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441. 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

442. 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

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41424/psn-pdf
     June 27, 2012 - learning and improvement: a two-year experience with the reporting of morbidity and mortality cases by general … surgery residents. … learning and improvement: a two-year experience with the reporting of morbidity and mortality cases by general … surgery residents.

444. 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

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36632/psn-pdf
     July 28, 2010 - Operating room briefings and wrong-site surgery. … Operating room briefings and wrong-site surgery. J Am Coll Surg. 2007;204(2):236-43. … https://psnet.ahrq.gov/issue/operating-room-briefings-and-wrong-site-surgery Although wrong-site surgeries … Protocol for prevention of wrong-site surgeries requires performing a "time out" before beginning surgery … /incidence-patterns-and-prevention-wrong-site-surgery https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

446. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43058/psn-pdf
     March 26, 2014 - strategic approach to quality improvement and patient safety education and resident integration in a general … surgery residency. … strategic approach to quality improvement and patient safety education and resident integration in a general … surgery residency.

447. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41067/psn-pdf
     February 10, 2012 - Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama … Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama … https://psnet.ahrq.gov/issue/determining-safety-office-based-surgery-what-10-years-florida-data-and-6 … - years-alabama-data Concern has been raised about the safety of procedures in ambulatory surgery, … https://psnet.ahrq.gov/issue/office-surgery-incidents-what-seven-years-florida-data-show-us

448. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44104/psn-pdf
     July 16, 2015 - Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the … Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the … This analysis of the Veterans Health Administration root cause analysis database found that wrong surgery … https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery https://psnet.ahrq.gov … /issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43408/psn-pdf
     May 01, 2015 - The "weekend effect" in pediatric surgery—increased mortality for children undergoing urgent surgery … The "weekend effect" in pediatric surgery - increased mortality for children undergoing urgent surgery … https://psnet.ahrq.gov/issue/weekend-effect-pediatric-surgery-increased-mortality-children-undergoing … https://psnet.ahrq.gov/issue/weekend-effect-pediatric-surgery-increased-mortality-children-undergoing-urgent-surgery … https://psnet.ahrq.gov/issue/weekend-effect-pediatric-surgery-increased-mortality-children-undergoing-urgent-surgery

450. Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results. | PSNet
     psnet.ahrq.gov/issue/integration-formalized-handoff-system-surgical-curriculum-resident-perspectives-and-early
     May 25, 2016 - Archives of Surgery. 2011;146(1). doi:10.1001/archsurg.2010.294. … Archives of Surgery . 2011; 146 (1) . View more articles from the same authors. … Archives of Surgery. 2011;146(1). doi:10.1001/archsurg.2010.294. … About The Topic Operating Room Physicians Quality and Safety Professionals Educators General … Surgery View More

451. The eNOTSS platform for surgeons’ nontechnical skills performance improvement. | PSNet
     psnet.ahrq.gov/issue/enotss-platform-surgeons-nontechnical-skills-performance-improvement
     July 01, 2017 - July 25, 2011 Readiness of US general surgery residents for independent practice. … November 14, 2011 In just a flash, simple surgery can turn deadly. … March 4, 2009 View More See More About The Topic Outpatient Surgery … Operating Room Health Care Providers Information Professionals Surgery View More

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46540/psn-pdf
     August 08, 2018 - Preventing adverse events in cataract surgery: recommendations from a Massachusetts expert panel. … Preventing Adverse Events in Cataract Surgery: Recommendations From a Massachusetts Expert Panel. … https://psnet.ahrq.gov/issue/preventing-adverse-events-cataract-surgery-recommendations- massachusetts-expert-panel … In 2016, five patients undergoing routine cataract surgery developed irreversible visual loss during … in this study use a systems approach to delineate best practices for improving safety of cataract surgery

453. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45415/psn-pdf
     June 25, 2018 - Association of overlapping surgery with patient outcomes in a large series of neurosurgical cases. … Association of Overlapping Surgery With Patient Outcomes in a Large Series of Neurosurgical Cases. … https://psnet.ahrq.gov/issue/association-overlapping-surgery-patient-outcomes-large-series-neurosurgical … - cases Overlapping surgery refers to the practice of surgeons scheduling two procedures performed … These findings suggest that overlapping surgery can be conducted safely.

454. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45099/psn-pdf
     December 07, 2018 - Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory … Surgery Center Survey on Patient Safety Culture. … https://psnet.ahrq.gov/issue/improving-patient-safety-ambulatory-surgery-centers-resource-list-users-ahrq … This selective resource list offers materials for ambulatory surgery centers that seek to implement … https://psnet.ahrq.gov/issue/ambulatory-surgery-center-survey-patient-safety-culture

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49596/psn-pdf
     December 01, 2009 - The surgery was scheduled within 2 weeks, at a fraction of the cost to the patient of domestic surgery … Approximately 2 weeks after the surgery, when the patient was back home, he developed acute pain and … , some cardiac surgery, weight-loss surgery, cosmetic plastic surgery, dental surgery, and infertility … McGrath, MD, MPH Professor of Surgery, Division of Plastic Surgery University of California, San Francisco … America's new refugees—seeking affordable surgery offshore. N Engl J Med. 2006;355:1637-1640.

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46274/psn-pdf
     September 13, 2017 - Wrong-site surgery in California, 2007–2014. … Wrong-site surgery in California, 2007-2014. … Orthopedic surgery accounted for 35% of the cases reported. … https://psnet.ahrq.gov/issue/wrong-site-surgery-california-2007-2014 https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery … /issue/high-reliability-care-orthopedic-surgery-are-we-there-yet

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41996/psn-pdf
     July 03, 2014 - Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general … surgery interns. … Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general … surgery interns.

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46048/psn-pdf
     July 05, 2017 - Association between elements of electronic health record systems and the weekend effect in urgent general … surgery. … Association Between Elements of Electronic Health Record Systems and the Weekend Effect in Urgent General … Surgery.

459. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
     June 01, 2007 - and surgery teams. … He underwent surgery in the supine position, given his history of AAA repair. … Risks and Benefits of Major Surgery Risk-benefit analysis critical prior to any major surgery Mean … 30-day mortality rate in recent study of 5878 patients undergoing major surgery was 1.5% Preoperative … Consider albumin measurement for major surgery or chronic illness Urinalysis No indication.

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38332/psn-pdf
     January 14, 2009 - Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback … Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback … https://psnet.ahrq.gov/issue/verifying-patient-identity-and-site-surgery-improving-compliance-protocol-audit … increase compliance with patient identification in the prevention of wrong-patient and wrong-site surgery … related commentary [see link below] discusses the broader context of efforts to eliminate wrong-site surgery