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Criscitelli T, Goodwin W. AORN J. 2017;105:408-412.
Criscitelli T ; Goodwin W.Applying human-centered design thinking to enhance safety in the OR. AORN J. 2017; 105: 408-412
Human-centered design is critical when producing innovations to improve patient safety. This commentary reviews how hospitals have applied design thinking to develop new processes to enhance safety in operating rooms.
Isolated Clot, Real Error
Anna Parks, MD, and Margaret C. Fang, MD, MPH
The impact of RVU-based compensation on patient safety outcomes in outpatient otolaryngology procedures.
Stanisce L, Ahmad N, Deckard N, et al. Otolaryngol Head Neck Surg. 2019 Feb 5; [Epub ahead of print].
When is the surgeon too old to operate?
Span P. New York Times. February 1, 2019.
Operating room fires.
Jones TS, Black IH, Robinson TN, Jones EL. Anesthesiology. 2019 Jan 10; [Epub ahead of print].
Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis.
Gartland RM, Alves K, Brasil NC, et al. Am J Surg. 2018 Dec 8; [Epub ahead of print].
McGrory K, Bedi N. Tampa Bay Times. November 28, 2018.
Safety of overlapping inpatient orthopaedic surgery: a multicenter study.
Dy CJ, Osei DA, Maak TG, et al. J Bone Joint Surg Am. 2018;100:1902-1911.
Holding out for an apology.
Interpersonal and organizational dynamics are key drivers of failure to rescue.
Smith ME, Wells E, Friese CR, Krein SL, Ghaferi AA. Health Aff (Millwood). 2018;37:1870-1976.
Scaling safety: the South Carolina Surgical Safety Checklist experience.
Berry WR, Edmondson L, Gibbons LR, et al. Health Aff (Millwood). 2018;37:1779-1786.
Simulation-based clinical rehearsals as a method for improving patient safety.
Arnold J, Cashin M, Olutoye OO. JAMA Surg. 2018;153:1143-1144.
Association of cataract surgical outcomes with late surgeon career stages: a population-based cohort study.
Campbell RJ, El-Defrawy SR, Gill SS, et al. JAMA Ophthalmol. 2019;137:58-64.
A surgeon so bad it was criminal.
Biel L. ProPublica. October 2, 2018.
Quality, Value, and Patient Safety in Orthopedic Surgery.
Azar FM, ed. Orthop Clin North Am. 2018;49:A1-A8,389-552.
Surgical safety checklists in children's surgery: surgeons' attitudes and review of the literature.
Roybal J, Tsao K, Rangel S, Ottosen M, Skarda D, Berman L. Pediatr Qual Saf. 2018;3:e108.
Association of the use of a mandatory prescription drug monitoring program with prescribing practices for patients undergoing elective surgery.
Stucke RS, Kelly JL, Mathis KA, Hill MV, Barth RJ. JAMA Surg. 2018;153:1105-1110.
Lax oversight leaves surgery center regulators and patients in the dark.
Jewett C, Alesia M. Kaiser Health News. August 9, 2018.
Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis.
Curatolo CJ, McCormick PJ, Hyman JB, Beilin Y. Jt Comm J Qual Patient Saf. 2018;44:708-718.
Surgical fires: decreasing incidence relies on continued prevention efforts.
Bruley ME, Arnold TV, Finley E, Deutsch ES, Treadwell JR. PA-PSRS Pa Patient Saf Advis. June 2018;15.
Safety stop: a valuable addition to the pediatric universal protocol.
Caruso TJ, Munshey F, Aldorfer B, Sharek PJ. Jt Comm J Qual Patient Saf. 2018;44:552-556.
Is there evidence of a July effect among patients undergoing hysterectomy surgery?
Varma S, Mehta A, Hutfless S, Stone RL, Wethington SL, Fader AN. Am J Obstet Gynecol. 2018;219:176.e1-176.e9.
Good Catch Campaign: improving the perioperative culture of safety.
Lozito M, Whiteman K, Swanson-Biearman B, Barkhymer M, Stephens K. AORN J. 2018;107:705-714.
FDA Safety Communication: recommendations to reduce surgical fires and related patient injury.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration. May 29, 2018.
Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery.
Ban KA, Gibbons MM, Ko CY, et al. Anesth Analg. 2018 Apr 11; [Epub ahead of print].
Factors associated with the use of cognitive aids in operating room crises: a cross-sectional study of US hospitals and ambulatory surgical centers.
Alidina S, Goldhaber-Fiebert SN, Hannenberg AA, et al. Implement Sci. 2018;13:50.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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