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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-safety-checklist-audits-may-be-misleading-improving-implementation-and-adherence
November 24, 2021 - Study
Surgical safety checklist audits may be misleading! … Surgical safety checklist audits may be misleading! … Surgical safety checklist audits may be misleading! … January 19, 2022
Surgical teams' attitudes about surgical safety and the surgical safety … A comparison of 24 surgical safety checklists in Switzerland.
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psnet.ahrq.gov/issue/frequency-and-significance-discrepancies-surgical-count
March 02, 2011 - The Frequency and Significance of Discrepancies in the Surgical Count. … The Frequency and Significance of Discrepancies in the Surgical Count. … care: results from a Harvard surgical safety collaborative. … analysis of strategies to prevent injury to surgical patients. … May 27, 2009
Communication practices on 4 Harvard surgical services: a surgical safety
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psnet.ahrq.gov/issue/influence-resident-involvement-surgical-outcomes
October 11, 2017 - Study
The influence of resident involvement on surgical outcomes. … The influence of resident involvement on surgical outcomes. … Surgical procedures performed with trainee physicians' involvement had a slightly higher incidence of … The influence of resident involvement on surgical outcomes. … a simulated surgical procedure.
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psnet.ahrq.gov/issue/system-analysis-suboptimal-surgical-experience
March 23, 2011 - Study
A system analysis of a suboptimal surgical experience. … A system analysis of a suboptimal surgical experience. … A post-surgical complication experienced by one of the authors—himself a patient safety researcher—is … A system analysis of a suboptimal surgical experience. … November 23, 2011
Nature, causes and consequences of unintended events in surgical units
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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/optimal-resources-surgical-quality-and-safety
September 29, 2017 - Book/Report
Optimal Resources for Surgical Quality and Safety. … Citation Text:
Optimal Resources for Surgical Quality and Safety. Hoyt DB, Ko CY, eds. … The authors provide context for how leaders can address weaknesses across all phases of surgical care … October 29, 2017
Surgical Patient Safety: A Case-Based Approach. … January 4, 2012
Surgical skill is predicted by the ability to detect errors.
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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/risk-prevention-and-surgical-checklists
November 16, 2015 - Special or Theme Issue
Risk Prevention and Surgical Checklists. … Citation Text:
Risk Prevention and Surgical Checklists. Neurosurg Focus. 2012;33(5):E1-E16. … URL
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Risk Prevention and Surgical … December 14, 2022
Intraoperative sentinel events in the era of surgical safety … April 2, 2014
Effectiveness of the surgical safety checklist in a high standard care
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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/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/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/wrong-foot-and-other-tales-surgical-error
January 18, 2023 - Newspaper/Magazine Article
The wrong foot, and other tales of surgical error. … Citation Text:
The wrong foot, and other tales of surgical error. Altman LK. New York Times. … This news piece reports on wrong-site and wrong-patient surgery and describes efforts to prevent surgical … Cite
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The wrong foot, and other tales of surgical … Related Resources
Deficiencies in Facility Leaders' Response to Critical Surgical
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psnet.ahrq.gov/issue/surgical-never-events-united-states
September 10, 2014 - Study
Surgical never events in the United States. … Surgical never events in the United States. … Surgical never events in the United States. … April 8, 2020
Wrong-site surgery, retained surgical items, and surgical fires: a systematic … review of surgical never events.
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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
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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/influence-stress-responses-surgical-performance-and-outcomes-literature-review-and
December 21, 2014 - Emerging Classic
The influence of stress responses on surgical … performance and outcomes: literature review and the development of the surgical stress effects (SSE) … The influence of stress responses on surgical performance and outcomes: Literature review and the development … of the surgical stress effects (SSE) framework. … of the surgical stress effects (SSE) framework.
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psnet.ahrq.gov/issue/toolkit-improving-surgical-care-and-recovery
September 18, 2024 - Toolkit
Toolkit for Improving Surgical Care and Recovery. … Toolkit for Improving Surgical Care and Recovery. June 2023. … Toolkit for Improving Surgical Care and Recovery. June 2023. … May 8, 2024
Remote assessment of real-world surgical safety checklist performance using … March 20, 2024
The ritualisation of the surgical safety checklist and its decoupling
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psnet.ahrq.gov/issue/safety-surgical-telehealth-outpatient-and-inpatient-setting
September 13, 2023 - Review
Safety of surgical telehealth in the outpatient and inpatient setting. … Safety of Surgical Telehealth in the Outpatient and Inpatient Setting. … This review examines the use of telemedicine in surgical services. … They found that telemedicine in surgical services evidence base is expanding and its value is built on … Safety of Surgical Telehealth in the Outpatient and Inpatient Setting.