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401. Tracking intraoperative complications. | PSNet
     psnet.ahrq.gov/issue/tracking-intraoperative-complications
     April 30, 2014 - Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery … February 17, 2015 Evaluation of critical incidents in general surgery. … April 21, 2015 Compliance with a time-out procedure intended to prevent wrong surgery … The Topic Operating Room Health Care Executives and Administrators Safety Scientists Surgery

402. Postoperative complications due to a retained surgical sponge. | PSNet
     psnet.ahrq.gov/issue/postoperative-complications-due-retained-surgical-sponge
     February 23, 2011 - October 30, 2010 Evaluation of critical incidents in general surgery. … October 17, 2012 Perioperative patient safety: correct patient, correct surgery, correct … October 20, 2010 Incidence, patterns, and prevention of wrong-site surgery. … 2008 View More See More About The Topic Operating Room Physicians Surgery

403. The Other Side | PSNet
     psnet.ahrq.gov/web-mm/other-side
     May 01, 2007 - Wrong site surgery is a devastating, costly medical error. … Incidence of wrong-site surgery among hand surgeons. … Ensuring correct surgery; 2002. … study of the frequency, severity, and etiology of failures in postoperative care after major elective general … surgery.

404. Evaluation of reasons why surgical residents exceeded 2011 duty hour requirements when offered flexibility. | PSNet
     psnet.ahrq.gov/issue/evaluation-reasons-why-surgical-residents-exceeded-2011-duty-hour-requirements-when-offered
     September 02, 2020 - Resources From the Same Author(s) A national mixed-methods evaluation of preparedness for general … surgery residency and the association with resident burnout. … March 15, 2017 Association of the 2011 ACGME resident duty hour reform with general surgery … December 21, 2014 Resident duty hours in surgery for ensuring patient safety, providing … 2009 View More See More About The Topic Operating Room Educators Surgery

405. COVID-19 hospital outbreaks: protecting healthcare workers to protect frail patients. An Italian observational cohort study. | PSNet
     psnet.ahrq.gov/issue/covid-19-hospital-outbreaks-protecting-healthcare-workers-protect-frail-patients-italian
     March 18, 2020 - Reflections on incident reporting in a department of pediatric surgery. … 2018 Predictive power of the "trigger tool" for the detection of adverse events in general … surgery: a multicenter observational validation study. … September 30, 2020 Restructuring of a general surgery residency program in an epicenter … May 13, 2020 Blueprint for restructuring a department of surgery in concert with the

406. Three perspectives on changes in resident work environment and duty hours. | PSNet
     psnet.ahrq.gov/issue/three-perspectives-changes-resident-work-environment-and-duty-hours
     September 02, 2020 - Resources From the Same Author(s) A national mixed-methods evaluation of preparedness for general … surgery residency and the association with resident burnout. … September 2, 2020 Guidelines for opioid prescribing in children and adolescents after surgery … December 2, 2020 Restructuring of a general surgery residency program in an epicenter

407. The recurring problem of retained swabs and instruments. | PSNet
     psnet.ahrq.gov/issue/recurring-problem-retained-swabs-and-instruments
     June 19, 2019 - June 25, 2018 Readiness of US general surgery residents for independent practice. … April 22, 2020 Wrong-site surgery, retained surgical items, and surgical fires: a systematic … Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery … About The Topic Operating Room Health Care Providers Quality and Safety Professionals Surgery

408. Introduction of checklists at daily progress notes improves patient care among the gynecological oncology service. | PSNet
     psnet.ahrq.gov/issue/introduction-checklists-daily-progress-notes-improves-patient-care-among-gynecological
     October 19, 2022 - 2011 Predictive power of the "trigger tool" for the detection of adverse events in general … surgery: a multicenter observational validation study. … efficacy of combined surgical patient safety system and the World Health Organization's checklists in surgery … May 1, 2019 Is there evidence of a July effect among patients undergoing hysterectomy surgery … National trends in hospital-acquired preventable adverse events after major cancer surgery

409. Formalizing the hidden curriculum of performance enhancing errors. | PSNet
     psnet.ahrq.gov/issue/formalizing-hidden-curriculum-performance-enhancing-errors
     February 17, 2021 - April 13, 2022 Cognitive biases in surgery: systematic review. … March 10, 2021 A contemporary analysis of closed claims related to wrong site surgery … Quality April 26, 2023 A national mixed-methods evaluation of preparedness for general … surgery residency and the association with resident burnout. … View More See More About The Topic Hospitals Operating Room Educators Surgery

410. Remaking surgical socialization: work hour restrictions, rites of passage, and occupational identity. | PSNet
     psnet.ahrq.gov/issue/remaking-surgical-socialization-work-hour-restrictions-rites-passage-and-occupational
     March 15, 2023 - Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general … surgery interns. … Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery … December 22, 2010 Resident duty hours in surgery for ensuring patient safety, providing … See More About The Topic Operating Room Physicians Educators Policy Makers Surgery

411. Association between surgeon technical skills and patient outcomes. | PSNet
     psnet.ahrq.gov/issue/association-between-surgeon-technical-skills-and-patient-outcomes
     September 02, 2020 - September 2, 2020 A national mixed-methods evaluation of preparedness for general surgery … August 10, 2022 Guidelines for opioid prescribing in children and adolescents after surgery … June 11, 2014 Current challenges and future perspectives for patient safety in surgery … More See More About The Topic Operating Room Quality and Safety Professionals Surgery

412. Safety in office-based anesthesia: an updated review of the literature from 2016 to 2019 | PSNet
     psnet.ahrq.gov/issue/safety-office-based-anesthesia-updated-review-literature-2016-2019
     February 10, 2021 - February 10, 2021 Leading causes of anesthesia-related liability claims in ambulatory surgery … July 10, 2019 Dedicated teams to optimize quality and safety of surgery: a systematic … March 1, 2006 View More See More About The Topic Outpatient Surgery … Ambulatory Care Health Care Providers Anesthesiology General Surgery View More

413. Preventing medication errors in pediatric anesthesia: a systematic scoping review. | PSNet
     psnet.ahrq.gov/issue/preventing-medication-errors-pediatric-anesthesia-systematic-scoping-review
     January 26, 2022 - October 19, 2022 Communication during interhospital transfers of emergency general surgery … August 31, 2022 Adverse events in infants less than 6 months of age after ambulatory surgery … November 24, 2021 Guidelines for opioid prescribing in children and adolescents after surgery … View More See More About The Topic Hospitals Anesthesiology Pediatric Surgery

414. Medically-necessary, time-sensitive procedures: a scoring system to ethically and efficiently manage resource scarcity and provider risk during the COVID-19 pandemic. | PSNet
     psnet.ahrq.gov/issue/medically-necessary-time-sensitive-procedures-scoring-system-ethically-and-efficiently-manage
     October 11, 2017 - October 19, 2022 Readiness of US general surgery residents for independent practice. … March 17, 2021 Will the COVID-19 pandemic transform infection prevention and control in surgery … Lessons from aviation for returning to non-urgent surgery following COVID-19. … June 3, 2020 Blueprint for restructuring a department of surgery in concert with the … Operating Room Physicians Health Care Executives and Administrators Public Health Surgery

415. Perspectives on perioperative team-based morbidity and mortality conferences: a mixed-methods study. | PSNet
     psnet.ahrq.gov/issue/perspectives-perioperative-team-based-morbidity-and-mortality-conferences-mixed-methods-study
     October 11, 2023 - October 18, 2023 Non-technical skills in surgery during the COVID-19 pandemic: an observational … May 26, 2021 Independent Mortality Review of Cardiac Surgery at St George’s University … learning and improvement: a two-year experience with the reporting of morbidity and mortality cases by general … surgery residents. … January 1, 2008 View More See More About The Topic Operating Room Surgery

416. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.341_slideshow.ppt
     March 01, 2015 - wrong-site surgery Relate the key contributing factors to wrong-site surgery Discuss the current best … with the surgery. … The Joint Commission defines wrong-site surgery as Any surgery performed on the wrong site Any procedure … of wrong-site surgery: Wrong level or part surgery (e.g., lumbar discectomy on the incorrect level) … Wrong-patient surgery Wrong-side surgery Wrong-level exposure 7 Facts about the Universal Protocol

417. Reused devices, surgery's deadly suspects. | PSNet
     psnet.ahrq.gov/issue/reused-devices-surgerys-deadly-suspects
     January 04, 2006 - April 2, 2014 When surgery goes wrong: weighing up the risks.

418. 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

419. Too Many Cooks in the Kitchen | PSNet
     psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
     March 07, 2018 - Cardiology, Cardiothoracic Surgery, Trauma Surgery, and Orthopedics discussed this high-risk case extensively … 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. … Orthopedic Surgery Surgical Complications View More

420. Pharmacist-led, video-stimulated feedback to reduce prescribing errors in doctors-in-training: A mixed methods evaluation | PSNet
     psnet.ahrq.gov/issue/pharmacist-led-video-stimulated-feedback-reduce-prescribing-errors-doctors-training-mixed
     August 10, 2022 - Related Resources Impact of automated alerts on discharge opioid overprescribing after general … surgery. … surgery patients. … More About The Topic Hospital Pharmacists General Hospitals Physicians Educators General … Surgery View More