AHRQ Patient Safety Network

The Collection > Operating Room

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Safety Target

•Device-related Complications (20)

•Diagnostic Errors (9)

•Identification Errors (55)

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

•Fatigue and Sleep Deprivation (19)

•Medication Safety (41)

•Medical Complications (26)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (543)

•Transfusion Complications (2)

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Error Types

•Epidemiology of Errors and Adverse Events (149)

•Active Errors (133)

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Approach to Improving Safety

•Quality Improvement Strategies (123)

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Clinical Areas

•Medicine (616)

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Target Audience

•Health Care Providers (496)

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•Non-Health Care Professionals (200)

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Setting of Care
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Operating Room

1 - 20 of 627

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REVIEW

Medication errors—new approaches to prevention.

Merry AF, Anderson BJ. Paediatr Anaesth. 2011;21:743-753.

STUDY

Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation.

Merry AF, Webster CS, Hannam J, et al. BMJ. 2011;343:d5543.

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.

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

Barriers to adverse event and error reporting in anesthesia.

Heard GC, Sanderson PM, Thomas RD. Anesth Analg. 2012;114:604-614.

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

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

Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events.

Shah RK, Lander L, Forbes P, Jenkins K, Healy GB, Roberson DW. Laryngoscope. 2009;119:871-879.

STUDY

Critical phase distractions in anaesthesia and the sterile cockpit concept.

Broom MA, Capek AL, Carachi P, Akeroyd MA, Hilditch G. Anaesthesia. 2011;66:175-179.

STUDY

A simulation design for research evaluating safety innovations in anaesthesia.

Merry AF, Weller JM, Robinson BJ, et al. Anaesthesia. 2008;63:1349-1357.

COMMENTARY

Vial Mistakes Involving Heparin.

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

REVIEW

A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery.

Borchard A, Schwappach DL, Barbir A, Bezzola P. Ann Surg. 2012;256:925-933.

REVIEW

Human factors in surgery: from Three Mile Island to the operating room.

D'Addessi A, Bongiovanni L, Volpe A, Pinto F, Bassi P. Urol Int. 2009;83:249-257.

COMMENTARY

Inadvertent Castration.

Calland JF. AHRQ WebM&M [serial online]. January 2004.

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.

STUDY

Interruptions and blood transfusion checks: lessons from the simulated operating room.

Liu D, Grundgeiger T, Sanderson PM, Jenkins SA, Leane TA. Anesth Analg. 2009;108:219-222.

COMMENTARY

Shortage of perioperative drugs: implications for anesthesia practice and patient safety.

De Oliveira GS Jr, Theilken LS, McCarthy RJ. Anesth Analg. 2011;113:1429-1435.

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.

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