AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

Narrow By

clear selections

Safety Target

•Device-related Complications (106)

•Diagnostic Errors (109)

•Identification Errors (84)

•Discontinuities, Gaps, and Hand-Off Problems (254)

•Fatigue and Sleep Deprivation (46)

•Medication Safety (649)

•Medical Complications (283)

•Nonsurgical Procedural Complications (73)

•Surgical Complications (375)

•Transfusion Complications (13)

•Psychological and Social Complications (68)

Origin/Sponsor

•Africa (2)

•Asia (30)

•Australia and New Zealand (65)

•Central and South America (5)

•Europe (289)

•North America (1801)

Resource Types

•Audiovisual (7)

•Award (6)

•Book/Report (63)

•Clinical Guideline (3)

•Journal Article (1851)

•Legislation/Regulation (30)

•Meeting/Conference (13)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (124)

•Press Release/Announcement (14)

•Special or Theme Issue (26)

•Tools/Toolkit (20)

•Web Resource (41)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (605)

•Active Errors (403)

•Latent Errors (133)

•Near Miss (46)

Approach to Improving Safety

•Quality Improvement Strategies (566)

•Legal and Policy Approaches (110)

•Error Reporting and Analysis (593)

•Communication Improvement (532)

•Human Factors Engineering (364)

•Teamwork (266)

•Specialization of Care (165)

•Logistical Approaches (164)

•Culture of Safety (268)

•Technologic Approaches (400)

•Education and Training (450)

Clinical Areas

•Allied Health Services (6)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1482)

•Psychiatric Facilities (6)

•Residential Facilities (37)

•Ambulatory Care (160)

•Outpatient Surgery (24)

•Patient Transport (18)

1 - 20 of 2206

Show ExcerptDon't Show Excerpt

dropdown

STUDY

Impact of preoperative briefings on operating room delays.

Nundy S, Mukherjee A, Sexton JB, et al. Arch Surg. 2008;143:1068-1072.

STUDY

Interruptions and miscommunications in surgery: an observational study.

Gillespie BM, Chaboyer W, Fairweather N. AORN J. 2012;95:576-590.

COMMENTARY

Reducing surgical complications.

Griffin FA. Jt Comm J Qual Patient Saf. 2007;33:660-665.

REVIEW

Determining the state of knowledge for implementing the Universal Protocol recommendations: an integrative review of the literature.

Conrardy JA, Brenek B, Myers S. AORN J. 2010;92:194-207.

STUDY

Development and pilot evaluation of a preoperative briefing protocol for cardiovascular surgery.

Henrickson SE, Wadhera RK, ElBardissi AW, Wiegmann DA, Sundt TM. J Am Coll Surg. 2009;208:1115-1123.

COMMENTARY classic

Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand.

Ring DC, Herndon JH, Meyer GS. N Engl J Med. 2010;363:1950-1957.

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.

STUDY

Surgical case listing accuracy: failure analysis at a high-volume academic medical center.

Cima RR, Hale C, Kollengode A, Rogers JC, Cassivi SD, Deschamps C. Arch Surg. 2010;145:641-646.

STUDY

Improving operating room safety.

Hurlbert SN, Garrett J. Patient Saf Surg. 2009;3:25.

COMMENTARY

Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery.

Erickson TB, Kirkpatrick DH, DeFrancesco MS, Lawrence HC III. Obstet Gynecol. 2010;115:147-151.

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.

STUDY

Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation.

Steinberger DM, Douglas SV, Kirschbaum MS. Prog Transplant. 2009;19:208-215.

STUDY

Implementation of resident work hour restrictions is associated with a reduction in mortality and provider-related complications on the surgical service: a concurrent analysis of 14,610 patients.

Privette AR, Shackford SR, Osler T, Ratliff J, Sartorelli K, Hebert JC. Ann Surg. 2009;250:316-321.

COMMENTARY

Sleep deprivation, elective surgical procedures, and informed consent.

Nurok M, Czeisler CA, Lehmann LS. N Engl J Med. 2010;363:2577-2579.

NEWSPAPER/MAGAZINE ARTICLE

Preventing surgical errors.

Frenzel JC, Kelly T. HHN Magazine Online. January 6, 2009.

REVIEW

Detecting adverse events in dermatologic surgery.

Pinney D, Pearce DJ, Feldman SR. Dermatol Surg. 2010;36:8-14.

REVIEW

Can we make postoperative patient handovers safer? A systematic review of the literature.

Segall N, Bonifacio AS, Schroeder RA, et al; Durham VA Patient Safety Center of Inquiry. Anesth Analg. 2012;115:102-115.

STUDY

Wrong site surgery near misses and actual occurrences.

Blanco M, Clarke JR, Martindell D. AORN J. 2009;90:215-222.

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.

COMMENTARY

Surgical team training: promoting high reliability with nontechnical skills.

Paige JT. Surg Clin North Am. 2010;90:569-581.

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