AHRQ Patient Safety Network

The Collection > Operating Room

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Safety Target

•Device-related Complications (24)

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•Identification Errors (70)

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

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•Medical Complications (27)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (586)

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•Epidemiology of Errors and Adverse Events (163)

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Approach to Improving Safety

•Quality Improvement Strategies (143)

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Target Audience

•Health Care Providers (536)

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•Non-Health Care Professionals (213)

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Setting of Care
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Operating Room

1 - 20 of 694

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BOOK/REPORT

Annual Benchmarking Report: Malpractice Risks in Surgery.

Cambridge, MA: CRICO/RMF Strategies; 2010.

STUDY

Nature, causes and consequences of unintended events in surgical units.

van Wagtendonk I, Smits M, Merten H, Heetveld MJ, Wagner C. Br J Surg. 2010;97:1730-1740.

STUDY

Surgical skill is predicted by the ability to detect errors.

Bann S, Khan M, Datta V, Darzi A. Am J Surg. 2005;189:412-415.

STUDY

Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program.

Kiran RP, Ahmed Ali U, Coffey JC, Vogel JD, Pokala N, Fazio VW. Ann Surg. 2012;256:469-475.

STUDY

Representative case series from public hospital admissions 1998 II: surgical adverse events.

Briant R, Morton J, Lay-Yee R, Davis P, Ali W. N Z Med J. 2005;118:U1591.

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.

STUDY

Thirty-day outcomes support implementation of a surgical safety checklist.

Bliss LA, Ross-Richardson CB, Sanzari LJ, et al. J Am Coll Surg. 2012;215:766-776.

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

Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study.

van Klei WA, Hoff RG, van Aarnhem EE, et al. Ann Surg. 2012;255:44-49.

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

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

Operating room briefings and wrong-site surgery.

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

STUDY

Burnout and medical errors among American surgeons.

Shanafelt TD, Balch CM, Bechamps G, et al. Ann Surg. 2010;251:995-1000.

STUDY

Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?

Seiden SC, Barach P. Arch Surg. 2006;141:931-939.

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

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

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.

REVIEW

Fatal errors in nitrous oxide delivery.

Herff H, Paal P, von Goedecke A, Lindner KH, Keller C, Wenzel V. Anaesthesia. 2007;62:1202-1206.

STUDY

Practice-based learning and improvement: a two-year experience with the reporting of morbidity and mortality cases by general surgery residents.

Falcone JL, Lee KKW, Billiar TR, Hamad GG. J Surg Educ. 2012;69:385-392.

STUDY

Time of day effects on the incidence of anesthetic adverse events.

Wright MC, Phillips-Bute B, Mark JB, et al. Qual Saf Health Care. 2006;15:258-263.

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