-
psnet.ahrq.gov/issue/determinants-adverse-events-vascular-surgery
March 21, 2012 - Study
Determinants of adverse events in vascular surgery. … Determinants of adverse events in vascular surgery. … Vascular surgery is considered a higher risk surgical specialty, as many patients undergoing vascular … Patient Safety Indicators (PSIs) to analyze more than 1.4 million patients who underwent vascular surgery … Determinants of adverse events in vascular surgery.
-
psnet.ahrq.gov/issue/hospital-tells-surgery-wrong-side
July 02, 2008 - Newspaper/Magazine Article
Hospital tells of surgery on wrong side. … Citation Text:
Hospital tells of surgery on wrong side. Smith S. … This article reports on a wrong-side surgery that was immediately disclosed to the patient along with … November 14, 2011
View More
Related Resources
When it's surgery … Wrong-Site Surgery
Cognitive Errors ("Mistakes")
View More
-
psnet.ahrq.gov/issue/independent-mortality-review-cardiac-surgery-st-georges-university-hospitals-nhs-foundation
May 24, 2023 - Book/Report
Independent Mortality Review of Cardiac Surgery at St George’s University … Citation Text:
Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals … Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust … Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust … This report examines cardiac surgery patient mortality at a National Health Service Trust over a 5-
-
psnet.ahrq.gov/issue/doing-right-things-correct-wrong-site-surgery
October 21, 2020 - Newspaper/Magazine Article
Doing the "right" things to correct wrong-site surgery … Citation Text:
Doing the "right" things to correct wrong-site surgery. … May 21, 2013
The pain of wrong site surgery. … December 22, 2010
Operating room briefings and wrong-site surgery. … July 28, 2010
Insight into preventing wrong-site surgery.
-
psnet.ahrq.gov/issue/bid-better-care-surgery-warranty
August 05, 2008 - Newspaper/Magazine Article
In bid for better care, surgery with a warranty. … Citation Text:
In bid for better care, surgery with a warranty. Abelson R. … This article reports on a Pennsylvania hospital system that offers a flat fee for bypass surgery and … December 18, 2013
A simple surgery with harrowing complications. … June 9, 2011
Ferrari's Formula One handovers and handovers from surgery to intensive
-
psnet.ahrq.gov/issue/perception-patient-safety-alternate-site-care-elective-surgery-during-first-wave-novel
May 12, 2021 - Study
The perception of patient safety in an alternate site of care for elective surgery … The perception of patient safety in an alternate site of care for elective surgery during the first wave … 2021
Predictive power of the "trigger tool" for the detection of adverse events in general … surgery: a multicenter observational validation study. … March 17, 2021
Restructuring of a general surgery residency program in an epicenter of
-
psnet.ahrq.gov/issue/surgical-site-signing-and-time-out-issues-compliance-or-complacence
January 07, 2011 - 2022
Investigating workplace support and the importance of psychological safety in general … surgery residency training. … by the American Board of Orthopaedic Surgery. … March 29, 2012
Getting surgery right. … Wrong-Site Surgery
View More
-
psnet.ahrq.gov/issue/serious-hazards-transfusion-evaluating-dangers-wrong-patient-autologous-salvaged-blood
May 11, 2022 - hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery … hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery … 2019
Predictive power of the "trigger tool" for the detection of adverse events in general … surgery: a multicenter observational validation study. … September 28, 2022
Mortality due to hospital-acquired infection after cardiac surgery
-
psnet.ahrq.gov/issue/crisis-preparedness-systems-based-framework-avoiding-harm-surgery
September 14, 2022 - Study
Crisis preparedness: a systems-based framework for avoiding harm in surgery … Crisis preparedness: a systems-based framework for avoiding harm in surgery. … Crisis preparedness: a systems-based framework for avoiding harm in surgery. … December 16, 2020
Errors in surgery: a case control study. … November 10, 2021
A national mixed-methods evaluation of preparedness for general surgery
-
psnet.ahrq.gov/issue/overlapping-surgery-arthroplasty-systematic-review-and-meta-analysis
October 19, 2022 - Review
Overlapping surgery in arthroplasty - a systematic review and meta-analysis … Overlapping surgery in arthroplasty – a systematic review and meta-analysis. … Overlapping surgery, where “critical” portions of surgery are performed sequentially in separate operating … (OS) and non-overlapping surgery (NOS) in total hip and total knee arthroplasty. … Overlapping surgery in arthroplasty – a systematic review and meta-analysis.
-
psnet.ahrq.gov/issue/effect-noise-auditory-processing-operating-room
November 16, 2022 - Because poor communication has been associated with adverse events in surgery, the authors urge that … March 14, 2022
Readiness of US general surgery residents for independent practice. … July 11, 2018
Adverse events in robotic surgery: a retrospective study of 14 years of … May 24, 2017
Underreporting of robotic surgery complications. … January 20, 2015
Integrating human factors research and surgery: a review.
-
psnet.ahrq.gov/issue/personal-protective-equipment-ppe-surgeons-during-covid-19-pandemic-systematic-review
September 23, 2020 - The review discusses virus transmission during surgery, types of perioperative PPE, equipment shortages … 16, 2022
The perception of patient safety in an alternate site of care for elective surgery … September 16, 2020
Restructuring of a general surgery residency program in an epicenter … Lessons from aviation for returning to non-urgent surgery following COVID-19. … May 13, 2020
Blueprint for restructuring a department of surgery in concert with the
-
psnet.ahrq.gov/issue/common-general-surgical-never-events-analysis-nhs-england-never-event-data
April 14, 2021 - National Health Service (NHS) England and categorized them into three main categories: wrong-site surgery … In total 56 common general surgery never events have been found. … Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery … April 4, 2011
View More
See More About The Topic
Outpatient Surgery … Operating Room
Facility and Group Administrators
Quality and Safety Professionals
Surgery
-
psnet.ahrq.gov/issue/cognitive-biases-surgery-systematic-review
April 27, 2022 - Review
Cognitive biases in surgery: systematic review. … Cognitive biases in surgery: systematic review. … Cognitive biases in surgery: systematic review. … January 26, 2022
View More
See More About The Topic
Outpatient Surgery … Operating Room
Anesthesiology
Surgery
Medical/Surgical Nursing
View More
-
psnet.ahrq.gov/issue/contemporary-analysis-closed-claims-related-wrong-site-surgery
March 03, 2021 - Study
A contemporary analysis of closed claims related to wrong site surgery. … A contemporary analysis of closed claims related to wrong site surgery. … Wrong-site surgery is considered a never event and can lead to serious patient harm . … A contemporary analysis of closed claims related to wrong site surgery. … September 1, 2021
Wrong Site Surgery–Wrong Tooth Extraction.
-
psnet.ahrq.gov/issue/spinal-surgery-and-patient-safety-systems-approach
January 12, 2022 - Review
Spinal surgery and patient safety: a systems approach. … Spinal surgery and patient safety: a systems approach. J Am Acad Orthop Surg. 2006;14(4):226-32. … with particular emphasis on spinal surgery. … Spinal surgery and patient safety: a systems approach. … July 28, 2010
Avoiding wrong site surgery: a systematic review.
-
psnet.ahrq.gov/issue/quantifying-and-characterizing-adverse-events-dermatologic-surgery
November 16, 2022 - Study
Quantifying and characterizing adverse events in dermatologic surgery. … Quantifying and characterizing adverse events in dermatologic surgery. … Quantifying and characterizing adverse events in dermatologic surgery. … September 23, 2020
Detecting adverse events in dermatologic surgery. … February 10, 2012
Detecting adverse events in dermatologic surgery.
-
psnet.ahrq.gov/issue/inappropriate-prescribing-opioids-patients-undergoing-surgery
June 30, 2021 - Study
Inappropriate prescribing of opioids for patients undergoing surgery. … Inappropriate prescribing of opioids for patients undergoing surgery. … (who may be unable to fill prescriptions themselves after surgery). … Inappropriate prescribing of opioids for patients undergoing surgery. … May 30, 2019
Inappropriate opioid prescription after surgery.
-
psnet.ahrq.gov/issue/building-culture-safety-ophthalmology
March 14, 2022 - Efforts to reduce medical errors in ophthalmology often focus on cataract surgery , a high-volume procedure … March 14, 2022
Readiness of US general surgery residents for independent practice. … January 31, 2018
Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center … June 15, 2016
Patient safety in cataract surgery. … December 19, 2014
Wrong site surgery.
-
psnet.ahrq.gov/issue/wrong-site-surgeries-rise
November 08, 2006 - This article reports on a recent AHRQ-funded study on the incidence of wrong-site surgery and shares … 3, 2017
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery … May 21, 2013
When surgery goes wrong: weighing up the risks. … December 22, 2010
Operating room briefings and wrong-site surgery. … July 28, 2010
Doing the "right" things to correct wrong-site surgery.