AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (52)

•Diagnostic Errors (59)

•Identification Errors (52)

•Discontinuities, Gaps, and Hand-Off Problems (181)

•Fatigue and Sleep Deprivation (63)

•Medication Safety (394)

•Medical Complications (190)

•Nonsurgical Procedural Complications (35)

•Surgical Complications (415)

•Transfusion Complications (8)

•Psychological and Social Complications (100)

Origin/Sponsor

•Africa (2)

•Asia (27)

•Australia and New Zealand (41)

•Central and South America (2)

•Europe (241)

•North America (1415)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (587)

•Active Errors (233)

•Latent Errors (79)

•Near Miss (50)

Approach to Improving Safety

•Quality Improvement Strategies (345)

•Legal and Policy Approaches (71)

•Error Reporting and Analysis (502)

•Communication Improvement (380)

•Human Factors Engineering (182)

•Teamwork (232)

•Specialization of Care (103)

•Logistical Approaches (166)

•Culture of Safety (326)

•Technologic Approaches (237)

•Education and Training (458)

Clinical Areas

•Allied Health Services (4)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (1159)

•Health Care Executives and Administrators (1511)

•Non-Health Care Professionals (844)

•Patients (12)

Setting of Care

•Hospitals (1267)

•Psychiatric Facilities (9)

•Residential Facilities (37)

•Ambulatory Care (119)

•Outpatient Surgery (20)

•Patient Transport (14)

1 - 20 of 1721

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STUDY

Does teamwork improve performance in the operating room? A multilevel evaluation.

Weaver SJ, Rosen MA, DiazGranados D, et al. Jt Comm J Qual Patient Saf. 2010;36:133-142.

STUDY

The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room team.

Nurok M, Evans LA, Lipsitz S, Satwicz P, Kelly A, Frankel A. BMJ Qual Saf. 2011;20:237-242.

STUDY

The efficacy of medical team training: improved team performance and decreased operating room delays: a detailed analysis of 4863 cases.

Wolf FA, Way LW, Stewart L. Ann Surg. 2010;252:477-485.

STUDY

A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center.

Nurok M, Lipsitz S, Satwicz P, Kelly A, Frankel A. Arch Surg. 2010;145:489-495.

STUDY

Attitudinal changes resulting from repetitive training of operating room personnel using high-fidelity simulation at the point of care.

Paige JT, Kozmenko V, Yang T, et al. Am Surg. 2009;75:584-591.

STUDY

The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre.

McCulloch P, Mishra A, Handa A, Dale T, Hirst G, Catchpole K. Qual Saf Health Care. 2009;18:109-115.

STUDY

Communication failure in the operating room.

Halverson AL, Casey JT, Andersson J, et al. Surgery. 2011;49:305-310.

STUDY

Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme.

Neily J, Mills PD, Lee P, et al. Qual Saf Health Care. 2010;19:360-364.

STUDY

Can aviation-based team training elicit sustainable behavioral change?

Sax HC, Browne P, Mayewski RJ, et al. Arch Surg. 2009;144:1133-1137.

STUDY

Surgical team training: the Northwestern Memorial Hospital experience.

Halverson AL, Andersson JL, Anderson K, et al. Arch Surg. 2009;144:107-112.

STUDY

Communication practices on 4 Harvard surgical services: a surgical safety collaborative.

ElBardissi AW, Regenbogen SE, Greenberg CC, et al. Ann Surg. 2009;250:861-865.

STUDY

From the flight deck to the operating room: an initial pilot study of the feasibility and potential impact of true interdisciplinary team training using high-fidelity simulation.

Paige J, Kozmenko V, Morgan B, et al. J Surg Educ. 2007;64:369-377.

STUDY

Causes of near misses: perceptions of perioperative nurses.

Cohoon B. AORN J. 2011;93:551-565.

STUDY

Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training.

Paull DE, Mazzia LM, Izu BS, Neily J, Mills PD, Bagian JP. Am J Surg. 2009;198:675-678.

STUDY

Assessing the impact of teaching patient safety principles to medical students during surgical clerkships.

Stahl K, Augenstein J, Schulman CI, Wilson K, McKenney M, Livingstone A. J Surg Res. 2011;170:e29-e40.

STUDY

Using simulation training to improve perioperative patient safety.

Mullen L, Byrd D. AORN J. 2013;97:419-427.

STUDY

A multidisciplinary team approach to retained foreign objects.

Cima RR, Kollengode A, Storsveen AS, et al. Jt Comm J Qual Patient Saf. 2009;35:123-132.

STUDY

High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care.

Paige JT, Kozmenko V, Yang T, et al. Surgery. 2009;145:138-146.

STUDY

Effect of a comprehensive surgical safety system on patient outcomes.

de Vries EN, Prins HA, Crolla RM, et al; SURPASS Collaborative Group. N Engl J Med. 2010;363:1928-1937.

STUDY

Association between implementation of a medical team training program and surgical mortality.

Neily J, Mills PD, Young-Xu Y, et al. JAMA. 2010;304:1693-1700.

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