AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (39)

•Diagnostic Errors (55)

•Identification Errors (41)

•Discontinuities, Gaps, and Hand-Off Problems (121)

•Fatigue and Sleep Deprivation (22)

•Medication Safety (257)

•Medical Complications (139)

•Nonsurgical Procedural Complications (31)

•Surgical Complications (396)

•Transfusion Complications (8)

•Psychological and Social Complications (37)

Origin/Sponsor

•Africa (3)

•Asia (26)

•Australia and New Zealand (45)

•Central and South America (3)

•Europe (292)

•North America (677)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (466)

•Active Errors (233)

•Latent Errors (48)

•Near Miss (56)

Approach to Improving Safety

•Quality Improvement Strategies (230)

•Legal and Policy Approaches (34)

•Error Reporting and Analysis (290)

•Communication Improvement (263)

•Human Factors Engineering (166)

•Teamwork (143)

•Specialization of Care (71)

•Logistical Approaches (64)

•Culture of Safety (102)

•Technologic Approaches (157)

•Education and Training (219)

Clinical Areas

•Allied Health Services (2)

Target Audience

•Health Care Providers (902)

•Health Care Executives and Administrators (959)

•Non-Health Care Professionals (374)

•Patients (9)

Setting of Care

•Hospitals (855)

•Psychiatric Facilities (5)

•Residential Facilities (19)

•Ambulatory Care (82)

•Outpatient Surgery (14)

•Patient Transport (10)

1 - 20 of 1045

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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

Incidence, nature and impact of error in surgery.

Bosma E, Veen EJ, Roukema JA. Br J Surg. 2011;98:1654-1659.

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

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

Wubben I, van Manen JG, van den Akker BJ, Vaartjes SR, van Harten WH. Qual Saf Health Care. 2010;19:e64.

STUDY

Improving operating room safety.

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

STUDY

Risk-sensitive events during laparoscopic cholecystectomy: the influence of the integrated operating room and a preoperative checklist tool.

Buzink SN, van Lier L, de Hingh IHJT, Jakimowicz JJ. Surg Endosc. 2010;24:1990-1995.

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

Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes.

Nilsson L, Lindberget O, Gupta A, Vegfors M. Acta Anaesthesiol Scand. 2010;54:176-182.

STUDY

The effect of facility complexity on perceptions of safety climate in the operating room: size matters.

Carney BT, West P, Neily J, Mills PD, Bagian JP. Am J Med Qual. 2010;25:457-461.

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

Information needs in operating room teams: what is right, what is wrong, and what is needed?

Wong HW, Forrest D, Healey A, et al. Surg Endosc. 2011;25:1913-1920.

STUDY

Communication failure in the operating room.

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

STUDY

Silence, power and communication in the operating room.

Gardezi F, Lingard L, Espin S, Whyte S, Orser B, Baker GR. J Adv Nurs. 2009;65:1390-1399.

STUDY

Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members.

Ali M, Osborne A, Bethune R, Pullyblank A. J Patient Saf. 2011;7:138-142.

STUDY

Discrepant perceptions of communication, teamwork and situation awareness among surgical team members.

Wauben LS, Dekker-van Doorn CM, van Wijngaarden JD, et al. Int J Qual Health Care. 2011;23:159-166.

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

Practical challenges of introducing WHO surgical checklist: UK pilot experience.

Vats A, Vincent CA, Nagpal K, Davies RW, Darzi A, Moorthy K. BMJ. 2010;340:b5433.

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