AHRQ Patient Safety Network

The Collection > Physicians

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Safety Target

•Device-related Complications (32)

•Diagnostic Errors (112)

•Identification Errors (28)

•Discontinuities, Gaps, and Hand-Off Problems (117)

•Fatigue and Sleep Deprivation (64)

•Medication Safety (266)

•Medical Complications (38)

•Nonsurgical Procedural Complications (18)

•Surgical Complications (224)

•Transfusion Complications (1)

•Psychological and Social Complications (56)

Origin/Sponsor

•Asia (9)

•Australia and New Zealand (14)

Resource Types

•Clinical Guideline (6)

•Journal Article (834)

•Legislation/Regulation (18)

•Meeting/Conference (3)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (125)

•Press Release/Announcement (2)

•Special or Theme Issue (11)

•Tools/Toolkit (13)

•Web Resource (19)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (213)

•Active Errors (138)

•Latent Errors (43)

•Near Miss (12)

Approach to Improving Safety

•Quality Improvement Strategies (229)

•Legal and Policy Approaches (91)

•Error Reporting and Analysis (320)

•Communication Improvement (238)

•Human Factors Engineering (85)

•Teamwork (79)

•Specialization of Care (44)

•Logistical Approaches (98)

•Culture of Safety (84)

•Technologic Approaches (163)

•Education and Training (227)

Clinical Areas

•Allied Health Services (1)

Target Audience
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Physicians

Setting of Care

•Hospitals (552)

•Residential Facilities (5)

•Ambulatory Care (88)

•Outpatient Surgery (13)

•Patient Transport (2)

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SPECIAL OR THEME ISSUE

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

Amer Surg. 2006;72:985-1149

ORGANIZATIONAL POLICY/GUIDELINES

Recommendations for quality assurance and improvement in surgical and autopsy pathology.

Association of Directors of Anatomic and Surgical Pathology. Hum Pathol. 2006;37:985-988.

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee Opinion #464: patient safety in the surgical environment.

ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2010;116:786-790.

MULTI-USE WEBSITE

Nora Institute for Surgical Patient Safety.

American College of Surgeons.

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.

REVIEW

Navigating towards improved surgical safety using aviation-based strategies.

Kao LS, Thomas EJ. J Surg Res. 2008;145:327-335.

SPECIAL OR THEME ISSUE

The Patient Safety in Surgery Study.

J Am Coll Surg. 2007;204(6):1087-1300.

NEWSPAPER/MAGAZINE ARTICLE

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

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

STUDY

The American College of Surgeons' closed claims study: new insights for improving care.

Griffen FD, Stephens LS, Alexander JB, et al. J Am Coll Surg. 2007;204:561-569.

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.

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

Surgeon age and operative mortality in the United States.

Waljee JF, Greenfield LJ, Dimick JB, Birkmeyer JD. Ann Surg. 2006;244:353-362.

STUDY

Patient harm in general surgery--a prospective study.

Kaul AK, McCulloch PG. J Patient Saf. 2007;3:22-26.

STUDY

Preventable morbidity at a mature trauma center.

Teixeira PGR, Inaba K, Salim A, et al. Arch Surg. 2009;144:536-541.

BOOK/REPORT

Medmarx Data Report: A Chartbook of Medication Error Findings from the Perioperative Settings from 1998-2005.

Rockville, MD: United States Pharmacopeia; 2007.

BOOK/REPORT

Reducing Colorectal Surgical Site Infections.

Oakbrook Terrace, IL: Joint Commission Center for Transforming Health Care. Chicago, IL: American College of Surgeons. November 2012.

NEWSPAPER/MAGAZINE ARTICLE

Tomorrow's operating room to harness Net, RFID.

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

COMMENTARY

Clinical care checklists: salvations or frustrations?

Jones JW, McCullough LB. J Vasc Surg. 2011;53:1429-1430.

STUDY

Perceptions of patient safety culture among physicians and RNs in the perioperative area.

Scherer D, Fitzpatrick JJ. AORN J. 2008;87:163-175.

STUDY

Effectiveness of a community collaborative for eliminating the use of high-risk abbreviations written by physicians.

Leonhardt KK, Botticelli J. J Patient Saf. 2006;2:147-153.

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