AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (39)

•Diagnostic Errors (80)

•Identification Errors (34)

•Discontinuities, Gaps, and Hand-Off Problems (128)

•Fatigue and Sleep Deprivation (52)

•Medication Safety (355)

•Medical Complications (83)

•Nonsurgical Procedural Complications (20)

•Surgical Complications (394)

•Transfusion Complications (7)

•Psychological and Social Complications (55)

Origin/Sponsor

•Africa (1)

•Asia (37)

•Australia and New Zealand (46)

•Central and South America (4)

•Europe (294)

•North America (828)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (712)

•Active Errors (153)

•Latent Errors (49)

•Near Miss (40)

Approach to Improving Safety

•Quality Improvement Strategies (191)

•Legal and Policy Approaches (43)

•Error Reporting and Analysis (537)

•Communication Improvement (212)

•Human Factors Engineering (148)

•Teamwork (114)

•Specialization of Care (44)

•Logistical Approaches (111)

•Culture of Safety (91)

•Technologic Approaches (149)

•Education and Training (196)

Clinical Areas

•Allied Health Services (2)

•Medicine (985)

•Nursing (142)

•Pharmacy (88)

Target Audience

•Health Care Providers (951)

•Health Care Executives and Administrators (960)

•Non-Health Care Professionals (346)

•Patients (11)

Setting of Care

•Hospitals (901)

•Psychiatric Facilities (5)

•Residential Facilities (22)

•Ambulatory Care (104)

•Outpatient Surgery (15)

•Patient Transport (8)

1 - 20 of 1214

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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

Thirty-day outcomes support implementation of a surgical safety checklist.

Bliss LA, Ross-Richardson CB, Sanzari LJ, et al. J Am Coll Surg. 2012;215:766-776.

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

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

The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfaction.

Böhmer AB, Wappler F, Tinschmann T, et al. Acta Anaesthesiol Scand. 2012;56:332-338.

STUDY

Risk factors in patient safety: minimally invasive surgery versus conventional surgery.

Rodrigues SP, Wever AM, Dankelman J, Jansen FW. Surg Endosc. 2012;26:350-356.

STUDY

Safe surgery: how accurate are we at predicting intra-operative blood loss?

Solon JG, Egan C, McNamara DA. J Eval Clin Pract. 2013;19:100-105.

STUDY

Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR.

Lingard L, Espin S, Rubin B, et al. Qual Saf Health Care. 2005;14:340-346.

STUDY

Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care.

Hu YY, Arriaga AF, Roth EM, et al. Ann Surg. 2012;256:203-210.

STUDY

Surgical specimen identification errors: a new measure of quality in surgical care.

Makary MA, Epstein J, Pronovost PJ, Millman EA, Hartmann EC, Freischlag JA. Surgery. 2007;141:450-455.

STUDY

Novel use of electronic whiteboard in the operating room increases surgical team compliance with pre-incision safety practices.

Mainthia R, Lockney T, Zotov A, et al. Surgery. 2012;151:660-666.

STUDY

Surgeon age and operative mortality in the United States.

Waljee JF, Greenfield LJ, Dimick JB, Birkmeyer JD. Ann Surg. 2006;244:353-362.

STUDY

Bridging the communication gap in the operating room with medical team training.

Awad SS, Fagan SP, Bellows C, et al. Am J Surg. 2005;190:770-774.

STUDY

Failures in communication and information transfer across the surgical care pathway: interview study.

Nagpal K, Arora S, Vats A, et al. BMJ Qual Saf. 2012;21:843-849.

STUDY

Prevention of medical accidents caused by defective surgical instruments.

Yasuhara H, Fukatsu K, Komatsu T, Obayashi T, Saito Y, Uetera Y. Surgery. 2012;151:153-161.

STUDY

The American College of Surgeons' closed claims study: new insights for improving care.

Griffen FD, Stephens LS, Alexander JB, et al. J Am Coll Surg. 2007;204:561-569.

STUDY

Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?

Seiden SC, Barach P. Arch Surg. 2006;141:931-939.

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

Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure.

Espin S, Levinson W, Regehr G, Baker GR, Lingard L. Surgery. 2006;139:6-14.

STUDY

Changes in prognosis after the first postoperative complication.

Silber JH, Rosenbaum PR, Trudeau ME, et al. Med Care. 2005;43:122-131.

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