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psnet.ahrq.gov/node/43042/psn-pdf
December 18, 2014 - Introduction of surgical safety checklists in Ontario,
Canada. … Introduction of Surgical Safety Checklists in Ontario, Canada. … https://psnet.ahrq.gov/issue/introduction-surgical-safety-checklists-ontario-canada
This study examined … changes in operative mortality, risk of surgical complications, length of stay, and
hospital readmission … The risk of surgical complications and mortality
prior to checklist implementation was comparable to
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psnet.ahrq.gov/node/38176/psn-pdf
October 29, 2008 - Human error, not communication and systems, underlies
surgical complications. … Human error, not communication and systems, underlies surgical
complications. … https://psnet.ahrq.gov/issue/human-error-not-communication-and-systems-underlies-surgical-complications … Individual and system factors have been implicated in past analyses of surgical errors. … Investigators discovered major complications in 3.4% of cases, with surgical technique,
judgment errors
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psnet.ahrq.gov/node/47078/psn-pdf
June 13, 2018 - Fake it 'til you make it: pressures to measure up in
surgical training. … Fake It 'Til You Make It: Pressures to Measure Up in Surgical
Training. … interviews of 15 surgical residents revealed that surgical trainees may feel pressured to
exhibit certain … characteristics they perceive as consistent with the ideal surgical personality. … //psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
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psnet.ahrq.gov/node/45118/psn-pdf
January 23, 2017 - Cluster randomized trial to evaluate the impact of team
training on surgical outcomes. … Cluster randomized trial to evaluate the impact of team training on
surgical outcomes. … https://psnet.ahrq.gov/issue/cluster-randomized-trial-evaluate-impact-team-training-surgical-outcomes … However, the effect of teamwork training programs in the context of
surgical safety checklists is less … checklist utilization affected major surgical complications.
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psnet.ahrq.gov/node/45130/psn-pdf
July 18, 2018 - Surgical fires: decreasing incidence relies on continued
prevention efforts. … https://psnet.ahrq.gov/issue/surgical-fires-decreasing-incidence-relies-continued-prevention-efforts … Although surgical fires are considered never events, they continue to occur. … A past WebM&M commentary
discussed surgical fires and how to prevent them. … psnet.ahrq.gov/issue/defending-never-event
https://psnet.ahrq.gov/issue/wrong-site-surgery-retained-surgical-items-and-surgical-fires-systematic-review-surgical
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psnet.ahrq.gov/node/46030/psn-pdf
March 29, 2017 - Improving surgical complications and patient safety at the
nation's largest military hospital: an analysis … of National
Surgical Quality Improvement Program data. … Improving Surgical Complications and Patient Safety at the Nation's
Largest Military Hospital: An Analysis … of National Surgical Quality Improvement Program Data. … -
hospital
This retrospective record review study compared surgical complication rates at a military
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psnet.ahrq.gov/node/41993/psn-pdf
April 21, 2015 - Simulation-based trial of surgical-crisis checklists. … Simulation-based trial of surgical-crisis checklists. … https://psnet.ahrq.gov/issue/simulation-based-trial-surgical-crisis-checklists
Surgical checklists have … This
study evaluated their usefulness in surgical crises, such as operating room cardiac arrests and … Although these critical surgical events are relatively common in large hospitals, they are rare
for
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psnet.ahrq.gov/node/40601/psn-pdf
September 29, 2017 - A policy-based intervention for the reduction of
communication breakdowns in inpatient surgical care … :
results from a Harvard surgical safety collaborative. … A policy-based intervention for the reduction of
communication breakdowns in inpatient surgical care … : results from a Harvard surgical safety collaborative. … A past AHRQ WebM&M perspective discusses surgical safety with this study’s senior
author, Dr.
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psnet.ahrq.gov/node/42969/psn-pdf
October 31, 2014 - Reducing the burden of surgical harm: a systematic
review of the interventions used to reduce adverse … Reducing the burden of surgical harm: a systematic review of the
interventions used to reduce adverse … https://psnet.ahrq.gov/issue/reducing-burden-surgical-harm-systematic-review-interventions-used-reduce … Surgical safety improvement has been one of the key priorities of the safety movement. … Other successful interventions included surgical care pathways and checklists, both of which are being
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psnet.ahrq.gov/node/43907/psn-pdf
April 27, 2015 - Association of hospital participation in a surgical
outcomes monitoring program with inpatient
complications … Association of hospital participation in a surgical outcomes
monitoring program with inpatient complications … https://psnet.ahrq.gov/issue/association-hospital-participation-surgical-outcomes-monitoring-program- … Quality
Improvement Program and surgical outcomes over time. … /national-surgical-quality-improvement-program
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psnet.ahrq.gov/node/36795/psn-pdf
August 26, 2011 - Surgical specimen identification errors: a new measure of
quality in surgical care. … Surgical specimen identification errors: a new measure of quality
in surgical care. … https://psnet.ahrq.gov/issue/surgical-specimen-identification-errors-new-measure-quality-surgical-care … This study examined more than 21,000 surgical specimens and estimated a surgical specimen
identification … https://psnet.ahrq.gov/issue/surgical-specimen-identification-errors-new-measure-quality-surgical-care
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psnet.ahrq.gov/node/40026/psn-pdf
September 20, 2011 - Effect of a comprehensive surgical safety system on
patient outcomes. … Effect of a comprehensive surgical safety system on patient
outcomes. … https://psnet.ahrq.gov/issue/effect-comprehensive-surgical-safety-system-patient-outcomes
A landmark … study in patient safety demonstrated remarkable improvement in surgical outcomes through
implementation … /issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/44983/psn-pdf
April 20, 2016 - Back to basics: counting soft surgical goods.
April 20, 2016
Spruce L. … Back to Basics: Counting Soft Surgical Goods. AORN J. 2016;103(3):298-301; quiz 302-3. … https://psnet.ahrq.gov/issue/back-basics-counting-soft-surgical-goods
Despite heightened awareness of … hazards associated with retained surgical items, this never event
continues to occur. … counts to prevent retained surgical items.
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psnet.ahrq.gov/node/43446/psn-pdf
May 06, 2015 - A qualitative evaluation of the barriers and facilitators
toward implementation of the WHO surgical … safety
checklist across hospitals in England: lessons from the
"Surgical Checklist Implementation Project … A qualitative evaluation of the barriers and facilitators toward
implementation of the WHO surgical … safety checklist across hospitals in England: lessons from the
"Surgical Checklist Implementation Project … The initial introduction of the World Health Organization surgical safety checklist was associated
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psnet.ahrq.gov/node/43859/psn-pdf
May 28, 2015 - Point prevalence of surgical checklist use in Europe:
relationship with hospital mortality. … Point prevalence of surgical checklist use in Europe: relationship
with hospital mortality. … More
recently, the mandated adoption of surgical checklists in Canada failed to show any benefits on … surgical
outcomes. … Notably,
there was striking variation in surgical checklist exposure, with checklists used for 0% to
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psnet.ahrq.gov/node/43785/psn-pdf
May 01, 2015 - Evaluation of the effectiveness of a surgical checklist in
Medicare patients. … Evaluation of the Effectiveness of a Surgical Checklist in
Medicare Patients. … https://psnet.ahrq.gov/issue/evaluation-effectiveness-surgical-checklist-medicare-patients
The introduction … of surgical safety checklists is often seen as a milestone accomplishment for the patient
safety field … These results
cast further doubt on the power of surgical safety checklists to improve outcomes when
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psnet.ahrq.gov/node/43213/psn-pdf
June 04, 2014 - Back to basics: preventing surgical site infections.
June 4, 2014
Spruce L. … Back to basics: preventing surgical site infections. AORN J. 2014;99(5):600-8; quiz 609-11. … https://psnet.ahrq.gov/issue/back-basics-preventing-surgical-site-infections
Surgical site infections … https://psnet.ahrq.gov/issue/back-basics-preventing-surgical-site-infections
https://psnet.ahrq.gov/issue … https://psnet.ahrq.gov/issue/compliance-guidelines-prevent-surgical-site-infections-simple-1-2-3
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psnet.ahrq.gov/node/43349/psn-pdf
July 16, 2014 - Multifaceted interventions improve adherence to the
surgical checklist. … Multifaceted interventions improve adherence to the surgical checklist. … study showed no change in surgical outcomes following checklist adoption. … This study sought
to improve adherence to surgical checklists at a single institution. … The authors
report only 30% adherence to the WHO surgical checklist 1 year after adoption.
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psnet.ahrq.gov/node/44304/psn-pdf
September 09, 2015 - Association of the 2011 ACGME resident duty hour reform
with postoperative patient outcomes in surgical … Association of the 2011 ACGME Resident Duty Hour Reform with
Postoperative Patient Outcomes in Surgical … This pre-post examination of data from the National Surgical Quality Improvement Program found no … differences in serious morbidity or mortality within 30 days following surgery across multiple surgical … Although duty hour reform does not appear to be a high-yield strategy for improving surgical outcomes
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psnet.ahrq.gov/node/46058/psn-pdf
October 23, 2018 - Centers for Disease Control and Prevention Guideline for
the Prevention of Surgical Site Infection, … Centers for Disease Control and Prevention Guideline
for the Prevention of Surgical Site Infection, … https://psnet.ahrq.gov/issue/centers-disease-control-and-prevention-guideline-prevention-surgical-site … -
infection-2017
Surgical site infections are a common hospital-acquired condition. … https://psnet.ahrq.gov/issue/global-guidelines-prevention-surgical-site-infection