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psnet.ahrq.gov/issue/identifying-quality-markers-safe-surgical-ward-interview-study-patients-clinical-staff-and
June 17, 2015 - Study
Identifying quality markers of a safe surgical ward: an interview study of … Safe surgical care requires attention to risks in the operating room and in the postoperative surgical … A PSNet perspective described how surgical safety has evolved as a field. … August 11, 2021
Reducing surgical mortality in Scotland by use of the WHO Surgical Safety … Consultant surgeon's contemporary experience of adverse surgical events.
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psnet.ahrq.gov/issue/consensus-bundle-prevention-surgical-site-infections-after-major-gynecologic-surgery
January 15, 2014 - Commentary
Consensus bundle on prevention of surgical site infections after major … Consensus Bundle on Prevention of Surgical Site Infections After Major Gynecologic Surgery. … Surgical site infections are a common complication, and they can have serious consequences. … January 31, 2018
American College of Surgeons and Surgical Infection Society: Surgical … reduce surgical site infections.
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psnet.ahrq.gov/issue/factors-influencing-incident-reporting-surgical-care
March 03, 2011 - Study
Factors influencing incident reporting in surgical care. … Factors influencing incident reporting in surgical care. … Factors influencing incident reporting in surgical care. … March 23, 2011
Scottish Audit of Surgical Mortality. … June 23, 2009
Surgical skill is predicted by the ability to detect errors.
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psnet.ahrq.gov/issue/surgical-safety-checklist-and-teamwork-coaching-tools-study-inter-rater-reliability
May 11, 2016 - Study
The surgical safety checklist and teamwork coaching tools: a study of inter-rater … The Surgical Safety Checklist and Teamwork Coaching Tools: a study of inter-rater reliability. … The Surgical Safety Checklist and Teamwork Coaching Tools: a study of inter-rater reliability. … June 2, 2015
Effective surgical safety checklist implementation. … March 12, 2014
Effective surgical safety checklist implementation.
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psnet.ahrq.gov/issue/perspectives-quality-designing-who-surgical-safety-checklist
September 20, 2011 - Commentary
Perspectives in quality: designing the WHO Surgical Safety Checklist. … Perspectives in quality: designing the WHO Surgical Safety Checklist. … Perspectives in quality: designing the WHO Surgical Safety Checklist. … June 14, 2017
Simulation-based trial of surgical-crisis checklists. … January 9, 2014
Surgical safety checklist compliance: a job done poorly!
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psnet.ahrq.gov/issue/surgical-safety-checklist-and-patient-outcomes-after-surgery-prospective-observational-cohort
May 28, 2015 - Study
Classic
The surgical safety checklist and patient … The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort … This study included a large, multicountry observational cohort of surgical outcomes before and after … practice before and after a surgical safety checklist intervention. … December 29, 2014
Surgical safety checklist compliance: a job done poorly!
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psnet.ahrq.gov/issue/surgical-technology-and-operating-room-safety-failures-systematic-review-quantitative-studies
May 06, 2015 - Review
Surgical technology and operating-room safety failures: a systematic review … Surgical technology and operating-room safety failures: a systematic review of quantitative studies. … Surgical equipment failures have been implicated as a significant contributor to errors and delays … June 22, 2016
The WHO surgical safety checklist: survey of patients' views. … July 31, 2013
Surgical checklists: the human factor.
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psnet.ahrq.gov/issue/association-2011-acgme-resident-duty-hour-reform-postoperative-patient-outcomes-surgical
February 14, 2017 - Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical … Association of the 2011 ACGME Resident Duty Hour Reform with Postoperative Patient Outcomes in Surgical … in serious morbidity or mortality within 30 days following surgery across multiple surgical specialties … Although duty hour reform does not appear to be a high-yield strategy for improving surgical outcomes … Association of the 2011 ACGME Resident Duty Hour Reform with Postoperative Patient Outcomes in Surgical
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psnet.ahrq.gov/issue/observational-assessment-surgical-teamwork-feasibility-study
August 18, 2017 - Study
Observational assessment of surgical teamwork: a feasibility study. … Observational assessment of surgical teamwork: a feasibility study. … Observational assessment of surgical teamwork: a feasibility study. … May 6, 2015
The WHO surgical safety checklist: survey of patients' views. … July 28, 2010
Surgical fires, a clear and present danger.
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psnet.ahrq.gov/issue/multifaceted-interventions-improve-adherence-surgical-checklist
November 07, 2012 - Study
Multifaceted interventions improve adherence to the surgical checklist. … Multifaceted interventions improve adherence to the surgical checklist. … observational study showed no change in surgical outcomes following checklist adoption. … This study sought to improve adherence to surgical checklists at a single institution. … Multifaceted interventions improve adherence to the surgical checklist.
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psnet.ahrq.gov/issue/introduction-surgical-safety-checklists-ontario-canada
June 21, 2016 - Study
Classic
Introduction of surgical safety checklists … Introduction of Surgical Safety Checklists in Ontario, Canada. … None of the surgical outcomes improved after adoption of checklists , in stark contrast to previous … Introduction of Surgical Safety Checklists in Ontario, Canada. … mortality in Scotland by use of the WHO Surgical Safety Checklist.
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psnet.ahrq.gov/issue/retained-surgical-items-problem-yet-be-solved
September 24, 2014 - Retained surgical items: a problem yet to be solved. … Retained surgical items: a problem yet to be solved. … April 7, 2021
The impact of surgical count technology on retained surgical items rates … April 22, 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/guideline-prevention-unintentionally-retained-surgical-items
August 01, 2018 - Guideline for prevention of unintentionally retained surgical items. … Retained surgical items (RSI) are a never event, yet they continue to happen. … Guideline for prevention of unintentionally retained surgical items. … April 3, 2024
Preventing retained surgical items. … September 21, 2022
Preventing retained surgical items.
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psnet.ahrq.gov/issue/sponges-surgical-instruments-miscounted-13-surgeries
June 23, 2010 - Newspaper/Magazine Article
Sponges, surgical instruments miscounted in 13% of surgeries … Citation Text:
Sponges, surgical instruments miscounted in 13% of surgeries. O'Reilly KB. … This news article describes a study on retained surgical instruments and explains how new technology … October 1, 2016
The role of radio frequency detection system embedded surgical sponges … October 10, 2012
Managing the prevention of retained surgical instruments: what is the
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psnet.ahrq.gov/issue/global-guidelines-prevention-surgical-site-infection
July 20, 2011 - Organizational Policy/Guidelines
Global Guidelines on the Prevention of Surgical … Citation Text:
Global Guidelines on the Prevention of Surgical Site Infection. … Efforts to reduce surgical site infections have achieved some success . … August 10, 2022
Decontamination of Surgical Instruments. … May 29, 2019
American College of Surgeons and Surgical Infection Society: Surgical Site
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psnet.ahrq.gov/issue/necessity-good-surgical-history-detection-gossypiboma
September 07, 2016 - Commentary
Necessity of a good surgical history: detection of a gossypiboma. … Necessity of a Good Surgical History: Detection of a Gossypiboma. … Necessity of a Good Surgical History: Detection of a Gossypiboma. … October 1, 2016
Guideline for prevention of retained surgical items. … April 25, 2016
Surgical count practice variability and the potential for retained surgical
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psnet.ahrq.gov/issue/implementing-pediatric-surgical-safety-checklist-or-and-beyond
March 09, 2016 - Commentary
Implementing a pediatric surgical safety checklist in the OR and beyond … Implementing a Pediatric Surgical Safety Checklist in the OR and Beyond. … This commentary describes how one hospital successfully adapted the WHO surgical safety checklist for … Implementing a Pediatric Surgical Safety Checklist in the OR and Beyond. … August 11, 2010
Surgical safety checklists in children's surgery: surgeons' attitudes
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psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-prevention-retained-surgical-items
January 05, 2017 - Implementing AORN recommended practices for prevention of retained surgical items. … Implementing AORN recommended practices for prevention of retained surgical items. … December 7, 2022
Preventing retained surgical items. … surgical items. … Nursing
Retained Surgical Instruments and Sponges
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psnet.ahrq.gov/issue/patient-safety-and-error-reduction-surgical-pathology
January 08, 2016 - Review
Patient safety and error reduction in surgical pathology. … Patient safety and error reduction in surgical pathology. … This review addresses surgical specimen analysis errors and highlights tactics to improve the reliability … Patient safety and error reduction in surgical pathology. … February 15, 2010
Recommendations for quality assurance and improvement in surgical and
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psnet.ahrq.gov/issue/improving-working-environment-safe-surgical-care
July 29, 2015 - Book/Report
Improving the Working Environment for Safe Surgical Care. … Citation Text:
Improving the Working Environment for Safe Surgical Care. … Surgical training is demanding and can result in burnout. … This publication explores deficiencies in surgical training that can contribute to a stressful work … September 13, 2017
Scottish Audit of Surgical Mortality.