AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (120)

•Diagnostic Errors (125)

•Identification Errors (87)

•Discontinuities, Gaps, and Hand-Off Problems (303)

•Fatigue and Sleep Deprivation (58)

•Medication Safety (755)

•Medical Complications (301)

•Nonsurgical Procedural Complications (78)

•Surgical Complications (376)

•Transfusion Complications (13)

•Psychological and Social Complications (73)

Origin/Sponsor

•Africa (2)

•Asia (44)

•Australia and New Zealand (95)

•Central and South America (8)

•Europe (405)

•North America (1875)

Resource Types

•Audiovisual (11)

•Award (6)

•Book/Report (75)

•Clinical Guideline (3)

•Journal Article (2075)

•Legislation/Regulation (30)

•Meeting/Conference (13)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (134)

•Press Release/Announcement (16)

•Special or Theme Issue (26)

•Tools/Toolkit (22)

•Web Resource (42)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (749)

•Active Errors (453)

•Latent Errors (145)

•Near Miss (52)

Approach to Improving Safety

•Quality Improvement Strategies (618)

•Legal and Policy Approaches (122)

•Error Reporting and Analysis (727)

•Communication Improvement (578)

•Human Factors Engineering (390)

•Teamwork (251)

•Specialization of Care (173)

•Logistical Approaches (177)

•Culture of Safety (294)

•Technologic Approaches (438)

•Education and Training (480)

Clinical Areas

•Allied Health Services (7)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1644)

•Psychiatric Facilities (7)

•Residential Facilities (36)

•Ambulatory Care (174)

•Outpatient Surgery (24)

•Patient Transport (19)

1 - 20 of 2462

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STUDY

Communication failure in the operating room.

Halverson AL, Casey JT, Andersson J, et al. Surgery. 2011;49:305-310.

STUDY

Postoperative sepsis in the United States.

Vogel TR, Dombrovskiy VY, Carson JL, Graham AM, Lowry SF. Ann Surg. 2010;252:1065-1071.

STUDY

A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety collaborative.

Arriaga AF, Elbardissi AW, Regenbogen SE, et al. Ann Surg. 2011;253:849-854.

STUDY

Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections.

Wick EC, Hobson DB, Bennett JL, et al. J Am Coll Surg. 2012;215;193-200.

STUDY

Determinants of patient-reported medication errors: a comparison among seven countries.

Lu CY, Roughead E. Int J Clin Pract. 2011;65:733-740.

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.

COMMENTARY

Learning from adverse events and near misses.

Greenberg CC. J Gastrointest Surg. 2008;13:3-5.

STUDY

Validity of selected patient safety indicators: opportunities and concerns.

Kaafarani HM, Borzecki AM, Itani KM, et al. J Am Coll Surg. 2011; 212:924-934.

STUDY

Interruptions and miscommunications in surgery: an observational study.

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

REVIEW

Improving safety in the operating room: a systematic literature review of retained surgical sponges.

Wan W, Le T, Riskin L, Macario A. Curr Opin Anaesthesiol. 2009;22:207-214.

STUDY

Effect of a 19-item surgical safety checklist during urgent operations in a global patient population.

Weiser TG, Haynes AB, Dziekan G, et al; Safe Surgery Saves Lives Investigators and Study Group. Ann Surg. 2010;251:976-980.

NEWSPAPER/MAGAZINE ARTICLE

Fatal outcome after inadvertent injection of topical epinephrine.

ISMP Medication Safety Alert! Acute Care Edition. March 26, 2009;14:1-2.

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.

REVIEW

Avoiding wrong site surgery: a systematic review.

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

STUDY

Priority patient safety issues identified by perioperative nurses.

Steelman VM, Graling PR, Perkhounkova Y. AORN J. 2013;97:402-418.

STUDY

Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire.

Kaplan LJ, Maerz LL, Schuster K, et al. J Trauma. 2009;67:173-179.

STUDY

Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit.

Joy BF, Elliott E, Hardy C, Sullivan C, Backer CL, Kane JM. Pediatr Crit Care Med. 2011;12:304-308.

NEWSPAPER/MAGAZINE ARTICLE

Patient safety in the OR.

Stempniak M. Hosp Health Netw. 2012 Oct;86:8 p following 40.

STUDY

Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs.

Petrovic MA, Aboumatar H, Baumgartner WA, et al. J Cardiothorac Vasc Anesth. 2012;26:11-16.

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.

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