U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
Device-related Complications (6)
Diagnostic Errors (6)
Identification Errors (8)
Discontinuities, Gaps, and Hand-Off Problems (18)
Fatigue and Sleep Deprivation (3)
Medication Safety (20)
Medical Complications (9)
Nonsurgical Procedural Complications (4)
Surgical Complications (72)
Psychological and Social Complications (11)
Australia and New Zealand (7)
North America (145)
Epidemiology of Errors and Adverse Events (31)
Active Errors (33)
Latent Errors (20)
Approach to Improving Safety
Quality Improvement Strategies (28)
Legal and Policy Approaches (14)
Error Reporting and Analysis (28)
Communication Improvement (48)
Human Factors Engineering (28)
Specialization of Care (8)
Logistical Approaches (12)
Culture of Safety (21)
Technologic Approaches (26)
Education and Training (32)
Allied Health Services (1)
Health Care Providers (124)
Health Care Executives and Administrators (153)
Non-Health Care Professionals (90)
Setting of Care
Residential Facilities (1)
Ambulatory Care (11)
Outpatient Surgery (3)
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Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery.
Zahiri HR, Stromberg J, Skupsky H, et al. Surg Innov. 2011;18:55-60.
Avoiding wrong site surgery: a systematic review.
DeVine J, Chutkan N, Norvell DC, Dettori JR. Spine. 2010;35(suppl 9):S28-S36.
Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review.
Pape H, Pfeifer R. Patient Saf Surg. 2009;3:3.
Surgical checklists: a systematic review of impacts and implementation.
Treadwell JR, Lucas S, Tsou AY. BMJ Qual Saf. 2014;23:299-318.
Interventions for reducing wrong-site surgery and invasive procedures.
Mahar P, Wasiak J, Batty L, Fowler S, Cleland H, Gruen RL. Cochrane Database Syst Rev. 2012;9:CD009404.
Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity, mortality, and safety.
Lyons VE, Popejoy LL. West J Nurs Res. 2014;36:245-261.
Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surgery.
Dagi TF, Berguer R, Moore S, Reines HD. Curr Probl Surg. 2007;44:352-381.
Determining the state of knowledge for implementing the Universal Protocol recommendations: an integrative review of the literature.
Conrardy JA, Brenek B, Myers S. AORN J. 2010;92:194-207.
Improving safety in the operating room: a systematic literature review of retained surgical sponges.
Wan W, Le T, Riskin L, Macario A. Curr Opin Anaesthesiol. 2009;22:207-214.
Communication devices in the operating room.
Ruskin KJ. Curr Opin Anaesthesiol. 2006;19:655-659.
Error training: missing link in surgical education.
DaRosa DA, Pugh CM. Surgery. 2012;151:139-145.
Surgical adverse events: a systematic review.
Anderson O, Davis R, Hanna GB, Vincent CA. Am J Surg. 2013;206:253-262.
The impact of nontechnical skills on technical performance in surgery: a systematic review.
Hull L, Arora S, Aggarwal R, Darzi A, Vincent C, Sevdalis N. J Am Coll Surg. 2012;214:214-230.
The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program.
Maggard-Gibbons M. BMJ Qual Saf. 2014;23:589-599.
Life after death: the aftermath of perioperative catastrophes.
Gazoni FM, Durieux ME, Wells L. Anesth Analg. 2008;107:591-600.
Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress.
Sevdalis N, Hull L, Birnbach DJ. Br J Anaesth. 2012;109:i3-i16.
Detecting adverse events in dermatologic surgery.
Pinney D, Pearce DJ, Feldman SR. Dermatol Surg. 2010;36:8-14.
Retrieval of iatrogenic intravascular foreign bodies.
Schechter MA, O'Brien PJ, Cox MW. J Vasc Surg. 2013;57:276-281.
Often overlooked problems with handoffs: from the intensive care unit to the operating room.
Evans AS, Yee MS, Hogue CW. Anesth Analg. 2014;118:687-689.
Intimidation: a concept analysis.
Lamontagne C. Nurs Forum. 2010;45:54-65.
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