AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

Narrow By

clear selections

Safety Target

•Device-related Complications (110)

•Diagnostic Errors (111)

•Identification Errors (86)

•Discontinuities, Gaps, and Hand-Off Problems (256)

•Fatigue and Sleep Deprivation (46)

•Medication Safety (683)

•Medical Complications (271)

•Nonsurgical Procedural Complications (74)

•Surgical Complications (361)

•Transfusion Complications (13)

•Psychological and Social Complications (70)

Origin/Sponsor

•Africa (2)

•Asia (32)

•Australia and New Zealand (67)

•Central and South America (7)

•Europe (295)

•North America (1809)

Resource Types

•Audiovisual (7)

•Award (6)

•Book/Report (67)

•Clinical Guideline (3)

•Journal Article (1870)

•Legislation/Regulation (30)

•Meeting/Conference (13)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (128)

•Press Release/Announcement (15)

•Special or Theme Issue (23)

•Tools/Toolkit (18)

•Web Resource (41)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (617)

•Active Errors (454)

•Latent Errors (143)

•Near Miss (51)

Approach to Improving Safety

•Quality Improvement Strategies (568)

•Legal and Policy Approaches (111)

•Error Reporting and Analysis (610)

•Communication Improvement (545)

•Human Factors Engineering (370)

•Teamwork (236)

•Specialization of Care (165)

•Logistical Approaches (159)

•Culture of Safety (258)

•Technologic Approaches (416)

•Education and Training (459)

Clinical Areas

•Allied Health Services (7)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1501)

•Psychiatric Facilities (6)

•Residential Facilities (36)

•Ambulatory Care (162)

•Outpatient Surgery (22)

•Patient Transport (18)

1 - 20 of 2229

Show ExcerptDon't Show Excerpt

dropdown

STUDY

Process changes to increase compliance with the Universal Protocol for bedside procedures.

Barsuk JH, Brake H, Caprio T, Barnard C, Anderson DY, Williams MV. Arch Intern Med. 2011;171:947-949.

COMMENTARY

Use of an anatomic marking form as an alternative to the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person Surgery.

Knight N, Aucar J. Am J Surg. 2010;200:803-807.

REVIEW

Avoiding wrong site surgery: a systematic review.

DeVine J, Chutkan N, Norvell DC, Dettori JR. Spine. 2010;35(suppl 9):S28-S36.

STUDY

Wrong-site craniotomy: analysis of 35 cases and systems for prevention.

Cohen FL, Mendelsohn D, Bernstein M. J Neurosurg. 2010;113:461-473.

STUDY

Wrong-site sinus surgery in otolaryngology.

Shah RK, Nussenbaum B, Kienstra M, et al. Otolaryngol Head Neck Surg. 2010;143:37-41.

STUDY

Incorrect surgical procedures within and outside of the operating room.

Neily J, Mills PD, Eldridge N, et al. Arch Surg. 2009;144:1028-1034.

STUDY

Wrong site surgery near misses and actual occurrences.

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

STUDY

Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study.

Cohen SP, Hayek SM, Datta S, et al. Anesthesiology. 2010;112:711-718.

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

Outcome of 6 years of protocol use for preventing wrong site office surgery.

Starling J 3rd, Coldiron BM. J Am Acad Dermatol. 2011;65:807-810.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals collaborate to prevent wrong-site surgery.

Pelczarski KM, Braun PA, Young E. Patient Saf Qual Healthc. Sept/Oct 2010;7:20-22,25-26.

REVIEW

Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery.

Zahiri HR, Stromberg J, Skupsky H, et al. Surg Innov. 2011;18:55-60.

STUDY

Preventing wrong site, procedure, and patient events using a common cause analysis.

Mallett R, Conroy M, Saslaw LZ, Moffatt-Bruce S. Am J Med Qual. 2012;27:21-29.

STUDY

Variation in surgical time-out and site marking within pediatric otolaryngology.

Shah RK, Arjmand E, Roberson DW, Deutsch E, Derkay C. Arch Otolaryngol Head Neck Surg. 2011;137:69-73.

STUDY

Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery?

Bergal LM, Schwarzkopf R, Walsh M, Tejwani NC. J Patient Saf. 2010;6:221-225.

COMMENTARY

Inadvertent Castration.

Calland JF. AHRQ WebM&M [serial online]. January 2004.

STUDY

Eight-year experience with a neurosurgical checklist.

Lyons MK. Am J Med Qual. 2010;25:285-288.

STUDY

Medical errors in orthopaedics. Results of an AAOS member survey.

Wong DA, Herndon JH, Canale ST, et al. J Bone Joint Surg Am. 2009;91:547-557.

REVIEW

Spinal surgery and patient safety: a systems approach.

Wong DA. J Am Acad Orthop Surg. 2006;14:226-232.

STUDY

Operating room briefings and wrong-site surgery.

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

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