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psnet.ahrq.gov/issue/quest-six-sigma
January 04, 2010 - This discussion of patient safety from a surgical perspective highlights issues involving hierarchy, … services: a surgical safety collaborative. … care: results from a Harvard surgical safety collaborative. … September 25, 2024
Reducing surgical mortality in Scotland by use of the WHO Surgical … May 9, 2012
Surgical count practice variability and the potential for retained surgical
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psnet.ahrq.gov/issue/safety-considerations-learning-new-procedures-survey-surgeons
January 23, 2017 - An important legal precedent from the da Vinci Surgical System Trials. … November 11, 2020
Communication practices on 4 Harvard surgical services: a surgical … care: results from a Harvard surgical safety collaborative. … April 30, 2024
Antifatness in the surgical setting. … December 2, 2020
Analysis of human performance deficiencies associated with surgical
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psnet.ahrq.gov/issue/risk-factors-retained-instruments-and-sponges-after-surgery
February 17, 2011 - of strategies to prevent injury to surgical patients. … August 26, 2011
Communication practices on 4 Harvard surgical services: a surgical safety … care: results from a Harvard surgical safety collaborative. … August 27, 2018
Back to basics: counting soft surgical goods. … November 6, 2013
Retained surgical items: a problem yet to be solved.
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psnet.ahrq.gov/issue/creating-culture-safety-using-checklists
July 30, 2014 - May 11, 2016
Surgical team member assessment of the safety of surgery practice in 38 … October 18, 2023
Communication practices on 4 Harvard surgical services: a surgical safety … care: results from a Harvard surgical safety collaborative. … in Scotland by use of the WHO Surgical Safety Checklist. … December 9, 2015
Barriers and facilitators related to the implementation of surgical
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psnet.ahrq.gov/issue/protecting-patients-unsafe-system-etiology-and-recovery-intraoperative-deviations-care
October 19, 2012 - Analysis of video recordings of 10 complex surgical procedures identified an average of 3 deviations … care: results from a Harvard surgical safety collaborative. … December 21, 2014
Communication practices on 4 Harvard surgical services: a surgical … January 4, 2010
Simulation-based trial of surgical-crisis checklists. … of strategies to prevent injury to surgical patients.
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psnet.ahrq.gov/issue/effectiveness-information-technology-intervention-improve-prophylactic-antibacterial-use
September 01, 2016 - August 10, 2022
Hospital acquired infections in surgical patients: impact of COVID-19 … April 20, 2022
Statewide collaborative to reduce surgical site infections: results of … the Hawaii Surgical Unit-Based Safety Program. … August 9, 2018
Global Guidelines on the Prevention of Surgical Site Infection. … January 3, 2018
American College of Surgeons and Surgical Infection Society: Surgical
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psnet.ahrq.gov/issue/variation-hospital-mortality-associated-inpatient-surgery
August 02, 2015 - The patient safety approach to improving surgical outcomes has largely focused on reducing preventable … August 2, 2015
Surgical skill and complication rates after bariatric surgery. … September 12, 2016
Is WHO's surgical safety checklist being hyped? … August 2, 2015
Cutting-edge efforts in surgical patient safety. … October 14, 2020
Failure events in transition of care for surgical patients.
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psnet.ahrq.gov/issue/patient-safety-and-quality-surgery
August 26, 2011 - This article provides an overview of error in surgical care and summarizes activities and strategies … August 26, 2011
Quality and safety in surgical care. … October 11, 2017
Patient Safety and the Invitational Conference on Contemporary Surgical … January 3, 2017
Simulation-based Surgical Education. … April 30, 2014
Recommendations for quality assurance and improvement in surgical and
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psnet.ahrq.gov/issue/nurse-led-approach-developing-and-implementing-collaborative-count-policy
January 18, 2012 - This commentary describes an initiative to address discrepancies in surgical count policies and improve … standards for preventing retained surgical objects . … December 7, 2022
Preventing retained surgical items. … October 1, 2016
Risk factors associated with incorrect surgical counts. … surgical items.
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psnet.ahrq.gov/issue/integrating-simulation-surgery-teaching-tool-and-credentialing-standard
July 02, 2008 - The authors introduce a number of surgical simulation methods and discuss how training curricula should … July 2, 2008
Seasoned surgeons assessed in a laparoscopic surgical crisis. … June 12, 2013
Pediatric surgical errors: a systematic scoping review. … February 13, 2014
Fundamental Use of Surgical Energy (FUSE): an essential educational … surgical education.
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psnet.ahrq.gov/issue/factors-associated-hospital-admission-after-outpatient-surgery-veterans-health-administration
August 17, 2018 - The Veterans Affairs Surgical Quality Improvement Program (VASQIP) and the private sector National … Surgical Quality Improvement Program have transformed both safety measurement and quality in surgery … Historically, VASQIP has placed comparatively little emphasis on outpatient surgical safety . … A recent PSNet interview and perspective explored the evolution of surgical patient safety. … December 19, 2017
Failure events in transition of care for surgical patients.
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psnet.ahrq.gov/issue/readiness-us-general-surgery-residents-independent-practice
April 24, 2018 - practice and level of supervision for surgical trainees performing specific core procedures throughout … For about two-thirds of core procedures, surgical residents still had significant supervision in their … 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/awareness-patient-safety-grows-increased-outpatient-surgeries
June 17, 2014 - Items: The RSI Bundle
May 29, 2024
Effect of the surgical safety checklist on … April 27, 2022
"Some version, most of the time": the surgical safety checklist, patient … January 19, 2022
Impact of the WHO Surgical Safety Checklist relative to its design and … November 24, 2021
Surgical teams' attitudes about surgical safety and the surgical safety … April 22, 2016
Surgical safety checklist: implementation in an ambulatory surgical facility
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psnet.ahrq.gov/issue/surgical-never-events-and-contributing-human-factors
August 20, 2018 - Surgical never events and contributing human factors. … Surgical never events and contributing human factors. … March 3, 2021
The impact of surgical count technology on retained surgical items rates … August 15, 2018
Wrong-site surgery, retained surgical items, and surgical fires: a systematic … review of surgical never events.
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psnet.ahrq.gov/issue/systems-approaches-surgical-quality-and-safety-concept-measurement
January 19, 2016 - Review
Systems approaches to surgical quality and safety: from concept to measurement … Systems approaches to surgical quality and safety: from concept to measurement. … Systems approaches to surgical quality and safety: from concept to measurement. … care: the American College of Surgeons National Surgical Quality Improvement Program. … January 29, 2014
Surgical adverse events: a systematic review.
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psnet.ahrq.gov/node/74088/psn-pdf
November 17, 2021 - Surgical teams' attitudes about surgical safety and the
surgical safety checklist at 10 years: a multinational … Surgical teams' attitudes about surgical safety and the surgical safety
checklist at 10 years: a multinational … https://psnet.ahrq.gov/issue/surgical-teams-attitudes-about-surgical-safety-and-surgical-safety-checklist … https://psnet.ahrq.gov/issue/surgical-teams-attitudes-about-surgical-safety-and-surgical-safety-checklist … -10-years
https://psnet.ahrq.gov/issue/surgical-teams-attitudes-about-surgical-safety-and-surgical-safety-checklist
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psnet.ahrq.gov/issue/surgical-crisis-management-skills-training-and-assessment-stimulation-based-approach
March 03, 2011 - Study
Surgical crisis management skills training and assessment: a stimulation-based … Surgical Crisis Management Skills Training and Assessment. … Surgical Crisis Management Skills Training and Assessment. … March 3, 2011
Observational assessment of surgical teamwork: a feasibility study. … May 6, 2015
The WHO surgical safety checklist: survey of patients' views.
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psnet.ahrq.gov/node/860015/psn-pdf
September 01, 2024 - When a surgical item is not removed, it is referenced as a retained surgical
item (RSI). … Surgical items are supplies and devices used in or around a surgical or procedural site, wound,
or incision … Group I includes four (4) classes of surgical items that comprise a
traditional “surgical count” performed … by operating room (OR) staff: surgical sponges and surgical towels,
sharps, small miscellaneous items … //psnet.ahrq.gov/issue/wrong-site-surgery-retained-surgical-items-and-surgical-fires-systematic-review-surgical
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psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - surgical item (RSI) is a surgical patient safety problem that occurs because of ineffective
practices … Surgical Count Processes
Surgical
Count
A process involving two people who look at items together … , and surgical items are used. … Reliability of Surgical Count Practices, Illustrated by Retained Surgical Sponge Case
TRUTH (sponge … Avoiding retained surgical items at an academic medical
center: sustainability of a surgical quality
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psnet.ahrq.gov/node/33603/psn-pdf
September 15, 2024 - Surgical Site Infections
September 15, 2024
Surgical Site Infections. PSNet [internet]. 2019. … https://psnet.ahrq.gov/primer/surgical-site-infections
PSNet primers are regularly reviewed and updated … issue/american-college-surgeons-and-surgical-infection-society-surgical-site-infection-guidelines
This … program to enhance the recovery of surgical patients. … Efforts to prevent surgical site infections have been effective.