AHRQ Patient Safety Network

The Collection > Physicians

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Safety Target

•Device-related Complications (42)

•Diagnostic Errors (107)

•Identification Errors (31)

•Discontinuities, Gaps, and Hand-Off Problems (134)

•Fatigue and Sleep Deprivation (65)

•Medication Safety (312)

•Medical Complications (47)

•Nonsurgical Procedural Complications (21)

•Surgical Complications (228)

•Transfusion Complications (3)

•Psychological and Social Complications (57)

Origin/Sponsor

•Asia (12)

•Australia and New Zealand (21)

•Central and South America (1)

Resource Types

•Clinical Guideline (7)

•Journal Article (912)

•Legislation/Regulation (17)

•Meeting/Conference (3)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (130)

•Press Release/Announcement (10)

•Special or Theme Issue (11)

•Tools/Toolkit (16)

•Web Resource (19)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (214)

•Active Errors (162)

•Latent Errors (54)

•Near Miss (16)

Approach to Improving Safety

•Quality Improvement Strategies (274)

•Legal and Policy Approaches (98)

•Error Reporting and Analysis (321)

•Communication Improvement (280)

•Human Factors Engineering (102)

•Teamwork (88)

•Specialization of Care (52)

•Logistical Approaches (99)

•Culture of Safety (90)

•Technologic Approaches (185)

•Education and Training (249)

Clinical Areas

•Allied Health Services (2)

Target Audience
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Physicians

Setting of Care

•Hospitals (621)

•Psychiatric Facilities (1)

•Residential Facilities (6)

•Ambulatory Care (91)

•Outpatient Surgery (13)

•Patient Transport (3)

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NEWSPAPER/MAGAZINE ARTICLE

Lights. Camera. Robot Action!

Shute N. U.S. News & World Report. January 23, 2006;140:62-63.

STUDY

Risks of complications by attending physicians after performing nighttime procedures.

Rothschild JM, Keohane CA, Rogers S, et al. JAMA. 2009;302:1565-1572.

NEWSPAPER/MAGAZINE ARTICLE

Tomorrow's operating room to harness Net, RFID.

Olsen S. CNET News.com; October 19, 2005.

NEWSPAPER/MAGAZINE ARTICLE

Surgical errors: new products, protocols help slash the risks.

Williamson JE. Healthcare Purchasing News. January 2006;30:22-25.

STUDY

Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional medical center.

Bandari J, Schumacher K, Simon M, et al. Jt Comm J Qual Patient Saf. 2012;38:154-160.

STUDY

Bridging the communication gap in the operating room with medical team training.

Awad SS, Fagan SP, Bellows C, et al. Am J Surg. 2005;190:770-774.

STUDY

Discovering healthcare cognition: the use of cognitive artifacts to reveal cognitive work.

Nemeth C, O’Connor M, Klock PA, Cook R. Org Stud. 2006;27:1011-1035.

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.

NEWSPAPER/MAGAZINE ARTICLE

Wrong-site surgery.

Butcher L. Hosp Health Netw. November 2011.

NEWSPAPER/MAGAZINE ARTICLE

'Wrong site' surgeries on the rise.

Davis R. USA Today. April 17, 2006.

SPECIAL OR THEME ISSUE

Patient Safety and the Invitational Conference on Contemporary Surgical Quality, Safety and Transparency.

Amer Surg. 2006;72:985-1149

MULTI-USE WEBSITE

National Time Out Day.

AORN Patient Safety First.

COMMENTARY

How to avoid the 'seven deadly sins of surgery.'

Kirby R, Challacombe B, Dasgupta P, Fitzpatrick JM. BJU Int. 2012;109:171-173.

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

Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial.

Belda FJ, Aguilera L, García de la Asunción J, et al; Spanish Reduccion de la Tasa de Infeccion Quirurgica Group. JAMA. 2005;294:2035-2042.

COMMENTARY

Surgical site verification: A through Z.

Dunn D. J Perianesth Nurs. 2006;21:317-328.

STUDY

From the flight deck to the operating room: an initial pilot study of the feasibility and potential impact of true interdisciplinary team training using high-fidelity simulation.

Paige J, Kozmenko V, Morgan B, et al. J Surg Educ. 2007;64:369-377.

MULTI-USE WEBSITE

Nora Institute for Surgical Patient Safety.

American College of Surgeons.

STUDY

Error, stress, and teamwork in medicine and aviation: cross sectional surveys.

Sexton JB, Thomas EJ, Helmreich RL. BMJ. 2000;320:745-749.

COMMENTARY

Implementing the World Health Organization surgical safety checklist: a model for future perioperative initiatives.

Styer KA, Ashley SW, Schmidt S, Zive EM, Eappen S. AORN J. 2011;94:590-598.

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