AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (84)

•Diagnostic Errors (64)

•Identification Errors (81)

•Discontinuities, Gaps, and Hand-Off Problems (200)

•Fatigue and Sleep Deprivation (61)

•Medication Safety (411)

•Medical Complications (163)

•Nonsurgical Procedural Complications (32)

•Surgical Complications (510)

•Transfusion Complications (8)

•Psychological and Social Complications (88)

Origin/Sponsor

•Africa (1)

•Asia (19)

•Australia and New Zealand (65)

•Central and South America (1)

•Europe (489)

•North America (1217)

Resource Types

•Audiovisual (20)

•Award (9)

•Book/Report (132)

•Clinical Guideline (1)

•Journal Article (1301)

•Legislation/Regulation (28)

•Meeting/Conference (13)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (207)

•Press Release/Announcement (16)

•Special or Theme Issue (50)

•Tools/Toolkit (24)

•Web Resource (49)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (311)

•Active Errors (263)

•Latent Errors (253)

•Near Miss (36)

Approach to Improving Safety

•Quality Improvement Strategies (472)

•Legal and Policy Approaches (211)

•Error Reporting and Analysis (537)

•Communication Improvement (547)

•Human Factors Engineering (449)

•Teamwork (359)

•Specialization of Care (89)

•Logistical Approaches (158)

•Culture of Safety (354)

•Technologic Approaches (262)

•Education and Training (409)

Clinical Areas

•Allied Health Services (8)

•Medicine (1278)

•Nursing (229)

•Pharmacy (117)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (135)

•Nurse Managers (211)

•Risk Managers (222)

•Quality and Safety Professionals (635)

Setting of Care

•Hospitals (1223)

•Psychiatric Facilities (10)

•Residential Facilities (21)

•Ambulatory Care (89)

•Outpatient Surgery (31)

•Patient Transport (15)

1 - 20 of 1857

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STUDY

Surgical crisis management skills training and assessment: a stimulation-based approach to enhancing operating room performance.

Moorthy K, Munz Y, Forrest D, et al. Ann Surg. 2006;244:139-147.

COMMENTARY

Right? Left? Neither!

Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.

STUDY

Reliability of a revised NOTECHS scale for use in surgical teams.

Sevdalis N, Davis R, Koutantji M, et al. Am J Surg. 2008;196:184-190.

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

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

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

STUDY

Teamwork in the operating theatre: cohesion or confusion?

Undre S, Sevdalis N, Healey AN, Darzi A, Vincent CA. J Eval Clin Pract. 2006;12:182-189.

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.

COMMENTARY

Defining the technical skills of teamwork in surgery.

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

STUDY

The struggle to improve patient care in the face of professional boundaries.

Powell AE, Davies HT. Soc Sci Med. 2012;75:807-814.

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

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

ORGANIZATIONAL POLICY/GUIDELINES classic

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

The Joint Commission.

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.

NEWSPAPER/MAGAZINE ARTICLE

The day Joy died.

Brandeland GP. Med Econ. 2006 Oct 20;83:50, 52-53.

COMMENTARY

Surgical site verification: A through Z.

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

STUDY

Observational assessment of surgical teamwork: a feasibility study.

Undre S, Healey AN, Darzi A, Vincent CA. World J Surg. 2006;30:1774-1783.

NEWSPAPER/MAGAZINE ARTICLE

Doctor uses 'pre-flight' checklist.

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

NEWSPAPER/MAGAZINE ARTICLE

Bringing surgeons down to earth.

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

NEWSPAPER/MAGAZINE ARTICLE

Reused devices, surgery's deadly suspects.

Klein A. The Washington Post. December 30, 2005:A3.

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].

COMMENTARY

A theory-based instrument to evaluate team communication in the operating room: balancing measurement authenticity and reliability.

Lingard L, Regehr G, Espin S, Whyte S. Qual Saf Health Care. 2006;15:422-426.

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