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psnet.ahrq.gov/issue/twenty-tips-help-prevent-medical-errors-children
December 24, 2008 - parents on how to help their children avoid medical errors pertaining to medicine, hospital stays, surgeries
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psnet.ahrq.gov/issue/reused-devices-surgerys-deadly-suspects
January 04, 2006 - exposed to a rare brain disease after contaminated surgical instruments were used during their brain surgeries
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psnet.ahrq.gov/node/845361/psn-pdf
March 29, 2023 - standardized-marking-procedure-ent-operations-prevent-wrong-site-
surgery-development
Although wrong-site surgeries
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psnet.ahrq.gov/node/46732/psn-pdf
June 07, 2018 - sages-fundamental-use-surgical-energy-program-fuse-history-development-and-purpose
https://psnet.ahrq.gov/issue/fires-during-surgeries-bigger-risk-thought
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psnet.ahrq.gov/node/41626/psn-pdf
August 29, 2012 - superficial surgical site infections; operative time was
approximately 25 minutes longer for resident surgeries
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/abdominal-aortic-aneurysm-screening-2014
June 23, 2014 - groups to have any AAA surgery within 3 to 5 years, predominantly driven by an increase in elective surgeries … , largely driven by an increase in elective surgeries. … at 3 to 5 years, driven primarily by an increase in elective surgeries. … This overall increase in surgeries persisted at 13 to 15 years, although the magnitude of difference … Similarly, two fair-quality trials found that early EVAR doubled the rate of AAA-associated surgeries
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/4-overview-facilitator-guide.docx
January 01, 2019 - ISCR provides information and tools that hospitals can use to make enhanced recovery surgeries a priority … common components that span the program’s service lines, for patients undergoing elective or emergency surgeries … Separate evidence reviews for acute cholecystectomy and emergency major abdominal surgeries were conducted
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/10-frontline-provider.pptx
June 01, 2023 - Bowel Preparation
For surgeries with a planned bowel resection, have bowel prep and oral antibiotics … receiving multimodal pain management
Regional analgesia protocol, if relevant
VTE Prophylaxis
For specific surgeries
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www.ahrq.gov/sites/default/files/2025-02/mao-report.pdf
January 01, 2025 - reoperations following HS to summarize associated
patient- and device-specific complications and additional surgeries … reoperations following HS to summarize associated patient- and device-specific
complications and additional surgeries … databases, are useful in providing real-world estimates of device safety events, such as
additional surgeries … However, due to the limitation of administrative data, the nature of
complications related to these surgeries … Device failures associated with patient injuries
during robot-assisted laparoscopic surgeries: a comprehensive
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psnet.ahrq.gov/node/36315/psn-pdf
July 10, 2008 - A prior study indicated a rate of
approximately 1 case per 112,000 surgeries, but WSPEs may occur in
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psnet.ahrq.gov/node/34063/psn-pdf
September 18, 2011 - risk-factors-retained-instruments-and-sponges-after-surgery
This case-control study discovered that emergency surgeries
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psnet.ahrq.gov/issue/second-opinion-consult-computer
June 03, 2020 - March 4, 2020
Six ways to lower errors—and unnecessary surgeries—in radiology exams.
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psnet.ahrq.gov/periodic-issue/periodic-issue-472
February 26, 2025 - Medicare beneficiaries from 2015 to 2020, researchers found that female patients undergoing high-risk surgeries … Medicare beneficiaries from 2015 to 2020, researchers found that female patients undergoing high-risk surgeries … This cross-sectional study at one Danish hospital found that patients whose surgeries were canceled reported
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psnet.ahrq.gov/node/39123/psn-pdf
April 30, 2014 - issue/incorrect-surgical-procedures-within-and-outside-operating-room
Wrong-patient and wrong-site surgeries
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh20.html
April 01, 2018 - The Exhibit gives an estimate of national number of surgical site infections (SSIs) for each of the surgeries
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section8.html
October 01, 2015 - for urinary catheter include: urinary flow obstruction or retention, perioperative use in selected surgeries
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psnet.ahrq.gov/issue/risks-are-high-low-volume-hospitals
September 12, 2012 - This news article reports an independent analysis of patient risk at hospitals that provide surgeries
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psnet.ahrq.gov/issue/lost-voice
March 21, 2007 - surgery, this news article discusses potential contributing factors in the incident such as concurrent surgeries
-
psnet.ahrq.gov/node/39404/psn-pdf
March 31, 2010 - incidence-and-root-cause-analysis-wrong-site-pain-management-procedures-
multicenter-study
Wrong-site surgeries
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psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
April 01, 2010 - The Universal Protocol was designed to engage institutions in implementing a standardized approach to surgeries … In fact, The Joint Commission sentinel event statistics database reported 1072 wrong-site surgeries among … widely when examining the literature and accessible databases, ranging from 0.09 to 4.5 per 10,000 surgeries … Definitions and Examples of Wrong-Site Surgeries.( 2 ) Type Definition Example