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psnet.ahrq.gov/issue/patterns-communication-breakdowns-resulting-injury-surgical-patients
March 03, 2011 - Classic
Patterns of communication breakdowns resulting in injury to surgical … Patterns of communication breakdowns resulting in injury to surgical patients. … Patterns of communication breakdowns resulting in injury to surgical patients. … care: results from a Harvard surgical safety collaborative. … May 27, 2009
Communication practices on 4 Harvard surgical services: a surgical safety
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psnet.ahrq.gov/issue/teamwork-communication-and-safety-climate-systematic-review-interventions-improve-surgical
May 26, 2016 - Teamwork, communication and safety climate: a systematic review of interventions to improve surgical … Teamwork, communication and safety climate: a systematic review of interventions to improve surgical … Teamwork, communication and safety climate: a systematic review of interventions to improve surgical … items, and surgical fires: a systematic review of surgical never events. … May 18, 2022
The influence of resident involvement on surgical outcomes.
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psnet.ahrq.gov/issue/safer-delivery-surgical-services-program-s3-explaining-its-differential-effectiveness-and
January 20, 2015 - Study
The Safer Delivery of Surgical Services Program (S3): explaining its differential … The Safer Delivery of Surgical Services Program (S3): Explaining Its Differential Effectiveness and Exploring … September 12, 2016
Safety culture and care: a program to prevent surgical errors. … May 13, 2015
Association of hospital participation in a surgical outcomes monitoring … September 10, 2013
Surgical adverse events: a systematic review.
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psnet.ahrq.gov/issue/underlying-reasons-associated-hospital-readmission-following-surgery-united-states
May 06, 2020 - This study reviewed 30-day readmissions following surgery at hospitals enrolled in the National Surgical … Surgical site infections accounted for the largest proportion of overall readmissions. … important lessons for improvement, and he calls for a 50% reduction in surgical complication rates in … September 9, 2015
The influence of resident involvement on surgical outcomes. … August 17, 2022
Surgical patient safety outcomes in critical access hospitals: how do
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psnet.ahrq.gov/issue/surgical-skill-predicted-ability-detect-errors
September 02, 2020 - Study
Surgical skill is predicted by the ability to detect errors. … Surgical skill is predicted by the ability to detect errors. Am J Surg. 2005;189(4):412-5. … operations on postoperative outcomes: National Surgical Quality Improvement Program. … March 28, 2011
Scottish Audit of Surgical Mortality. … March 3, 2011
Prevention of surgical malpractice claims by a surgical safety checklist
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psnet.ahrq.gov/issue/association-hospital-participation-quality-reporting-program-surgical-outcomes-and
January 13, 2016 - Classic
Association of hospital participation in a quality reporting program with surgical … Association of hospital participation in a quality reporting program with surgical outcomes and expenditures … outcomes between hospitals participating in the National Surgical Quality Improvement Program (NSQIP … December 21, 2014
Evaluation of the effectiveness of a surgical checklist in Medicare … April 22, 2015
Surgical adverse events: a systematic review.
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psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
February 09, 2011 - Study
Classic
A surgical safety checklist to reduce morbidity … A surgical safety checklist to reduce morbidity and mortality in a global population. … A surgical safety checklist to reduce morbidity and mortality in a global population. … February 7, 2018
Perspectives in quality: designing the WHO Surgical Safety Checklist … and are popular with surgical team members.
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psnet.ahrq.gov/issue/development-online-morbidity-mortality-and-near-miss-reporting-system-identify-patterns
August 20, 2018 - online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical … online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical … a statewide surgical quality improvement collaborative. … October 1, 2014
Surgical 'black box' could reduce errors. … November 8, 2013
National Surgical Quality Improvement Program.
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psnet.ahrq.gov/issue/bundle-interventions-including-nontechnical-skills-surgeons-can-reduce-operative-time-and
June 24, 2020 - Nontechnical skills are gaining interest as one way to enhance surgical team performance and patient … A survey of North American surgical residents and fellows. … among surgical residents: the missing piece in multidisciplinary team training. … care: results from a Harvard surgical safety collaborative. … July 26, 2017
National cluster-randomized trial of duty-hour flexibility in surgical
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psnet.ahrq.gov/issue/retained-foreign-bodies-risk-and-outcomes-national-level
May 29, 2019 - Leaving a surgical item behind after a procedure is a never event . … Risk of retained surgical items was highest in teaching hospitals. … other retained surgical items: prevention and management. … September 27, 2016
The hidden costs of reconciling surgical sponge counts. … November 8, 2013
Surgical never events in the United States.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/002-ss-antimicrobial-prophylaxis-part-1.pptx
April 01, 2025 - Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI
Antimicrobial Prophylaxis
Part 1
Surgical … | 2
AHRQ Safety Program for MRSA Prevention | Surgical Services
Antimicrobial Prophylaxis Part 1 … 2
Key Strategies
| 3
AHRQ Safety Program for MRSA Prevention | Surgical Services
Antimicrobial … Strategies to prevent surgical site infections in acute-care hospitals: 2022 update. … aureus surgical site infections: report from Australian Surveillance Data (VICNISS).
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/006-ss-preop-chlorhexidine.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Use of Preoperative Chlorhexidine Antisepsis
Surgical … No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention | Surgical Services
Preoperative CHG … Prevention | Surgical Services
Preoperative CHG Antisepsis
Case Example: Mr. … Preventing surgical-site infections in nasal carriers of Staphylococcus aureus. … site infection in orthopedic surgical patients.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/020-ss-periop-infection-prevention.pptx
April 01, 2025 - Strategies to prevent surgical site infections in acute-care hospitals: 2022 update. … Surgical site infection prevention: a review. JAMA. 2023 Jan;329(3):244-52. PMID: 36648463. … Preoperative hair removal to reduce surgical site infection. … The effects of high perioperative inspiratory oxygen fraction for adult surgical patients. … Glycemic control and prevention of surgical site infection.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/020-perioperative-infection-prevention-strategies-slides.pptx
April 01, 2025 - Strategies to prevent surgical site infections in acute-care hospitals: 2022 update. … Surgical site infection prevention: a review. JAMA. 2023 Jan;329(3):244-52. PMID: 36648463. … Preoperative hair removal to reduce surgical site infection. … The effects of high perioperative inspiratory oxygen fraction for adult surgical patients. … Glycemic control and prevention of surgical site infection.
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psnet.ahrq.gov/issue/recurring-problem-retained-swabs-and-instruments
June 19, 2019 - 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. … May 26, 2016
Surgical never events in the United States. … April 17, 2013
Retained surgical items: a problem yet to be solved.
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psnet.ahrq.gov/issue/operating-room-fires
March 14, 2022 - Surgical fires , though uncommon, can result in serious harm. … September 23, 2020
Fundamental Use of Surgical Energy (FUSE): an essential educational … October 22, 2014
The SAGES Fundamental Use of Surgical Energy program (FUSE): history … March 8, 2023
Factors causing variation in World Health Organization surgical safety … January 19, 2022
Surgical teams' attitudes about surgical safety and the surgical safety
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/018-ss-importance-ssi-mrsa-prevention.pptx
April 01, 2025 - Epidemiology of surgical site infection in a community hospital network. … Guideline for prevention of surgical site infection, 1999. … Surgical procedures can increase the risk of MRSA infection. … Performed the night before and morning of surgical procedure. … Guideline for prevention of surgical site infection, 1999.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/012-ss-decolonization-strategies.pptx
April 01, 2025 - Decolonization Strategies
Decolonization Strategies
Surgical Services
For: Cardiac, Hip and Knee Joint … AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention | Surgical … Decolonization Implementation
2
Key Strategies
| 3
AHRQ Safety Program for MRSA Prevention | Surgical … Services
Decolonization Implementation
Mupirocin Evidence—Surgical
Evidence in Surgical Populations … Preventing surgical-site infections in nasal carriers of Staphylococcus aureus.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/024-ss-cusp-learning-from-defects.pptx
April 01, 2025 - Learning From Defects
Learning From Defects
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement … AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention | Surgical … | 3
AHRQ Safety Program for MRSA Prevention | Surgical Services
Learning From Defects
3
How To … | 4
AHRQ Safety Program for MRSA Prevention | Surgical Services
Learning From Defects
4
Purpose … | 7
AHRQ Safety Program for MRSA Prevention | Surgical Services
Learning From Defects
7
Question
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/088-or-traffic.pptx
April 01, 2025 - for MRSA Prevention | Surgical Services
OR Traffic
Case Example: What Happened? … Guideline for prevention of surgical site infection, 1999. … Cardiac surgical theatre traffic: time for traffic calming measures? … Adhering to a national surgical care bundle reduces the risk of surgical site infections. … Strategies to prevent surgical site infections in acute-care hospitals: 2022 update.