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psnet.ahrq.gov/node/40470/psn-pdf
December 21, 2014 - Prospective evaluation of consultant surgeon sleep
deprivation and outcomes in more than 4000 consecutive
cardiac surgical procedures.
December 21, 2014
Chu MWA, Stitt LW, Fox SA, et al. Prospective evaluation of consultant surgeon sleep deprivation and
outcomes in more than 4000 consecutive cardiac surgical proce…
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psnet.ahrq.gov/node/44979/psn-pdf
April 06, 2016 - When a surgeon should just say 'I'm sorry'.
April 6, 2016
Cohen E. CNN. March 24, 2016.
https://psnet.ahrq.gov/issue/when-surgeon-should-just-say-im-sorry
Poor communication regarding medical errors can contribute to patient and family frustration and fear.
Reporting on a case involving disclosure of a wrong-site …
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psnet.ahrq.gov/node/46430/psn-pdf
September 27, 2017 - Can residents detect errors in technique while observing
central line insertions?
September 27, 2017
Pei K, Merola J, Davis KA, et al. Can residents detect errors in technique while observing central line
insertions? Am J Surg. 2017;213(6):1166-1170.e1. doi:10.1016/j.amjsurg.2016.08.026.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/42048/psn-pdf
July 01, 2013 - Striving for a zero-error patient surgical journey through
adoption of aviation-style challenge and response flow
checklists: a quality improvement project.
July 1, 2013
Low DK, Reed MA, Geiduschek JM, et al. Striving for a zero-error patient surgical journey through adoption
of aviation-style challenge and respon…
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psnet.ahrq.gov/node/43143/psn-pdf
April 25, 2016 - Surgical programs in the Veterans Health Administration
maintain briefing and debriefing following medical team
training.
April 25, 2016
West P, Neily J, Warner L, et al. Surgical programs in the Veterans Health Administration maintain briefing
and debriefing following medical team training. Jt Comm J Qual Patient…
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psnet.ahrq.gov/node/46865/psn-pdf
March 07, 2018 - Chasing the 6-sigma: drawing lessons from the cockpit
culture.
March 7, 2018
Hickey EJ, Halvorsen F, Laussen PC, et al. Chasing the 6-sigma: Drawing lessons from the cockpit culture.
J Thorac Cardiovasc Surg. 2017;155(2). doi:10.1016/j.jtcvs.2017.09.097.
https://psnet.ahrq.gov/issue/chasing-6-sigma-drawing-lessons…
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psnet.ahrq.gov/node/45522/psn-pdf
January 01, 2020 - Is communication improved with the implementation of an
obstetrical version of the World Health Organization safe
surgery checklist?
November 9, 2016
Govindappagari S, Guardado A, Goffman D, et al. Is Communication Improved With the Implementation of
an Obstetrical Version of the World Health Organization Safe Sur…
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psnet.ahrq.gov/node/37761/psn-pdf
May 14, 2008 - Student perceptions of medical errors: incorporating an
explicit professionalism curriculum in the third-year
surgery clerkship.
May 14, 2008
Newell P, Harris S, Aufses A, et al. Student perceptions of medical errors: incorporating an explicit
professionalism curriculum in the third-year surgery clerkship. J Surg …
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psnet.ahrq.gov/node/34861/psn-pdf
November 11, 2015 - When things go wrong: how health care organizations
deal with major failures.
November 11, 2015
Walshe K, Shortell SM. When things go wrong: how health care organizations deal with major failures.
Health Aff (Millwood). 2004;23(3):103-11.
https://psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizati…
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psnet.ahrq.gov/node/44833/psn-pdf
April 22, 2016 - The contribution of sociotechnical factors to health
information technology–related sentinel events.
April 22, 2016
Castro GM, Buczkowski L, Hafner JM. The Contribution of Sociotechnical Factors to Health Information
Technology-Related Sentinel Events. Jt Comm J Qual Patient Saf. 2016;42(2):70-76.
https://psnet.ah…
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psnet.ahrq.gov/node/43320/psn-pdf
September 26, 2016 - Identification and interference of intraoperative
distractions and interruptions in operating rooms.
September 26, 2016
Antoniadis S, Passauer-Baierl S, Baschnegger H, et al. Identification and interference of intraoperative
distractions and interruptions in operating rooms. J Surg Res. 2014;188(1):21-29.
doi:10.1…
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psnet.ahrq.gov/node/43058/psn-pdf
March 26, 2014 - A strategic approach to quality improvement and patient
safety education and resident integration in a general
surgery residency.
March 26, 2014
O'Heron CT, Jarman BT. A strategic approach to quality improvement and patient safety education and
resident integration in a general surgery residency. J Surg Educ. 2014…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/binge-eating_research-protocol.pdf
July 21, 2014 - Evidence-based Practice Center Systematic Review Protocol
Project Title: Management and Outcomes of Binge Eating Disorder (BED)
I. Background and Objectives for the Systematic Review
Binge eating disorder (BED) is characterized by recurrent episodes of binge eating and,
subsequently, significant psychological di…
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psnet.ahrq.gov/node/41996/psn-pdf
July 03, 2014 - Effects of duty hour restrictions on core competencies,
education, quality of life, and burnout among general
surgery interns.
July 3, 2014
Antiel RM, Reed DA, Van Arendonk K, et al. Effects of duty hour restrictions on core competencies,
education, quality of life, and burnout among general surgery interns. JAMA …
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psnet.ahrq.gov/node/45690/psn-pdf
June 28, 2017 - The impact of critical event checklists on medical
management and teamwork during simulated crises in a
surgical daycare facility.
June 28, 2017
Everett TC, Morgan PJ, Brydges R, et al. The impact of critical event checklists on medical management
and teamwork during simulated crises in a surgical daycare facility…
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psnet.ahrq.gov/node/844802/psn-pdf
September 18, 2019 - Using proactive risk assessment (HFMEA) to improve
patient safety and quality associated with intraocular lens
selection and implantation in cataract surgery.
September 18, 2019
DeRosier JM, Hansemann BK, Smith-Wheelock MW, et al. Using Proactive Risk Assessment (HFMEA) to
Improve Patient Safety and Quality Associ…
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psnet.ahrq.gov/node/45138/psn-pdf
May 25, 2016 - Improving Weekend Out Of Hours Surgical Handover
(WOOSH).
May 25, 2016
Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ
Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190.
https://psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh
…
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psnet.ahrq.gov/node/74150/psn-pdf
December 08, 2021 - Worldwide incidence of surgical site infections in general
surgical patients: a systematic review and meta-analysis
of 488,594 patients.
December 8, 2021
Gillespie BM, Harbeck EL, Rattray M, et al. Worldwide incidence of surgical site infections in general
surgical patients: a systematic review and meta-analysis o…
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psnet.ahrq.gov/node/45341/psn-pdf
July 27, 2016 - How to avoid catastrophic events on the ward.
July 27, 2016
Bein B, Seewald S, Gräsner J-T. How to avoid catastrophic events on the ward. Best Pract Res Clin
Anaesthesiol. 2016;30(2):237-45. doi:10.1016/j.bpa.2016.04.003.
https://psnet.ahrq.gov/issue/how-avoid-catastrophic-events-ward
Hospitals require robust esca…
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psnet.ahrq.gov/node/73864/psn-pdf
September 22, 2021 - Simulation-based assessment identifies longitudinal
changes in cognitive skills in an anesthesiology
residency training program.
September 22, 2021
Sidi A, Gravenstein N, Vasilopoulos T, et al. Simulation-based assessment identifies longitudinal changes
in cognitive skills in an anesthesiology residency training p…