AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (98)

•Diagnostic Errors (111)

•Identification Errors (78)

•Discontinuities, Gaps, and Hand-Off Problems (244)

•Fatigue and Sleep Deprivation (59)

•Medication Safety (604)

•Medical Complications (241)

•Nonsurgical Procedural Complications (66)

•Surgical Complications (379)

•Transfusion Complications (9)

•Psychological and Social Complications (66)

Origin/Sponsor

•Asia (22)

•Australia and New Zealand (62)

•Central and South America (3)

•Europe (272)

•North America (1767)

Resource Types

•Audiovisual (8)

•Award (5)

•Book/Report (70)

•Clinical Guideline (2)

•Journal Article (1817)

•Legislation/Regulation (27)

•Meeting/Conference (13)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (125)

•Press Release/Announcement (10)

•Special or Theme Issue (26)

•Tools/Toolkit (19)

•Web Resource (33)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (569)

•Active Errors (356)

•Latent Errors (128)

•Near Miss (46)

Approach to Improving Safety

•Quality Improvement Strategies (573)

•Legal and Policy Approaches (119)

•Error Reporting and Analysis (688)

•Communication Improvement (479)

•Human Factors Engineering (335)

•Teamwork (236)

•Specialization of Care (141)

•Logistical Approaches (166)

•Culture of Safety (282)

•Technologic Approaches (364)

•Education and Training (440)

Clinical Areas

•Allied Health Services (6)

•Complementary and Alternative Medicine (1)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1410)

•Psychiatric Facilities (6)

•Residential Facilities (37)

•Ambulatory Care (147)

•Outpatient Surgery (24)

•Patient Transport (15)

1 - 20 of 2161

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STUDY

Bridging the communication gap in the operating room with medical team training.

Awad SS, Fagan SP, Bellows C, et al. Am J Surg. 2005;190:770-774.

STUDY

Time of day effects on the incidence of anesthetic adverse events.

Wright MC, Phillips-Bute B, Mark JB, et al. Qual Saf Health Care. 2006;15:258-263.

NEWSPAPER/MAGAZINE ARTICLE

Surgical errors: new products, protocols help slash the risks.

Williamson JE. Healthcare Purchasing News. January 2006;30:22-25.

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

The American College of Surgeons' closed claims study: new insights for improving care.

Griffen FD, Stephens LS, Alexander JB, et al. J Am Coll Surg. 2007;204:561-569.

NEWSPAPER/MAGAZINE ARTICLE

Do no harm: promoting patient safety.

Ellis K. Surgicenteronline.com [serial online]. May 1, 2006.

NEWSPAPER/MAGAZINE ARTICLE

Safety in ASCs: putting patients first.

Dix K. Today's Surgicenter. December 1, 2006.

STUDY

From the flight deck to the operating room: an initial pilot study of the feasibility and potential impact of true interdisciplinary team training using high-fidelity simulation.

Paige J, Kozmenko V, Morgan B, et al. J Surg Educ. 2007;64:369-377.

MULTI-USE WEBSITE

Nora Institute for Surgical Patient Safety.

American College of Surgeons.

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.

REVIEW

Navigating towards improved surgical safety using aviation-based strategies.

Kao LS, Thomas EJ. J Surg Res. 2008;145:327-335.

STUDY

Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure.

Espin S, Levinson W, Regehr G, Baker GR, Lingard L. Surgery. 2006;139:6-14.

STUDY

Surgical specimen identification errors: a new measure of quality in surgical care.

Makary MA, Epstein J, Pronovost PJ, Millman EA, Hartmann EC, Freischlag JA. Surgery. 2007;141:450-455.

NEWSPAPER/MAGAZINE ARTICLE

Trends influencing the cost of care and patient safety.

Clark R. Health Manage Tech. July 2006:18, 20-21.

BOOK/REPORT

Surgical Patient Safety Essential Information for Surgeons in Today's Environment.

Manuel BM, Nora PF, eds. Chicago, IL: American College of Surgeons; 2004. ISBN: 1880696169.

MULTI-USE WEBSITE

Council on Surgical and Perioperative Safety.

Council on Surgical and Perioperative Safety; 633 N. St. Clair St. Chicago, IL, 60611.

STUDY

Classification of adverse events occurring in a surgical intensive care unit.

Frankel H, Sperry J, Kaplan L, Foley A, Rabinovici R. Am J Surg. 2007;194:328-332.

STUDY

Communication failure in the operating room.

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

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.

STUDY

Representative case series from public hospital admissions 1998 II: surgical adverse events.

Briant R, Morton J, Lay-Yee R, Davis P, Ali W. N Z Med J. 2005;118:U1591.

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