AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (204)

•Diagnostic Errors (157)

•Identification Errors (123)

•Discontinuities, Gaps, and Hand-Off Problems (283)

•Fatigue and Sleep Deprivation (49)

•Medication Safety (773)

•Medical Complications (363)

•Nonsurgical Procedural Complications (88)

•Surgical Complications (809)

•Transfusion Complications (17)

•Psychological and Social Complications (80)

Origin/Sponsor

•Africa (7)

•Asia (58)

•Australia and New Zealand (107)

•Central and South America (10)

•Europe (598)

•North America (1926)

Resource Types

•Audiovisual (19)

•Award (7)

•Book/Report (117)

•Clinical Guideline (7)

•Journal Article (2219)

•Legislation/Regulation (39)

•Meeting/Conference (16)

•Newsletter/Journal (5)

•Newspaper/Magazine Article (166)

•Press Release/Announcement (22)

•Special or Theme Issue (38)

•Tools/Toolkit (27)

•Web Resource (66)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (1199)

•Active Errors (534)

•Latent Errors (169)

•Near Miss (64)

Approach to Improving Safety

•Quality Improvement Strategies (670)

•Legal and Policy Approaches (168)

•Error Reporting and Analysis (888)

•Communication Improvement (648)

•Human Factors Engineering (505)

•Teamwork (279)

•Specialization of Care (156)

•Logistical Approaches (158)

•Culture of Safety (305)

•Technologic Approaches (426)

•Education and Training (540)

Clinical Areas

•Allied Health Services (9)

Target Audience

•Health Care Providers (2205)

•Health Care Executives and Administrators (2333)

•Non-Health Care Professionals (971)

•Patients (161)

Setting of Care

•Hospitals (1968)

•Psychiatric Facilities (10)

•Residential Facilities (45)

•Ambulatory Care (225)

•Outpatient Surgery (53)

•Patient Transport (24)

1 - 20 of 2752

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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

Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome.

Kreckler S, Catchpole KR, New SJ, Handa A, McCulloch PG. Ann Surg. 2009;250:1035-1040.

STUDY

Incidence, nature and impact of error in surgery.

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

STUDY

Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008.

Cassidy CJ, Smith A, Arnot-Smith J. Anaesthesia. 2011;66:879-888.

COMMENTARY

Learning from adverse events and near misses.

Greenberg CC. J Gastrointest Surg. 2008;13:3-5.

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

Interruptions and miscommunications in surgery: an observational study.

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

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

Bariatric surgery with operating room teams that stayed fixed during the day: a multicenter study analyzing the effects on patient outcomes, teamwork and safety climate, and procedure duration.

Stepaniak PS, Heij C, Buise MP, Mannaerts GHH, Smulders JF, Nienhuijs SW. Anesth Analg. 2012;115:1384-1392.

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

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

Communication failure in the operating room.

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

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

Deconstructing intraoperative communication failures.

Hu YY, Arriaga AF, Peyre SE, Corso KA, Roth EM, Greenberg CC. J Surg Res. 2012;177:37-42.

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

Surgical adverse outcome reporting as part of routine clinical care.

Kievit J, Krukerink M, Marang-van de Mheen PJ. Qual Saf Health Care. 2010;19:e20.

REVIEW

Surgical fires, a clear and present danger.

Yardley IE, Donaldson LJ. Surgeon. 2010;8:87-92.

STUDY

Priority patient safety issues identified by perioperative nurses.

Steelman VM, Graling PR, Perkhounkova Y. AORN J. 2013;97:402-418.

STUDY

A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient outcomes.

Schraagen JM, Schouten T, Smit M, et al. BMJ Qual Saf. 2011;20:599-603.

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