AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (85)

•Diagnostic Errors (91)

•Identification Errors (70)

•Discontinuities, Gaps, and Hand-Off Problems (296)

•Fatigue and Sleep Deprivation (32)

•Medication Safety (479)

•Medical Complications (217)

•Nonsurgical Procedural Complications (59)

•Surgical Complications (376)

•Transfusion Complications (10)

•Psychological and Social Complications (59)

Origin/Sponsor

•Africa (2)

•Asia (35)

•Australia and New Zealand (82)

•Central and South America (5)

•Europe (433)

•North America (1196)

Resource Types

•Audiovisual (2)

•Award (5)

•Book/Report (62)

•Clinical Guideline (3)

•Journal Article (1512)

•Legislation/Regulation (23)

•Meeting/Conference (8)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (78)

•Press Release/Announcement (11)

•Special or Theme Issue (22)

•Tools/Toolkit (17)

•Web Resource (34)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (497)

•Active Errors (362)

•Latent Errors (113)

•Near Miss (44)

Approach to Improving Safety

•Quality Improvement Strategies (453)

•Legal and Policy Approaches (80)

•Error Reporting and Analysis (472)

•Communication Improvement (514)

•Human Factors Engineering (325)

•Teamwork (217)

•Specialization of Care (118)

•Logistical Approaches (113)

•Culture of Safety (229)

•Technologic Approaches (314)

•Education and Training (368)

Clinical Areas

•Allied Health Services (6)

•Complementary and Alternative Medicine (1)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1220)

•Psychiatric Facilities (7)

•Residential Facilities (21)

•Ambulatory Care (123)

•Outpatient Surgery (23)

•Patient Transport (15)

1 - 20 of 1783

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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.

COMMENTARY

Engineering the system of communication for safer surgery.

Healey AN, Nagpal K, Moorthy K, Vincent CA. Cogn Tech Work. 2011;13:1-10.

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

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

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

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.

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.

COMMENTARY

The top 10 list for a safe and effective sign-out.

Kemp CD, Bath JM, Berger J, et al. Arch Surg. 2008;143:1008-1010.

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.

COMMENTARY

Wise before the event.

Watts G. BMJ. 2010;340:c1378.

STUDY

Postoperative handover: problems, pitfalls, and prevention of error.

Nagpal K, Arora S, Abboudi M, et al. Ann Surg. 2010;252:171-176.

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

Effective surgical safety checklist implementation.

Conley DM, Singer SJ, Edmondson L, Berry WR, Gawande AA. J Am Coll Surg. 2011;212:873-879.

COMMENTARY

Fumbled Handoff.

Vidyarthi A. AHRQ WebM&M [serial online]. March 2004.

REVIEW

Patient safety during anaesthesia: incorporation of the WHO safe surgery guidelines into clinical practice.

Schlack WS, Boermeester MA. Curr Opin Anaesthesiol. 2010;23:754-758.

REVIEW

Patient safety in surgery: non-technical aspects of safe surgical performance.

Youngson GG, Flin R. Patient Saf Surg. 2010;4:4.

STUDY

Improving operating room safety.

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

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

Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality.

Catchpole KR, de Leval MR, McEwan A, et al. Paediatr Anaesth. 2007;17:470-478.

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.

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