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421. Reflection on adverse event disclosure in the postsurgical hospital context. | PSNet
     psnet.ahrq.gov/issue/reflection-adverse-event-disclosure-postsurgical-hospital-context
     August 20, 2018 - Download Citation Related Resources From the Same Author(s) Readiness of US general … surgery residents for independent practice. … December 5, 2018 The evolving story of overlapping surgery. … July 28, 2014 A 62-year-old woman with skin cancer who experienced wrong-site surgery … 17, 2011 Managing the adverse event occurring during elective, ambulatory pediatric surgery

422. Microanalysis of video from the operating room: an underused approach to patient safety research. | PSNet
     psnet.ahrq.gov/issue/microanalysis-video-operating-room-underused-approach-patient-safety-research
     January 22, 2014 - April 8, 2009 Factors compromising safety in surgery: stressful events in the operating … May 29, 2019 Comparison of appendectomy outcomes between senior general surgeons and general … surgery residents. … August 15, 2018 Using data to enhance performance and improve quality and safety in surgery … January 23, 2017 Global patient outcomes after elective surgery: prospective cohort study

423. Practical challenges of introducing WHO surgical checklist: UK pilot experience. | PSNet
     psnet.ahrq.gov/issue/practical-challenges-introducing-who-surgical-checklist-uk-pilot-experience
     September 26, 2012 - August 11, 2010 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. … August 25, 2011 Engineering the system of communication for safer surgery. … August 11, 2010 Information transfer and communication in surgery: a systematic review

424. The effects of stress and coping on surgical performance during simulations. | PSNet
     psnet.ahrq.gov/issue/effects-stress-and-coping-surgical-performance-during-simulations
     February 16, 2011 - April 8, 2009 Factors compromising safety in surgery: stressful events in the operating … March 5, 2010 Readiness of US general surgery residents for independent practice. … relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery … March 5, 2010 Factors compromising safety in surgery: stressful events in the operating … Operating Room Physicians Quality and Safety Professionals Organizational Behaviorists Surgery

425. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41189/psn-pdf
     March 07, 2012 - Risk factors in patient safety: minimally invasive surgery versus conventional surgery. … Risk factors in patient safety: minimally invasive surgery versus conventional surgery. … https://psnet.ahrq.gov/issue/risk-factors-patient-safety-minimally-invasive-surgery-versus-conventional … https://psnet.ahrq.gov/issue/risk-factors-patient-safety-minimally-invasive-surgery-versus-conventional-surgery … https://psnet.ahrq.gov/issue/risk-factors-patient-safety-minimally-invasive-surgery-versus-conventional-surgery

426. 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.

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42393/psn-pdf
     January 14, 2014 - Wrong site surgery in otolaryngology–head and neck surgery. … Wrong site surgery in otolaryngology-head and neck surgery. … https://psnet.ahrq.gov/issue/wrong-site-surgery-otolaryngology-head-and-neck-surgery This review discusses … https://psnet.ahrq.gov/issue/wrong-site-surgery-otolaryngology-head-and-neck-surgery https://psnet.ahrq.gov … /primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35875/psn-pdf
     May 21, 2013 - Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. … https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person- surgery … According to an AHRQ-supported study, wrong-site surgery occurred at a rate of approximately 1 per … The Universal Protocol applies to all accredited hospitals, ambulatory care, and office-based surgery … to improve teamwork and decrease the overall risk of wrong-site surgery.

429. Two Wrongs Don't Make a Right (Kidney) | PSNet
     psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
     April 01, 2010 - of wrong-site surgery. … with the surgery. … The Joint Commission defines wrong-site surgery as any surgery performed on the wrong site, any procedure … , it does not necessarily mean that surgery was performed at the incorrect level.( 2 ) Wrong-site surgery … No further surgery is performed at that level.

430. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49726/psn-pdf
     March 01, 2015 - of wrong-site surgery. … with the surgery. … The Joint Commission defines wrong-site surgery as any surgery performed on the wrong site, any procedure … , it does not necessarily mean that surgery was performed at the incorrect level.(2) Wrong-site surgery … No further surgery is performed at that level.

431. Adverse events in the operating room: definitions, prevalence, and characteristics. A systematic review. | PSNet
     psnet.ahrq.gov/issue/adverse-events-operating-room-definitions-prevalence-and-characteristics-systematic-review
     July 25, 2018 - March 19, 2019 Using data to enhance performance and improve quality and safety in surgery … November 6, 2019 Defining technical errors in laparoscopic surgery: a systematic review … October 9, 2013 A simple surgery with harrowing complications. … See More About The Topic Operating Room Health Care Executives and Administrators General … Surgery Intraoperative Complications Error Reporting

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46811/psn-pdf
     May 17, 2018 - A surgical procedure grid for safety and operating room communication in multisite surgery. … A Surgical Procedure Grid for Safety and Operating Room Communication in Multisite Surgery. … ://psnet.ahrq.gov/issue/surgical-procedure-grid-safety-and-operating-room-communication-multisite- surgery … This commentary describes a tool developed to decrease confusion in plastic surgery. … /issue/patient-safety-plastic-surgery-identifying-areas-quality-improvement-efforts

433. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38331/psn-pdf
     October 20, 2010 - Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. … Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. … ://psnet.ahrq.gov/issue/assessment-implementation-national-patient-safety-alert-reduce-wrong-site- surgery … Wrong-site surgery is a rare yet devastating outcome. … A past AHRQ WebM&M commentary discussed the factors contributing to a near-miss wrong-site surgery,

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41245/psn-pdf
     March 29, 2012 - The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board … of Orthopaedic Surgery. … The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board … of Orthopaedic Surgery. … The most common errors reported were related to wrong-level spine surgery.

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43867/psn-pdf
     March 11, 2015 - Applying fault tree analysis to the prevention of wrong- site surgery. … Applying fault tree analysis to the prevention of wrong-site surgery. … https://psnet.ahrq.gov/issue/applying-fault-tree-analysis-prevention-wrong-site-surgery This systematic … errors prior to surgery, intraoperative verification failures, and omitting steps in the verification … /issue/incidence-patterns-and-prevention-wrong-site-surgery https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

436. Some doctors questioning whether shorter shifts for interns are endangering patients. | PSNet
     psnet.ahrq.gov/issue/some-doctors-questioning-whether-shorter-shifts-interns-are-endangering-patients
     July 26, 2017 - May 28, 2014 Misdiagnosis is more common than drug errors or wrong-site surgery. … March 7, 2007 The pain of wrong site surgery. … Related Resources A systematic review of the effects of resident duty hour restrictions in surgery … December 12, 2012 Duty hours, quality of care, and patient safety: general surgery resident

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39546/psn-pdf
     May 26, 2010 - Avoiding wrong site surgery: a systematic review. … Avoiding wrong site surgery: a systematic review. … proposes specific interventions to prevent wrong-site spinal surgery. … /wrong-site-wrong-procedure-and-wrong-patient-surgery https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery … https://psnet.ahrq.gov/issue/prevalence-wrong-level-surgery-among-spine-surgeons

438. 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

439. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35868/psn-pdf
     July 10, 2008 - Incidence, patterns, and prevention of wrong-site surgery. … Incidence, patterns, and prevention of wrong-site surgery. Arch Surg. 2006;141(4):353-358. … https://psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery This AHRQ-supported … /issue/statement-prevention-retained-foreign-bodies-after-surgery https://psnet.ahrq.gov/issue/what-correct-site-surgery … https://psnet.ahrq.gov/issue/what-correct-site-surgery

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44248/psn-pdf
     May 26, 2016 - Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never … Wrong-Site Surgery, Retained Surgical Items, and Surgical Fires : A Systematic Review of Surgical Never … https://psnet.ahrq.gov/issue/wrong-site-surgery-retained-surgical-items-and-surgical-fires-systematic … Incidence estimates for retained surgical items and wrong-site surgery varied across studies, with median … /primer/wrong-site-wrong-procedure-and-wrong-patient-surgery