical residents exceeded 2011 duty hour requirements when offered flexibility.
Citation Text:
Blay E, Engelhardt KE, Hewitt B, et al. Evaluation of Reasons Why Surgical Residents Exceeded 2011 Duty Hour Requirements When Offered Flexibility: A FIRST Tri…
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psnet.ahrq.gov/issue/retained-surgical-items-problem-yet-be-solved
September 24, 2014 - Study
Retained surgical items: a problem yet to be solved.
Citation Text:
Stawicki SPA, Moffatt-Bruce SD, Ahmed HM, et al. Retained surgical items: a problem yet to be solved. J Am Coll Surg. 2013;216(1):15-22. doi:10.1016/j.jamcollsurg.2012.08.026.
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psnet.ahrq.gov/issue/hospital-acquired-condition-reduction-program-not-associated-additional-patient-safety
May 29, 2019 - Study
Hospital-Acquired Condition Reduction Program is not associated with additional patient safety improvement.
Citation Text:
Sheetz KH, Dimick JB, Englesbe MJ, et al. Hospital-Acquired Condition Reduction Program Is Not Associated With Additional Patient Safety Improvement. Health Af…
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psnet.ahrq.gov/issue/tipping-balance-systematic-review-and-meta-ethnography-unfold-complexity-surgical
August 04, 2021 - Review
Tipping the balance: a systematic review and meta-ethnography to unfold the complexity of surgical antimicrobial prescribing behavior in hospital settings.
Citation Text:
Parker H, Frost J, Day J, et al. Tipping the balance: a systematic review and meta-ethnography to unfold the c…
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psnet.ahrq.gov/issue/incidence-opioid-misuse-among-surgical-patients-persistent-opioid-use
October 13, 2018 - Study
The incidence of opioid misuse among the surgical patients with persistent opioid use.
Citation Text:
Namiranian, MD, PhD K. The incidence of opioid misuse among the surgical patients with persistent opioid use. J Opioid Manag. 2023;19(1):69-76. doi:10.5055/jom.2023.0760.
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psnet.ahrq.gov/issue/effect-19-item-surgical-safety-checklist-during-urgent-operations-global-patient-population
December 29, 2014 - Study
Classic
Effect of a 19-item surgical safety checklist during urgent operations in a global patient population.
Citation Text:
Weiser TG, Haynes AB, Dziekan G, et al. Effect of A 19-Item Surgical Safety Checklist During Urgent Operations in A Global Patie…
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psnet.ahrq.gov/issue/benchmarking-surgical-incident-reports-using-database-and-triage-system-reduce-adverse
June 18, 2008 - Study
Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes.
Citation Text:
Antonacci AC, Lam S, Lavarias V, et al. Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. Arch Sur…
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psnet.ahrq.gov/issue/coping-and-recovery-surgical-residents-after-adverse-events-second-victim-phenomenon
July 11, 2012 - Study
Coping and recovery in surgical residents after adverse events: the second victim phenomenon.
Citation Text:
Khansa I, Pearson GD. Coping and recovery in surgical residents after adverse events: the second victim phenomenon. Plast Reconstr Surg Glob Open. 2022;10(3):e4203. doi:10.1…
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psnet.ahrq.gov/issue/agency-healthcare-research-and-quality-ahrq-patient-safety-indicator-postoperative
January 10, 2018 - Study
Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe care.
Citation Text:
Nguyen MC, Moffatt-Bruce SD, Strosberg DS, et al. Agency for Healthcare Research …
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psnet.ahrq.gov/issue/performance-vascular-exposure-and-fasciotomy-among-surgical-residents-and-after-training
November 20, 2019 - Study
Performance of vascular exposure and fasciotomy among surgical residents before and after training compared with experts.
Citation Text:
Mackenzie CF, Garofalo E, Puche A, et al. Performance of Vascular Exposure and Fasciotomy Among Surgical Residents Before and After Training Comp…
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psnet.ahrq.gov/issue/using-ahrq-patient-safety-indicators-detect-postdischarge-adverse-events-veterans-health
June 04, 2014 - Study
Using AHRQ Patient Safety Indicators to detect postdischarge adverse events in the Veterans Health Administration.
Citation Text:
Mull HJ, Borzecki A, Chen Q, et al. Using AHRQ patient safety indicators to detect postdischarge adverse events in the Veterans Health Administration. A…
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psnet.ahrq.gov/issue/prospective-observational-study-effects-implementation-strategy-compliance-surgical-safety
February 02, 2022 - Study
A prospective, observational study of the effects of implementation strategy on compliance with a surgical safety checklist.
Citation Text:
Hannam JA, Glass L, Kwon J, et al. A prospective, observational study of the effects of implementation strategy on compliance with a surgical…
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psnet.ahrq.gov/issue/preventing-patient-harm-adverse-event-review-apsa-survey-regarding-role-morbidity-and
May 22, 2019 - Study
Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M&M) conference.
Citation Text:
Berman L, Ottosen M, Renaud E, et al. Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and…
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psnet.ahrq.gov/issue/factors-influencing-reporting-adverse-medical-device-events-qualitative-interviews-physicians
May 17, 2017 - Study
Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians about higher risk implantable devices.
Citation Text:
Gagliardi AR, Ducey A, Lehoux P, et al. Factors influencing the reporting of adverse medical device events: qualitative i…
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psnet.ahrq.gov/issue/water-cooler-learning-knowledge-sharing-clinical-backstage-and-its-contribution-patient
January 29, 2014 - Study
"Water cooler" learning: knowledge sharing at the clinical "backstage" and its contribution to patient safety.
Citation Text:
Waring J, Bishop S. "Water cooler" learning: knowledge sharing at the clinical "backstage" and its contribution to patient safety. J Health Organ Manag. 2…
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psnet.ahrq.gov/issue/surgical-checklist-implementation-project-impact-variable-who-checklist-compliance-risk
June 22, 2016 - Study
Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study.
Citation Text:
Mayer EK, Sevdalis N, Rout S, et al. Surgical Checklist Implementation Project: The Impa…