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psnet.ahrq.gov/issue/policy-based-intervention-reduction-communication-breakdowns-inpatient-surgical-care-results
January 04, 2010 - care: results from a Harvard surgical safety collaborative. … results from a Harvard surgical safety collaborative. … results from a Harvard surgical safety collaborative. … services: a surgical safety collaborative. … February 24, 2010
Communication practices on 4 Harvard surgical services: a surgical
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psnet.ahrq.gov/issue/impact-team-performance-surgical-safety-checklist-patient-outcomes-operating-room-black-box
March 20, 2024 - Study
Impact of team performance on the surgical safety checklist on patient outcomes … Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black … Compliance with and completeness of surgical safety checklists (SSC) remain difficult to measure . … Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black … July 1, 2016
Enhancing surgical safety using digital multimedia technology.
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psnet.ahrq.gov/issue/its-big-part-being-good-surgeons-surgical-trainees-perceptions-error-recovery-operating-room
August 26, 2020 - Study
"It's a big part of being good surgeons": surgical trainees' perceptions of … "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating … were supervision, self, surgical context, and situation safeness. … A survey of North American surgical residents and fellows. … A survey of North American surgical residents and fellows.
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psnet.ahrq.gov/issue/compliance-and-barriers-implementing-surgical-safety-checklist-mixed-methods-study
October 06, 2021 - Study
Compliance with and barriers to implementing the surgical safety checklist: … Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods study. … globe to reduce surgical complications and improve operating room teamwork. … This mixed methods study involved nearly 150 surgical nurses in Turkey. … November 17, 2021
Surgical teams' attitudes about surgical safety and the surgical safety
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psnet.ahrq.gov/issue/effects-brief-team-training-program-surgical-teams-nontechnical-skills-interrupted-time
December 08, 2021 - Study
Effects of a brief team training program on surgical teams' nontechnical skills … Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series … Nontechnical skills such as teamwork and communication can influence surgical performance . … This Australian hospital implemented a team training program for surgical teams focused on improving … Nursing
Surgical Complications
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psnet.ahrq.gov/issue/stop-line-interventions-prevent-retained-surgical-items
July 10, 2024 - Stop the line: interventions to prevent retained surgical items. … Retained surgical items (RSI) are a never event. … Stop the line: interventions to prevent retained surgical items. … December 7, 2022
Preventing retained surgical items. … December 8, 2015
Surgical count practice variability and the potential for retained surgical
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psnet.ahrq.gov/issue/thinking-threes-changing-surgical-patient-safety-practices-complex-modern-operating-room
April 28, 2021 - Commentary
Thinking in three's: changing surgical patient safety practices in the … Thinking in three's: changing surgical patient safety practices in the complex modern operating room. … This commentary explores strategies to prevent surgical fires, wrong-site surgeries , and retained surgical … June 13, 2018
Guideline for prevention of retained surgical items. … April 25, 2016
Back to basics: counting soft surgical goods.
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psnet.ahrq.gov/issue/how-much-and-what-local-adaptation-acceptable-comparison-24-surgical-safety-checklists
July 27, 2022 - A comparison of 24 surgical safety checklists in Switzerland. … A comparison of 24 surgical safety checklists in Switzerland. … Following the publication of the World Health Organization’s (WHO) Surgical Safety Checklist in 2009 … A comparison of 24 surgical safety checklists in Switzerland. … April 27, 2022
Surgical teams' attitudes about surgical safety and the surgical safety
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psnet.ahrq.gov/issue/association-between-operative-autonomy-surgical-residents-and-patient-outcomes
September 09, 2020 - Study
Association between operative autonomy of surgical residents and patient outcomes … Association between operative autonomy of surgical residents and patient outcomes. … Association between operative autonomy of surgical residents and patient outcomes. … A survey of North American surgical residents and fellows. … July 1, 2015
Error training: missing link in surgical education.
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psnet.ahrq.gov/issue/surgical-patient-safety-outcomes-critical-access-hospitals-how-do-they-compare
June 05, 2019 - Study
Surgical patient safety outcomes in critical access hospitals: how do they … Surgical Patient Safety Outcomes in Critical Access Hospitals: How Do They Compare? … This finding demonstrates the importance of quality surgical care in rural hospitals. … Surgical Patient Safety Outcomes in Critical Access Hospitals: How Do They Compare? … military hospital: an analysis of National Surgical Quality Improvement Program data.
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psnet.ahrq.gov/issue/surgical-site-infections-colon-surgery-patient-procedure-hospital-and-surgeon
February 19, 2020 - Study
Surgical site infections in colon surgery: the patient, the procedure, the … Surgical site infections in colon surgery: the patient, the procedure, the hospital, and the surgeon. … Surgical site infection rates varied widely among individual surgeons in this Swiss study. … September 30, 2011
The timing of surgical antimicrobial prophylaxis. … October 27, 2010
Surgical glove perforation and the risk of surgical site infection.
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psnet.ahrq.gov/issue/surgical-fires-decreasing-incidence-relies-continued-prevention-efforts
April 03, 2019 - Newspaper/Magazine Article
Surgical fires: decreasing incidence relies on continued … Citation Text:
Surgical fires: decreasing incidence relies on continued prevention efforts. … Although surgical fires are considered never events , they continue to occur. … Although incidence of surgical fires has significantly decreased since earlier reporting periods, half … A past WebM&M commentary discussed surgical fires and how to prevent them.
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psnet.ahrq.gov/issue/reducing-surgical-errors-implementing-three-hinge-approach-success
December 08, 2021 - Commentary
Reducing surgical errors: implementing a three-hinge approach to success … Reducing surgical errors: implementing a three-hinge approach to success. … Errors in surgical care are often associated with human factors , interruptions, and staffing issues … Reducing surgical errors: implementing a three-hinge approach to success. … November 18, 2016
A 'paperless' wall-mounted surgical safety checklist with migrated
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psnet.ahrq.gov/issue/we-asked-experts-who-surgical-safety-checklist-and-covid-19-pandemic-recommendations-content
May 19, 2021 - Commentary
We asked the experts: the WHO Surgical Safety Checklist and the COVID- … The WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation … The World Health Organization (WHO) surgical safety checklist is widely used in surgical settings to … May 19, 2021
Surgical teams' attitudes about surgical safety and the surgical safety … November 17, 2021
Impact of the WHO Surgical Safety Checklist relative to its design
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psnet.ahrq.gov/issue/human-error-not-communication-and-systems-underlies-surgical-complications
November 18, 2020 - Study
Human error, not communication and systems, underlies surgical complications … Human error, not communication and systems, underlies surgical complications. … Individual and system factors have been implicated in past analyses of surgical errors. … Human error, not communication and systems, underlies surgical complications. … among surgical residents: the missing piece in multidisciplinary team training.
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psnet.ahrq.gov/issue/absence-or-presence-silent-discourse-operating-room-and-impact-surgical-team-action
June 23, 2021 - Study
Absence or presence: silent discourse in the operating room and impact on surgical … Absence or presence: silent discourse in the operating room and impact on surgical team action. … silence on team action in the OR and found that silence in the surgical environment – whether due to … Absence or presence: silent discourse in the operating room and impact on surgical team action. … A survey of North American surgical residents and fellows.
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psnet.ahrq.gov/issue/burden-healthcare-utilization-cost-and-mortality-associated-select-surgical-site-infections
October 09, 2024 - The burden of healthcare utilization, cost, and mortality associated with select surgical … The burden of healthcare utilization, cost, and mortality associated with select surgical site infections … Surgical site infections (SSIs) are a common source of preventable harm following surgery. … August 10, 2022
Decontamination of Surgical Instruments. … April 20, 2022
Worldwide incidence of surgical site infections in general surgical patients
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psnet.ahrq.gov/issue/supplemental-perioperative-oxygen-and-risk-surgical-wound-infection-randomized-controlled
March 09, 2022 - Study
Supplemental perioperative oxygen and the risk of surgical wound infection: … the Hawaii Surgical Unit-Based Safety Program. … effective approach to surgical site infection reduction and health care cost savings. … August 13, 2014
The timing of surgical antimicrobial prophylaxis. … August 27, 2010
Surgical glove perforation and the risk of surgical site infection.
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psnet.ahrq.gov/issue/impact-staff-turnover-during-cardiac-surgical-procedures
November 06, 2019 - Study
Impact of staff turnover during cardiac surgical procedures. … Impact of staff turnover during cardiac surgical procedures. … This study examined whether increased team turnover raises the likelihood of sharp count errors by surgical … Impact of staff turnover during cardiac surgical procedures. … November 6, 2024
Beyond the surgical safety checklist: using intraoperative handoff to
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psnet.ahrq.gov/issue/factors-influencing-incident-reporting-surgical-care
March 03, 2011 - Study
Factors influencing incident reporting in surgical care. … Factors influencing incident reporting in surgical care. … Factors influencing incident reporting in surgical care. … March 23, 2011
Scottish Audit of Surgical Mortality. … June 23, 2009
Surgical skill is predicted by the ability to detect errors.