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psnet.ahrq.gov/issue/failure-events-transition-care-surgical-patients
October 19, 2022 - identified the clinical factors associated with unplanned transfers to the intensive care unit after surgery … Related Resources
Failure to rescue female patients undergoing high-risk surgery … phenomenological analysis of vulnerability as experienced by patients with complications following surgery … study of the frequency, severity, and etiology of failures in postoperative care after major elective general … surgery.
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psnet.ahrq.gov/issue/preoperative-site-marking-are-we-adhering-good-surgical-practice
August 02, 2017 - Wrong-site surgery represents a never event . … In the United States, The Joint Commission requires marking of the surgical site prior to surgery as … April 10, 2024
Readiness of US general surgery residents for independent practice. … August 11, 2021
Wrong Site Surgery–Wrong Tooth Extraction. … Wrong-Site Surgery
Active Errors
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psnet.ahrq.gov/issue/insight-preventing-wrong-site-surgery
February 06, 2019 - Newspaper/Magazine Article
Insight into preventing wrong-site surgery. … Citation Text:
Insight into preventing wrong-site surgery. … June 8, 2011
Getting surgery right. … February 8, 2011
Operating room briefings and wrong-site surgery. … July 28, 2010
Avoiding wrong site surgery: a systematic review.
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psnet.ahrq.gov/issue/prospective-study-patient-safety-operating-room
July 25, 2012 - Surgery. 2006;139(2):159-173. … Surgery . 2006; 139 (2) :159-173 .
View more articles from the same authors. … The observational team carefully followed and recorded events from 10 general surgery cases. … Surgery. 2006;139(2):159-173. … More
See More About The Topic
Operating Room
Quality and Safety Professionals
General
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psnet.ahrq.gov/node/44200/psn-pdf
February 18, 2019 - Structured handover in general surgery: an audit of
current practice. … Structured Handover in General Surgery: An Audit of Current Practice. … https://psnet.ahrq.gov/issue/structured-handover-general-surgery-audit-current-practice
This pre-post … https://psnet.ahrq.gov/issue/structured-handover-general-surgery-audit-current-practice
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/impact-major-intraoperative-adverse-events-hospital-readmissions
July 01, 2017 - Related Resources From the Same Author(s)
Intraoperative adverse events in abdominal surgery … July 23, 2018
Design and impact of a novel surgery-specific second victim peer support … January 29, 2020
Readiness of US general surgery residents for independent practice. … August 20, 2018
Preventable morbidity and mortality among non-trauma emergency surgery … June 21, 2016
Composite measures for profiling hospitals on bariatric surgery performance
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psnet.ahrq.gov/issue/quality-and-safety-surgery-challenges-and-opportunities
September 02, 2020 - Commentary
Quality and safety in surgery: challenges and opportunities. … Quality and safety in surgery: challenges and opportunities. … Quality and safety in surgery: challenges and opportunities. … : the robotic-assisted surgery olympics. … Operating Room
Physicians
Quality and Safety Professionals
Surgery
View More
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psnet.ahrq.gov/issue/interruptions-and-miscommunications-surgery-observational-study
August 11, 2021 - Study
Interruptions and miscommunications in surgery: an observational study. … Interruptions and miscommunications in surgery: an observational study. … Interruptions and miscommunications in surgery: an observational study. … August 11, 2021
Effect of using a safety checklist on patient complications after surgery … December 8, 2021
Enhancing communication in surgery through team training interventions
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psnet.ahrq.gov/issue/incidence-nature-and-impact-error-surgery
December 16, 2020 - Study
Incidence, nature and impact of error in surgery. … Incidence, nature and impact of error in surgery. … Incidence, nature and impact of error in surgery. … March 23, 2011
Opioid dependence and overdose after surgery: rate, risk factors, and … December 8, 2021
Trial and error: learning from malpractice claims in childhood surgery
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psnet.ahrq.gov/node/837901/psn-pdf
August 24, 2022 - Trial and error: learning from malpractice claims in
childhood surgery. … Trial and error: learning from malpractice claims in childhood
surgery. … database,
researchers found that a wide range of pediatric surgical specialties – including orthopedics, general … surgery, and otolaryngology – are most frequently associated with malpractice lawsuits. … https://psnet.ahrq.gov/issue/improving-pediatric-surgery-quality-and-outcomes-21st-century
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psnet.ahrq.gov/issue/surgical-management-and-outcomes-165-colonoscopic-perforations-single-institution
November 16, 2022 - Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general … surgery interns. … Resources
The physiology of failure: identifying risk factors for mortality in emergency general … May 27, 2020
Association of the 2011 ACGME resident duty hour reform with general surgery … 2009
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See More About The Topic
Operating Room
Physicians
General
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psnet.ahrq.gov/issue/national-cluster-randomized-trial-duty-hour-flexibility-surgical-training
September 09, 2015 - This national study cluster-randomized 118 general surgery residency programs to adhere to current ACGME … September 9, 2015
Association of the 2011 ACGME resident duty hour reform with general … surgery patient outcomes and with resident examination performance. … March 15, 2017
A national mixed-methods evaluation of preparedness for general surgery … May 15, 2019
Underlying reasons associated with hospital readmission following surgery
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psnet.ahrq.gov/issue/patterns-technical-error-among-surgical-malpractice-claims-analysis-strategies-prevent-injury
August 26, 2011 - March 2, 2011
Risk factors for retained instruments and sponges after surgery. … September 18, 2011
Incidence, patterns, and prevention of wrong-site surgery. … August 14, 2019
Comparison of appendectomy outcomes between senior general surgeons and general … surgery residents. … August 15, 2018
Safety of overlapping surgery at a high-volume referral center.
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psnet.ahrq.gov/issue/association-surgeon-patient-sex-concordance-postoperative-outcomes
September 09, 2020 - September 2, 2020
A national mixed-methods evaluation of preparedness for general surgery … September 23, 2020
Restructuring of a general surgery residency program in an epicenter … October 30, 2024
Digital health interventions and patient safety in abdominal surgery … May 15, 2024
Characteristics and contributing factors of diagnostic error in surgery: … following hip surgery.
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psnet.ahrq.gov/issue/robotic-assisted-surgery-focus-training-and-credentialing
January 07, 2015 - Newspaper/Magazine Article
Robotic-assisted surgery: focus on training and credentialing … Citation Text:
Robotic-assisted surgery: focus on training and credentialing. Dubeck D. … Pennsylvania Patient Safety Authority , this article analyzes the 722 safety events involving robotic-assisted surgery … harm but 10 patient deaths were recorded—and discusses the challenges introduced as robotic-assisted surgery … Copy URL
Cite
Citation
Citation Text:
Robotic-assisted surgery
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psnet.ahrq.gov/issue/patient-safety-science-cardiothoracic-surgery-overview
October 03, 2017 - Commentary
Patient safety science in cardiothoracic surgery: an overview. … Patient Safety Science in Cardiothoracic Surgery: An Overview. … Exploring safety sciences in cardiothoracic surgery, this commentary discusses how human error, accident … Patient Safety Science in Cardiothoracic Surgery: An Overview. … April 19, 2017
Team-based care: the changing face of cardiothoracic surgery.
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psnet.ahrq.gov/issue/toolkit-improve-safety-ambulatory-surgery-centers
May 01, 2015 - Toolkit
Toolkit To Improve Safety in Ambulatory Surgery Centers. … Citation Text:
Toolkit To Improve Safety in Ambulatory Surgery Centers. … Ambulatory surgery centers provide care to growing numbers of patients. … April 16, 2018
Toolkit to Promote Safe Surgery. … January 31, 2018
AHRQ Safety Program for Surgery.
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psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery
September 30, 2010 - Classic
Incidence, patterns, and prevention of wrong-site surgery … Incidence, patterns, and prevention of wrong-site surgery. Arch Surg. 2006;141(4):353-358. … Incidence, patterns, and prevention of wrong-site surgery. Arch Surg. 2006;141(4):353-358. … March 28, 2011
Getting surgery right. … December 22, 2010
Operating room briefings and wrong-site surgery.
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psnet.ahrq.gov/issue/good-bad-and-ugly-operative-staff-perspectives-surgeon-coping-intraoperative-errors
September 22, 2021 - Surgery. 2023;174(2):222-228. doi:10.1016/j.surg.2023.04.019. … Surgery. 2023;174(2):222-228. doi:10.1016/j.surg.2023.04.019. … March 17, 2021
Readiness of US general surgery residents for independent practice. … Room
April 27, 2022
A national mixed-methods evaluation of preparedness for general … surgery residency and the association with resident burnout.
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psnet.ahrq.gov/issue/eau-policy-live-surgery-events
December 29, 2014 - Review
EAU policy on live surgery events. … EAU policy on live surgery events. Eur Urol. 2014;66(1):87-97. doi:10.1016/j.eururo.2014.01.028. … EAU policy on live surgery events. … May 31, 2017
Classification and detection of errors in minimally invasive surgery. … August 27, 2009
Burns surgery handover study: trainees' assessment of current practice