AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (113)

•Diagnostic Errors (91)

•Identification Errors (88)

•Discontinuities, Gaps, and Hand-Off Problems (303)

•Fatigue and Sleep Deprivation (79)

•Medication Safety (610)

•Medical Complications (313)

•Nonsurgical Procedural Complications (52)

•Surgical Complications (593)

•Transfusion Complications (14)

•Psychological and Social Complications (156)

Origin/Sponsor

•Africa (1)

•Asia (24)

•Australia and New Zealand (80)

•Central and South America (1)

•Europe (331)

•North America (2618)

Resource Types

•Journal Article (2239)

•Legislation/Regulation (36)

•Meeting/Conference (30)

•Newsletter/Journal (8)

•Newspaper/Magazine Article (321)

•Press Release/Announcement (11)

•Special or Theme Issue (68)

•Tools/Toolkit (45)

•Web Resource (72)

•Grant (8)

Error Types

•Epidemiology of Errors and Adverse Events (566)

•Active Errors (284)

•Latent Errors (173)

•Near Miss (54)

Approach to Improving Safety

•Quality Improvement Strategies (869)

•Legal and Policy Approaches (382)

•Error Reporting and Analysis (1053)

•Communication Improvement (810)

•Human Factors Engineering (406)

•Teamwork (466)

•Specialization of Care (190)

•Logistical Approaches (218)

•Culture of Safety (846)

•Technologic Approaches (420)

•Education and Training (604)

Clinical Areas

•Allied Health Services (10)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (211)

•Nurse Managers (218)

•Risk Managers (333)

•Quality and Safety Professionals (984)

Setting of Care

•Hospitals (1994)

•Psychiatric Facilities (10)

•Residential Facilities (52)

•Ambulatory Care (175)

•Outpatient Surgery (40)

•Patient Transport (16)

1 - 20 of 3119

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STUDY

Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.

Makary MA, Sexton JB, Freischlag JA, et al. J Am Coll Surg. 2006;202:746-752.

NEWSPAPER/MAGAZINE ARTICLE

Doctor uses 'pre-flight' checklist.

Bernhard B. The Orange County Register. April 19, 2006.

STUDY

Action research, simulation, team communication, and bringing the tacit into voice. Society for Simulation in Healthcare.

Forsythe L. Simul Healthc. 2009;4:143-148.

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.

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.

STUDY

Attitudes to teamwork and safety in the operating theatre.

Flin R, Yule S, McKenzie L, Paterson-Brown S, Maran N. Surgeon. June 2006;4:145-151.

STUDY

The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room team.

Nurok M, Evans LA, Lipsitz S, Satwicz P, Kelly A, Frankel A. BMJ Qual Saf. 2011;20:237-242.

COMMENTARY

"Managing up" can improve teamwork in the OR.

Smith SL. AORN J. 2010;91:576-582.

STUDY

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

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

STUDY

Assessing the performance of surgical teams.

Leach LS, Myrtle RC, Weaver FA, Dasu S. Health Care Manage Rev. 2009;34:29-41.

COMMENTARY

Video technology to advance safety in the operating room and perioperative environment.

Xiao Y, Schimpff S, Mackenzie C, et al. Surg Innov. 2007;14:52-61.

STUDY

Causes of near misses: perceptions of perioperative nurses.

Cohoon B. AORN J. 2011;93:551-565.

NEWSPAPER/MAGAZINE ARTICLE

A hospital races to learn lessons of Ferrari pit stop.

Naik G. Wall Street Journal. November 14, 2006:A1. [reprinted on Post-gazette.com].

STUDY

Patient safety in surgery.

Makary MA, Sexton JB, Freischlag JA, et al. Ann Surg. 2006;243:628-635.

STUDY

Development of a rating system for surgeons' non-technical skills.

Yule S, Flin R, Paterson-Brown S, Maran N, Rowley D. Med Educ. 2006;40:1098-1104.

STUDY

Surgical team behaviors and patient outcomes.

Mazzocco K, Petitti DB, Fong KT, et al. Am J Surg. 2009;197:678-685.

STUDY

How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital?

Kaafarani HM, Itani KM, Rosen AK, Zhao S, Hartmann CW, Gaba DM. Am J Surg. 2009;198:70-75.

STUDY

Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention.

Haynes AB, Weiser TG, Berry WR, et al; Safe Surgery Saves Lives Study Group. BMJ Qual Saf. 2011;20:102-107.

COMMENTARY

Defining the technical skills of teamwork in surgery.

Healey AN, Undre S, Vincent CA. Qual Saf Health Care. 2006;15:231-234.

STUDY

Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery.

Latimer K, Pendleton C, Olivi A, Cohen-Gadol AA, Brem H, Quiñones-Hinojosa A. Arch Surg. 2011;146:226-232.

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