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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/narrative-feedback-or-personnel-about-safety-their-surgical-practice-and-after-surgical
May 09, 2018 - Study
Narrative feedback from OR personnel about the safety of their surgical practice … before and after a surgical safety checklist intervention. … Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical … Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical … November 18, 2016
Effective surgical safety checklist implementation.
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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/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/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/surgical-black-box-could-reduce-errors
June 04, 2014 - Newspaper/Magazine Article
Surgical 'black box' could reduce errors. … Citation Text:
Surgical 'black box' could reduce errors. Sathya C. CNN. August 22, 2014. … This news article reports on the development a surgical black box, which includes using cameras and microphones … Linkedin
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Citation Text:
Surgical … March 29, 2016
Surgical checklists unused in 10% of hospitals, CMS data shows.
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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/association-safety-culture-surgical-site-infection-outcomes
October 23, 2024 - Association of safety culture with surgical site infection outcomes. … Surgical site infections are considered preventable adverse events. … Association of safety culture with surgical site infection outcomes. … to reduce surgical site infections. … of the Hawaii Surgical Unit-Based Safety Program.
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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/issue/preventing-surgical-site-infections-implementing-strategies-throughout-perioperative
January 15, 2025 - Commentary
Preventing surgical site infections: implementing strategies throughout … Preventing surgical site infections: implementing strategies throughout the perioperative continuum. … Preventing surgical site infections remains a persistent challenge to patient safety. … June 8, 2022
Worldwide incidence of surgical site infections in general surgical patients … Rethinking surgical safety: more than just a checklist.
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psnet.ahrq.gov/issue/eliminating-unintentionally-retained-surgical-items-special-report
December 07, 2022 - Special or Theme Issue
Eliminating Unintentionally Retained Surgical Items - Special … Citation Text:
Eliminating Unintentionally Retained Surgical Items - Special Report. Saver C. … Retained surgical items (RSI) are regarded as “never events” but are a persistent cause of patient harm … November 18, 2020
Preventing retained surgical items. … January 4, 2024
Factors causing variation in World Health Organization surgical
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psnet.ahrq.gov/issue/retained-surgical-items-and-minimally-invasive-surgery
April 28, 2021 - Commentary
Retained surgical items and minimally invasive surgery. … Retained surgical items and minimally invasive surgery. … Retained surgical items and minimally invasive surgery. … December 7, 2022
Preventing retained surgical items. … August 3, 2022
Guideline for prevention of retained surgical items.
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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/surgical-team-behaviors-and-patient-outcomes
April 08, 2011 - Study
Classic
Surgical team behaviors and patient outcomes … Surgical team behaviors and patient outcomes. … Direct observation of teamwork during surgical procedures revealed that poor teamwork was associated … Surgical team behaviors and patient outcomes. … 2011
Discrepant perceptions of communication, teamwork and situation awareness among surgical
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psnet.ahrq.gov/issue/medical-malpractice-lawsuits-involving-surgical-residents
August 20, 2018 - Study
Medical malpractice lawsuits involving surgical residents. … Medical Malpractice Lawsuits Involving Surgical Residents. … Medical Malpractice Lawsuits Involving Surgical Residents. … among surgical residents: the missing piece in multidisciplinary team training. … June 22, 2009
Minimizing surgical error by incorporating objective assessment into surgical
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psnet.ahrq.gov/issue/sentinel-event-alert-68-updated-surgical-fire-prevention-21st-century
February 26, 2025 - Sentinel Event Alerts
Sentinel Event Alert 68: updated surgical fire prevention for … Citation Text:
Sentinel Event Alert 68: Updated Surgical Fire Prevention for the 21st Century. … Surgical fires are a rare yet potentially harmful event for both patients and care teams. … The alert provides reduction guidance for organizations to mitigate conditions that enable surgical … December 7, 2022
Decontamination of Surgical Instruments.
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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/surgical-fires-clear-and-present-danger
May 16, 2018 - Review
Surgical fires, a clear and present danger. … Surgical fires, a clear and present danger. … This article reviews the literature on surgical fires and describes how team-based prevention can help … Surgical fires, a clear and present danger. … December 22, 2010
Observational assessment of surgical teamwork: a feasibility study.
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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.