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1661. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38892/psn-pdf
      August 26, 2009 - Wrong site surgery near misses and actual occurrences. … Wrong site surgery near misses and actual occurrences. … https://psnet.ahrq.gov/issue/wrong-site-surgery-near-misses-and-actual-occurrences This analysis of … wrong-site surgery cases and near misses reported to the Pennsylvania Patient Safety Authority found … /issue/incidence-patterns-and-prevention-wrong-site-surgery https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

1662. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
      June 01, 2007 - and surgery teams. … He underwent surgery in the supine position, given his history of AAA repair. … Risks and Benefits of Major Surgery Risk-benefit analysis critical prior to any major surgery Mean … 30-day mortality rate in recent study of 5878 patients undergoing major surgery was 1.5% Preoperative … Consider albumin measurement for major surgery or chronic illness Urinalysis No indication.

1663. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41843/psn-pdf
      November 21, 2012 - Sharing lessons learned to prevent incorrect surgery. … Sharing lessons learned to prevent incorrect surgery. Am Surg. 2012;78(11):1276-1280. … https://psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-incorrect-surgery The Veterans Affairs … https://psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-incorrect-surgery https://psnet.ahrq.gov … https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

1664. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44243/psn-pdf
      November 09, 2015 - Concept analysis: wrong-site surgery. November 9, 2015 Watson DS. … Concept analysis: wrong-site surgery. AORN J. 2015;101(6):650-6. doi:10.1016/j.aorn.2015.03.012. … https://psnet.ahrq.gov/issue/concept-analysis-wrong-site-surgery Despite large-scale efforts to prevent … This concept analysis found limited evidence regarding the role of nurses in wrong-site surgery and … https://psnet.ahrq.gov/issue/concept-analysis-wrong-site-surgery https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

1665. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45236/psn-pdf
      June 15, 2016 - Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert Panel Report. … https://psnet.ahrq.gov/issue/advancing-patient-safety-cataract-surgery-betsy-lehman-center-expert-panel … - report Cataract surgery, one of the most common procedures in the United States, is vulnerable to … https://psnet.ahrq.gov/issue/advancing-patient-safety-cataract-surgery-betsy-lehman-center-expert-panel-report … https://psnet.ahrq.gov/issue/patient-safety-cataract-surgery https://psnet.ahrq.gov/issue/it-left-eye-right

1666. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42564/psn-pdf
      September 11, 2013 - Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. … Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. … psnet.ahrq.gov/issue/error-rating-tool-identify-and-analyse-technical-errors-and-events-laparoscopic- surgery … Bariatric surgery is increasingly common in the United States. … https://psnet.ahrq.gov/issue/safety-culture-and-complications-after-bariatric-surgery

1667. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45601/psn-pdf
      April 13, 2017 - Patient safety improvement interventions in children's surgery: a systematic review. … Patient safety improvement interventions in children's surgery: A systematic review. … https://psnet.ahrq.gov/issue/patient-safety-improvement-interventions-childrens-surgery-systematic-review … This systematic review evaluated the patient safety evidence associated with pediatric surgery. … https://psnet.ahrq.gov/issue/patient-safety-improvement-interventions-childrens-surgery-systematic-review

1668. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43593/psn-pdf
      May 06, 2015 - Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming … https://psnet.ahrq.gov/issue/reducing-risks-wrong-site-surgery-safety-practices-joint-commission-center … - transforming Wrong-site surgery is a never event, but still occurs at alarming rates. … This report discusses risks related to wrong-site surgery, along with their root causes, and describes … https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery https://psnet.ahrq.gov

1669. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44967/psn-pdf
      March 16, 2016 - Wrong site surgery: a critical incident analysis of a near miss. March 16, 2016 Tichanow S. … Wrong site surgery: A critical incident analysis of a near miss. … https://psnet.ahrq.gov/issue/wrong-site-surgery-critical-incident-analysis-near-miss Despite efforts … https://psnet.ahrq.gov/issue/wrong-site-surgery-critical-incident-analysis-near-miss https://psnet.ahrq.gov … /primer/wrong-site-wrong-procedure-and-wrong-patient-surgery https://psnet.ahrq.gov/issue/using-near-misses-analysis-prevent-wrong-site-surgery

1670. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44781/psn-pdf
      January 13, 2016 - Improving Pediatric Surgery Quality and Outcomes in the 21st Century. … https://psnet.ahrq.gov/issue/improving-pediatric-surgery-quality-and-outcomes-21st-century Articles … prevention, safety culture, and professionalism, and discuss these concepts in the context of pediatric surgery … https://psnet.ahrq.gov/issue/improving-pediatric-surgery-quality-and-outcomes-21st-century https://psnet.ahrq.gov … https://psnet.ahrq.gov/issue/agency-healthcare-research-and-quality-pediatric-indicators-quality-metric-surgery-children

1671. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41835/psn-pdf
      May 19, 2015 - Interventions for reducing wrong-site surgery and invasive procedures. … Interventions for reducing wrong-site surgery and invasive clinical procedures. … https://psnet.ahrq.gov/issue/interventions-reducing-wrong-site-surgery-and-invasive-procedures Wrong-site … surgery is considered a never event, and therefore hospitals have been required to implement protocols … https://psnet.ahrq.gov/issue/interventions-reducing-wrong-site-surgery-and-invasive-procedures https:

1672. Laparoscopic bile duct injury: understanding the psychology and heuristics of the error. | PSNet
      psnet.ahrq.gov/issue/laparoscopic-bile-duct-injury-understanding-psychology-and-heuristics-error
      May 29, 2014 - August 25, 2021 Prevalence, types, and sources of bullying reported by US general … surgery residents in 2019. … December 21, 2014 A simple surgery with harrowing complications. … See More About The Topic Operating Room Physicians Organizational Behaviorists General … Surgery Intraoperative Complications View More

1673. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46627/psn-pdf
      January 30, 2018 - national-report-findings-2016-issue-brief-no-2-patient-safety https://psnet.ahrq.gov/issue/readiness-us-general-surgery-residents-independent-practice … https://psnet.ahrq.gov/issue/readiness-us-general-surgery-residents-independent-practice https://psnet.ahrq.gov

1674. Safety of anesthetic and perioperative medication practices. | PSNet
      psnet.ahrq.gov/issue/safety-anesthetic-and-perioperative-medication-practices
      January 14, 2019 - 2020 The physiology of failure: identifying risk factors for mortality in emergency general … surgery patients using a regional health system integrated electronic medical record. … April 27, 2022 View More See More About The Topic Outpatient Surgery … Operating Room Anesthesiology Surgery Anesthesia Nursing View More

1675. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46430/psn-pdf
      September 27, 2017 - In this randomized study, general surgery residents who viewed an instructional video on proper central … video-capture-clinical-care-enhance-patient-safety https://psnet.ahrq.gov/issue/characterising-near-miss-events-complex-laparoscopic-surgery-through-video-analysis

1676. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36926/psn-pdf
      September 09, 2011 - has implicated poor communication between team members as a possible factor in adverse events during surgery … further characterize suboptimal communication patterns by using psychologists to directly observe general … surgery cases. 

1677. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40470/psn-pdf
      December 21, 2014 - more-4000 This prospective study found no additional risk of complications or mortality in cardiac surgery … This finding contradicts the results of an earlier study in general surgery patients.

1678. Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems. | PSNet
      psnet.ahrq.gov/issue/pursuing-professional-accountability-evidence-based-approach-addressing-residents-behavioral
      January 18, 2012 - March 3, 2011 Readiness of US general surgery residents for independent practice. … November 17, 2010 View More Related Resources Restructuring of a general … surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons from New … About The Topic Hospitals Physicians Facility and Group Administrators Educators Surgery

1679. Resident Duty Hours Across Borders: An International Perspective. | PSNet
      psnet.ahrq.gov/issue/resident-duty-hours-across-borders-international-perspective
      February 27, 2019 - May 2, 2017 Preventable morbidity and mortality among non-trauma emergency surgery patients … Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general … surgery interns. … July 24, 2013 Duty hours, quality of care, and patient safety: general surgery resident

1680. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47138/psn-pdf
      October 13, 2018 - This cross-sectional survey study of surgery residents and attendings across 6 general surgery training