AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (18)

•Diagnostic Errors (30)

•Identification Errors (19)

•Discontinuities, Gaps, and Hand-Off Problems (37)

•Fatigue and Sleep Deprivation (20)

•Medication Safety (58)

•Medical Complications (31)

•Nonsurgical Procedural Complications (7)

•Surgical Complications (144)

•Psychological and Social Complications (20)

Origin/Sponsor

•Asia (3)

•Australia and New Zealand (6)

•Europe (23)

•North America (347)

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Commentary

Error Types

•Epidemiology of Errors and Adverse Events (19)

•Active Errors (86)

•Latent Errors (38)

•Near Miss (6)

Approach to Improving Safety

•Quality Improvement Strategies (82)

•Legal and Policy Approaches (40)

•Error Reporting and Analysis (82)

•Communication Improvement (124)

•Human Factors Engineering (96)

•Teamwork (76)

•Specialization of Care (22)

•Logistical Approaches (28)

•Culture of Safety (59)

•Technologic Approaches (49)

•Education and Training (117)

Clinical Areas

Target Audience

•Health Care Providers (356)

•Health Care Executives and Administrators (268)

•Non-Health Care Professionals (137)

•Patients (7)

Setting of Care

•Hospitals (234)

•Residential Facilities (1)

•Ambulatory Care (22)

•Outpatient Surgery (8)

1 - 20 of 398

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COMMENTARY

Implementing the World Health Organization surgical safety checklist: a model for future perioperative initiatives.

Styer KA, Ashley SW, Schmidt S, Zive EM, Eappen S. AORN J. 2011;94:590-598.

COMMENTARY

Clinical care checklists: salvations or frustrations?

Jones JW, McCullough LB. J Vasc Surg. 2011;53:1429-1430.

COMMENTARY

Six things every plastic surgeon needs to know about teamwork training and checklists.

Harden CS. Aesthet Surg J. 2013;33:443-448.

COMMENTARY

Improving operating room and perioperative safety: background and specific recommendations.

Schimpff SC. Surg Innov. 2007;14:127-135.

COMMENTARY

Perfusion safety: new initiatives and enduring principles.

Kurusz M. Perfusion. 2011;26(suppl 1):6-14.

COMMENTARY

The nature of surgical error: a cautionary tale and a call to reason.

Satava RM. Surg Endosc. 2005;19:1014-1016.

COMMENTARY

Surgical team training: promoting high reliability with nontechnical skills.

Paige JT. Surg Clin North Am. 2010;90:569-581.

COMMENTARY

Surgical site verification: A through Z.

Dunn D. J Perianesth Nurs. 2006;21:317-328.

COMMENTARY

The OR and a "just culture."

Hamlin L. AORN J. 2009;90:495-498.

COMMENTARY

Creating a culture of safety by using checklists.

Huang L, Kim R, Berry W. AORN J. 2013;97:365-368.

COMMENTARY

On the quest for Six Sigma.

Moorman DW. Am J Surg. 2005;189:253-258.

COMMENTARY

Video technology to advance safety in the operating room and perioperative environment.

Xiao Y, Schimpff S, Mackenzie C, et al. Surg Innov. 2007;14:52-61.

COMMENTARY

Perspectives in quality: designing the WHO Surgical Safety Checklist.

Weiser TG, Haynes AB, Lashoher A, et al. Int J Qual Health Care. 2010;22:365-370.

COMMENTARY

A new paradigm for surgical procedural training.

Sachdeva AK, Buyske J, Dunnington GL, et al. Curr Probl Surg. 2011;48:854-968.

COMMENTARY

Implementing AORN recommended practices for laser safety.

Castelluccio D. AORN J. 2012;95:612-627.

COMMENTARY

Surgical count practice variability and the potential for retained surgical items.

Edel EM. AORN J. 2012;95:228-238.

COMMENTARY

JCAHO's National Patient Safety Goals 2006.

Catalano K. J Perianesth Nurs. February 2006;21:6-11.

COMMENTARY

Complications in surgery: root cause analysis and preventive measures.

Chung KC, Kotsis SV. Plast Reconstr Surg. 2012;129:1421-1427.

COMMENTARY

Systems approach to reduce errors in surgery.

Dankelman J, Grimbergen CA. Surg Endosc. 2005;19:1017-1021.

COMMENTARY

Beeline to Spine

Smetana GW. AHRQ WebM&M [serial online]. June 2007.

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