AHRQ Patient Safety Network

The Collection > Nurses

PATIENT SAFETY PRIMERS
Nursing and Patient Safety

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Safety Target

•Device-related Complications (43)

•Diagnostic Errors (8)

•Identification Errors (28)

•Discontinuities, Gaps, and Hand-Off Problems (91)

•Fatigue and Sleep Deprivation (17)

•Medication Safety (293)

•Medical Complications (69)

•Nonsurgical Procedural Complications (13)

•Surgical Complications (105)

•Transfusion Complications (3)

•Psychological and Social Complications (17)

Origin/Sponsor

•Asia (12)

•Australia and New Zealand (13)

•Central and South America (1)

Resource Types

•Clinical Guideline (5)

•Journal Article (640)

•Legislation/Regulation (13)

•Meeting/Conference (2)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (65)

•Press Release/Announcement (8)

•Special or Theme Issue (14)

•Tools/Toolkit (15)

•Web Resource (11)

Error Types

•Epidemiology of Errors and Adverse Events (116)

•Active Errors (103)

•Latent Errors (46)

•Near Miss (17)

Approach to Improving Safety

•Quality Improvement Strategies (214)

•Legal and Policy Approaches (33)

•Error Reporting and Analysis (167)

•Communication Improvement (195)

•Human Factors Engineering (108)

•Teamwork (91)

•Specialization of Care (40)

•Logistical Approaches (90)

•Culture of Safety (105)

•Technologic Approaches (116)

•Education and Training (149)

Clinical Areas

•Allied Health Services (1)

•Medicine (451)

•Nursing (403)

•Pharmacy (67)

Target Audience
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Nurses

Setting of Care

•Hospitals (507)

•Psychiatric Facilities (2)

•Residential Facilities (14)

•Ambulatory Care (32)

•Outpatient Surgery (3)

•Patient Transport (2)

1 - 20 of 796

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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

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

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.

MULTI-USE WEBSITE

National Time Out Day.

AORN Patient Safety First.

NEWSPAPER/MAGAZINE ARTICLE

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

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

NEWSPAPER/MAGAZINE ARTICLE

Safety in ASCs: putting patients first.

Dix K. Today's Surgicenter. December 1, 2006.

COMMENTARY

Surgical site verification: A through Z.

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

STUDY

The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfaction.

Böhmer AB, Wappler F, Tinschmann T, et al. Acta Anaesthesiol Scand. 2012;56:332-338.

NEWSPAPER/MAGAZINE ARTICLE

Tomorrow's operating room to harness Net, RFID.

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

COMMENTARY

A nurse-led approach to developing and implementing a collaborative count policy.

Norton EK, Micheli AJ, Gedney J, Felkerson TM. AORN J. 2012;95:222-227.

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

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.

STUDY

Operating room briefings and wrong-site surgery.

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

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.

STUDY

Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure.

Espin S, Levinson W, Regehr G, Baker GR, Lingard L. Surgery. 2006;139:6-14.

ORGANIZATIONAL POLICY/GUIDELINES classic

Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery.

The Joint Commission.

NEWSPAPER/MAGAZINE ARTICLE

Bringing surgeons down to earth.

Landro L. Wall Street Journal (Eastern edition). November 16, 2005:D1.

STUDY

Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR.

Lingard L, Espin S, Rubin B, et al. Qual Saf Health Care. 2005;14:340-346.

MULTI-USE WEBSITE

Surgical Care Improvement Project.

National SCIP Partnership, Oklahoma Foundation for Medical Quality, 14000 Quail Springs Parkway, Suite 400, Oklahoma City, OK, 73134.

NEWSPAPER/MAGAZINE ARTICLE

Lights. Camera. Robot Action!

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

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