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psnet.ahrq.gov/node/836712/psn-pdf
March 09, 2022 - Predictive power of the "trigger tool" for the detection of
adverse events in general surgery: a multicenter … Predictive power of the "Trigger
Tool" for the detection of adverse events in general surgery: a multicenter … https://psnet.ahrq.gov/issue/predictive-power-trigger-tool-detection-adverse-events-general-surgery- … https://psnet.ahrq.gov/issue/predictive-power-trigger-tool-detection-adverse-events-general-surgery-multicenter … https://psnet.ahrq.gov/issue/predictive-power-trigger-tool-detection-adverse-events-general-surgery-multicenter
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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-
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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.
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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
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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
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psnet.ahrq.gov/issue/patient-safety-and-quality-surgery
August 26, 2011 - Commentary
Patient safety and quality in surgery. … Patient safety and quality in surgery. Surg Clin North Am. 2007;87(4):867-81, vii. … Patient safety and quality in surgery. Surg Clin North Am. 2007;87(4):867-81, vii. … August 14, 2019
Office-based surgery and patient outcomes. … August 27, 2010
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Physicians
Surgery
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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.
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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.
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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.
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psnet.ahrq.gov/issue/anticipated-consequences-2011-duty-hours-standards-views-internal-medicine-and-surgery
August 22, 2018 - Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery … Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program … of the 2011 ACGME duty hour limits , this survey found that the majority of internal medicine and surgery … Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general … surgery interns.
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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
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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.
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psnet.ahrq.gov/issue/surgeon-perception-and-attitude-towards-moral-imperative-institutionally-addressing-second
March 24, 2019 - perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery … perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery … February 8, 2023
A national mixed-methods evaluation of preparedness for general surgery … January 3, 2018
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Outpatient Surgery … Operating Room
Surgery
Second victims
Legal and Policy Approaches
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psnet.ahrq.gov/issue/risk-factors-wrong-site-surgery-study-1166-reports-informed-consent-and-schedule-errors
January 20, 2021 - Study
Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent … Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors … Errors predominantly occurred at hospitals (86%, vs 14% at ambulatory surgery centers). … June 11, 2014
Incidence, patterns, and prevention of wrong-site surgery. … Operating Room
Surgery
Wrong-Site Surgery
Informed Consent
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psnet.ahrq.gov/issue/information-transfer-and-communication-surgery-systematic-review
September 26, 2012 - Review
Information transfer and communication in surgery: a systematic review. … Information transfer and communication in surgery: a systematic review. … Information transfer and communication in surgery: a systematic review. … study of the frequency, severity, and etiology of failures in postoperative care after major elective general … surgery.
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psnet.ahrq.gov/node/838913/psn-pdf
October 26, 2022 - Communication during interhospital transfers of
emergency general surgery patients: a qualitative study … Communication during interhospital transfers of emergency general
surgery patients: a qualitative study … https://psnet.ahrq.gov/issue/communication-during-interhospital-transfers-emergency-general-surgery- … https://psnet.ahrq.gov/issue/communication-during-interhospital-transfers-emergency-general-surgery-patients-qualitative … https://psnet.ahrq.gov/issue/communication-during-interhospital-transfers-emergency-general-surgery-patients-qualitative
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psnet.ahrq.gov/node/48046/psn-pdf
August 21, 2019 - Educational targets to reduce medication errors by
general surgery residents. … Educational Targets to Reduce Medication Errors by General
Surgery Residents. … https://psnet.ahrq.gov/issue/educational-targets-reduce-medication-errors-general-surgery-residents … surgery residents over approximately 6.5 years. … https://psnet.ahrq.gov/issue/educational-targets-reduce-medication-errors-general-surgery-residents
https
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psnet.ahrq.gov/issue/surgery-safer-teaching-hospital
September 28, 2016 - Newspaper/Magazine Article
Is surgery safer at a teaching hospital? … Citation Text:
Is surgery safer at a teaching hospital? Webster H. US News & World Report. … Linkedin
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Citation Text:
Is surgery … November 12, 2014
At surgery clinic, rush to save Joan Rivers's life. … September 10, 2014
Organ donor's surgery death sparks questions.
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psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
August 01, 2017 - The Evolution of Patient Safety in Surgery
Robert M. … The Evolution of Patient Safety in Surgery. PSNet [internet]. … The Evolution of Patient Safety in Surgery. PSNet [internet]. … Arthur, the surgery attending, "sprang from his chair." … The Evolution of Patient Safety in Surgery. PSNet [internet].
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psnet.ahrq.gov/issue/medicares-oversight-ambulatory-surgery-centers-report
February 11, 2015 - Book/Report
Medicare's Oversight of Ambulatory Surgery Centers Report. … Citation Text:
Medicare's Oversight of Ambulatory Surgery Centers Report. … Ambulatory surgery centers (ASC) play an increasing role in complex surgical care, but methods to assure … May 29, 2019
AHRQ's Safety Program for Ambulatory Surgery. … Risk Managers
Surgery
Surgical Complications
Legal and Policy Approaches