AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (94)

•Diagnostic Errors (104)

•Identification Errors (82)

•Discontinuities, Gaps, and Hand-Off Problems (234)

•Fatigue and Sleep Deprivation (58)

•Medication Safety (586)

•Medical Complications (230)

•Nonsurgical Procedural Complications (65)

•Surgical Complications (376)

•Transfusion Complications (11)

•Psychological and Social Complications (69)

Origin/Sponsor

•Africa (1)

•Asia (23)

•Australia and New Zealand (45)

•Central and South America (1)

•Europe (209)

•North America (1735)

Resource Types

•Audiovisual (8)

•Award (5)

•Book/Report (55)

•Clinical Guideline (2)

•Journal Article (1718)

•Legislation/Regulation (29)

•Meeting/Conference (12)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (122)

•Press Release/Announcement (12)

•Special or Theme Issue (26)

•Tools/Toolkit (16)

•Web Resource (32)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (519)

•Active Errors (364)

•Latent Errors (121)

•Near Miss (56)

Approach to Improving Safety

•Quality Improvement Strategies (492)

•Legal and Policy Approaches (108)

•Error Reporting and Analysis (588)

•Communication Improvement (475)

•Human Factors Engineering (395)

•Teamwork (218)

•Specialization of Care (137)

•Logistical Approaches (171)

•Culture of Safety (254)

•Technologic Approaches (358)

•Education and Training (431)

Clinical Areas

•Allied Health Services (5)

Target Audience
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Quality and Safety Professionals

Setting of Care

•Hospitals (1349)

•Psychiatric Facilities (6)

•Residential Facilities (32)

•Ambulatory Care (134)

•Outpatient Surgery (24)

•Patient Transport (15)

1 - 20 of 2044

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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.

COMMENTARY

Surgical team training: promoting high reliability with nontechnical skills.

Paige JT. Surg Clin North Am. 2010;90:569-581.

BOOK/REPORT

Annual Benchmarking Report: Malpractice Risks in Surgery.

Cambridge, MA: CRICO/RMF Strategies; 2010.

COMMENTARY

Instrument readiness: an important link to patient safety.

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

STUDY

Management of adverse surgical events: a structured education module for residents.

Brewster LP, Risucci DA, Joehl RJ, et al. Am J Surg. 2005;190:687-690.

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

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.

STUDY

Preventable morbidity at a mature trauma center.

Teixeira PGR, Inaba K, Salim A, et al. Arch Surg. 2009;144:536-541.

STUDY

Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons.

Feuerbacher RL, Funk KH, Spight DH, Diggs BS, Hunter JG. Arch Surg. 2012;147:1026-1030.

STUDY

Effect of short-term pretrial practice on surgical proficiency in simulated environments: a randomized trial of the "preoperative warm-up" effect.

Kahol K, Satava RM, Ferrara J, Smith ML. J Am Coll Surg. 2009;208:255-268.

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

Prevention of medical accidents caused by defective surgical instruments.

Yasuhara H, Fukatsu K, Komatsu T, Obayashi T, Saito Y, Uetera Y. Surgery. 2012;151:153-161.

STUDY

Using simulation training to improve perioperative patient safety.

Mullen L, Byrd D. AORN J. 2013;97:419-427.

STUDY

Operating room briefings and wrong-site surgery.

Makary MA, Mukherjee A, Sexton BJ, et al. J Am Coll Surg. 2007;204:236-243.

STUDY

Burnout and medical errors among American surgeons.

Shanafelt TD, Balch CM, Bechamps G, et al. Ann Surg. 2010;251:995-1000.

STUDY

Communication practices on 4 Harvard surgical services: a surgical safety collaborative.

ElBardissi AW, Regenbogen SE, Greenberg CC, et al. Ann Surg. 2009;250:861-865.

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

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.

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