AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (102)

•Diagnostic Errors (104)

•Identification Errors (112)

•Discontinuities, Gaps, and Hand-Off Problems (218)

•Fatigue and Sleep Deprivation (38)

•Medication Safety (457)

•Medical Complications (273)

•Nonsurgical Procedural Complications (71)

•Surgical Complications (779)

•Transfusion Complications (13)

•Psychological and Social Complications (65)

Origin/Sponsor

•Africa (4)

•Asia (36)

•Australia and New Zealand (71)

•Central and South America (6)

•Europe (428)

•North America (1402)

Resource Types

•Audiovisual (10)

•Award (8)

•Book/Report (73)

•Clinical Guideline (7)

•Journal Article (1588)

•Legislation/Regulation (32)

•Meeting/Conference (9)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (138)

•Press Release/Announcement (15)

•Special or Theme Issue (25)

•Tools/Toolkit (27)

•Web Resource (47)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (547)

•Active Errors (466)

•Latent Errors (136)

•Near Miss (95)

Approach to Improving Safety

•Quality Improvement Strategies (506)

•Legal and Policy Approaches (125)

•Error Reporting and Analysis (502)

•Communication Improvement (561)

•Human Factors Engineering (423)

•Teamwork (258)

•Specialization of Care (117)

•Logistical Approaches (114)

•Culture of Safety (223)

•Technologic Approaches (292)

•Education and Training (442)

Clinical Areas

•Allied Health Services (4)

Target Audience

•Health Care Providers (1721)

•Health Care Executives and Administrators (1708)

•Non-Health Care Professionals (655)

•Patients (119)

Setting of Care

•Hospitals (1508)

•Psychiatric Facilities (6)

•Residential Facilities (27)

•Ambulatory Care (133)

•Outpatient Surgery (43)

•Patient Transport (16)

1 - 20 of 1987

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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.

REVIEW

Patient safety during anaesthesia: incorporation of the WHO safe surgery guidelines into clinical practice.

Schlack WS, Boermeester MA. Curr Opin Anaesthesiol. 2010;23:754-758.

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.

COMMENTARY

Perfusion safety: new initiatives and enduring principles.

Kurusz M. Perfusion. 2011;26(suppl 1):6-14.

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

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.

COMMENTARY

Engineering the system of communication for safer surgery.

Healey AN, Nagpal K, Moorthy K, Vincent CA. Cogn Tech Work. 2011;13:1-10.

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.

REVIEW

Requirements for the design and implementation of checklists for surgical processes.

Verdaasdonk EGG, Stassen LPS, Widhiasmara PP, Dankelman J. Surg Endosc. 2009;23:715-726.

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.

COMMENTARY

Learning from adverse events and near misses.

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

COMMENTARY

Wise before the event.

Watts G. BMJ. 2010;340:c1378.

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.

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