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psnet.ahrq.gov/issue/national-surgical-quality-improvement-program
October 15, 2018 - Multi-use Website
Classic
National Surgical Quality Improvement … Citation Text:
National Surgical Quality Improvement Program. American College of Surgeons. … VA Surgical Risk Study (NVASRS) across 44 VA medical centers. … January 30, 2013
Scottish Audit of Surgical Mortality. … a statewide surgical quality improvement collaborative.
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psnet.ahrq.gov/issue/duplication-surgical-site-marking
November 18, 2016 - Commentary
Duplication of surgical site marking. … Duplication of surgical site marking. … Describing a case of duplicate surgical site markings on a patient's legs, this article reveals how hospital … Duplication of surgical site marking. … among surgical residents: the missing piece in multidisciplinary team training.
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psnet.ahrq.gov/issue/statewide-collaborative-reduce-surgical-site-infections-results-hawaii-surgical-unit-based
March 21, 2012 - Study
Statewide collaborative to reduce surgical site infections: results of the … Hawaii Surgical Unit-Based Safety Program. … Statewide Collaborative to Reduce Surgical Site Infections: Results of the Hawaii Surgical Unit-Based … Statewide Collaborative to Reduce Surgical Site Infections: Results of the Hawaii Surgical Unit-Based … an effective approach to surgical site infection reduction and health care cost savings.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/surgical/measures-surgical-409.pdf
November 28, 2017 - Patient Experience Measures from the CAHPS® Surgical Care Survey
Patient Experience Measures from the … CAHPS® Surgical Care Survey
CAHPS® Surgical Care Survey
Document No. 409
Updated 11/28/2017
Patient … Care Survey
Document No. 409
Page 2
CAHPS® Surgical Care Survey
List of Measures in the Surgical … Reporting Surgical Care Survey Measures
Users of the CAHPS Surgical Care Survey may report the results … of Measures
List of Measures in the Surgical Care Survey
Reporting Surgical Care Survey Measures
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psnet.ahrq.gov/issue/timing-surgical-antimicrobial-prophylaxis
June 24, 2009 - The Timing of Surgical Antimicrobial Prophylaxis. … The Timing of Surgical Antimicrobial Prophylaxis. … glove perforation and the risk of surgical site infection. … the Hawaii Surgical Unit-Based Safety Program. … February 3, 2011
Surgical glove perforation and the risk of surgical site infection.
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psnet.ahrq.gov/issue/quality-and-safety-surgical-care
August 26, 2011 - Commentary
Quality and safety in surgical care. … Quality and safety in surgical care. Ann Surg. 2006;243(4):439-48. … surgical safety and quality. … Quality and safety in surgical care. Ann Surg. 2006;243(4):439-48. … October 7, 2013
Judgment errors in surgical care.
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psnet.ahrq.gov/issue/simulation-surgical-training-and-practice
February 15, 2012 - Special or Theme Issue
Simulation in Surgical Training and Practice. … Citation Text:
Simulation in Surgical Training and Practice. Brown KM, Paige JT, eds. … Articles in this special issue discuss its evolution within surgical practice, impact on patient … August 3, 2016
Simulation-based Surgical Education. … March 28, 2011
Minimizing surgical error by incorporating objective assessment into surgical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
May 01, 2017 - in the Surgical Environment Module
AHRQ Safety Program for Ambulatory Surgery
AHRQ Pub. … team communication with briefings
Improving surgical team communication with debriefings
The surgical … Thirty-day outcomes support implementation of a surgical safety checklist. … Bring briefing and debriefing into the surgical environment by using the surgical checklist. … Thirty-day outcomes support implementation of a surgical safety checklist.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-debrief.pptx
June 01, 2015 - Improving Communication and Teamwork in the Surgical Environment
Debrief Example
Quality Improvement … for Ambulatory Surgery
Implementation Guide Appendix K – Quality Improvement Study Framework
1
The surgical … safety checklist has been shown to reduce surgical mortality and complication rates in a variety of … surgical settings
A critical component of the checklist is the completion of a debrief after each case … ambulatory surgery center (ASC)
What you’re using to collect data: Checklist observation tool
Who: All surgical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdf
January 01, 2003 - The Use of Surgical Simulators to Reduce Errors
165
The Use of Surgical Simulators
to Reduce Errors … Metrics
How can surgical safety be measured appropriately? … Surgical Simulators for Reducing Errors
173
Table 1. … No such repository for
surgical skill data exists to date. … ENT
endoscopic surgical training simulator. In: Morgan
KS, editor.
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psnet.ahrq.gov/issue/standardization-and-visualization-surgical-time-out
November 06, 2024 - Study
Standardization and visualization of the surgical time-out. … Standardization and visualization of the surgical time-out. … The surgical time out is an effective strategy to reduce errors and improve team communication but full … Standardization and visualization of the surgical time-out. … November 15, 2023
Beyond the surgical safety checklist: using intraoperative handoff
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psnet.ahrq.gov/issue/association-between-hospital-safety-culture-and-surgical-outcomes-statewide-surgical-quality
February 14, 2017 - Study
Association between hospital safety culture and surgical outcomes in a statewide … surgical quality improvement collaborative. … Association Between Hospital Safety Culture and Surgical Outcomes in a Statewide Surgical Quality Improvement … Association Between Hospital Safety Culture and Surgical Outcomes in a Statewide Surgical Quality Improvement … January 28, 2009
National Surgical Quality Improvement Program.
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psnet.ahrq.gov/issue/role-radio-frequency-detection-system-embedded-surgical-sponges-preventing-retained-surgical
February 13, 2008 - Study
The role of radio frequency detection system embedded surgical sponges in preventing … retained surgical sponges: a prospective evaluation in patients undergoing emergency surgery. … The Role of Radio Frequency Detection System Embedded Surgical Sponges in Preventing Retained Surgical … Retained surgical items are considered a preventable patient safety problem. … The Role of Radio Frequency Detection System Embedded Surgical Sponges in Preventing Retained Surgical
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psnet.ahrq.gov/issue/high-cost-retained-surgical-items
February 22, 2023 - Newspaper/Magazine Article
The high cost of retained surgical items. … Citation Text:
The high cost of retained surgical items. Moorehead LD. Outpatient Surgery. … Retained surgical items (RSIs) are considered “ never events ” but continue to be a source of patient … November 30, 2022
Preventing retained surgical items. … April 14, 2021
The impact of surgical count technology on retained surgical items rates
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psnet.ahrq.gov/issue/guideline-prevention-retained-surgical-items
April 26, 2023 - Commentary
Guideline for prevention of retained surgical items. … Guideline for prevention of retained surgical items. AORN J. 2015;102(6):P11-P13. … Retained surgical items are considered a sentinel event in perioperative care. … Guideline for prevention of retained surgical items. AORN J. 2015;102(6):P11-P13. … October 1, 2016
Back to basics: counting soft surgical goods.
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psnet.ahrq.gov/issue/therapeutic-duplication-general-surgical-wards
December 22, 2021 - Study
Therapeutic duplication on the general surgical wards. … Therapeutic duplication on the general surgical wards. … As part of a quality improvement project on a surgical ward, staff were educated about the risks of therapeutic … Therapeutic duplication on the general surgical wards. … Improving the implementation and adherence of the surgical safety checklist: a quality improvement project
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psnet.ahrq.gov/issue/judgment-errors-surgical-care
December 14, 2022 - Study
Judgment errors in surgical care. … Judgment errors in surgical care. … Judgment errors in surgical care. … December 14, 2022
Pediatric surgical errors: a systematic scoping review. … July 20, 2022
Defining and studying errors in surgical care: a systematic review.
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digital.ahrq.gov/care-setting/ambulatory-surgical-center
January 01, 2023 - Ambulatory Surgical Center
Scaling and Spreading Electronic Capture … of Patient-Reported Outcomes Leveraging a National Surgical Quality Improvement Program
Description … demonstrated that the large-scale electronic collection of patient-reported outcome measures in the National Surgical
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psnet.ahrq.gov/issue/narrative-feedback-or-personnel-about-safety-their-surgical-practice-and-after-surgical
May 09, 2018 - Study
Narrative feedback from OR personnel about the safety of their surgical practice … before and after a surgical safety checklist intervention. … Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical … Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical … November 18, 2016
Effective surgical safety checklist implementation.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-o-part2.pptx
June 02, 2025 - Improving Communication and Teamwork in the Surgical Environment
Appendix O.