AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (67)

•Diagnostic Errors (107)

•Identification Errors (54)

•Discontinuities, Gaps, and Hand-Off Problems (252)

•Fatigue and Sleep Deprivation (57)

•Medication Safety (611)

•Medical Complications (210)

•Nonsurgical Procedural Complications (35)

•Surgical Complications (418)

•Transfusion Complications (11)

•Psychological and Social Complications (74)

Origin/Sponsor

•Africa (4)

•Asia (27)

•Australia and New Zealand (44)

•Central and South America (2)

•Europe (266)

•North America (1547)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (1097)

•Active Errors (277)

•Latent Errors (63)

•Near Miss (51)

Approach to Improving Safety

•Quality Improvement Strategies (351)

•Legal and Policy Approaches (80)

•Error Reporting and Analysis (584)

•Communication Improvement (424)

•Human Factors Engineering (196)

•Teamwork (167)

•Specialization of Care (132)

•Logistical Approaches (164)

•Culture of Safety (163)

•Technologic Approaches (329)

•Education and Training (311)

Clinical Areas

•Allied Health Services (3)

Target Audience

•Health Care Providers (1513)

•Health Care Executives and Administrators (1508)

•Non-Health Care Professionals (615)

•Patients (24)

Setting of Care

•Hospitals (1361)

•Psychiatric Facilities (6)

•Residential Facilities (53)

•Ambulatory Care (221)

•Outpatient Surgery (20)

•Patient Transport (21)

1 - 20 of 1882

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STUDY

Communication failure in the operating room.

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

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

Implementing a surgical checklist: more than checking a box.

Levy SM, Senter CE, Hawkins RB, et al. Surgery. 2012;152:331-336.

STUDY

Simulation-based trial of surgical-crisis checklists.

Arriaga AF, Bader AM, Wong JM, et al. N Engl J Med. 2013;368:246-253.

STUDY

Interruptions and miscommunications in surgery: an observational study.

Gillespie BM, Chaboyer W, Fairweather N. AORN J. 2012;95:576-590.

STUDY

Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study.

van Klei WA, Hoff RG, van Aarnhem EE, et al. Ann Surg. 2012;255:44-49.

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

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

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

Postoperative sepsis in the United States.

Vogel TR, Dombrovskiy VY, Carson JL, Graham AM, Lowry SF. Ann Surg. 2010;252:1065-1071.

STUDY

A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety collaborative.

Arriaga AF, Elbardissi AW, Regenbogen SE, et al. Ann Surg. 2011;253:849-854.

STUDY

Crisis checklists for the operating room: development and pilot testing.

Ziewacz JE, Arriaga AF, Bader AM, et al. J Am Coll Surg. 2011;213:212-219.

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

Infection control assessment of ambulatory surgical centers.

Schaefer MK, Jhung M, Dahl M, et al. JAMA. 2010;303:2273-2279.

STUDY

Effective surgical safety checklist implementation.

Conley DM, Singer SJ, Edmondson L, Berry WR, Gawande AA. J Am Coll Surg. 2011;212:873-879.

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

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

Surgical case listing accuracy: failure analysis at a high-volume academic medical center.

Cima RR, Hale C, Kollengode A, Rogers JC, Cassivi SD, Deschamps C. Arch Surg. 2010;145:641-646.

STUDY

Implementation of resident work hour restrictions is associated with a reduction in mortality and provider-related complications on the surgical service: a concurrent analysis of 14,610 patients.

Privette AR, Shackford SR, Osler T, Ratliff J, Sartorelli K, Hebert JC. Ann Surg. 2009;250:316-321.

STUDY

Improving operating room safety.

Hurlbert SN, Garrett J. Patient Saf Surg. 2009;3:25.

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