AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (65)

•Diagnostic Errors (123)

•Identification Errors (60)

•Discontinuities, Gaps, and Hand-Off Problems (172)

•Fatigue and Sleep Deprivation (54)

•Medication Safety (516)

•Medical Complications (162)

•Nonsurgical Procedural Complications (39)

•Surgical Complications (414)

•Transfusion Complications (11)

•Psychological and Social Complications (59)

Origin/Sponsor

•Africa (3)

•Asia (55)

•Australia and New Zealand (66)

•Central and South America (5)

•Europe (421)

•North America (1056)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (933)

•Active Errors (358)

•Latent Errors (110)

•Near Miss (53)

Approach to Improving Safety

•Quality Improvement Strategies (358)

•Legal and Policy Approaches (69)

•Error Reporting and Analysis (615)

•Communication Improvement (277)

•Human Factors Engineering (195)

•Teamwork (134)

•Specialization of Care (79)

•Logistical Approaches (119)

•Culture of Safety (132)

•Technologic Approaches (258)

•Education and Training (264)

Clinical Areas

•Allied Health Services (4)

Target Audience

•Health Care Providers (1145)

•Health Care Executives and Administrators (1488)

•Non-Health Care Professionals (564)

•Patients (5)

Setting of Care

•Hospitals (1208)

•Psychiatric Facilities (8)

•Residential Facilities (29)

•Ambulatory Care (135)

•Outpatient Surgery (20)

•Patient Transport (19)

1 - 20 of 1617

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STUDY

Prevention of surgical malpractice claims by a surgical safety checklist.

de Vries EN, Eikens-Jansen MP, Hamersma AM, Smorenburg SM, Gouma DJ, Boermeester MA. Ann Surg. 2011;253:624-628.

STUDY

Applicability of Healthcare Failure Mode and Effects Analysis to healthcare epidemiology: evaluation of the sterilization and use of surgical instruments.

Linkin DR, Sausman C, Santos L, et al. Clin Infect Dis. 2005;41:1014-1019.

STUDY

Surgical skill is predicted by the ability to detect errors.

Bann S, Khan M, Datta V, Darzi A. Am J Surg. 2005;189:412-415.

STUDY

Preprinted order sets as a safety intervention in pediatric sedation.

Broussard M, Bass PF 3rd, Arnold CL, McLarty JW, Bocchini JA Jr. J Pediatr. 2009;154:865-868.

STUDY

Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire.

Kaplan LJ, Maerz LL, Schuster K, et al. J Trauma. 2009;67:173-179.

STUDY

Analysis of surgical errors in closed malpractice claims at 4 liability insurers.

Rogers SO Jr, Gawande AA, Kwaan M, Puopolo AL, Yoon C, Brennan TA, Studdert DM. Surgery. 2006;140:25-33.

STUDY

Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice.

Lingard L, Regehr G, Cartmill C, et al. BMJ Qual Saf. 2011;20:475-482.

STUDY

Applying trigger tools to detect adverse events associated with outpatient surgery.

Rosen AK, Mull HJ, Kaafarani H, et al. J Patient Saf. 2011;7:45-59.

STUDY

Classification of adverse events occurring in a surgical intensive care unit.

Frankel H, Sperry J, Kaplan L, Foley A, Rabinovici R. Am J Surg. 2007;194:328-332.

STUDY

Representative case series from public hospital admissions 1998 II: surgical adverse events.

Briant R, Morton J, Lay-Yee R, Davis P, Ali W. N Z Med J. 2005;118:U1591.

STUDY

Surgical adverse outcome reporting as part of routine clinical care.

Kievit J, Krukerink M, Marang-van de Mheen PJ. Qual Saf Health Care. 2010;19:e20.

STUDY

Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality.

Anderson CI, Nelson CS, Graham CF, et al. J Surg Res. 2012;177:43-48.

STUDY

Bariatric surgery with operating room teams that stayed fixed during the day: a multicenter study analyzing the effects on patient outcomes, teamwork and safety climate, and procedure duration.

Stepaniak PS, Heij C, Buise MP, Mannaerts GHH, Smulders JF, Nienhuijs SW. Anesth Analg. 2012;115:1384-1392.

STUDY

Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery.

Mattioli G, Guida E, Montobbio G, et al. Pediatr Surg Int. 2012;28:405-410.

STUDY

Effect of a 19-item surgical safety checklist during urgent operations in a global patient population.

Weiser TG, Haynes AB, Dziekan G, et al; Safe Surgery Saves Lives Investigators and Study Group. Ann Surg. 2010;251:976-980.

STUDY

An evaluation of information transfer through the continuum of surgical care: a feasibility study.

Nagpal K, Vats A, Ahmed K, Vincent C, Moorthy K. Ann Surg. 2010;252:402-407.

STUDY

Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit.

McCulloch P, Kreckler S, New S, Sheena Y, Handa A, Catchpole K. BMJ. 2010;341:c5469.

STUDY

Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program.

Kiran RP, Ahmed Ali U, Coffey JC, Vogel JD, Pokala N, Fazio VW. Ann Surg. 2012;256:469-475.

STUDY

Retained surgical items: a problem yet to be solved.

Stawicki SP, Moffatt-Bruce SD, Ahmed HM, et al. J Am Coll Surg. 2013;216:15-22.

STUDY

Operating room briefings and wrong-site surgery.

Makary MA, Mukherjee A, Sexton BJ, et al. J Am Coll Surg. 2007;204:236-243.

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