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  1. 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.

  2. 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.

  3. 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

  4. 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,

  5. 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.

  6. 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.

  7. 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

  8. MAINTAIN AND EXPAND (pdf file)

    hcup-us.ahrq.gov/reports/methods/EvaloftheSASD2001(HCUP_CD)v3Final.pdf
    March 19, 2004 - SOURCES OF AMBULATORY SURGERY DATA Visit Level Data 2001 HCUP State Ambulatory Surgery Databases … surgery centers. … surgery centers on an annual basis in their Freestanding Outpatient Surgery Center (FOSC) database. … Data are collected through an annual survey of freestanding outpatient surgery centers and all surgery … COMPARISONS OF AMBULATORY SURGERY DATA Differentiating between hospital-based outpatient surgery centers

  9. 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

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46853/psn-pdf
    February 22, 2019 - Outcomes with overlapping surgery at a large academic medical center. … Outcomes With Overlapping Surgery at a Large Academic Medical Center. … https://psnet.ahrq.gov/issue/outcomes-overlapping-surgery-large-academic-medical-center The practice … of overlapping surgery has raised significant concerns about patient safety. … /issue/safety-overlapping-surgery-high-volume-referral-center https://psnet.ahrq.gov/issue/association-overlapping-surgery-increased-risk-complications-following-hip-surgery

  11. 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.

  12. 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

  13. 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.

  14. 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.

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

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

  16. 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.

  17. 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.

  18. 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

  19. 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.

  20. 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
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