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  1. Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery. | PSNet

    psnet.ahrq.gov/issue/serious-hazards-transfusion-evaluating-dangers-wrong-patient-autologous-salvaged-blood
    May 11, 2022 - hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery … hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery … 2019 Predictive power of the "trigger tool" for the detection of adverse events in general … surgery: a multicenter observational validation study. … September 28, 2022 Mortality due to hospital-acquired infection after cardiac surgery

  2. Patient safety and quality in surgery. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-surgery
    August 26, 2011 - Commentary Patient safety and quality in surgery. … Patient safety and quality in surgery. Surg Clin North Am. 2007;87(4):867-81, vii. … Patient safety and quality in surgery. Surg Clin North Am. 2007;87(4):867-81, vii. … August 14, 2019 Office-based surgery and patient outcomes. … August 27, 2010 View More See More About The Topic Physicians Surgery

  3. Building a culture of safety in ophthalmology. | PSNet

    psnet.ahrq.gov/issue/building-culture-safety-ophthalmology
    March 14, 2022 - Efforts to reduce medical errors in ophthalmology often focus on cataract surgery , a high-volume procedure … March 14, 2022 Readiness of US general surgery residents for independent practice. … January 31, 2018 Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center … June 15, 2016 Patient safety in cataract surgery. … December 19, 2014 Wrong site surgery.

  4. Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors. | PSNet

    psnet.ahrq.gov/issue/anticipated-consequences-2011-duty-hours-standards-views-internal-medicine-and-surgery
    August 22, 2018 - Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery … Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program … of the 2011 ACGME duty hour limits , this survey found that the majority of internal medicine and surgery … Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general … surgery interns.

  5. Surgical site signing and "time out": issues of compliance or complacence. | PSNet

    psnet.ahrq.gov/issue/surgical-site-signing-and-time-out-issues-compliance-or-complacence
    January 07, 2011 - 2022 Investigating workplace support and the importance of psychological safety in general … surgery residency training. … by the American Board of Orthopaedic Surgery. … March 29, 2012 Getting surgery right. … Wrong-Site Surgery View More

  6. Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-proc-related-catheter-use-slides.html
    December 01, 2017 - Division of General Surgery University of Wisconsin School of Medicine Images: Photos of the 2 presenters … Slide 16 Postoperative Urinary Retention (POUR) Incidence: varies widely: General surgery … Division of General Surgery University of Wisconsin School of Medicine Slide 34 UW CAUTI Team … units of the hospital, with an arrow pointing to the General Surgery Unit rate. … Trial of observers for insertions underway Med/Surg ICU, Neuro ICU, Ortho, General Surgery Better patient

  7. Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery. | PSNet

    psnet.ahrq.gov/issue/surgeon-perception-and-attitude-towards-moral-imperative-institutionally-addressing-second
    March 24, 2019 - perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery … perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery … February 8, 2023 A national mixed-methods evaluation of preparedness for general surgery … January 3, 2018 View More See More About The Topic Outpatient Surgery … Operating Room Surgery Second victims Legal and Policy Approaches View More

  8. Glucose Control Factsheet (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/glucose_control_factsheet.docx
    December 01, 2017 - Postoperative Complications · Although tight glucose control has not been studied rigorously in the general … .10-14 · In a study of general surgery patients, postoperative blood glucose was the only significant … JAMA Surgery. 2017;152(8):784-791. 4. … Cardiac Surgery Patients with Controlled Postoperative Blood Glucose. … Postoperative hyperglycemia and surgical site infection in general surgery patients.

  9. Information transfer and communication in surgery: a systematic review. | PSNet

    psnet.ahrq.gov/issue/information-transfer-and-communication-surgery-systematic-review
    September 26, 2012 - Review Information transfer and communication in surgery: a systematic review. … Information transfer and communication in surgery: a systematic review. … 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.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838913/psn-pdf
    October 26, 2022 - Communication during interhospital transfers of emergency general surgery patients: a qualitative study … Communication during interhospital transfers of emergency general surgery patients: a qualitative study … https://psnet.ahrq.gov/issue/communication-during-interhospital-transfers-emergency-general-surgery- … https://psnet.ahrq.gov/issue/communication-during-interhospital-transfers-emergency-general-surgery-patients-qualitative … https://psnet.ahrq.gov/issue/communication-during-interhospital-transfers-emergency-general-surgery-patients-qualitative

  11. Glucose Control Factsheet | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/glucose-control-factsheet.html
    December 01, 2017 - Glucose Control Factsheet AHRQ Safety Program for Surgery Facts About Glucose Control … Postoperative Complications Although tight glucose control has not been studied rigorously in the general … . 10-14 In a study of general surgery patients, postoperative blood glucose was the only significant … JAMA Surgery 2017;152(8):784-791. … Postoperative hyperglycemia and surgical site infection in general surgery patients.

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48046/psn-pdf
    August 21, 2019 - Educational targets to reduce medication errors by general surgery residents. … Educational Targets to Reduce Medication Errors by General Surgery Residents. … https://psnet.ahrq.gov/issue/educational-targets-reduce-medication-errors-general-surgery-residents … surgery residents over approximately 6.5 years. … https://psnet.ahrq.gov/issue/educational-targets-reduce-medication-errors-general-surgery-residents https

  13. Is surgery safer at a teaching hospital? | PSNet

    psnet.ahrq.gov/issue/surgery-safer-teaching-hospital
    September 28, 2016 - Newspaper/Magazine Article Is surgery safer at a teaching hospital? … Citation Text: Is surgery safer at a teaching hospital? Webster H. US News & World Report. … Linkedin Copy URL Cite Citation Citation Text: Is surgery … November 12, 2014 At surgery clinic, rush to save Joan Rivers's life. … September 10, 2014 Organ donor's surgery death sparks questions.

  14. The Evolution of Patient Safety in Surgery | PSNet

    psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
    August 01, 2017 - The Evolution of Patient Safety in Surgery Robert M. … The Evolution of Patient Safety in Surgery. PSNet [internet]. … The Evolution of Patient Safety in Surgery. PSNet [internet]. … Arthur, the surgery attending, "sprang from his chair." … The Evolution of Patient Safety in Surgery. PSNet [internet].

  15. Introduction To The HCUP Nationwide Ambulatory Surgery Sample (pdf file)

    hcup-us.ahrq.gov/db/nation/nass/NASSIntroduction2021.pdf
    April 01, 2024 - ; NASS, Nationwide Ambulatory Surgery Sample. … The ambulatory surgery accounts for at least .05% of total ambulatory surgery volume in the SASD or … Hospitals are reliably submitting ambulatory surgery data. … The surgery may be performed in operating suites also used for inpatient surgery, specially designated … UNDERSTANDING THE NATIONWIDE AMBULATORY SURGERY SAMPLE (NASS) HCUP Nationwide Ambulatory Surgery Sample

  16. Normothermia | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mrsa-prevention/surgery/normothermia.html
    April 01, 2025 - SSI Prevention Program Section: Evidence-Based Infection Prevention During and after surgery

  17. Medicare's Oversight of Ambulatory Surgery Centers Report. | PSNet

    psnet.ahrq.gov/issue/medicares-oversight-ambulatory-surgery-centers-report
    February 11, 2015 - Book/Report Medicare's Oversight of Ambulatory Surgery Centers Report. … Citation Text: Medicare's Oversight of Ambulatory Surgery Centers Report. … Ambulatory surgery centers (ASC) play an increasing role in complex surgical care, but methods to assure … May 29, 2019 AHRQ's Safety Program for Ambulatory Surgery. … Risk Managers Surgery Surgical Complications Legal and Policy Approaches

  18. Failure events in transition of care for surgical patients. | PSNet

    psnet.ahrq.gov/issue/failure-events-transition-care-surgical-patients
    October 19, 2022 - identified the clinical factors associated with unplanned transfers to the intensive care unit after surgery … Related Resources Failure to rescue female patients undergoing high-risk surgery … phenomenological analysis of vulnerability as experienced by patients with complications following surgery … study of the frequency, severity, and etiology of failures in postoperative care after major elective general … surgery.

  19. Preoperative site marking: are we adhering to good surgical practice? | PSNet

    psnet.ahrq.gov/issue/preoperative-site-marking-are-we-adhering-good-surgical-practice
    August 02, 2017 - Wrong-site surgery represents a never event . … In the United States, The Joint Commission requires marking of the surgical site prior to surgery as … April 10, 2024 Readiness of US general surgery residents for independent practice. … August 11, 2021 Wrong Site Surgery–Wrong Tooth Extraction. … Wrong-Site Surgery Active Errors View More

  20. 2-Overview-Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/2-overview-guide.docx
    June 01, 2023 - this toolkit, hospitals can establish an ISCR program within the following service lines: colorectal surgery … , hip fracture surgery, hip and knee replacement surgery, gynecologic surgery, and emergency general … surgery (major abdominal surgery, appendectomy, and cholecystectomy). … ISCR Surgery Patient Education Booklets to help you create your local patient education material. … , hip fracture surgery, hip/knee replacement surgery, gynecologic surgery, or emergency general surgery
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