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psnet.ahrq.gov/node/44934/psn-pdf
February 07, 2023 - National Safety Standards for Invasive Procedures
(NatSSIPs2).
February 7, 2023
Centre for Perioperative Care. London, UK; January 2023.
https://psnet.ahrq.gov/issue/national-safety-standards-invasive-procedures-natssips
Patients face risks when undergoing surgery. This revised guidance provides recommendations de…
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psnet.ahrq.gov/node/44142/psn-pdf
May 03, 2016 - Symposium: Patient Safety: Collaboration,
Communication, and Physician Leadership.
May 3, 2016
Herndon JH, ed. Clin Orthop Relat Res. 2015;473:1544-1551;1566-1597;1600-1608;1612-1619.
https://psnet.ahrq.gov/issue/symposium-patient-safety-collaboration-communication-and-physician-
leadership
Articles in this speci…
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psnet.ahrq.gov/node/45995/psn-pdf
May 24, 2017 - Patient Safety.
May 24, 2017
Todd DW, Bennett JD, eds. Oral Maxillofac Surg Clin North Am. 2017;29:121-244.
https://psnet.ahrq.gov/issue/patient-safety-13
Articles in this special issue provide insights into how human error can affect the safety of oral and
maxillofacial surgery, a primarily ambulatory environment…
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psnet.ahrq.gov/node/33658/psn-pdf
October 01, 2007 - course, is incredibly important because many of the harms are relatively rare, and you can do
a lot of surgeries
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/tympanostomy-tubes_research-protocol.pdf
November 16, 2015 - proceedings of the
National Summit on Overuse, convened in 2012, reported that tympanostomy tube
surgeries
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psnet.ahrq.gov/node/60169/psn-pdf
March 25, 2020 - Is that solution for IV or irrigation?: Fluid administration
errors in the operating room.
March 25, 2020
Bohringer C. Is that solution for IV or irrigation?: Fluid administration errors in the operating room. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-erro…
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www.ahrq.gov/sites/default/files/2024-02/wachs2-report.pdf
January 01, 2024 - The deployment of this technology has the capacity to increase efficiency during surgeries and also reduce … First, surgeons were
asked to specify functions they perform on MRI images in typical surgeries that
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psnet.ahrq.gov/issue/sops-surveys
December 24, 2008 - Meeting/Conference Proceedings
SOPS Surveys.
Citation Text:
SOPS Surveys. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/enhancing-surgical-performance-primer-non-technical-skills
January 10, 2018 - Book/Report
Enhancing Surgical Performance: A Primer in Non-technical Skills.
Citation Text:
Enhancing Surgical Performance: A Primer in Non-technical Skills. Flin R, Youngson GG, Yule S. Boca Raton, FL: CRC Press; 2015. ISBN: 9781482246322.
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www.ahrq.gov/topics/healthcare-associated-infections-hais.html
May 12, 2015 - Topic: Healthcare-Associated Infections (HAIs)
Healthcare-associated infections (HAIs) are among the leading threats to patient safety, affecting one out of every 31 hospital patients at any one time. Over a million HAIs occur across the U.S. health care system every year, leading to the loss of tens of thousands of …
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psnet.ahrq.gov/issue/retained-surgical-sponge-gossypiboma-and-other-retained-surgical-items-prevention-and
March 17, 2023 - Review
Retained surgical sponge (gossypiboma) and other retained surgical items: prevention and management.
Citation Text:
Retained surgical sponge (gossypiboma) and other retained surgical items: prevention and management. Copeland AW. UpToDate. April 10, 2023.
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh41-43.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibits 41 to 43
Previous Page Next Page
Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Administration
Chapter …
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www.ahrq.gov/talkingquality/plan/quality-measures.html
November 01, 2018 - What Health Care Quality Measures Will You Report?
Once you have decided whose quality to report, you will need to determine which aspects of their performance to measure (e.g., clinical quality, patient experience, patient safety, cost). There are many different kinds of measures, but not all are appropriate…
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psnet.ahrq.gov/issue/enhancing-surgical-systems
April 12, 2017 - Special or Theme Issue
Enhancing Surgical Systems.
Citation Text:
Enhancing Surgical Systems. Healey AN, Catchpole K, Yule S, eds. Cogn Tech Work. 2008;10(4):249-333.
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psnet.ahrq.gov/issue/pain-alleviation-toolkit
April 22, 2020 - Toolkit
Pain Alleviation Toolkit.
Citation Text:
Pain Alleviation Toolkit. American Society of Anesthesiologists, American Academy of Orthopaedic Surgeons. March 12, 2020.
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psnet.ahrq.gov/issue/fatal-outcome-after-inadvertent-injection-topical-epinephrine
May 07, 2018 - Newspaper/Magazine Article
Fatal outcome after inadvertent injection of topical epinephrine.
Citation Text:
Fatal outcome after inadvertent injection of topical epinephrine. ISMP Medication Safety Alert! Acute Care Edition. March 26, 2009;14:1-2.
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psnet.ahrq.gov/issue/technology-education-and-safety
December 15, 2021 - Special or Theme Issue
Technology, Education and Safety.
Citation Text:
Technology, Education and Safety. Ruskin KJ, ed. Curr Opin Anaesthesiol. 2020;33(6):774-822.
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psnet.ahrq.gov/issue/hamilton-father-misdiagnosed-lung-cancer-demands-answers
September 13, 2017 - Newspaper/Magazine Article
Hamilton father misdiagnosed with lung cancer demands answers.
Citation Text:
Hamilton father misdiagnosed with lung cancer demands answers. Carville O. The Star. November 14, 2014.
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psnet.ahrq.gov/issue/surgical-innovation-new-techniques-and-technologies-guide-good-practice
April 10, 2019 - Book/Report
Surgical Innovation, New Techniques and Technologies: A Guide to Good Practice.
Citation Text:
Surgical Innovation, New Techniques and Technologies: A Guide to Good Practice. London, UK: Royal College of Surgeons of England; 2019.
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psnet.ahrq.gov/issue/decontamination-surgical-instruments
September 21, 2022 - Book/Report
Decontamination of Surgical Instruments.
Citation Text:
Decontamination of Surgical Instruments. Farnborough, UK; Healthcare Safety Investigation Branch; May 26, 2022.
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