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psnet.ahrq.gov/node/46618/psn-pdf
June 25, 2018 - Identifying quality markers of a safe surgical ward: an
interview study of patients, clinical staff, and
administrators.
June 25, 2018
Hassen Y, Singh P, Pucher PH, et al. Identifying quality markers of a safe surgical ward: An interview study
of patients, clinical staff, and administrators. Surgery. 2018;163(6):1…
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psnet.ahrq.gov/node/39602/psn-pdf
August 09, 2013 - Postoperative handover: problems, pitfalls, and
prevention of error.
August 9, 2013
Nagpal K, Arora S, Abboudi M, et al. Postoperative handover: problems, pitfalls, and prevention of error.
Ann Surg. 2010;252(1):171-6. doi:10.1097/SLA.0b013e3181dc3656.
https://psnet.ahrq.gov/issue/postoperative-handover-problems-p…
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psnet.ahrq.gov/node/41719/psn-pdf
November 27, 2012 - A systematic review of the effectiveness, compliance, and
critical factors for implementation of safety checklists in
surgery.
November 27, 2012
Borchard A, Schwappach DLB, Barbir A, et al. A systematic review of the effectiveness, compliance, and
critical factors for implementation of safety checklists in surgery…
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psnet.ahrq.gov/node/42400/psn-pdf
July 10, 2013 - Development and reliability of the explicit professional
oral communication observation tool to quantify the use
of non-technical skills in healthcare.
July 10, 2013
Kemper PF, van Noord I, de Bruijne M, et al. Development and reliability of the explicit professional oral
communication observation tool to quantify…
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psnet.ahrq.gov/node/39932/psn-pdf
October 20, 2010 - Incorrect surgical counts: a qualitative analysis.
October 20, 2010
Rowlands A, Steeves R. Incorrect surgical counts: a qualitative analysis. AORN J. 2010;92(4):410-9.
doi:10.1016/j.aorn.2010.01.019.
https://psnet.ahrq.gov/issue/incorrect-surgical-counts-qualitative-analysis
Preventing surgical instruments from be…
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psnet.ahrq.gov/node/44334/psn-pdf
November 20, 2015 - Improvement in detection of wrong-patient errors when
radiologists include patient photographs in their
interpretation of portable chest radiographs.
November 20, 2015
Tridandapani S, Olsen K, Bhatti P. Improvement in Detection of Wrong-Patient Errors When Radiologists
Include Patient Photographs in Their Interpre…
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psnet.ahrq.gov/node/72794/psn-pdf
March 03, 2021 - Intraoperative sentinel events in the era of surgical safety
checklists: results of a national survey.
March 3, 2021
Cramer JD, Balakrishnan K, Roy S, et al. Intraoperative sentinel events in the era of surgical safety
checklists: results of a national survey. OTO Open. 2020;4(4):2473974X2097573.
doi:10.1177/24739…
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psnet.ahrq.gov/node/73216/psn-pdf
May 05, 2021 - Incidence and variables associated with inconsistencies
in opioid prescribing at hospital discharge and its
associated adverse drug outcomes.
May 5, 2021
Kurteva S, Habib B, Moraga T, et al. Incidence and variables associated with inconsistencies in opioid
prescribing at hospital discharge and its associated adver…
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psnet.ahrq.gov/node/838068/psn-pdf
September 14, 2022 - Potentially inappropriate medication administration is
associated with adverse postoperative outcomes in older
surgical patients: a retrospective cohort study.
September 14, 2022
Burfeind KG, Zarnegarnia Y, Tekkali P, et al. Potentially inappropriate medication administration is
associated with adverse postoperati…
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psnet.ahrq.gov/node/46087/psn-pdf
September 24, 2017 - Who is responsible for the safe introduction of new
surgical technology? An important legal precedent from
the da Vinci Surgical System Trials.
September 24, 2017
Pradarelli J, Thornton JP, Dimick JB. Who Is Responsible for the Safe Introduction of New Surgical
Technology?: An Important Legal Precedent From the da…
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psnet.ahrq.gov/node/34085/psn-pdf
February 09, 2011 - Discussion of medical errors in morbidity and mortality
conferences.
February 9, 2011
Pierluissi E, Fischer M, Campbell AR, et al. Discussion of medical errors in morbidity and mortality
conferences. JAMA. 2003;290(21):2838-2842.
https://psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-confer…
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psnet.ahrq.gov/node/60250/psn-pdf
April 22, 2020 - Implementation of a comprehensive unit-based safety
program to reduce surgical site infections in cesarean
delivery.
April 22, 2020
Dieplinger B, Egger M, Jezek C, et al. Implementation of a comprehensive unit-based safety program to
reduce surgical site infections in cesarean delivery. Am J Infect Control. 2020;4…
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psnet.ahrq.gov/node/47436/psn-pdf
December 21, 2018 - Views of nurses and other health and social care workers
on the use of assistive humanoid and animal-like robots
in health and social care: a scoping review.
December 21, 2018
Papadopoulos I, Koulouglioti C, Ali S. Views of nurses and other health and social care workers on the use
of assistive humanoid and animal…
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psnet.ahrq.gov/node/45578/psn-pdf
January 23, 2017 - S-TEAMS: a truly multiprofessional course focusing on
nontechnical skills to improve patient safety in the
operating theater.
January 23, 2017
Stewart-Parker E, Galloway R, Vig S. S-TEAMS: A Truly Multiprofessional Course Focusing on
Nontechnical Skills to Improve Patient Safety in the Operating Theater. J Surg Ed…
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www.ahrq.gov/hai/tools/surgery/materials.html
December 01, 2017 - Toolkit Materials
Toolkit To Promote Safe Surgery
The products consist of two guides, supplemental tools for each guide, and 15 instructional modules to support change at the unit level.
Guides
Applying CUSP To Promote Safe Surgery ( PDF , 508 KB)
This guide provides an overview of the Comprehensive U…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/defects.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Improving Communication and Teamwork in the Surgical Environment Module
Learn From Defects
Purpose: To identify the types of systems that contributed to the defect (an event or situation that you do not want to happen again) and to plan the followup steps needed to impro…
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psnet.ahrq.gov/node/36604/psn-pdf
June 04, 2024 - Adverse Health Events in Minnesota: Annual Reports.
June 4, 2024
St Paul, MN: Minnesota Department of Health.
https://psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report
The National Quality Forum has defined 29 never events—patient safety problems that should never occur,
such as wrong-…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/1-ASC_Webcast_2021-Intro.pdf
January 01, 2021 - How to Use the AHRQ SOPS Ambulatory Surgery Center Survey to Improve Patient Safety - INTRO
How to Use the AHRQ SOPS® Ambulatory
Surgery Center Survey to Improve Patient Safety
Webcast
January 21, 2021
2:00-3:00 PM ET
Need Help?
• No sound from computer speakers?
• Trouble with your connection or slides not m…
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www.ahrq.gov/research/findings/final-reports/stpra/stpraexh2.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Exhibit 2. Literature review search terms by category
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Intro…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/Case_Study_Specialty_Practice_Updated.pdf
October 01, 2011 - Improving Customer Service and Access in a Surgical Practice
WORKING
P A P E R
Improving Customer
Service and Access in a
Surgical Practice
A Case Study of a Successful
Quality Improvement Intervention
Denise D. Quigley, Shelley H.
Wiseman, and Donna O. Farley
WR-848-AHRQ
August 2011
Prepared for th…