AHRQ Patient Safety Network

The Collection > Operating Room

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Safety Target

•Device-related Complications (23)

•Diagnostic Errors (8)

•Identification Errors (72)

•Discontinuities, Gaps, and Hand-Off Problems (50)

•Fatigue and Sleep Deprivation (23)

•Medication Safety (44)

•Medical Complications (29)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (571)

•Transfusion Complications (2)

•Psychological and Social Complications (36)

Origin/Sponsor

•Asia (8)

•Australia and New Zealand (22)

Resource Types

•Clinical Guideline (3)

•Journal Article (542)

•Legislation/Regulation (12)

•Meeting/Conference (1)

•Newspaper/Magazine Article (70)

•Press Release/Announcement (1)

•Special or Theme Issue (10)

•Tools/Toolkit (10)

•Web Resource (16)

Error Types

•Epidemiology of Errors and Adverse Events (160)

•Active Errors (145)

•Latent Errors (41)

•Near Miss (16)

Approach to Improving Safety

•Quality Improvement Strategies (138)

•Legal and Policy Approaches (44)

•Error Reporting and Analysis (158)

•Communication Improvement (214)

•Human Factors Engineering (169)

•Teamwork (131)

•Specialization of Care (15)

•Logistical Approaches (37)

•Culture of Safety (71)

•Technologic Approaches (61)

•Education and Training (158)

Clinical Areas

•Medicine (670)

•Nursing (58)

•Pharmacy (5)

Target Audience

•Health Care Providers (520)

•Health Care Executives and Administrators (487)

•Non-Health Care Professionals (202)

•Patients (66)

Setting of Care
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Operating Room

1 - 20 of 682

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STUDY

Incorrect surgical counts: a qualitative analysis.

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

COMMENTARY

Counting for patient safety.

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

COMMENTARY

Time out: an analysis.

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

COMMENTARY

Reducing the incidence of retained surgical instrument fragments.

Reece M, Troeleman ND, McGowan JE, Furuno JP. AORN J. 2011;94:301-304.

STUDY

Risk factors associated with incorrect surgical counts.

Rowlands A. AORN J. 2012;96:272-284.

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.

STUDY

Causes of near misses: perceptions of perioperative nurses.

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

STUDY

Interruptions and miscommunications in surgery: an observational study.

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

MEASUREMENT TOOL/INDICATOR

AORN Evaluation of the Universal Protocol.

Association of PeriOperative Registered Nurses.

COMMENTARY

Creating a culture of safety by using checklists.

Huang L, Kim R, Berry W. AORN J. 2013;97:365-368.

COMMENTARY

Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery.

Knight N, Aucar J. Am J Surg. 2010;200:803-807.

COMMENTARY

Implementing AORN recommended practices for prevention of retained surgical items.

Goldberg JL, Feldman DL. AORN J. 2012;95:205-219.

COMMENTARY

Instrument readiness: an important link to patient safety.

McNamara SA. AORN J. 2011;93:160-164.

ORGANIZATIONAL POLICY/GUIDELINES

AORN guidance statement: creating a patient safety culture.

AORN J. 2006;83:936-942.

COMMENTARY

"Managing up" can improve teamwork in the OR.

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

REVIEW

Determining the state of knowledge for implementing the Universal Protocol recommendations: an integrative review of the literature.

Conrardy JA, Brenek B, Myers S. AORN J. 2010;92:194-207.

COMMENTARY

Retained surgical items and minimally invasive surgery.

Gibbs VC. World J Surg. 2011;35:1532-1539.

STUDY

Operating room briefings and wrong-site surgery.

Makary MA, Mukherjee A, Sexton BJ, et al. J Am Coll Surg. 2007;204:236-243.

COMMENTARY

Communication in the perioperative setting.

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

COMMENTARY

The normalization of deviance: what are the perioperative risks?

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

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