AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (102)

•Diagnostic Errors (117)

•Identification Errors (83)

•Discontinuities, Gaps, and Hand-Off Problems (252)

•Fatigue and Sleep Deprivation (59)

•Medication Safety (680)

•Medical Complications (260)

•Nonsurgical Procedural Complications (67)

•Surgical Complications (377)

•Transfusion Complications (11)

•Psychological and Social Complications (82)

Origin/Sponsor

•Africa (1)

•Asia (36)

•Australia and New Zealand (64)

•Central and South America (6)

•Europe (325)

•North America (1782)

Resource Types

•Audiovisual (8)

•Award (5)

•Book/Report (63)

•Clinical Guideline (2)

•Journal Article (1931)

•Legislation/Regulation (26)

•Meeting/Conference (10)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (121)

•Press Release/Announcement (8)

•Special or Theme Issue (21)

•Tools/Toolkit (17)

•Web Resource (30)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (747)

•Active Errors (400)

•Latent Errors (126)

•Near Miss (50)

Approach to Improving Safety

•Quality Improvement Strategies (540)

•Legal and Policy Approaches (102)

•Error Reporting and Analysis (670)

•Communication Improvement (504)

•Human Factors Engineering (348)

•Teamwork (236)

•Specialization of Care (157)

•Logistical Approaches (175)

•Culture of Safety (284)

•Technologic Approaches (392)

•Education and Training (439)

Clinical Areas

•Allied Health Services (5)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1519)

•Psychiatric Facilities (6)

•Residential Facilities (33)

•Ambulatory Care (151)

•Outpatient Surgery (24)

•Patient Transport (17)

1 - 20 of 2247

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STUDY

Does teamwork improve performance in the operating room? A multilevel evaluation.

Weaver SJ, Rosen MA, DiazGranados D, et al. Jt Comm J Qual Patient Saf. 2010;36:133-142.

REVIEW

The impact of stress on surgical performance: a systematic review of the literature.

Arora S, Sevdalis N, Nestel D, Woloshynowych M, Darzi A, Kneebone R. Surgery. 2010;147:318-330, 330.e1-6.

STUDY

Thirty-day outcomes support implementation of a surgical safety checklist.

Bliss LA, Ross-Richardson CB, Sanzari LJ, et al. J Am Coll Surg. 2012;215:766-776.

COMMENTARY

Barbers of civility.

Klein AS, Forni PM. Arch Surg. 2011;146:774-777.

STUDY

The effects of stress and coping on surgical performance during simulations.

Wetzel CM, Black SA, Hanna GB, et al. Ann Surg. 2010;251:171-176.

STUDY

Poor resident–attending intraoperative communication may compromise patient safety.

Belyansky I, Martin TR, Prabhu AS, et al. J Surg Res. 2011;171:386-394.

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

The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room team.

Nurok M, Evans LA, Lipsitz S, Satwicz P, Kelly A, Frankel A. BMJ Qual Saf. 2011;20:237-242.

COMMENTARY

What happens when things go wrong?

Brandom BW, Callahan P, Micalizzi DA. Paediatr Anaesth. 2011;21:730-736.

BOOK/REPORT

Annual Benchmarking Report: Malpractice Risks in Surgery.

Cambridge, MA: CRICO/RMF Strategies; 2010.

STUDY

Attitudinal changes resulting from repetitive training of operating room personnel using high-fidelity simulation at the point of care.

Paige JT, Kozmenko V, Yang T, et al. Am Surg. 2009;75:584-591.

COMMENTARY

The normalization of deviance: what are the perioperative risks?

McNamara SA. AORN J. 2011;93:796-801.

STUDY

Factors compromising safety in surgery: stressful events in the operating room.

Arora S, Hull L, Sevdalis N, et al. Am J Surg. 2010;199:60-65.

COMMENTARY

Instrument readiness: an important link to patient safety.

McNamara SA. AORN J. 2011;93:160-164.

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.

STUDY

Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care.

Hu YY, Arriaga AF, Roth EM, et al. Ann Surg. 2012;256:203-210.

ORGANIZATIONAL POLICY/GUIDELINES

Recommendations for quality assurance and improvement in surgical and autopsy pathology.

Association of Directors of Anatomic and Surgical Pathology. Hum Pathol. 2006;37:985-988.

STUDY

Determinants of adverse events in vascular surgery.

Hernandez-Boussard T, McDonald KM, Morton JM, Dalman RL, Bech FR. J Am Coll Surg. 2012;214:788-797.

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

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.

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