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361. The collapse of sensemaking in organizations: the Mann Gulch disaster. | PSNet
     psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster
     May 21, 2019 - September 9, 2020 A national mixed-methods evaluation of preparedness for general surgery … October 13, 2018 Wrong-site surgery. … , indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery … relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery

362. Current issues in patient safety in surgery: a review. | PSNet
     psnet.ahrq.gov/issue/current-issues-patient-safety-surgery-review
     July 26, 2017 - Review Current issues in patient safety in surgery: a review. … Current issues in patient safety in surgery: a review. … Current issues in patient safety in surgery: a review. … June 22, 2016 Implementation of safety checklists in surgery: a realist synthesis of … November 4, 2015 Effectiveness of interventions to improve patient handover in surgery

363. Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients. | PSNet
     psnet.ahrq.gov/issue/development-online-morbidity-mortality-and-near-miss-reporting-system-identify-patterns
     August 20, 2018 - Download Citation Related Resources From the Same Author(s) Readiness of US general … surgery residents for independent practice. … September 2, 2020 Underlying reasons associated with hospital readmission following surgery … : the robotic-assisted surgery olympics. … June 7, 2016 Characterising 'near miss' events in complex laparoscopic surgery through

364. Making surgery as safe as it should be: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/making-surgery-safe-it-should-be-qualitative-study
     July 02, 2014 - Study Making surgery as safe as it should be: a qualitative study. … Making surgery as safe as it should be: a qualitative study. … Making surgery as safe as it should be: a qualitative study. … May 9, 2012 Enhancing communication in surgery through team training interventions: a … January 9, 2008 View More See More About The Topic Operating Room Surgery

365. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60269/psn-pdf
     April 29, 2020 - of a presumed necrotizing soft tissue infection (a.k.a., necrotizing fasciitis) by the Emergency General … Surgery (EGS) service. … Tanya Rinderknecht, MD Assistant Professor of Surgery Department of Surgery, Division of Trauma UC … World society of emergency surgery study group initiative on Timing of Acute Care Surgery classification … Journal of Trauma and Acute Care Surgery. 2018 July;85(1):208-214.

366. Final five: ASCs told to target patient safety. | PSNet
     psnet.ahrq.gov/issue/final-five-ascs-told-target-patient-safety
     April 24, 2018 - May 20, 2015 Surgical skill and complication rates after bariatric surgery. … July 20, 2009 Evaluation of critical incidents in general surgery. … November 5, 2008 View More See More About The Topic Outpatient Surgery … Ambulatory Care Facility and Group Administrators General Surgery Surgical Complications

367. Early impact of the 2011 ACGME duty hour regulations on surgical outcomes. | PSNet
     psnet.ahrq.gov/issue/early-impact-2011-acgme-duty-hour-regulations-surgical-outcomes
     May 01, 2015 - Surgery. 2015;158(6):1453-61. doi:10.1016/j.surg.2015.05.002. … Surgery . 2015; 158 (6) :1453-61 . View more articles from the same authors. … Surgery. 2015;158(6):1453-61. doi:10.1016/j.surg.2015.05.002. … May 1, 2015 Readiness of US general surgery residents for independent practice. … December 21, 2014 Resident duty hours in surgery for ensuring patient safety, providing

368. The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. | PSNet
     psnet.ahrq.gov/issue/surgeon-second-victim-results-boston-intraoperative-adverse-events-surgeons-attitude-bisa
     January 23, 2017 - January 23, 2017 Intraoperative adverse events in abdominal surgery: what happens in … July 1, 2017 Design and impact of a novel surgery-specific second victim peer support … March 9, 2022 Readiness of US general surgery residents for independent practice. … August 20, 2018 Preventable morbidity and mortality among non-trauma emergency surgery … See More About The Topic Operating Room Facility and Group Administrators Surgery

369. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74245/psn-pdf
     January 14, 2024 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: User Database Report. … https://psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-ambulatory-surgery-center-survey-user … - database-report Ambulatory surgery centers harbor unique characteristics that affect safety culture … https://psnet.ahrq.gov/issue/ahrqs-safety-program-ambulatory-surgery https://psnet.ahrq.gov/issue/toolkit-improve-safety-ambulatory-surgery-centers … https://psnet.ahrq.gov/issue/ambulatory-surgery-center-survey-patient-safety-culture

370. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851193/psn-pdf
     July 05, 2023 - Overlapping surgery in arthroplasty - a systematic review and meta-analysis. … Overlapping surgery in arthroplasty – a systematic review and meta- analysis. … surgery, where “critical” portions of surgery are performed sequentially in separate operating rooms … (OS) and non-overlapping surgery (NOS) in total hip and total knee arthroplasty. … ://psnet.ahrq.gov/issue/association-overlapping-surgery-perioperative-outcomes https://psnet.ahrq.gov

371. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/857448/psn-pdf
     January 01, 2024 - Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient … Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient … https://psnet.ahrq.gov/issue/overlapping-surgery-orthopaedics-review-efficacy-surgical-costs-surgical … /issue/association-overlapping-surgery-perioperative-outcomes https://psnet.ahrq.gov/issue/association-overlapping-surgery-increased-risk-complications-following-hip-surgery … https://psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards

372. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845356/psn-pdf
     March 29, 2023 - A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery … A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery … https://psnet.ahrq.gov/innovation/novel-approach-engagement-team-training-high-technology-surgery- robotic-assisted-surgery … https://psnet.ahrq.gov/innovation/novel-approach-engagement-team-training-high-technology-surgery-robotic-assisted-surgery … https://psnet.ahrq.gov/innovation/novel-approach-engagement-team-training-high-technology-surgery-robotic-assisted-surgery

373. Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room. | PSNet
     psnet.ahrq.gov/issue/application-human-factors-analysis-and-classification-system-methodology-cardiovascular
     January 06, 2012 - Application of the human factors analysis and classification system methodology to the cardiovascular surgery … Application of the human factors analysis and classification system methodology to the cardiovascular surgery … Application of the human factors analysis and classification system methodology to the cardiovascular surgery … Association of measured quality and future financial performance among hospitals performing cardiac surgery … February 12, 2020 Starting elective cardiac surgery after 3 pm does not impact patient

374. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33596/psn-pdf
     June 01, 2025 - (e.g., trauma or burn surgery, organ transplants, intracranial hemorrhage) and very low- risk surgery … Impact of hospital characteristics on failure-to-rescue following major surgery. … Failure-to-rescue and disparities in emergency general surgery. J Surg Res. 2018;231:62-68. … Racial disparities in failure-to-rescue following unplanned reoperation in pediatric surgery. … Hospital and patient characteristics associated with death after surgery- a study of adverse occurrence

375. Requirements for the design and implementation of checklists for surgical processes. | PSNet
     psnet.ahrq.gov/issue/requirements-design-and-implementation-checklists-surgical-processes
     September 25, 2008 - August 4, 2021 Readiness of US general surgery residents for independent practice. … June 22, 2016 Implementation of safety checklists in surgery: a realist synthesis of … November 4, 2015 Effectiveness of interventions to improve patient handover in surgery … June 17, 2015 Staying safe: simple tools for safe surgery. … Topic Operating Room Health Care Providers Health Care Executives and Administrators Surgery

376. Too Many Cooks Spotlight Pdf (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
     January 01, 2020 - and identify several factors that might trigger such alerts based on cardiac risk after non-cardiac surgery … for a pathologic pelvic fracture (secondary to osteoporosis) after a fall from standing • Trauma Surgery … , Trauma Surgery, and Orthopedics agreed to proceed with an operative hemiarthroplasty with a cardiac … Aortic stenosis and non-cardiac surgery: A systematic review and meta-analysis. … Emergency general surgery and trauma: Outcomes from the first consultant-led service in Singapore.

377. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846759/psn-pdf
     March 29, 2023 - A contemporary analysis of closed claims related to wrong site surgery. … A contemporary analysis of closed claims related to wrong site surgery. … https://psnet.ahrq.gov/issue/contemporary-analysis-closed-claims-related-wrong-site-surgery Wrong-site … surgery is considered a never event and can lead to serious patient harm. … that the risk of wrong-site surgery increases with spinal surgeries (e.g., spinal fusion, excision

378. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33576/psn-pdf
     December 15, 2024 - Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Wrong-Site, Wrong-Procedure … , and Wrong-Patient Surgery. … https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery PSNet primers are … Wrong-site surgery may involve operating on the wrong side, as in the case of a patient who had the right … A classic case of wrong-patient surgery involved a patient who underwent a cardiac procedure intended

379. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848363/psn-pdf
     May 03, 2023 - Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of … Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of … https://psnet.ahrq.gov/issue/impact-percentage-overlapping-surgery-patient-outcomes-retrospective-cohort … - study-87000 Overlapping surgery – when surgeons schedule distinct procedures on different patients … concurrent-and-overlapping-surgeries-additional-measures-warranted https://psnet.ahrq.gov/issue/association-overlapping-surgery-increased-risk-complications-following-hip-surgery

380. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60856/psn-pdf
     August 26, 2020 - Cardiology, Cardiothoracic Surgery, Trauma Surgery, and Orthopedics discussed this high-risk case extensively … The trauma surgery team and orthopedic consultant were correct to adopt a deliberate and conservative … care – coordination of a team of experts is an important skill, emphasized in trauma and emergency general … Aortic stenosis and non-cardiac surgery: A systematic review and meta-analysis. … Emergency general surgery and trauma: Outcomes from the first consultant-led service in Singapore.