AHRQ Patient Safety Network

The Collection > Operating Room

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•Device-related Complications (20)

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•Identification Errors (49)

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

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•Nonsurgical Procedural Complications (5)

•Surgical Complications (535)

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•Epidemiology of Errors and Adverse Events (150)

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Approach to Improving Safety

•Quality Improvement Strategies (122)

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Setting of Care
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Operating Room

1 - 20 of 621

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STUDY

Promoting patient safety through prospective risk identification: example from peri-operative care.

Smith A, Boult M, Woods I, Johnson S. Qual Saf Health Care. 2010;19:69-73.

STUDY

Cranshaw J, Gupta KJ, Cook TM. Anaesthesia. 2009;64:1317-1323.

REVIEW

Failed spinal anaesthesia: mechanisms, management, and prevention.

Fettes PD, Jansson JR, Wildsmith JA. Br J Anaesth. 2009;102:739-748.

STUDY

Preprinted order sets as a safety intervention in pediatric sedation.

Broussard M, Bass PF 3rd, Arnold CL, McLarty JW, Bocchini JA Jr. J Pediatr. 2009;154:865-868.

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.

SPECIAL OR THEME ISSUE

Safety in Anaesthesia.

Staender S, ed. Best Pract Res Clin Anaesthesiol. 2011;25:109-304.

STUDY

Why isn't 'time out' being implemented? An exploratory study.

Gillespie BM, Chaboyer W, Wallis M, Fenwick C. Qual Saf Health Care. 2010;19:103-106.

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

Distractions and the anaesthetist: a qualitative study of context and direction of distraction.

Jothiraj H, Howland-Harris J, Evley R, Moppett IK. Br J Anaesth. 2013 Apr 16; [Epub ahead of print].

STUDY

Missed steps in the preanesthetic set-up.

Demaria S Jr, Blasius K, Neustein SM. Anesth Analg. 2011;113:84-88.

STUDY

Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity.

Moulton CA, Regehr G, Lingard L, Merritt C, MacRae H. Acad Med. 2010;85:1571-1577.

STUDY

Development and evaluation of an observational tool for assessing surgical flow disruptions and their impact on surgical performance.

Parker SEH, Laviana AA, Wadhera RK, Wiegmann DA, Sundt TM 3rd. World J Surg. 2010;34:353-361.

STUDY

Human factors in pediatric anesthesia incidents.

Marcus R. Paediatr Anaesth. 2006;16:242-250.

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.

COMMENTARY

Vial Mistakes Involving Heparin.

Vanderveen T. AHRQ WebM&M [serial online]. May 2009.

STUDY

What is the safety of nonemergent operative procedures performed at night?

Turrentine FE, Wang H, Young JS, Calland JF. J Trauma. 2010;69:313-319.

REVIEW

Surgical fires, a clear and present danger.

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

STUDY

Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit.

McCulloch P, Kreckler S, New S, Sheena Y, Handa A, Catchpole K. BMJ. 2010;341:c5469.

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.

STUDY

Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital.

Vermaire D, Caruso MC, Lesko A, et al. BMJ Qual Saf. 2011;20:895-902.

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