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psnet.ahrq.gov/issue/surgical-simulation-systematic-review
June 15, 2011 - Review
Surgical simulation: a systematic review. … Surgical simulation: a systematic review. Ann Surg. 2006;243(3):291-300. … Surgical simulation: a systematic review. Ann Surg. 2006;243(3):291-300. … December 22, 2018
Simulation-based Surgical Education. … March 28, 2011
Minimizing surgical error by incorporating objective assessment into surgical
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psnet.ahrq.gov/issue/surgical-checklists-human-factor
December 10, 2014 - Study
Surgical checklists: the human factor. … Surgical checklists: the human factor. … This qualitative study identified several barriers to the implementation of a surgical safety checklist … Surgical checklists: the human factor. … August 13, 2014
Effectiveness of the surgical safety checklist in a high standard care
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psnet.ahrq.gov/issue/scottish-audit-surgical-mortality
September 13, 2017 - Multi-use Website
Scottish Audit of Surgical Mortality. … Citation Text:
Scottish Audit of Surgical Mortality. … Scottish Audit of Surgical Mortality and Royal College of Physicians and Surgeons of Glasgow. … The Scottish Audit of Surgical Mortality (SASM) facilitates the peer review of all surgical deaths in … care: the American College of Surgeons National Surgical Quality Improvement Program.
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psnet.ahrq.gov/issue/timing-surgical-antimicrobial-prophylaxis
June 24, 2009 - The Timing of Surgical Antimicrobial Prophylaxis. … The Timing of Surgical Antimicrobial Prophylaxis. … glove perforation and the risk of surgical site infection. … the Hawaii Surgical Unit-Based Safety Program. … February 3, 2011
Surgical glove perforation and the risk of surgical site infection.
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psnet.ahrq.gov/issue/duplication-surgical-site-marking
November 18, 2016 - Commentary
Duplication of surgical site marking. … Duplication of surgical site marking. … Describing a case of duplicate surgical site markings on a patient's legs, this article reveals how hospital … Duplication of surgical site marking. … among surgical residents: the missing piece in multidisciplinary team training.
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psnet.ahrq.gov/issue/surgical-robot-examined-injuries
April 27, 2016 - Newspaper/Magazine Article
Surgical robot examined in injuries. … Citation Text:
Surgical robot examined in injuries. Carreyrou J. … This newspaper article discusses complications associated with surgical robots, and explains that such … Linkedin
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Surgical … May 15, 2024
FDA Safety Communication: update--robotically-assisted surgical devices
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psnet.ahrq.gov/issue/role-anesthesia-surgical-mortality
July 19, 2023 - Study
Classic
The role of anesthesia in surgical mortality … The role of anesthesia in surgical mortality. JAMA. 1961;178:261-6. … The role of anesthesia in surgical mortality. JAMA. 1961;178:261-6.
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psnet.ahrq.gov/issue/judgment-errors-surgical-care
December 14, 2022 - Study
Judgment errors in surgical care. … Judgment errors in surgical care. … Judgment errors in surgical care. … December 14, 2022
Pediatric surgical errors: a systematic scoping review. … July 20, 2022
Defining and studying errors in surgical care: a systematic review.
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psnet.ahrq.gov/issue/development-and-evaluation-observational-tool-assessing-surgical-flow-disruptions-and-their
June 17, 2009 - Study
Development and evaluation of an observational tool for assessing surgical … flow disruptions and their impact on surgical performance. … impact on surgical performance. … impact on surgical performance. … June 17, 2009
Disruptions in surgical flow and their relationship to surgical errors:
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psnet.ahrq.gov/issue/simulation-surgical-training-and-practice
February 15, 2012 - Special or Theme Issue
Simulation in Surgical Training and Practice. … Citation Text:
Simulation in Surgical Training and Practice. Brown KM, Paige JT, eds. … Articles in this special issue discuss its evolution within surgical practice, impact on patient … August 3, 2016
Simulation-based Surgical Education. … March 28, 2011
Minimizing surgical error by incorporating objective assessment into surgical
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psnet.ahrq.gov/issue/quality-and-safety-surgical-care
August 26, 2011 - Commentary
Quality and safety in surgical care. … Quality and safety in surgical care. Ann Surg. 2006;243(4):439-48. … surgical safety and quality. … Quality and safety in surgical care. Ann Surg. 2006;243(4):439-48. … October 7, 2013
Judgment errors in surgical care.
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psnet.ahrq.gov/issue/surgical-site-infection-prevention-review
February 15, 2023 - Review
Surgical site infection prevention: a review. … Surgical site infection prevention: a review. … use of the WHO surgical safety checklist . … Surgical site infection prevention: a review. … April 20, 2022
Worldwide incidence of surgical site infections in general surgical patients
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psnet.ahrq.gov/issue/high-cost-retained-surgical-items
February 22, 2023 - Newspaper/Magazine Article
The high cost of retained surgical items. … Citation Text:
The high cost of retained surgical items. Moorehead LD. Outpatient Surgery. … Retained surgical items (RSIs) are considered “ never events ” but continue to be a source of patient … November 30, 2022
Preventing retained surgical items. … April 14, 2021
The impact of surgical count technology on retained surgical items rates
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psnet.ahrq.gov/issue/therapeutic-duplication-general-surgical-wards
December 22, 2021 - Study
Therapeutic duplication on the general surgical wards. … Therapeutic duplication on the general surgical wards. … As part of a quality improvement project on a surgical ward, staff were educated about the risks of therapeutic … Therapeutic duplication on the general surgical wards. … Improving the implementation and adherence of the surgical safety checklist: a quality improvement project
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psnet.ahrq.gov/issue/surgical-site-verification-through-z
October 26, 2022 - Commentary
Surgical site verification: A through Z. … Surgical site verification: A through Z. J Perianesth Nurs. 2006;21(5):317-28; quiz 329-31. … Surgical site verification: A through Z. J Perianesth Nurs. 2006;21(5):317-28; quiz 329-31. … September 11, 2019
Impact of staff turnover during cardiac surgical procedures. … May 21, 2013
Implementing the World Health Organization surgical safety checklist: a
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psnet.ahrq.gov/issue/guideline-prevention-retained-surgical-items
April 26, 2023 - Commentary
Guideline for prevention of retained surgical items. … Guideline for prevention of retained surgical items. AORN J. 2015;102(6):P11-P13. … Retained surgical items are considered a sentinel event in perioperative care. … Guideline for prevention of retained surgical items. AORN J. 2015;102(6):P11-P13. … October 1, 2016
Back to basics: counting soft surgical goods.
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psnet.ahrq.gov/issue/guideline-implementation-prevention-retained-surgical-items
October 23, 2024 - Commentary
Guideline implementation: prevention of retained surgical items. … Guideline Implementation: Prevention of Retained Surgical Items. … Although incidents involving retained surgical items are rare , they continue to occur. … Guideline Implementation: Prevention of Retained Surgical Items. … October 17, 2012
Surgical count practice variability and the potential for retained surgical
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psnet.ahrq.gov/issue/identifying-medication-errors-surgical-prescription-charts
April 17, 2024 - Study
Identifying medication errors in surgical prescription charts. … Identifying medication errors in surgical prescription charts. Paediatr Nurs. 2010;22(5):20-4. … This study used manual chart review to estimate the incidence of prescribing errors in post-surgical … Identifying medication errors in surgical prescription charts. Paediatr Nurs. 2010;22(5):20-4. … June 25, 2018
Barriers and facilitators related to the implementation of surgical safety
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psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
September 15, 2024 - Retained Surgical Items: Definition and Epidemiology. … 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
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psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
January 04, 2024 - Background A retained surgical item (RSI) is a surgical patient safety problem that occurs because of … Surgical Count Processes Surgical Count A process involving two people who look at items together; one … , 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