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psnet.ahrq.gov/node/36795/psn-pdf
August 26, 2011 - Surgical specimen identification errors: a new measure of
quality in surgical care. … Surgical specimen identification errors: a new measure of quality
in surgical care. … https://psnet.ahrq.gov/issue/surgical-specimen-identification-errors-new-measure-quality-surgical-care … This study examined more than 21,000 surgical specimens and estimated a surgical specimen
identification … https://psnet.ahrq.gov/issue/surgical-specimen-identification-errors-new-measure-quality-surgical-care
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psnet.ahrq.gov/node/43446/psn-pdf
May 06, 2015 - A qualitative evaluation of the barriers and facilitators
toward implementation of the WHO surgical … safety
checklist across hospitals in England: lessons from the
"Surgical Checklist Implementation Project … A qualitative evaluation of the barriers and facilitators toward
implementation of the WHO surgical … safety checklist across hospitals in England: lessons from the
"Surgical Checklist Implementation Project … The initial introduction of the World Health Organization surgical safety checklist was associated
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psnet.ahrq.gov/node/43859/psn-pdf
May 28, 2015 - Point prevalence of surgical checklist use in Europe:
relationship with hospital mortality. … Point prevalence of surgical checklist use in Europe: relationship
with hospital mortality. … More
recently, the mandated adoption of surgical checklists in Canada failed to show any benefits on … surgical
outcomes. … Notably,
there was striking variation in surgical checklist exposure, with checklists used for 0% to
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psnet.ahrq.gov/node/47471/psn-pdf
January 27, 2019 - Association of cataract surgical outcomes with late
surgeon career stages: a population-based cohort … Association of Cataract Surgical Outcomes With Late Surgeon
Career Stages: A Population-Based Cohort … https://psnet.ahrq.gov/issue/association-cataract-surgical-outcomes-late-surgeon-career-stages-population … of two specific complications—dropped lens fragment and endophthalmitis, a surgical site infection … https://psnet.ahrq.gov/primer/surgical-site-infections
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psnet.ahrq.gov/node/43785/psn-pdf
May 01, 2015 - Evaluation of the effectiveness of a surgical checklist in
Medicare patients. … Evaluation of the Effectiveness of a Surgical Checklist in
Medicare Patients. … https://psnet.ahrq.gov/issue/evaluation-effectiveness-surgical-checklist-medicare-patients
The introduction … of surgical safety checklists is often seen as a milestone accomplishment for the patient
safety field … These results
cast further doubt on the power of surgical safety checklists to improve outcomes when
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psnet.ahrq.gov/node/44983/psn-pdf
April 20, 2016 - Back to basics: counting soft surgical goods.
April 20, 2016
Spruce L. … Back to Basics: Counting Soft Surgical Goods. AORN J. 2016;103(3):298-301; quiz 302-3. … https://psnet.ahrq.gov/issue/back-basics-counting-soft-surgical-goods
Despite heightened awareness of … hazards associated with retained surgical items, this never event
continues to occur. … counts to prevent retained surgical items.
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psnet.ahrq.gov/node/43213/psn-pdf
June 04, 2014 - Back to basics: preventing surgical site infections.
June 4, 2014
Spruce L. … Back to basics: preventing surgical site infections. AORN J. 2014;99(5):600-8; quiz 609-11. … https://psnet.ahrq.gov/issue/back-basics-preventing-surgical-site-infections
Surgical site infections … https://psnet.ahrq.gov/issue/back-basics-preventing-surgical-site-infections
https://psnet.ahrq.gov/issue … https://psnet.ahrq.gov/issue/compliance-guidelines-prevent-surgical-site-infections-simple-1-2-3
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psnet.ahrq.gov/node/44304/psn-pdf
September 09, 2015 - 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 … This pre-post examination of data from the National Surgical Quality Improvement Program found no … differences in serious morbidity or mortality within 30 days following surgery across multiple surgical … Although duty hour reform does not appear to be a high-yield strategy for improving surgical outcomes
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psnet.ahrq.gov/node/43349/psn-pdf
July 16, 2014 - Multifaceted interventions improve adherence to the
surgical checklist. … Multifaceted interventions improve adherence to the surgical checklist. … study showed no change in surgical outcomes following checklist adoption. … This study sought
to improve adherence to surgical checklists at a single institution. … The authors
report only 30% adherence to the WHO surgical checklist 1 year after adoption.
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psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery
September 30, 2010 - analysis of strategies to prevent injury to surgical patients. … August 26, 2011
Communication practices on 4 Harvard surgical services: a surgical safety … care: results from a Harvard surgical safety collaborative. … May 21, 2013
Surgical count practice variability and the potential for retained surgical … February 8, 2011
Surgical site verification: A through Z.
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psnet.ahrq.gov/node/46058/psn-pdf
October 23, 2018 - Centers for Disease Control and Prevention Guideline for
the Prevention of Surgical Site Infection, … Centers for Disease Control and Prevention Guideline
for the Prevention of Surgical Site Infection, … https://psnet.ahrq.gov/issue/centers-disease-control-and-prevention-guideline-prevention-surgical-site … -
infection-2017
Surgical site infections are a common hospital-acquired condition. … https://psnet.ahrq.gov/issue/global-guidelines-prevention-surgical-site-infection
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psnet.ahrq.gov/node/46982/psn-pdf
June 13, 2018 - surgical quality through national data analysis, bundling field-
tested processes to prevent surgical … site infections, and utilizing surgical checklists. … https://psnet.ahrq.gov/issue/surgical-never-events-and-contributing-human-factors
https://psnet.ahrq.gov … /issue/national-surgical-quality-improvement-program
https://psnet.ahrq.gov/issue/evaluating-evidence-based-bundle-preventing-surgical-site-infection … https://psnet.ahrq.gov/issue/evaluating-evidence-based-bundle-preventing-surgical-site-infection
https
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psnet.ahrq.gov/issue/do-safety-checklists-improve-teamwork-and-communication-operating-room-systematic-review
January 19, 2016 - January 19, 2016
Measuring variation in use of the WHO surgical safety checklist in the … May 6, 2015
The WHO surgical safety checklist: survey of patients' views. … February 22, 2019
A 'paperless' wall-mounted surgical safety checklist with migrated … November 18, 2016
Introduction of surgical safety checklists in Ontario, Canada. … July 30, 2014
The quest for safe surgical care: are we missing the obvious?
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psnet.ahrq.gov/node/45535/psn-pdf
January 23, 2017 - Surgical specimen management: a descriptive study of
648 adverse events and near misses. … Surgical specimen management: a descriptive study of 648
adverse events and near misses. … https://psnet.ahrq.gov/issue/surgical-specimen-management-descriptive-study-648-adverse-events-and- … near-misses
Errors related to the handling of surgical specimens can lead to serious patient harm in … https://psnet.ahrq.gov/issue/surgical-specimen-identification-errors-new-measure-quality-surgical-care
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psnet.ahrq.gov/node/45839/psn-pdf
February 07, 2018 - Mortality trends after a voluntary checklist-based surgical
safety collaborative. … Mortality Trends After a Voluntary Checklist-based Surgical
Safety Collaborative. … https://psnet.ahrq.gov/issue/mortality-trends-after-voluntary-checklist-based-surgical-safety-collaborative … Checklists have been shown to reduce surgical morbidity and mortality in randomized trials, but results … Past PSNet interviews with Lucian Leape and David Urbach discussed their
perspectives on surgical safety
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psnet.ahrq.gov/node/38174/psn-pdf
November 05, 2008 - National Surgical Quality Improvement Program.
November 5, 2008
American College of Surgeons. … https://psnet.ahrq.gov/issue/national-surgical-quality-improvement-program
During the 1980s, the Department … of Veterans Affairs (VA) received significant public scrutiny over the
quality of surgical care in … This motivated Congress to mandate reporting of surgical
outcomes annually and led to the important … National VA Surgical Risk Study (NVASRS) across 44 VA
medical centers.
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psnet.ahrq.gov/node/40806/psn-pdf
October 31, 2011 - How best to measure surgical quality? … Research and Quality Patient
Safety Indicators (AHRQ-PSI) and the American College of
Surgeons National Surgical … How best to measure surgical quality? … Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of
Surgeons National Surgical … https://psnet.ahrq.gov/issue/how-best-measure-surgical-quality-comparison-agency-healthcare-research-
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psnet.ahrq.gov/node/43383/psn-pdf
August 13, 2014 - Risk factors for retained surgical items: a meta-analysis
and proposed risk stratification system. … Risk factors for retained surgical items: a meta-analysis
and proposed risk stratification system. … count, and involvement of multiple surgical teams. … A past AHRQ WebM&M
commentary describes a patient who was discharged with a retained surgical item and … https://psnet.ahrq.gov/issue/managing-prevention-retained-surgical-instruments-what-value-counting
https
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psnet.ahrq.gov/node/45563/psn-pdf
October 19, 2016 - Using a change model to reduce the risk of surgical site
infection.
October 19, 2016
Burden M. … Using a change model to reduce the risk of surgical site infection. … https://psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection
Surgical site infections … In light of increased rates of
surgical site infections among patients with breast cancer, this commentary … /issue/costs-associated-surgical-site-infections-veterans-affairs-hospitals
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/43669/psn-pdf
November 12, 2014 - Multiple interacting factors influence adherence, and
outcomes associated with surgical safety checklists … Multiple interacting factors influence adherence, and
outcomes associated with surgical safety checklists … This qualitative study identified barriers to implementation of and adherence to a surgical checklist … https://psnet.ahrq.gov/issue/introduction-surgical-safety-checklists-ontario-canada
https://psnet.ahrq.gov … /issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population