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psnet.ahrq.gov/issue/standardized-multidisciplinary-protocol-improves-handover-cardiac-surgery-patients-intensive
July 14, 2010 - October 14, 2020
Failure events in transition of care for surgical patients. … February 25, 2015
A prospective study of paediatric cardiac surgical microsystems: assessing … June 1, 2011
Identifying medication errors in surgical prescription charts.
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psnet.ahrq.gov/issue/crying-wolf-alarm-safety-and-management-paediatrics-scoping-review
April 24, 2018 - April 24, 2018
Rates of serious surgical errors in California and plans to prevent recurrence … September 16, 2020
Interpretive diagnostic error reduction in surgical pathology and … Pathologists Pathology and Laboratory Quality Center and the Association of Directors of Anatomic and Surgical
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psnet.ahrq.gov/issue/nursing-practice-hospitalised-older-people-safety-and-harm
April 24, 2018 - Detecting adverse events in surgery: comparing events detected by the Veterans Health Administration Surgical … June 4, 2014
Development and testing of tools to detect ambulatory surgical adverse events … 19, 2019
Centers for Disease Control and Prevention Guideline for the Prevention of Surgical
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psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
May 26, 2016 - Related Resources From the Same Author(s)
Wrong-site surgery, retained surgical … items, and surgical fires: a systematic review of surgical never events.
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psnet.ahrq.gov/issue/creating-just-culture-perioperative-setting
July 13, 2009 - February 7, 2024
Patient Safety Primers
Retained Surgical … January 26, 2022
Incidence and OR team awareness of “near-miss” and retained surgical … More About The Topic
Outpatient Surgery
Hospitals
Anesthesiology
Surgery
Medical/Surgical
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psnet.ahrq.gov/issue/using-lean-improve-medication-administration-safety-search-perfect-dose
September 16, 2015 - April 25, 2016
Applying Lean methods to improve quality and safety in surgical sterile … 5, 2023
Centers for Disease Control and Prevention Guideline for the Prevention of Surgical … September 26, 2016
Applying Lean methods to improve quality and safety in surgical sterile
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psnet.ahrq.gov/issue/implementation-custom-alert-prevent-medication-timing-errors-associated-computerized
April 25, 2016 - October 6, 2016
Applying Lean methods to improve quality and safety in surgical sterile … 2019
Centers for Disease Control and Prevention Guideline for the Prevention of Surgical … October 13, 2010
Trends in central line–associated bloodstream infections in a trauma-surgical
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psnet.ahrq.gov/web-mm/or
August 22, 2013 - Third, we turn to the role of the surgical team, which attempted to cancel the case—attempts that failed … both in the operating room and on the surgical ward. … Typically, when a surgical case is "booked," orders are written in the patient's chart on the ward, the … If the surgical team and the nurses on the ward had spent 5 minutes briefly discussing the plan for each … Use effective and active communication with members of a surgical team (or any service) when planning
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psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
January 26, 2022 - November 26, 2014
Supplemental perioperative oxygen and the risk of surgical wound infection
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psnet.ahrq.gov/issue/intervention-model-promotes-accountability-peer-messengers-and-patientfamily-complaints
June 27, 2018 - 2017
Association of coworker reports about unprofessional behavior by surgeons with surgical … 14, 2024
Centers for Disease Control and Prevention Guideline for the Prevention of Surgical … April 12, 2014
Elective surgical patients' narratives of hospitalization: the co-construction
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psnet.ahrq.gov/issue/effects-interdisciplinary-team-care-interventions-general-medical-wards-systematic-review
April 24, 2018 - November 9, 2016
Surgical checklist implementation project: the impact of variable WHO … 2018
Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical … March 28, 2012
Surgical fires, a clear and present danger.
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psnet.ahrq.gov/issue/interventions-reduce-burnout-and-improve-resilience-impact-health-systems-outcomes
January 10, 2018 - November 16, 2016
Natural history of retained surgical items supports the need for team … September 24, 2014
Retained surgical items: a problem yet to be solved. … January 18, 2013
Risk factors for retained surgical items: a meta-analysis and proposed
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psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
April 18, 2018 - In another study, Steelman et al . described 684 adverse events and near misses involving surgical specimens … Surgical specimen management a descriptive study of 648 adverse events and near misses. … Lost, mislabeled, and unsuitable surgical pathology specimens. … specimen identification errors: a new measure of quality in surgical care. … January 14, 2011
Identifying cross contaminants and specimen mix-ups in surgical pathology
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psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
March 27, 2024 - Safety: Promise and Challenges
March 27, 2024
Artificial intelligence and surgical … November 30, 2023
Patient Safety Primers
Retained Surgical
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psnet.ahrq.gov/issue/are-teaching-hospitals-treated-fairly-hospital-acquired-condition-reduction-program
July 11, 2018 - Resources
The burden of healthcare utilization, cost, and mortality associated with select surgical … March 20, 2024
Hospital acquired infections in surgical patients: impact of COVID-19- … May 27, 2020
Operating room traffic as a modifiable risk factor for surgical site infection
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psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
November 16, 2022 - September 29, 2017
Examining the relationship among ambulatory surgical settings work
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psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
August 21, 2016 - August 14, 2024
Surgeon and surgical trainee experiences after adverse patient events
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psnet.ahrq.gov/node/49729/psn-pdf
April 01, 2015 - The review (16) also stresses the need
for surgical evaluation in all patients with AAD, even those
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psnet.ahrq.gov/perspective/implementing-fall-prevention-program
November 29, 2023 - February 12, 2020
Observational assessment of surgical teamwork: a feasibility study.
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psnet.ahrq.gov/issue/personal-protective-equipment-ppe-surgeons-during-covid-19-pandemic-systematic-review
September 23, 2020 - July 29, 2020
Developing perioperative Covid-19 testing protocols to restore surgical … May 6, 2020
Effectiveness of N95 respirators versus surgical masks against influenza: