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  1. Supplemental Tools | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/guide-surg-comp.html
    December 01, 2017 - Supplemental Tools Surgical Care Audit Tools Surgical Site Infection Investigation Tool ( Word , 1.8 MB) This tool will help your safety program team understand lapses in infection prevention processes that may have contributed to the surgical site infection case. It can help your team identify practice …

  2. 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.

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41778/psn-pdf
    January 18, 2013 - study of the frequency, severity, and etiology of failures in postoperative care after major elective general … surgery. … study of the frequency, severity, and etiology of failures in postoperative care after major elective general … surgery.

  4. Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies. | PSNet

    psnet.ahrq.gov/issue/failure-rescue-deteriorating-patients-systematic-review-root-causes-and-improvement
    January 18, 2013 - study of the frequency, severity, and etiology of failures in postoperative care after major elective general … surgery. … A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery … September 12, 2016 Educational targets to reduce medication errors by general surgery … after implementing a rapid response system: a mortality review in a department of gastrointestinal surgery

  5. 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.

  6. Patient-Centered Postoperative Wound Surveillance Using Current Technology - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r21hs023395-kent-final-report-2017.pdf
    January 01, 2017 - Subjects Eligible participants included inpatients 18 years of age or older on the vascular or general … Following preliminary design, we formally tested the usability of the app with postoperative vascular and general … Eligible participants included inpatients 18 years of age or older on the vascular or general surgery … Annals of surgery, in press. … Risk Factors for 30-Day Hospital Readmission among General Surgery Patients.

  7. Maternal-Fetal Surgical Procedures | Effective Health Care (EHC) Program

    effectivehealthcare.ahrq.gov/products/fetal-surgery/technical-brief

  8. 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.

  9. 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.

  10. 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.

  11. A new paradigm for surgical procedural training. | PSNet

    psnet.ahrq.gov/issue/new-paradigm-surgical-procedural-training
    December 21, 2014 - November 17, 2010 Readiness of US general surgery residents for independent practice. … August 20, 2018 Resident duty hours in surgery for ensuring patient safety, providing … September 15, 2011 Defining the technical skills of teamwork in surgery. … 2008 View More See More About The Topic Operating Room Physicians Surgery

  12. Prevalence of burnout among surgical residents and surgeons in Switzerland. | PSNet

    psnet.ahrq.gov/issue/prevalence-burnout-among-surgical-residents-and-surgeons-switzerland
    December 21, 2014 - December 21, 2014 Reasons for the persistence of adverse events in the era of safer surgery―a … June 28, 2023 Restructuring of a general surgery residency program in an epicenter of … relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery … Operating Room Quality and Safety Professionals Organizational Behaviorists Educators Surgery

  13. Can we make postoperative patient handovers safer? A systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/can-we-make-postoperative-patient-handovers-safer-systematic-review-literature
    June 10, 2015 - July 13, 2010 Readiness of US general surgery residents for independent practice. … systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery … February 29, 2012 Patient handover from surgery to intensive care: using Formula 1 pit-stop … June 9, 2010 Burns surgery handover study: trainees' assessment of current practice in

  14. A case for improving measurement of intraoperative iatrogenic injuries. | PSNet

    psnet.ahrq.gov/issue/case-improving-measurement-intraoperative-iatrogenic-injuries
    February 14, 2017 - February 14, 2017 Underlying reasons associated with hospital readmission following surgery … November 3, 2015 Association of the 2011 ACGME resident duty hour reform with general … surgery patient outcomes and with resident examination performance. … Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery … See More About The Topic Operating Room Physicians Quality and Safety Professionals Surgery

  15. Eleven basic procedures/practices for dental patient safety. | PSNet

    psnet.ahrq.gov/issue/eleven-basic-procedurespractices-dental-patient-safety
    March 27, 2013 - October 10, 2012 Proposal for a 'surgical checklist' for ambulatory oral surgery. … 2010 Predictive power of the "trigger tool" for the detection of adverse events in general … surgery: a multicenter observational validation study. … dental healthcare workers: A nationwide cross-sectional survey October 16, 2019 Safe Surgery … May 9, 2013 Proposal for a 'surgical checklist' for ambulatory oral surgery.

  16. A systematic quantitative assessment of risks associated with poor communication in surgical care. | PSNet

    psnet.ahrq.gov/issue/systematic-quantitative-assessment-risks-associated-poor-communication-surgical-care
    August 11, 2010 - 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. … January 18, 2013 Engineering the system of communication for safer surgery. … More About The Topic Hospitals Health Care Providers Quality and Safety Professionals Surgery

  17. Applying modern error theory to the problem of missed injuries in trauma. | PSNet

    psnet.ahrq.gov/issue/applying-modern-error-theory-problem-missed-injuries-trauma
    June 15, 2011 - Office-Based Patient Safety January 31, 2024 Delays in diagnosis, treatment, and surgery … June 1, 2022 Preventable morbidity and mortality among non-trauma emergency surgery patients … May 12, 2021 Comparison of appendectomy outcomes between senior general surgeons and general … surgery residents. … Beeline to Spine June 1, 2007 View More See More About The Topic Surgery

  18. Laparoscopic bile duct injury: understanding the psychology and heuristics of the error. | PSNet

    psnet.ahrq.gov/issue/laparoscopic-bile-duct-injury-understanding-psychology-and-heuristics-error
    May 29, 2014 - August 25, 2021 Prevalence, types, and sources of bullying reported by US general … surgery residents in 2019. … December 21, 2014 A simple surgery with harrowing complications. … See More About The Topic Operating Room Physicians Organizational Behaviorists General … Surgery Intraoperative Complications View More

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46627/psn-pdf
    January 30, 2018 - national-report-findings-2016-issue-brief-no-2-patient-safety https://psnet.ahrq.gov/issue/readiness-us-general-surgery-residents-independent-practice … https://psnet.ahrq.gov/issue/readiness-us-general-surgery-residents-independent-practice https://psnet.ahrq.gov

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35724/psn-pdf
    May 26, 2010 - Surgery. 2006;139(2):159-173. … The observational team carefully followed and recorded events from 10 general surgery cases.
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