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psnet.ahrq.gov/issue/failures-communication-and-information-transfer-across-surgical-care-pathway-interview-study
August 09, 2013 - Study
Failures in communication and information transfer across the surgical care … Failures in communication and information transfer across the surgical care pathway: interview study. … A surgical checklist has been shown to improve patient safety, in part by using structured handoffs … Failures in communication and information transfer across the surgical care pathway: interview study. … August 11, 2010
Practical challenges of introducing WHO surgical checklist: UK pilot
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psnet.ahrq.gov/issue/operating-room-clinicians-attitudes-and-perceptions-pediatric-surgical-safety-checklist-1
July 14, 2010 - Study
Operating room clinicians' attitudes and perceptions of a pediatric surgical … Operating Room Clinicians' Attitudes and Perceptions of a Pediatric Surgical Safety Checklist at 1 Institution … Implementation of surgical checklists remains incomplete , despite evidence supporting their use. … June 22, 2009
Impact of team performance on the surgical safety checklist on patient … November 28, 2016
Effect of surgical safety checklists on pediatric surgical complications
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psnet.ahrq.gov/issue/young-surgeons-speaking-when-and-how-surgical-trainees-voice-concerns-about-supervisors
April 13, 2017 - Study
Young surgeons on speaking up: when and how surgical trainees voice concerns … Young surgeons on speaking up: when and how surgical trainees voice concerns about supervisors' clinical … Surgical residents are often hesitant to speak up when they have concerns about decisions made by … August 28, 2013
When a surgical colleague makes an error. … Results of a national survey of surgical trainees.
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psnet.ahrq.gov/issue/overview-research-priorities-surgical-simulation-what-literature-shows-has-been-achieved
June 17, 2015 - Review
An overview of research priorities in surgical simulation: what the literature … An overview of research priorities in surgical simulation: what the literature shows has been achieved … June 17, 2015
Surgical adverse events: a systematic review. … March 28, 2011
Surgical simulation: a systematic review. … April 11, 2009
Minimizing surgical error by incorporating objective assessment into surgical
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psnet.ahrq.gov/issue/implementing-surgical-checklist-more-checking-box
July 16, 2014 - Study
Implementing a surgical checklist: more than checking a box. … Implementing a surgical checklist: more than checking a box. … Poor adherence to individual elements of a surgical safety checklist was noted in this study conducted … Implementing a surgical checklist: more than checking a box. … November 28, 2016
Effect of surgical safety checklists on pediatric surgical complications
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psnet.ahrq.gov/issue/management-adverse-surgical-events-structured-education-module-residents
August 26, 2011 - Management of adverse surgical events: a structured education module for residents. … Management of adverse surgical events: a structured education module for residents. … December 21, 2014
A new paradigm for surgical procedural training. … Results of a national survey of surgical trainees. … surgical education.
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psnet.ahrq.gov/issue/quick-response-codes-surgical-safety-prospective-pilot-study
June 07, 2016 - Quick Response codes for surgical safety: a prospective pilot study. … Journal of Surgical Research. 2013;184(1). doi:10.1016/j.jss.2013.06.036. … Journal of Surgical Research . 2013; 184 (1) . … Quick Response codes for surgical safety: a prospective pilot study. … Journal of Surgical Research. 2013;184(1). doi:10.1016/j.jss.2013.06.036.
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psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection
June 06, 2018 - Commentary
Using a change model to reduce the risk of surgical site infection. … Using a change model to reduce the risk of surgical site infection. … Surgical site infections can result in harm and financial hardship for patients. … Using a change model to reduce the risk of surgical site infection. … May 17, 2017
American College of Surgeons and Surgical Infection Society: Surgical Site
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psnet.ahrq.gov/issue/expanded-surgical-time-out-key-real-time-data-collection-and-quality-improvement
March 02, 2010 - Expanded surgical time out: a key to real-time data collection and quality improvement. … use of time outs to enhance surgical safety. … March 2, 2010
Quality and safety in surgical care. … April 6, 2011
Surgical site verification: A through Z. … March 18, 2010
Surgical confusions in ophthalmology.
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psnet.ahrq.gov/issue/recommendations-quality-assurance-and-improvement-surgical-and-autopsy-pathology
September 29, 2010 - Commentary
Recommendations for quality assurance and improvement in surgical and … Recommendations for quality assurance and improvement in surgical and autopsy pathology. … Recommendations for quality assurance and improvement in surgical and autopsy pathology. … October 1, 2014
Performance of vascular exposure and fasciotomy among surgical residents … June 17, 2014
Surgical specimen identification errors: a new measure of quality in surgical
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psnet.ahrq.gov/issue/directed-peer-review-surgical-pathology
December 03, 2014 - Commentary
Directed peer review in surgical pathology. … Directed peer review in surgical pathology. … Directed peer review in surgical pathology. … December 3, 2014
The effect of a Lean quality improvement implementation program on surgical … February 24, 2011
Patient safety and error reduction in surgical pathology.
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psnet.ahrq.gov/issue/incident-reporting-surgical-trainees-revisited
February 17, 2017 - Study
Incident reporting in surgical trainees-revisited. … Incident Reporting in Surgical Trainees-Revisited. … Incident Reporting in Surgical Trainees-Revisited. … March 23, 2011
Scottish Audit of Surgical Mortality. … March 17, 2011
Factors influencing incident reporting in surgical care.
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psnet.ahrq.gov/issue/briefings-checklists-geese-and-surgical-safety
August 02, 2015 - Commentary
Briefings, checklists, geese, and surgical safety. … Briefings, checklists, geese, and surgical safety. … Briefings, checklists, geese, and surgical safety. … statewide surgical quality improvement collaborative. … Rethinking surgical safety: more than just a checklist.
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psnet.ahrq.gov/issue/cluster-randomized-trial-evaluate-impact-team-training-surgical-outcomes
April 24, 2018 - Study
Cluster randomized trial to evaluate the impact of team training on surgical … Cluster randomized trial to evaluate the impact of team training on surgical outcomes. … checklist utilization affected major surgical complications. … Cluster randomized trial to evaluate the impact of team training on surgical outcomes. … August 15, 2018
Simulation-based Surgical Education.
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psnet.ahrq.gov/issue/patterns-technical-error-among-surgical-malpractice-claims-analysis-strategies-prevent-injury
August 26, 2011 - of strategies to prevent injury to surgical patients. … to surgical patients. … to surgical patients. … May 27, 2009
Communication practices on 4 Harvard surgical services: a surgical safety … outcomes: National Surgical Quality Improvement Program.
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psnet.ahrq.gov/issue/fire-safety
March 18, 2020 - Council on Surgical & Perioperative Safety. … Council on Surgical & Perioperative Safety. … An ethnographic study across surgical specialties. … February 9, 2022
Surgical teams' attitudes about surgical safety and the surgical safety … November 17, 2021
Surgical safety checklist audits may be misleading!
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psnet.ahrq.gov/issue/association-between-implementation-medical-team-training-program-and-surgical-morbidity
July 03, 2014 - Study
Association between implementation of a medical team training program and surgical … Association between implementation of a medical team training program and surgical morbidity. … This analysis of data from the same study also found improvements in surgical morbidity and preventable … Association between implementation of a medical team training program and surgical morbidity. … November 21, 2011
Assessment of incorrect surgical procedures within and outside the
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psnet.ahrq.gov/issue/how-best-measure-surgical-quality-comparison-agency-healthcare-research-and-quality-patient
December 21, 2014 - Study
How best to measure surgical quality? … Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical … How best to measure surgical quality? … How best to measure surgical quality? … December 21, 2014
Using a data-matrix–coded sponge counting system across a surgical
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psnet.ahrq.gov/issue/implementation-science-neglected-opportunity-accelerate-improvements-safety-and-quality
February 14, 2018 - Implementation science: a neglected opportunity to accelerate improvements in the safety and quality of surgical … Implementation Science: A Neglected Opportunity to Accelerate Improvements in the Safety and Quality of Surgical … This review explores the use of implementation science in surgical patient safety initiatives to enable … November 1, 2017
Crisis management for surgical teams and their leaders, lessons from … A narrative review of Surgical Safety Checklist knowledge as developed in 25 highly cited papers from
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psnet.ahrq.gov/issue/use-technology-improve-adherence-surgical-safety-checklists-operating-room
December 03, 2014 - Study
Use of technology to improve the adherence to surgical safety checklists in … Use of technology to improve the adherence to surgical safety checklists in the operating room. … Use of technology to improve the adherence to surgical safety checklists in the operating room. … a simulated surgical procedure. … November 17, 2021
Surgical teams' attitudes about surgical safety and the surgical safety