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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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www.ahrq.gov/sites/default/files/2024-12/dimick-report.pdf
January 01, 2024 - Final Progress Report: Composite Measures of Surgical Performance
Title Page
Project Title: Composite … Measures of Surgical Performance
Principal Investigator: Justin B. … To develop and validate composite measures of surgical morbidity. … Composite measures for
predicting surgical mortality in the hospital. … Hospital process
compliance and surgical outcomes in medicare beneficiaries.
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psnet.ahrq.gov/issue/suboptimal-compliance-surgical-safety-checklists-colorado-prospective-observational-study
May 23, 2018 - Study
Suboptimal compliance with surgical safety checklists in Colorado: a prospective … observational study reveals differences between surgical specialties. … reveals differences between surgical specialties. … reveals differences between surgical specialties. … mortality in Scotland by use of the WHO Surgical Safety Checklist.
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psnet.ahrq.gov/issue/preoperative-surgical-briefings-do-not-delay-operating-room-start-times-and-are-popular
March 02, 2022 - Study
Preoperative surgical briefings do not delay operating room start times and … are popular with surgical team members. … Preoperative surgical briefings do not delay operating room start times and are popular with surgical … Preoperative surgical briefings do not delay operating room start times and are popular with surgical … April 3, 2017
Incidence and OR team awareness of “near-miss” and retained surgical sharps
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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/distractions-and-surgical-proficiency-educational-perspective
February 18, 2009 - Study
Distractions and surgical proficiency: an educational perspective. … Distractions and surgical proficiency: an educational perspective. … Distractions and surgical proficiency: an educational perspective. … November 9, 2011
A human factors analysis of technical and team skills among surgical … surgical education.
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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/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/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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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/146-gap-analysis-surgical-services.pdf
April 01, 2025 - AHRQ Safety Program for MRSA Prevention | Surgical Services | 4
Gap Analysis
(Surgical Services) … Other:
AHRQ Safety Program for MRSA Prevention | Surgical Services | 5
Gap Analysis
(Surgical … Is there a protocol to ensure proper surgical hand scrub for staff before the surgical procedure? … AHRQ Safety Program for MRSA Prevention | Surgical Services | 6
Gap Analysis
(Surgical Services) … hand scrub, required training
Surgical hand scrub, optional training
Surgical attire, required
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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
Cite
Citation
Citation Text:
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.