AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (93)

•Diagnostic Errors (84)

•Identification Errors (71)

•Discontinuities, Gaps, and Hand-Off Problems (189)

•Fatigue and Sleep Deprivation (30)

•Medication Safety (515)

•Medical Complications (221)

•Nonsurgical Procedural Complications (62)

•Surgical Complications (373)

•Transfusion Complications (9)

•Psychological and Social Complications (46)

Origin/Sponsor

•Africa (2)

•Asia (38)

•Australia and New Zealand (84)

•Central and South America (5)

•Europe (428)

•North America (1189)

Resource Types

•Audiovisual (5)

•Award (6)

•Book/Report (61)

•Clinical Guideline (3)

•Journal Article (1478)

•Legislation/Regulation (24)

•Meeting/Conference (9)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (83)

•Press Release/Announcement (14)

•Special or Theme Issue (26)

•Tools/Toolkit (16)

•Web Resource (36)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (510)

•Active Errors (369)

•Latent Errors (111)

•Near Miss (48)

Approach to Improving Safety

•Quality Improvement Strategies (453)

•Legal and Policy Approaches (90)

•Error Reporting and Analysis (510)

•Communication Improvement (446)

•Human Factors Engineering (387)

•Teamwork (201)

•Specialization of Care (112)

•Logistical Approaches (129)

•Culture of Safety (220)

•Technologic Approaches (286)

•Education and Training (408)

Clinical Areas

•Allied Health Services (5)

•Complementary and Alternative Medicine (1)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1195)

•Psychiatric Facilities (7)

•Residential Facilities (24)

•Ambulatory Care (122)

•Outpatient Surgery (23)

•Patient Transport (16)

1 - 20 of 1768

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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

Critical phase distractions in anaesthesia and the sterile cockpit concept.

Broom MA, Capek AL, Carachi P, Akeroyd MA, Hilditch G. Anaesthesia. 2011;66:175-179.

STUDY

Pre-surgery briefings and safety climate in the operating theatre.

Allard J, Bleakley A, Hobbs A, Coombes L. BMJ Qual Saf. 2011;20:711-717.

STUDY

Cranshaw J, Gupta KJ, Cook TM. Anaesthesia. 2009;64:1317-1323.

REVIEW

Failed spinal anaesthesia: mechanisms, management, and prevention.

Fettes PD, Jansson JR, Wildsmith JA. Br J Anaesth. 2009;102:739-748.

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

Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation.

Merry AF, Webster CS, Hannam J, et al. BMJ. 2011;343:d5543.

SPECIAL OR THEME ISSUE

Enhancing Surgical Systems.

Healey AN, Catchpole K, Yule S. Cogn Tech Work. 2008;10:249-333.

STUDY

An evaluation of information transfer through the continuum of surgical care: a feasibility study.

Nagpal K, Vats A, Ahmed K, Vincent C, Moorthy K. Ann Surg. 2010;252:402-407.

STUDY

Why isn't 'time out' being implemented? An exploratory study.

Gillespie BM, Chaboyer W, Wallis M, Fenwick C. Qual Saf Health Care. 2010;19:103-106.

REVIEW

Noise in the operating room—what do we know? A review of the literature.

Hasfeldt D, Laerkner E, Birkelund R. J Perianesth Nurs. 2010;25:380-386.

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

Practical challenges of introducing WHO surgical checklist: UK pilot experience.

Vats A, Vincent CA, Nagpal K, Davies RW, Darzi A, Moorthy K. BMJ. 2010;340:b5433.

STUDY

Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the operating theatre.

Bethune R, Sasirekha G, Sahu A, Cawthorn S, Pullyblank A. Postgrad Med J. 2011;87:331-334.

STUDY

Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes.

Nilsson L, Lindberget O, Gupta A, Vegfors M. Acta Anaesthesiol Scand. 2010;54:176-182.

STUDY

Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity.

Moulton CA, Regehr G, Lingard L, Merritt C, MacRae H. Acad Med. 2010;85:1571-1577.

COMMENTARY

Wise before the event.

Watts G. BMJ. 2010;340:c1378.

REVIEW

Surgical fires, a clear and present danger.

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

STUDY

Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members.

Ali M, Osborne A, Bethune R, Pullyblank A. J Patient Saf. 2011;7:138-142.

COMMENTARY

Vial Mistakes Involving Heparin.

Vanderveen T. AHRQ WebM&M [serial online]. May 2009.

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