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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46982/psn-pdf
    June 13, 2018 - surgical quality through national data analysis, bundling field- tested processes to prevent surgical … site infections, and utilizing surgical checklists. … https://psnet.ahrq.gov/issue/surgical-never-events-and-contributing-human-factors https://psnet.ahrq.gov … /issue/national-surgical-quality-improvement-program https://psnet.ahrq.gov/issue/evaluating-evidence-based-bundle-preventing-surgical-site-infection … https://psnet.ahrq.gov/issue/evaluating-evidence-based-bundle-preventing-surgical-site-infection https
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45839/psn-pdf
    February 07, 2018 - Mortality trends after a voluntary checklist-based surgical safety collaborative. … Mortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative. … https://psnet.ahrq.gov/issue/mortality-trends-after-voluntary-checklist-based-surgical-safety-collaborative … Checklists have been shown to reduce surgical morbidity and mortality in randomized trials, but results … Past PSNet interviews with Lucian Leape and David Urbach discussed their perspectives on surgical safety
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45535/psn-pdf
    January 23, 2017 - Surgical specimen management: a descriptive study of 648 adverse events and near misses. … Surgical specimen management: a descriptive study of 648 adverse events and near misses. … https://psnet.ahrq.gov/issue/surgical-specimen-management-descriptive-study-648-adverse-events-and- … near-misses Errors related to the handling of surgical specimens can lead to serious patient harm in … https://psnet.ahrq.gov/issue/surgical-specimen-identification-errors-new-measure-quality-surgical-care
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43669/psn-pdf
    November 12, 2014 - Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists … Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists … This qualitative study identified barriers to implementation of and adherence to a surgical checklist … https://psnet.ahrq.gov/issue/introduction-surgical-safety-checklists-ontario-canada https://psnet.ahrq.gov … /issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43383/psn-pdf
    August 13, 2014 - Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. … Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. … count, and involvement of multiple surgical teams. … A past AHRQ WebM&M commentary describes a patient who was discharged with a retained surgical item and … https://psnet.ahrq.gov/issue/managing-prevention-retained-surgical-instruments-what-value-counting https
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40806/psn-pdf
    October 31, 2011 - 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? … Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical … https://psnet.ahrq.gov/issue/how-best-measure-surgical-quality-comparison-agency-healthcare-research-
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38174/psn-pdf
    November 05, 2008 - National Surgical Quality Improvement Program. November 5, 2008 American College of Surgeons. … https://psnet.ahrq.gov/issue/national-surgical-quality-improvement-program During the 1980s, the Department … of Veterans Affairs (VA) received significant public scrutiny over the quality of surgical care in … This motivated Congress to mandate reporting of surgical outcomes annually and led to the important … National VA Surgical Risk Study (NVASRS) across 44 VA medical centers.
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45563/psn-pdf
    October 19, 2016 - Using a change model to reduce the risk of surgical site infection. October 19, 2016 Burden M. … Using a change model to reduce the risk of surgical site infection. … https://psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection Surgical site infections … In light of increased rates of surgical site infections among patients with breast cancer, this commentary … /issue/costs-associated-surgical-site-infections-veterans-affairs-hospitals https://psnet.ahrq.gov/issue
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41946/psn-pdf
    January 09, 2013 - Thirty-day outcomes support implementation of a surgical safety checklist. … Thirty-day outcomes support implementation of a surgical safety checklist. … https://psnet.ahrq.gov/issue/thirty-day-outcomes-support-implementation-surgical-safety-checklist This … patient safety benefits of surgical checklists and teamwork training. … ://psnet.ahrq.gov/issue/national-surgical-quality-improvement-program https://psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45109/psn-pdf
    May 11, 2016 - Implementation of the surgical safety checklist in South Carolina hospitals is associated with improvement … Implementation of the Surgical Safety Checklist in South Carolina Hospitals Is Associated with Improvement … https://psnet.ahrq.gov/issue/implementation-surgical-safety-checklist-south-carolina-hospitals-associated … - improvement Surgical checklists have been associated with reduced morbidity and mortality in randomized … Investigators surveyed surgical personnel before and after checklist implementation.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40978/psn-pdf
    March 21, 2012 - Relationship between patient safety and hospital surgical volume. … Relationship between Patient Safety and Hospital Surgical Volume. … https://psnet.ahrq.gov/issue/relationship-between-patient-safety-and-hospital-surgical-volume Studying … the relationship between hospital volume, surgical volume, and clinical outcomes, past research  in … However, the volume–outcome relationship may be limited to selected surgical procedures, suggesting
  12. psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery
    September 30, 2010 - analysis 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. … May 21, 2013 Surgical count practice variability and the potential for retained surgical … February 8, 2011 Surgical site verification: A through Z.
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45830/psn-pdf
    June 27, 2018 - Performance of vascular exposure and fasciotomy among surgical residents before and after training compared … Performance of Vascular Exposure and Fasciotomy Among Surgical Residents Before and After Training Compared … https://psnet.ahrq.gov/issue/performance-vascular-exposure-and-fasciotomy-among-surgical-residents- … and-after-training Surgeons' technical skills are associated with surgical patient outcomes. … These results demonstrate the critical role of procedure volume in building surgical skill and safety
  14. psnet.ahrq.gov/issue/do-safety-checklists-improve-teamwork-and-communication-operating-room-systematic-review
    January 19, 2016 - January 19, 2016 Measuring variation in use of the WHO surgical safety checklist in the … May 6, 2015 The WHO surgical safety checklist: survey of patients' views. … February 22, 2019 A 'paperless' wall-mounted surgical safety checklist with migrated … November 18, 2016 Introduction of surgical safety checklists in Ontario, Canada. … July 30, 2014 The quest for safe surgical care: are we missing the obvious?
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43052/psn-pdf
    March 19, 2014 - Surgical ward round quality and impact on variable patient outcomes. … Surgical ward round quality and impact on variable patient outcomes. … observation study found significant variability in the quality of surgical ward rounds. … , suggesting that enhancing round quality may improve surgical outcomes. … https://psnet.ahrq.gov/issue/surgical-ward-round-quality-and-impact-variable-patient-outcomes https:/
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43874/psn-pdf
    February 25, 2015 - An overview of the use and implementation of checklists in surgical specialities - a systematic review … An overview of the use and implementation of checklists in surgical specialities - a systematic review … https://psnet.ahrq.gov/issue/overview-use-and-implementation-checklists-surgical-specialities-systematic … The authors conclude that checklist use has significantly improved patient outcomes across various surgical … https://psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43321/psn-pdf
    August 02, 2015 - Costs associated with surgical site infections in Veterans Affairs hospitals. … Costs Associated With Surgical Site Infections in Veterans Affairs Hospitals. … https://psnet.ahrq.gov/issue/costs-associated-surgical-site-infections-veterans-affairs-hospitals This … analysis found that excess hospital costs are significant for patients who experience surgical site … ://psnet.ahrq.gov/primer/surgical-site-infections https://psnet.ahrq.gov/primer/surgical-site-infections
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39299/psn-pdf
    September 27, 2016 - Development and evaluation of an observational tool for assessing surgical flow disruptions and their … impact on surgical performance. … Development and evaluation of an observational tool for assessing surgical flow disruptions and their … impact on surgical performance. … https://psnet.ahrq.gov/issue/development-and-evaluation-observational-tool-assessing-surgical-flow-
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44221/psn-pdf
    September 27, 2016 - Reducing surgical errors: implementing a three-hinge approach to success. … Reducing surgical errors: implementing a three-hinge approach to success. … https://psnet.ahrq.gov/issue/reducing-surgical-errors-implementing-three-hinge-approach-success Errors … in surgical care are often associated with human factors, interruptions, and staffing issues. … https://psnet.ahrq.gov/issue/reducing-surgical-errors-implementing-three-hinge-approach-success https
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43787/psn-pdf
    June 22, 2016 - Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter … Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter … explain varying efficacy of checklists in clinical practice, in contrast to dramatic reductions in surgical … https://psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population … https://psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population

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