AHRQ Patient Safety Network

The Collection > Operating Room

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Safety Target

•Device-related Complications (19)

•Diagnostic Errors (8)

•Identification Errors (70)

•Discontinuities, Gaps, and Hand-Off Problems (51)

•Fatigue and Sleep Deprivation (22)

•Medication Safety (39)

•Medical Complications (28)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (548)

•Transfusion Complications (2)

•Psychological and Social Complications (37)

Origin/Sponsor

•Asia (5)

•Australia and New Zealand (18)

Resource Types

•Clinical Guideline (3)

•Journal Article (517)

•Legislation/Regulation (12)

•Meeting/Conference (1)

•Newspaper/Magazine Article (70)

•Press Release/Announcement (1)

•Special or Theme Issue (8)

•Tools/Toolkit (10)

•Web Resource (16)

Error Types

•Epidemiology of Errors and Adverse Events (146)

•Active Errors (141)

•Latent Errors (39)

•Near Miss (15)

Approach to Improving Safety

•Quality Improvement Strategies (133)

•Legal and Policy Approaches (43)

•Error Reporting and Analysis (148)

•Communication Improvement (209)

•Human Factors Engineering (159)

•Teamwork (130)

•Specialization of Care (14)

•Logistical Approaches (35)

•Culture of Safety (71)

•Technologic Approaches (58)

•Education and Training (155)

Clinical Areas

•Medicine (642)

•Nursing (58)

•Pharmacy (4)

Target Audience

•Health Care Providers (503)

•Health Care Executives and Administrators (458)

•Non-Health Care Professionals (196)

•Patients (66)

Setting of Care
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Operating Room

1 - 20 of 655

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COMMENTARY

"Managing up" can improve teamwork in the OR.

Smith SL. AORN J. 2010;91:576-582.

COMMENTARY

Counting for patient safety.

Watson DS. AORN J. 2006;84:273-275.

STUDY

Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field.

Brown-Brumfield D, DeLeon A. AORN J. 2010;91:610-617.

COMMENTARY

Communication in the perioperative setting.

Cvetic E. AORN J. 2011;94:261-270.

STUDY

Causes of near misses: perceptions of perioperative nurses.

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

COMMENTARY

The normalization of deviance: what are the perioperative risks?

McNamara SA. AORN J. 2011;93:796-801.

STUDY

Medication errors, routines, and differences between perioperative and non-perioperative nurses.

Treiber LA, Jones JH. AORN J. 2012;96:285-294.

NEWSPAPER/MAGAZINE ARTICLE

The day Joy died.

Brandeland GP. Med Econ. 2006 Oct 20;83:50, 52-53.

MEASUREMENT TOOL/INDICATOR

AORN Evaluation of the Universal Protocol.

Association of PeriOperative Registered Nurses.

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.

COMMENTARY

Implementing AORN recommended practices for laser safety.

Castelluccio D. AORN J. 2012;95:612-627.

STUDY

Communication skills training to address disruptive physician behavior.

Saxton R. AORN J. 2012;95:602-611.

COMMENTARY

Increasing patient safety and surgical team communication by using a count/time out board.

Edel EM. AORN J. 2010;92:420-424.

COMMENTARY

Knowledge is power: averting safety-compromising events in the OR.

Catalano K. AORN J. 2008;88:987-995.

REVIEW

Enhancing communication in surgery through team training interventions: a systematic literature review.

Gillespie BM, Chaboyer W, Murray P. AORN J. 2010;92:642-657.

COMMENTARY

Time out: an analysis.

Dillon KA. AORN J. 2008;88:437-442.

TOOLKIT

Safe Medication Administration Tool Kit™.

Denver, CO: Association of periOperative Registered Nurses (AORN); 2005.

STUDY

Incorrect surgical counts: a qualitative analysis.

Rowlands A, Steeves R. AORN J. 2010;92:410-419.

ORGANIZATIONAL POLICY/GUIDELINES

AORN Guidance Statement: Safe Medication Practices in Perioperative Settings Across the Life Span.

AORN J. 2006;84:276-278, 280-283.

ORGANIZATIONAL POLICY/GUIDELINES

AORN guidance statement: creating a patient safety culture.

AORN J. 2006;83:936-942.

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