AHRQ Patient Safety Network

The Collection > Risk Managers

Narrow By

clear selections

Safety Target

•Device-related Complications (41)

•Diagnostic Errors (61)

•Identification Errors (33)

•Discontinuities, Gaps, and Hand-Off Problems (79)

•Fatigue and Sleep Deprivation (45)

•Medication Safety (222)

•Medical Complications (52)

•Nonsurgical Procedural Complications (24)

•Surgical Complications (129)

•Transfusion Complications (4)

•Psychological and Social Complications (23)

Origin/Sponsor

•Asia (20)

•Australia and New Zealand (26)

•Central and South America (1)

Resource Types

•Clinical Guideline (1)

•Journal Article (589)

•Legislation/Regulation (5)

•Meeting/Conference (1)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (58)

•Press Release/Announcement (11)

•Special or Theme Issue (6)

•Tools/Toolkit (5)

•Web Resource (6)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (244)

•Active Errors (138)

•Latent Errors (47)

•Near Miss (23)

Approach to Improving Safety

•Quality Improvement Strategies (176)

•Legal and Policy Approaches (70)

•Error Reporting and Analysis (288)

•Communication Improvement (134)

•Human Factors Engineering (104)

•Teamwork (41)

•Specialization of Care (31)

•Logistical Approaches (67)

•Culture of Safety (58)

•Technologic Approaches (107)

•Education and Training (88)

Clinical Areas

•Allied Health Services (3)

•Medicine (496)

•Nursing (42)

•Pharmacy (65)

Target Audience
< All

Risk Managers

Setting of Care

•Hospitals (396)

•Psychiatric Facilities (4)

•Residential Facilities (9)

•Ambulatory Care (43)

•Outpatient Surgery (12)

•Patient Transport (6)

1 - 20 of 714

Show ExcerptDon't Show Excerpt

dropdown

STUDY

Observational assessment of surgical teamwork: a feasibility study.

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

COMMENTARY

Right? Left? Neither!

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

STUDY

Governing the surgical count through communication interactions: implications for patient safety.

Riley R, Manias E, Polglase A. Qual Saf Health Care. 2006;15:369-374.

STUDY

Operating room briefings and wrong-site surgery.

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

STUDY

Representative case series from public hospital admissions 1998 II: surgical adverse events.

Briant R, Morton J, Lay-Yee R, Davis P, Ali W. N Z Med J. 2005;118:U1591.

REVIEW

Surgical fires, a clear and present danger.

Yardley IE, Donaldson LJ. Surgeon. 2010;8:87-92.

ORGANIZATIONAL POLICY/GUIDELINES

Statement on the prevention of retained foreign bodies after surgery.

Bulletin of the American College of Surgeons; October 2005.

COMMENTARY

Wrong site surgery.

Fraser SG, Adams W. Br J Ophthalmol. 2006;90:814-816.

STUDY

Nature, causes and consequences of unintended events in surgical units.

van Wagtendonk I, Smits M, Merten H, Heetveld MJ, Wagner C. Br J Surg. 2010;97:1730-1740.

REVIEW

Communication devices in the operating room.

Ruskin KJ. Curr Opin Anaesthesiol. 2006;19:655-659.

BOOK/REPORT

Annual Benchmarking Report: Malpractice Risks in Surgery.

Cambridge, MA: CRICO/RMF Strategies; 2010.

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.

COMMENTARY

Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service in Italy.

Bellandi T, Albolino S, Tartaglia R, Filipponi F. Transplant Proc. 2010;42:2187-2189.

STUDY

Prevention of surgical malpractice claims by a surgical safety checklist.

de Vries EN, Eikens-Jansen MP, Hamersma AM, Smorenburg SM, Gouma DJ, Boermeester MA. Ann Surg. 2011;253:624-628.

COMMENTARY

'Balancing risk, that is my life': The politics of risk in a hospital operating theatre department.

McDonald R, Waring J, Harrison S. Health Risk Soc. 2005;7:397-411.

STUDY

Surgical adverse outcome reporting as part of routine clinical care.

Kievit J, Krukerink M, Marang-van de Mheen PJ. Qual Saf Health Care. 2010;19:e20.

NEWSPAPER/MAGAZINE ARTICLE

Safety in ASCs: putting patients first.

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

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

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.

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.

1 2 3 4 5 6 7 8 9 10 11 Next >