AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (51)

•Diagnostic Errors (56)

•Identification Errors (59)

•Discontinuities, Gaps, and Hand-Off Problems (147)

•Fatigue and Sleep Deprivation (72)

•Medication Safety (256)

•Medical Complications (121)

•Nonsurgical Procedural Complications (26)

•Surgical Complications (490)

•Transfusion Complications (6)

•Psychological and Social Complications (85)

Origin/Sponsor

•Africa (3)

•Asia (18)

•Australia and New Zealand (49)

•Central and South America (3)

Resource Types

•Journal Article (1142)

•Legislation/Regulation (17)

•Meeting/Conference (5)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (117)

•Press Release/Announcement (8)

•Special or Theme Issue (37)

•Tools/Toolkit (22)

•Web Resource (36)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (279)

•Active Errors (179)

•Latent Errors (76)

•Near Miss (26)

Approach to Improving Safety

•Quality Improvement Strategies (384)

•Legal and Policy Approaches (147)

•Error Reporting and Analysis (412)

•Communication Improvement (426)

•Human Factors Engineering (246)

•Teamwork (354)

•Specialization of Care (67)

•Logistical Approaches (128)

•Culture of Safety (291)

•Technologic Approaches (189)

•Education and Training (598)

Clinical Areas

•Allied Health Services (4)

•Medicine (1092)

•Nursing (135)

•Pharmacy (67)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (87)

•Nurse Managers (108)

•Risk Managers (165)

•Quality and Safety Professionals (545)

Setting of Care

•Hospitals (1012)

•Psychiatric Facilities (6)

•Residential Facilities (13)

•Ambulatory Care (60)

•Outpatient Surgery (26)

•Patient Transport (8)

1 - 20 of 1499

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STUDY

Nurses' perceptions and experiences of communication in the operating theatre: a focus group interview.

Nestel D, Kidd JM. BMC Nurs. 2006 Feb 8;5:1.

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

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

NEWSPAPER/MAGAZINE ARTICLE

When surgery goes wrong: weighing up the risks.

Feinmann J. The Independent. November 14, 2006.

COMMENTARY

Defining the technical skills of teamwork in surgery.

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

STUDY

Burns surgery handover study: trainees' assessment of current practice in the British Isles.

Al-Benna S, Al-Ajam Y, Alzoubaidi D. Burns. 2009;35:509-512.

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

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.

NEWSPAPER/MAGAZINE ARTICLE

The day Joy died.

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

STUDY

Information needs in operating room teams: what is right, what is wrong, and what is needed?

Wong HW, Forrest D, Healey A, et al. Surg Endosc. 2011;25:1913-1920.

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.

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.

NEWSPAPER/MAGAZINE ARTICLE

Challenges ahead in technology training: a report on the training initiative of the Committee on Technology.

Olympio MA, Reinke B, Abramovich A. APSF Newsletter. Fall 2006;21:43-48.

COMMENTARY

Human factors and error prevention in emergency medicine.

Bleetman A, Sanusi S, Dale T, Brace S. Emerg Med J. 2012;29:389-393.

STUDY

Analysis of errors enacted by surgical trainees during skills training courses.

Tang B, Hanna GB, Cuschieri A. Surgery. 2005;138:14-20.

COMMENTARY

Applying aviation factors to oral and maxillofacial surgery—the human element.

Seager L, Smith DW, Patel A, Brunt H, Brennan PA. Br J Oral Maxillofac Surg. 2013;51:8-13.

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

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.

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

Safety skills training for surgeons: a half-day intervention improves knowledge, attitudes and awareness of patient safety.

Arora S, Sevdalis N, Ahmed M, Wong H, Moorthy K, Vincent C. Surgery. 2012;152:26-31.

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