AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (27)

•Diagnostic Errors (26)

•Identification Errors (25)

•Discontinuities, Gaps, and Hand-Off Problems (99)

•Fatigue and Sleep Deprivation (38)

•Medication Safety (185)

•Medical Complications (74)

•Nonsurgical Procedural Complications (13)

•Surgical Complications (376)

•Psychological and Social Complications (125)

Origin/Sponsor

•Africa (2)

•Asia (31)

•Australia and New Zealand (46)

•Central and South America (1)

•Europe (337)

•North America (663)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (318)

•Active Errors (103)

•Latent Errors (44)

•Near Miss (23)

Approach to Improving Safety

•Quality Improvement Strategies (232)

•Legal and Policy Approaches (56)

•Error Reporting and Analysis (337)

•Communication Improvement (257)

•Human Factors Engineering (116)

•Teamwork (213)

•Specialization of Care (54)

•Logistical Approaches (86)

•Culture of Safety (176)

•Technologic Approaches (108)

•Education and Training (233)

Clinical Areas

•Allied Health Services (4)

•Medicine (860)

•Nursing (135)

•Pharmacy (34)

Target Audience

•Health Care Providers (810)

•Health Care Executives and Administrators (882)

•Non-Health Care Professionals (491)

•Patients (10)

Setting of Care

•Hospitals (823)

•Psychiatric Facilities (5)

•Residential Facilities (10)

•Ambulatory Care (44)

•Outpatient Surgery (16)

•Patient Transport (10)

1 - 20 of 1077

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STUDY

Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.

Makary MA, Sexton JB, Freischlag JA, et al. J Am Coll Surg. 2006;202:746-752.

STUDY

Observational assessment of surgical teamwork: a feasibility study.

Undre S, Healey AN, Darzi A, Vincent CA. World J Surg. 2006;30:1774-1783.

STUDY

Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel.

Sexton JB, Makary MA, Tersigni AR, et al. Anesthesiology. 2006;105:877-884.

STUDY

Discovering healthcare cognition: the use of cognitive artifacts to reveal cognitive work.

Nemeth C, O’Connor M, Klock PA, Cook R. Org Stud. 2006;27:1011-1035.

STUDY

Development of a rating system for surgeons' non-technical skills.

Yule S, Flin R, Paterson-Brown S, Maran N, Rowley D. Med Educ. 2006;40:1098-1104.

STUDY

The effects of stress and coping on surgical performance during simulations.

Wetzel CM, Black SA, Hanna GB, et al. Ann Surg. 2010;251:171-176.

STUDY

Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams.

Bognár A, Barach P, Johnson JK, et al. Ann Thorac Surg. 2008;85:1374-1381.

STUDY

Mapping changes in surgical mortality over 9 years by peer review audit.

Thompson AM, Ashraf Z, Burton H, Stonebridge PA. Br J Surg. 2005;92:1449-1452.

STUDY

Causes of near misses: perceptions of perioperative nurses.

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

STUDY

Governing the surgical count through communication interactions: implications for patient safety.

Riley R, Manias E, Polglase A. Qual Saf Health Care. 2006;15:369-374.

STUDY

Rules and guidelines in clinical practice: a qualitative study in operating theatres of doctors' and nurses' views.

McDonald R, Waring J, Harrison S, Walshe K, Boaden R. Qual Saf Health Care. 2005;14:290-294.

STUDY

Surgical crisis management skills training and assessment: a stimulation-based approach to enhancing operating room performance.

Moorthy K, Munz Y, Forrest D, et al. Ann Surg. 2006;244:139-147.

STUDY

Reliability of a revised NOTECHS scale for use in surgical teams.

Sevdalis N, Davis R, Koutantji M, et al. Am J Surg. 2008;196:184-190.

STUDY

Assessing the performance of surgical teams.

Leach LS, Myrtle RC, Weaver FA, Dasu S. Health Care Manage Rev. 2009;34:29-41.

STUDY

Burnout and medical errors among American surgeons.

Shanafelt TD, Balch CM, Bechamps G, et al. Ann Surg. 2010;251:995-1000.

STUDY

Error, stress, and teamwork in medicine and aviation: cross sectional surveys.

Sexton JB, Thomas EJ, Helmreich RL. BMJ. 2000;320:745-749.

STUDY

Teamwork in the operating theatre: cohesion or confusion?

Undre S, Sevdalis N, Healey AN, Darzi A, Vincent CA. J Eval Clin Pract. 2006;12:182-189.

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

Factors compromising safety in surgery: stressful events in the operating room.

Arora S, Hull L, Sevdalis N, et al. Am J Surg. 2010;199:60-65.

STUDY

Potential errors and their prevention in operating room teamwork as experienced by Finnish, British and American nurses.

Silén-Lipponen M, Tossavainen K, Turunen H, Smith A. Int J Nurs Pract. 2005;11:21-32.

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