AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (47)

•Diagnostic Errors (52)

•Identification Errors (34)

•Discontinuities, Gaps, and Hand-Off Problems (170)

•Fatigue and Sleep Deprivation (51)

•Medication Safety (309)

•Medical Complications (152)

•Nonsurgical Procedural Complications (23)

•Surgical Complications (410)

•Transfusion Complications (7)

•Psychological and Social Complications (100)

Origin/Sponsor

•Africa (2)

•Asia (21)

•Australia and New Zealand (44)

•Europe (233)

•North America (1299)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (541)

•Active Errors (124)

•Latent Errors (58)

•Near Miss (37)

Approach to Improving Safety

•Quality Improvement Strategies (325)

•Legal and Policy Approaches (83)

•Error Reporting and Analysis (598)

•Communication Improvement (382)

•Human Factors Engineering (151)

•Teamwork (249)

•Specialization of Care (94)

•Logistical Approaches (139)

•Culture of Safety (322)

•Technologic Approaches (185)

•Education and Training (306)

Clinical Areas

•Allied Health Services (6)

Target Audience

•Health Care Providers (1022)

•Health Care Executives and Administrators (1342)

•Non-Health Care Professionals (667)

•Patients (17)

Setting of Care

•Hospitals (1203)

•Psychiatric Facilities (4)

•Residential Facilities (29)

•Ambulatory Care (108)

•Outpatient Surgery (17)

•Patient Transport (13)

1 - 20 of 1593

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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

Action research, simulation, team communication, and bringing the tacit into voice. Society for Simulation in Healthcare.

Forsythe L. Simul Healthc. 2009;4:143-148.

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

Attitudes to teamwork and safety in the operating theatre.

Flin R, Yule S, McKenzie L, Paterson-Brown S, Maran N. Surgeon. June 2006;4:145-151.

STUDY

The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room team.

Nurok M, Evans LA, Lipsitz S, Satwicz P, Kelly A, Frankel A. BMJ Qual Saf. 2011;20:237-242.

STUDY

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

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

STUDY

Assessing the performance of surgical teams.

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

STUDY

Causes of near misses: perceptions of perioperative nurses.

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

STUDY

Patient safety in surgery.

Makary MA, Sexton JB, Freischlag JA, et al. Ann Surg. 2006;243:628-635.

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

Surgical team behaviors and patient outcomes.

Mazzocco K, Petitti DB, Fong KT, et al. Am J Surg. 2009;197:678-685.

STUDY

How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital?

Kaafarani HM, Itani KM, Rosen AK, Zhao S, Hartmann CW, Gaba DM. Am J Surg. 2009;198:70-75.

STUDY

Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention.

Haynes AB, Weiser TG, Berry WR, et al; Safe Surgery Saves Lives Study Group. BMJ Qual Saf. 2011;20:102-107.

STUDY

Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery.

Latimer K, Pendleton C, Olivi A, Cohen-Gadol AA, Brem H, Quiñones-Hinojosa A. Arch Surg. 2011;146:226-232.

STUDY

A surgical safety checklist to reduce morbidity and mortality in a global population.

Haynes AB, Weiser TG, Berry WR, et al; for the Safe Surgery Saves Lives Study Group. N Engl J Med. 2009;360:491-499.

STUDY

The influence of standardisation and task load on team coordination patterns during anaesthesia inductions.

Zala-Mezö E, Wacker J, Künzle B, Brüesch M, Grote G. Qual Saf Health Care. 2009;18:127-130.

STUDY

Perceptions of patient safety culture among physicians and RNs in the perioperative area.

Scherer D, Fitzpatrick JJ. AORN J. 2008;87:163-175.

STUDY

A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center.

Nurok M, Lipsitz S, Satwicz P, Kelly A, Frankel A. Arch Surg. 2010;145:489-495.

STUDY

Does teamwork improve performance in the operating room? A multilevel evaluation.

Weaver SJ, Rosen MA, DiazGranados D, et al. Jt Comm J Qual Patient Saf. 2010;36:133-142.

STUDY

Interruptions and miscommunications in surgery: an observational study.

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

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