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psnet.ahrq.gov/issue/use-surgical-safety-checklist-improve-team-communication
August 08, 2018 - Commentary
Use of a surgical safety checklist to improve team communication. … Use of a surgical safety checklist to improve team communication. … Surgical team communication is an important element of safe care. … Use of a surgical safety checklist to improve team communication. … in a statewide surgical quality improvement collaborative.
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psnet.ahrq.gov/issue/fundamental-use-surgical-energy-fuse-essential-educational-program-operating-room-safety
June 07, 2018 - Commentary
Fundamental Use of Surgical Energy (FUSE): an essential educational program … Fundamental Use of Surgical Energy (FUSE): An Essential Educational Program for Operating Room Safety … Improper use of energy-based surgical devices can increase risks of surgical fires . … March 14, 2022
Seasoned surgeons assessed in a laparoscopic surgical crisis. … about surgical safety and the surgical safety checklist at 10 years: a multinational survey.
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psnet.ahrq.gov/issue/surgical-safety-checklist-compliance-job-done-poorly
April 25, 2016 - Study
Surgical safety checklist compliance: a job done poorly! … Surgical Safety Checklist compliance: a job done poorly!. … The Surgical Safety Checklist was reliably completed in this study, however, individual items were … Surgical Safety Checklist compliance: a job done poorly!. … July 31, 2013
Effective surgical safety checklist implementation.
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psnet.ahrq.gov/issue/costs-associated-surgical-site-infections-veterans-affairs-hospitals
June 18, 2014 - Study
Costs associated with surgical site infections in Veterans Affairs hospitals … Costs Associated With Surgical Site Infections in Veterans Affairs Hospitals. … This analysis found that excess hospital costs are significant for patients who experience surgical … Costs Associated With Surgical Site Infections in Veterans Affairs Hospitals. … January 24, 2018
Proactive risk assessment of surgical site infections in ambulatory
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psnet.ahrq.gov/issue/effect-19-item-surgical-safety-checklist-during-urgent-operations-global-patient-population
December 29, 2014 - Study
Classic
Effect of a 19-item surgical safety checklist … Effect of A 19-Item Surgical Safety Checklist During Urgent Operations in A Global Patient Population … An ethnographic study across surgical specialties. … June 22, 2016
Surgical safety checklist compliance: a job done poorly! … March 3, 2011
Prevention of surgical malpractice claims by a surgical safety checklist
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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/outcomes-concurrent-operations-results-american-college-surgeons-national-surgical-quality
February 14, 2017 - Outcomes of concurrent operations: results from the American College of Surgeons' National Surgical … Outcomes of Concurrent Operations: Results From the American College of Surgeons' National Surgical Quality … This National Surgical Quality Improvement Program study used propensity score matching to compare … September 9, 2015
The influence of resident involvement on surgical outcomes. … November 3, 2015
American College of Surgeons and Surgical Infection Society: Surgical
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psnet.ahrq.gov/issue/hidden-costs-reconciling-surgical-sponge-counts
May 08, 2013 - The Hidden Costs of Reconciling Surgical Sponge Counts. … The Hidden Costs of Reconciling Surgical Sponge Counts. … April 7, 2021
The impact of surgical count technology on retained surgical items rates … December 23, 2016
Wrong-site surgery, retained surgical items, and surgical fires: a … systematic review of surgical never events.
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psnet.ahrq.gov/issue/surgical-checklist-implementation-project-impact-variable-who-checklist-compliance-risk
June 22, 2016 - Study
Surgical checklist implementation project: the impact of variable WHO checklist … Surgical Checklist Implementation Project: The Impact of Variable WHO Checklist Compliance on Risk-adjusted … The remarkable initial success of the World Health Organization surgical safety checklist led to the … May 6, 2015
The WHO surgical safety checklist: survey of patients' views. … mortality in Scotland by use of the WHO Surgical Safety Checklist.
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psnet.ahrq.gov/issue/intraoperative-surgical-performance-measurement-and-outcomes-choose-your-tools-carefully
June 17, 2015 - Commentary
Intraoperative surgical performance measurement and outcomes: choose your … Intraoperative Surgical Performance Measurement and Outcomes: Choose Your Tools Carefully. … the challenges to aligning rating scales with surgical outcome measures. … Intraoperative Surgical Performance Measurement and Outcomes: Choose Your Tools Carefully. … June 26, 2013
Simulation for ward processes of surgical care.
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psnet.ahrq.gov/issue/managing-prevention-retained-surgical-instruments-what-value-counting
September 25, 2008 - Study
Classic
Managing the prevention of retained surgical … Managing the prevention of retained surgical instruments: what is the value of counting? … This study examined the value of counting surgical instruments and quantified its accuracy in an effort … Managing the prevention of retained surgical instruments: what is the value of counting? … May 27, 2009
Sponges, surgical instruments miscounted in 13% of surgeries.
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psnet.ahrq.gov/issue/incidence-and-characteristics-potential-and-actual-retained-foreign-object-events-surgical
January 02, 2017 - Incidence and characteristics of potential and actual retained foreign object events in surgical … Incidence and characteristics of potential and actual retained foreign object events in surgical patients … Retained foreign objects (RFOs) are a rare but serious complication of surgical procedures. … May 27, 2009
How best to measure surgical quality? … January 11, 2017
Surgical never events and contributing human factors.
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psnet.ahrq.gov/issue/relationship-between-occurrence-surgical-complications-and-hospital-finances
April 21, 2015 - Study
Classic
Relationship between occurrence of surgical … Relationship between occurrence of surgical complications and hospital finances. … Relationship between occurrence of surgical complications and hospital finances. … care: results from a Harvard surgical safety collaborative. … analysis of strategies to prevent injury to surgical patients.
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psnet.ahrq.gov/issue/perception-safety-surgical-practice-among-operating-room-personnel-survey-data-associated-all
February 07, 2018 - Study
Perception of safety of surgical practice among operating room personnel from … Perception of Safety of Surgical Practice Among Operating Room Personnel From Survey Data Is Associated … January 9, 2019
Surgical team member assessment of the safety of surgery practice in … September 20, 2011
Effective surgical safety checklist implementation. … surgical quality improvement collaborative.
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psnet.ahrq.gov/issue/checklist-based-intervention-improve-surgical-outcomes-michigan-evaluation-keystone-surgery
May 01, 2015 - Study
Classic
A checklist-based intervention to improve surgical … A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery … July 12, 2010
Is WHO's surgical safety checklist being hyped? … June 25, 2018
Who is responsible for the safe introduction of new surgical technology … An important legal precedent from the da Vinci Surgical System Trials.
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psnet.ahrq.gov/issue/patterns-communication-breakdowns-resulting-injury-surgical-patients
March 03, 2011 - Classic
Patterns of communication breakdowns resulting in injury to surgical … Patterns of communication breakdowns resulting in injury to surgical patients. … Patterns of communication breakdowns resulting in injury to surgical patients. … care: results from a Harvard surgical safety collaborative. … May 27, 2009
Communication practices on 4 Harvard surgical services: a surgical safety
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psnet.ahrq.gov/issue/safer-delivery-surgical-services-program-s3-explaining-its-differential-effectiveness-and
January 20, 2015 - Study
The Safer Delivery of Surgical Services Program (S3): explaining its differential … The Safer Delivery of Surgical Services Program (S3): Explaining Its Differential Effectiveness and Exploring … September 12, 2016
Safety culture and care: a program to prevent surgical errors. … May 13, 2015
Association of hospital participation in a surgical outcomes monitoring … September 10, 2013
Surgical adverse events: a systematic review.
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psnet.ahrq.gov/issue/underlying-reasons-associated-hospital-readmission-following-surgery-united-states
May 06, 2020 - This study reviewed 30-day readmissions following surgery at hospitals enrolled in the National Surgical … Surgical site infections accounted for the largest proportion of overall readmissions. … important lessons for improvement, and he calls for a 50% reduction in surgical complication rates in … September 9, 2015
The influence of resident involvement on surgical outcomes. … August 17, 2022
Surgical patient safety outcomes in critical access hospitals: how do
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psnet.ahrq.gov/issue/pediatric-surgical-errors-systematic-scoping-review
August 17, 2022 - Review
Pediatric surgical errors: a systematic scoping review. … Pediatric surgical errors: a systematic scoping review. … Pediatric surgical errors: a systematic scoping review. … August 12, 2020
Associations of workflow disruptions in the operating room with surgical … March 11, 2020
The need for surgical safety checklists in neurosurgery now and in the
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psnet.ahrq.gov/issue/cardiac-surgical-icu-care-eliminating-preventable-complications
August 04, 2021 - Review
Cardiac surgical ICU care: eliminating "preventable" complications. … Cardiac surgical ICU care: eliminating "preventable" complications. … Cardiac surgical ICU care: eliminating "preventable" complications. … July 31, 2013
Quality, patient safety, and the cardiac surgical team.