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psnet.ahrq.gov/issue/assessing-performance-surgical-teams
July 05, 2017 - Study
Assessing the performance of surgical teams. … Assessing the performance of surgical teams. … Assessing the performance of surgical teams. … July 19, 2023
Patient safety curriculum for surgical residency programs: results of a … November 18, 2016
The surgical safety checklist and teamwork coaching tools: a study
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psnet.ahrq.gov/issue/national-surgical-quality-improvement-program
October 15, 2018 - Multi-use Website
Classic
National Surgical Quality Improvement … Citation Text:
National Surgical Quality Improvement Program. American College of Surgeons. … VA Surgical Risk Study (NVASRS) across 44 VA medical centers. … January 30, 2013
Scottish Audit of Surgical Mortality. … a statewide surgical quality improvement collaborative.
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psnet.ahrq.gov/issue/lost-surgical-specimens-lost-opportunities
April 16, 2018 - Newspaper/Magazine Article
Lost surgical specimens, lost opportunities. … Citation Text:
Lost surgical specimens, lost opportunities. PA-PSRS Patient Safety Advisory. … This article draws from the reporting system in Pennsylvania to discuss lost surgical pathology specimens … Linkedin
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Lost surgical … August 13, 2010
Patient safety and error reduction in surgical pathology.
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psnet.ahrq.gov/issue/effective-surgical-safety-checklist-implementation
July 30, 2014 - Study
Effective surgical safety checklist implementation. … Effective surgical safety checklist implementation. … Effective surgical safety checklist implementation. … July 2, 2019
Simulation-based trial of surgical-crisis checklists. … March 20, 2014
Surgical safety checklist compliance: a job done poorly!
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psnet.ahrq.gov/issue/standardization-and-visualization-surgical-time-out
November 06, 2024 - Study
Standardization and visualization of the surgical time-out. … Standardization and visualization of the surgical time-out. … The surgical time out is an effective strategy to reduce errors and improve team communication but full … Standardization and visualization of the surgical time-out. … November 15, 2023
Beyond the surgical safety checklist: using intraoperative handoff
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psnet.ahrq.gov/issue/artificial-intelligence-and-surgical-decision-making
September 11, 2019 - Review
Classic
Artificial intelligence and surgical decision-making … Artificial intelligence and surgical decision-making. … These authors discuss challenges in surgical decision-making– such as complexity, time constraints and … and how AI can be leveraged using the EHR and mobile devices to overcome these challenges and augment surgical … Artificial intelligence and surgical decision-making.
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psnet.ahrq.gov/issue/back-basics-preventing-surgical-site-infections
March 17, 2021 - Commentary
Back to basics: preventing surgical site infections. … Back to basics: preventing surgical site infections. … Back to basics: preventing surgical site infections. … March 17, 2021
Back to basics: counting soft surgical goods. … July 19, 2023
Surgical site infection prevention: a review.
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psnet.ahrq.gov/issue/back-basics-counting-soft-surgical-goods
March 17, 2021 - Commentary
Back to basics: counting soft surgical goods. … Back to Basics: Counting Soft Surgical Goods. … counts to prevent retained surgical items. … Back to Basics: Counting Soft Surgical Goods. … October 17, 2012
Surgical count practice variability and the potential for retained surgical
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psnet.ahrq.gov/issue/nora-institute-surgical-patient-safety
March 25, 2009 - Multi-use Website
Nora Institute for Surgical Patient Safety. … site assists efforts of the American College of Surgeons by providing resources and information about surgical … Copy Citation
Related Resources
Council on Surgical and Perioperative Safety. … October 26, 2011
Reducing Colorectal Surgical Site Infections. … December 12, 2012
Enhancing Surgical Systems.
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psnet.ahrq.gov/issue/surgical-adverse-events-systematic-review
June 01, 2012 - Review
Surgical adverse events: a systematic review. … Surgical adverse events: a systematic review. … adverse event, most of which are related to periprocedural care and not errors of surgical technique … Surgical adverse events: a systematic review. … mortality in Scotland by use of the WHO Surgical Safety Checklist.
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psnet.ahrq.gov/issue/incorrect-surgical-counts-qualitative-analysis
September 12, 2012 - Study
Incorrect surgical counts: a qualitative analysis. … Incorrect surgical counts: a qualitative analysis. … Incorrect surgical counts: a qualitative analysis. … December 7, 2022
Preventing retained surgical items. … August 3, 2022
The impact of surgical count technology on retained surgical items rates
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psnet.ahrq.gov/issue/when-surgical-colleague-makes-error
December 21, 2014 - Commentary
When a surgical colleague makes an error. … When a Surgical Colleague Makes an Error. … When a Surgical Colleague Makes an Error. … May 12, 2021
Public reporting of surgical outcomes: surgeons, hospitals, or both? … April 12, 2011
Factors influencing incident reporting in surgical care.
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psnet.ahrq.gov/issue/quantification-surgical-resident-stress-call
August 26, 2011 - Study
Quantification of surgical resident stress "on call". … Quantification of surgical resident stress "on call". J Am Coll Surg. 2005;201(4):560-4. … The investigators monitored the heart rate and circulating white blood cell count of "on call" surgical … residents and found that surgical residents experience stress despite work hour adjustments. … Quantification of surgical resident stress "on call". J Am Coll Surg. 2005;201(4):560-4.
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psnet.ahrq.gov/issue/new-paradigm-surgical-procedural-training
December 21, 2014 - Commentary
A new paradigm for surgical procedural training. … A new paradigm for surgical procedural training. … A new paradigm for surgical procedural training. … Surgical residents, duty hours restrictions, and shift transitions. … March 3, 2011
Minimizing surgical error by incorporating objective assessment into surgical
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psnet.ahrq.gov/issue/surgical-fire-united-states-2000-2020
March 03, 2021 - Study
Surgical fire in the United States: 2000-2020. … Surgical fire in the United States: 2000–2020. … Surgical fires, while rare, can result in the injury , permanent disability, or death of patients or … Between 2000 and 2020, 565 surgical fires resulting in injury were reported to the FDA’s Manufacturer … Surgical fire in the United States: 2000–2020.
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psnet.ahrq.gov/issue/nature-human-error-implications-surgical-practice
March 24, 2021 - Review
Nature of human error: implications for surgical practice. … Nature of human error: implications for surgical practice. Ann Surg. 2006;244(5):642-8. … The authors analyzed the literature to identify important components of safe surgical care and determine … what research is needed to deepen the understanding of how human error affects surgical practice. … Nature of human error: implications for surgical practice. Ann Surg. 2006;244(5):642-8.
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psnet.ahrq.gov/issue/international-perspectives-modifications-surgical-safety-checklist
November 17, 2021 - International perspectives on modifications to the surgical safety checklist. … The WHO Surgical Safety Checklist (SSC) has been widely implemented in surgical settings across the … International perspectives on modifications to the surgical safety checklist. … teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational … August 13, 2013
Surgical checklists: the human factor.
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psnet.ahrq.gov/issue/surgical-accountability-1880s-death-susan-nixon
November 16, 2022 - Commentary
Surgical accountability in the 1880s: the death of Susan Nixon. … Surgical accountability in the 1880s: the death of Susan Nixon. … Using an account of surgical error from nineteenth-century Australia, the authors draw parallels with … Surgical accountability in the 1880s: the death of Susan Nixon. … October 7, 2020
Surgical data recording technology: a solution to address medical errors
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psnet.ahrq.gov/issue/reducing-incidence-retained-surgical-instrument-fragments
June 01, 2021 - Commentary
Reducing the incidence of retained surgical instrument fragments. … Reducing the incidence of retained surgical instrument fragments. … This article describes a surgical safety program that identifies and tracks damaged surgical instruments … Reducing the incidence of retained surgical instrument fragments. … December 7, 2022
Preventing retained surgical items.
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psnet.ahrq.gov/issue/failure-events-transition-care-surgical-patients
October 19, 2022 - Study
Failure events in transition of care for surgical patients. … Failure events in transition of care for surgical patients. … Wide variation in hospital surgical mortality rates have been attributed to failure to rescue patients … Failure events in transition of care for surgical patients. … July 29, 2009
The use of medical emergency teams in medical and surgical patients: impact