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461. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46805/psn-pdf
     September 25, 2018 - Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration … Factors Associated with Hospital Admission after Outpatient Surgery in the Veterans Health Administration … https://psnet.ahrq.gov/issue/factors-associated-hospital-admission-after-outpatient-surgery-veterans- … National Surgical Quality Improvement Program have transformed both safety measurement and quality in surgery … perspective/conversation-karl-bilimoria-md-ms-0 https://psnet.ahrq.gov/perspective/evolution-patient-safety-surgery

462. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41843/psn-pdf
     November 21, 2012 - Sharing lessons learned to prevent incorrect surgery. … Sharing lessons learned to prevent incorrect surgery. Am Surg. 2012;78(11):1276-1280. … https://psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-incorrect-surgery The Veterans Affairs … https://psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-incorrect-surgery https://psnet.ahrq.gov … https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery

463. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45236/psn-pdf
     June 15, 2016 - Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert Panel Report. … https://psnet.ahrq.gov/issue/advancing-patient-safety-cataract-surgery-betsy-lehman-center-expert-panel … - report Cataract surgery, one of the most common procedures in the United States, is vulnerable to … https://psnet.ahrq.gov/issue/advancing-patient-safety-cataract-surgery-betsy-lehman-center-expert-panel-report … https://psnet.ahrq.gov/issue/patient-safety-cataract-surgery https://psnet.ahrq.gov/issue/it-left-eye-right

464. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44243/psn-pdf
     November 09, 2015 - Concept analysis: wrong-site surgery. November 9, 2015 Watson DS. … Concept analysis: wrong-site surgery. AORN J. 2015;101(6):650-6. doi:10.1016/j.aorn.2015.03.012. … https://psnet.ahrq.gov/issue/concept-analysis-wrong-site-surgery Despite large-scale efforts to prevent … This concept analysis found limited evidence regarding the role of nurses in wrong-site surgery and … https://psnet.ahrq.gov/issue/concept-analysis-wrong-site-surgery https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery

465. 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.

466. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42564/psn-pdf
     September 11, 2013 - Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. … Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. … psnet.ahrq.gov/issue/error-rating-tool-identify-and-analyse-technical-errors-and-events-laparoscopic- surgery … Bariatric surgery is increasingly common in the United States. … https://psnet.ahrq.gov/issue/safety-culture-and-complications-after-bariatric-surgery

467. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45601/psn-pdf
     April 13, 2017 - Patient safety improvement interventions in children's surgery: a systematic review. … Patient safety improvement interventions in children's surgery: A systematic review. … https://psnet.ahrq.gov/issue/patient-safety-improvement-interventions-childrens-surgery-systematic-review … This systematic review evaluated the patient safety evidence associated with pediatric surgery. … https://psnet.ahrq.gov/issue/patient-safety-improvement-interventions-childrens-surgery-systematic-review

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41835/psn-pdf
     May 19, 2015 - Interventions for reducing wrong-site surgery and invasive procedures. … Interventions for reducing wrong-site surgery and invasive clinical procedures. … https://psnet.ahrq.gov/issue/interventions-reducing-wrong-site-surgery-and-invasive-procedures Wrong-site … surgery is considered a never event, and therefore hospitals have been required to implement protocols … https://psnet.ahrq.gov/issue/interventions-reducing-wrong-site-surgery-and-invasive-procedures https:

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44781/psn-pdf
     January 13, 2016 - Improving Pediatric Surgery Quality and Outcomes in the 21st Century. … https://psnet.ahrq.gov/issue/improving-pediatric-surgery-quality-and-outcomes-21st-century Articles … prevention, safety culture, and professionalism, and discuss these concepts in the context of pediatric surgery … https://psnet.ahrq.gov/issue/improving-pediatric-surgery-quality-and-outcomes-21st-century https://psnet.ahrq.gov … https://psnet.ahrq.gov/issue/agency-healthcare-research-and-quality-pediatric-indicators-quality-metric-surgery-children

470. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44967/psn-pdf
     March 16, 2016 - Wrong site surgery: a critical incident analysis of a near miss. March 16, 2016 Tichanow S. … Wrong site surgery: A critical incident analysis of a near miss. … https://psnet.ahrq.gov/issue/wrong-site-surgery-critical-incident-analysis-near-miss Despite efforts … https://psnet.ahrq.gov/issue/wrong-site-surgery-critical-incident-analysis-near-miss https://psnet.ahrq.gov … /primer/wrong-site-wrong-procedure-and-wrong-patient-surgery https://psnet.ahrq.gov/issue/using-near-misses-analysis-prevent-wrong-site-surgery

471. 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.

472. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43105/psn-pdf
     April 02, 2014 - Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence … Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence … https://psnet.ahrq.gov/issue/application-surgical-safety-standards-robotic-surgery-five-principles-ethics … relationship between surgical proficiency and competency and highlights challenges to safe robotic surgery … https://psnet.ahrq.gov/issue/application-surgical-safety-standards-robotic-surgery-five-principles-ethics-nonmaleficence

473. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37182/psn-pdf
     March 03, 2011 - Getting surgery right. March 3, 2011 Clarke JR, Johnston J, Finley ED. Getting surgery right. … https://psnet.ahrq.gov/issue/getting-surgery-right This study examined instances of wrong-site surgery … https://psnet.ahrq.gov/issue/getting-surgery-right https://psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery

474. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35918/psn-pdf
     July 23, 2010 - Spinal surgery and patient safety: a systems approach. July 23, 2010 Wong DA. … Spinal surgery and patient safety: a systems approach. J Am Acad Orthop Surg. 2006;14(4):226-32. … https://psnet.ahrq.gov/issue/spinal-surgery-and-patient-safety-systems-approach The author reviews the … with particular emphasis on spinal surgery. … https://psnet.ahrq.gov/issue/spinal-surgery-and-patient-safety-systems-approach

475. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45573/psn-pdf
     November 16, 2016 - High reliability of care in orthopedic surgery: are we there yet? … High Reliability of Care in Orthopedic Surgery: Are We There Yet? … https://psnet.ahrq.gov/issue/high-reliability-care-orthopedic-surgery-are-we-there-yet High reliability … high reliability principles in orthopedic practice to standardize approaches and prevent wrong-site surgery … https://psnet.ahrq.gov/issue/high-reliability-care-orthopedic-surgery-are-we-there-yet https://psnet.ahrq.gov

476. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44163/psn-pdf
     October 13, 2015 - Characterising 'near miss' events in complex laparoscopic surgery through video analysis. … Characterising 'near miss' events in complex laparoscopic surgery through video analysis. … https://psnet.ahrq.gov/issue/characterising-near-miss-events-complex-laparoscopic-surgery-through-video … https://psnet.ahrq.gov/issue/defining-technical-errors-laparoscopic-surgery-systematic-review https: … //psnet.ahrq.gov/issue/surgical-skill-and-complication-rates-after-bariatric-surgery https://psnet.ahrq.gov

477. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40594/psn-pdf
     July 06, 2011 - The pain of wrong site surgery. July 6, 2011 Boodman SG. Washington Post. June 21, 2011:E1. … https://psnet.ahrq.gov/issue/pain-wrong-site-surgery This newspaper article reports on a case of wrong-site … surgery and explores initiatives to prevent such errors, including the Universal Protocol and Partnership … https://psnet.ahrq.gov/issue/pain-wrong-site-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

478. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45148/psn-pdf
     April 24, 2018 - Safety of overlapping surgery at a high-volume referral center. … Safety of Overlapping Surgery at a High-volume Referral Center. … https://psnet.ahrq.gov/issue/safety-overlapping-surgery-high-volume-referral-center Overlapping surgery … https://psnet.ahrq.gov/issue/safety-overlapping-surgery-high-volume-referral-center https://psnet.ahrq.gov

479. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37500/psn-pdf
     January 30, 2008 - The prevalence of wrong level surgery among spine surgeons. … The prevalence of wrong level surgery among spine surgeons. … https://psnet.ahrq.gov/issue/prevalence-wrong-level-surgery-among-spine-surgeons This study surveyed … more than 400 neurosurgeons and found that 50% reported performing a wrong level surgery at least once … /issue/incidence-patterns-and-prevention-wrong-site-surgery

480. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43416/psn-pdf
     August 13, 2014 - Compliance with a time-out procedure intended to prevent wrong surgery in hospitals: results of a national … Compliance with a time-out procedure intended to prevent wrong surgery in hospitals: results of a national … https://psnet.ahrq.gov/issue/compliance-time-out-procedure-intended-prevent-wrong-surgery-hospitals- … https://psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge https:/ … /psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge https://psnet.ahrq.gov