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psnet.ahrq.gov/issue/reducing-incidence-retained-surgical-instrument-fragments
June 01, 2021 - Commentary
Reducing the incidence of retained surgical instrument fragments. … Reducing the incidence of retained surgical instrument fragments. … This article describes a surgical safety program that identifies and tracks damaged surgical instruments … Reducing the incidence of retained surgical instrument fragments. … December 7, 2022
Preventing retained surgical items.
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psnet.ahrq.gov/issue/patient-engagement-surgical-site-infection-prevention-expert-panel-perspective
June 03, 2020 - Review
Patient engagement with surgical site infection prevention: an expert panel … Patient engagement with surgical site infection prevention: an expert panel perspective. … June 14, 2023
Surgical site infection prevention: a review. … January 3, 2018
American College of Surgeons and Surgical Infection Society: Surgical … February 1, 2017
Surgical glove perforation and the risk of surgical site infection.
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psnet.ahrq.gov/issue/quality-improvement-ambulatory-surgery-centers-major-national-effort-aimed-reducing
September 23, 2020 - improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical … Ambulatory surgery centers are increasingly utilized to provide surgical care to patients. … Researchers describe efforts to implement a surgical safety checklist and infection control techniques … A comparison of 24 surgical safety checklists in Switzerland. … June 4, 2014
Surgical safety checklist: implementation in an ambulatory surgical facility
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psnet.ahrq.gov/issue/ritualisation-surgical-safety-checklist-and-its-decoupling-patient-safety-goals
January 19, 2022 - Study
The ritualisation of the surgical safety checklist and its decoupling from … The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. … Surgical safety checklists (SSC) have been shown to improve patient safety, but several studies have … The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. … October 18, 2023
Standardization and visualization of the surgical time-out.
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psnet.ahrq.gov/issue/readmission-after-delayed-diagnosis-surgical-site-infection-focus-prevention-using-american
September 22, 2021 - Study
Readmission after delayed diagnosis of surgical site infection: a focus on … College of Surgeons National Surgical Quality Improvement Program. … quality of surgical care. … College of Surgeons National Surgical Quality Improvement Program. … of the Hawaii Surgical Unit-Based Safety Program.
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psnet.ahrq.gov/issue/surgical-fire-united-states-2000-2020
March 03, 2021 - Study
Surgical fire in the United States: 2000-2020. … Surgical fire in the United States: 2000–2020. … Surgical fires, while rare, can result in the injury , permanent disability, or death of patients or … Between 2000 and 2020, 565 surgical fires resulting in injury were reported to the FDA’s Manufacturer … Surgical fire in the United States: 2000–2020.
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psnet.ahrq.gov/issue/assessing-performance-surgical-teams
July 05, 2017 - Study
Assessing the performance of surgical teams. … Assessing the performance of surgical teams. … Assessing the performance of surgical teams. … July 19, 2023
Patient safety curriculum for surgical residency programs: results of a … November 18, 2016
The surgical safety checklist and teamwork coaching tools: a study
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psnet.ahrq.gov/issue/nature-human-error-implications-surgical-practice
March 24, 2021 - Review
Nature of human error: implications for surgical practice. … Nature of human error: implications for surgical practice. Ann Surg. 2006;244(5):642-8. … The authors analyzed the literature to identify important components of safe surgical care and determine … what research is needed to deepen the understanding of how human error affects surgical practice. … Nature of human error: implications for surgical practice. Ann Surg. 2006;244(5):642-8.
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psnet.ahrq.gov/issue/wrong-foot-and-other-tales-surgical-error
January 18, 2023 - Newspaper/Magazine Article
The wrong foot, and other tales of surgical error. … Citation Text:
The wrong foot, and other tales of surgical error. Altman LK. New York Times. … This news piece reports on wrong-site and wrong-patient surgery and describes efforts to prevent surgical … Cite
Citation
Citation Text:
The wrong foot, and other tales of surgical … Related Resources
Deficiencies in Facility Leaders' Response to Critical Surgical
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psnet.ahrq.gov/issue/surgical-never-events-united-states
September 10, 2014 - Study
Surgical never events in the United States. … Surgical never events in the United States. … Surgical never events in the United States. … April 8, 2020
Wrong-site surgery, retained surgical items, and surgical fires: a systematic … review of surgical never events.
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psnet.ahrq.gov/issue/optimal-resources-surgical-quality-and-safety
September 29, 2017 - Book/Report
Optimal Resources for Surgical Quality and Safety. … Citation Text:
Optimal Resources for Surgical Quality and Safety. Hoyt DB, Ko CY, eds. … The authors provide context for how leaders can address weaknesses across all phases of surgical care … October 29, 2017
Surgical Patient Safety: A Case-Based Approach. … January 4, 2012
Surgical skill is predicted by the ability to detect errors.
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psnet.ahrq.gov/issue/engaging-patient-and-family-surgical-safety-process-utilizing-safestart
October 19, 2022 - Study
Engaging the patient and family in the surgical safety process utilizing SafeStart … Engaging the patient and family in the surgical safety process utilizing. … preferred it to standard surgical consent processes. … Engaging the patient and family in the surgical safety process utilizing. … November 28, 2016
Effect of surgical safety checklists on pediatric surgical complications
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psnet.ahrq.gov/issue/proactive-risk-assessment-surgical-site-infections-ambulatory-surgery-centers
April 13, 2022 - Study
Proactive risk assessment of surgical site infections in ambulatory surgery … Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers. … Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers. … an effective approach to surgical site infection reduction and health care cost savings. … to reduce surgical site infections.
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psnet.ahrq.gov/issue/transforming-team-performance-through-reimplementation-surgical-safety-checklist
March 09, 2022 - Study
Transforming team performance through reimplementation of the surgical safety … Transforming team performance through reimplementation of the surgical safety checklist. … studies have shown implementation to be variable across settings and surgical specialties. … This study aimed to redesign and reimplement the surgical safety checklist in two academic hospitals. … Transforming team performance through reimplementation of the surgical safety checklist.
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psnet.ahrq.gov/issue/performance-vascular-exposure-and-fasciotomy-among-surgical-residents-and-after-training
November 20, 2019 - Study
Performance of vascular exposure and fasciotomy among surgical residents before … Surgeons' technical skills are associated with surgical patient outcomes. … A survey of North American surgical residents and fellows. … among surgical residents: the missing piece in multidisciplinary team training. … care: results from a Harvard surgical safety collaborative.
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psnet.ahrq.gov/issue/surgical-ward-round-checklist-improving-patient-safety-and-clinical-documentation
March 17, 2021 - Study
The surgical ward round checklist: improving patient safety and clinical documentation … The surgical ward round checklist: improving patient safety and clinical documentation. … The surgical ward round checklist: improving patient safety and clinical documentation. … July 22, 2020
Surgical safety checklist audits may be misleading! … July 10, 2019
"Some version, most of the time": the surgical safety checklist, patient
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psnet.ahrq.gov/issue/toolkit-improving-surgical-care-and-recovery
September 18, 2024 - Toolkit
Toolkit for Improving Surgical Care and Recovery. … Toolkit for Improving Surgical Care and Recovery. June 2023. … Toolkit for Improving Surgical Care and Recovery. June 2023. … May 8, 2024
Remote assessment of real-world surgical safety checklist performance using … March 20, 2024
The ritualisation of the surgical safety checklist and its decoupling
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psnet.ahrq.gov/issue/surgical-accountability-1880s-death-susan-nixon
November 16, 2022 - Commentary
Surgical accountability in the 1880s: the death of Susan Nixon. … Surgical accountability in the 1880s: the death of Susan Nixon. … Using an account of surgical error from nineteenth-century Australia, the authors draw parallels with … Surgical accountability in the 1880s: the death of Susan Nixon. … October 7, 2020
Surgical data recording technology: a solution to address medical errors
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psnet.ahrq.gov/issue/role-assistant-nurse-implementing-who-surgical-safety-checklist-perception-and-perspectives
January 17, 2024 - Study
The role of an assistant nurse in implementing the WHO Surgical Safety Checklist … The role of an assistant nurse in implementing the WHO Surgical Safety Checklist: perception and perspectives … The World Health Organization's (WHO) Surgical Safety Checklist (SSC) has resulted in improved surgical … In this study, surgical personnel (surgeons, anesthesiologists, nurse anesthetists, surgical nurses … May 31, 2023
Compliance with and barriers to implementing the surgical safety checklist
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psnet.ahrq.gov/issue/influence-stress-responses-surgical-performance-and-outcomes-literature-review-and
December 21, 2014 - Emerging Classic
The influence of stress responses on surgical … performance and outcomes: literature review and the development of the surgical stress effects (SSE) … The influence of stress responses on surgical performance and outcomes: Literature review and the development … of the surgical stress effects (SSE) framework. … of the surgical stress effects (SSE) framework.