AHRQ Patient Safety Network

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•Device-related Complications (6)

•Diagnostic Errors (31)

•Identification Errors (3)

•Discontinuities, Gaps, and Hand-Off Problems (65)

•Fatigue and Sleep Deprivation (58)

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•Medical Complications (39)

•Nonsurgical Procedural Complications (15)

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•Journal Article (555)

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•Epidemiology of Errors and Adverse Events (91)

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Approach to Improving Safety

•Quality Improvement Strategies (83)

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•Education and Training (555)

Clinical Areas

•Allied Health Services (3)

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Educators

Setting of Care

•Hospitals (364)

•Residential Facilities (4)

•Ambulatory Care (35)

•Outpatient Surgery (1)

•Patient Transport (1)

1 - 20 of 653

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STUDY

Interdisciplinary team training identifies discrepancies in institutional policies and practices.

Andreatta P, Frankel J, Smith SB, Bullough A, Marzano D. Am J Obstet Gynecol. 2011;205:298-230.

STUDY

Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital.

Riley W, Davis S, Miller K, Hansen H, Sainfort F, Sweet R. Jt Comm J Qual Patient Saf. 2011;37:357-364.

BOOK/REPORT

Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units.

Farley DO, Sorbero ME, Lovejoy SL, Salisbury M. Santa Monica, CA: Rand Corporation; 2010. ISBN: 9780833050557.

STUDY

Impact of a comprehensive patient safety strategy on obstetric adverse events.

Pettker CM, Thung SF, Norwitz ER, et al. Am J Obstet Gynecol. 2009 May;200:492.e1-8.

STUDY

Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events.

Grunebaum A, Chervenak F, Skupski D. Am J Obstet Gynecol. 2011;204:97-105.

STUDY

Attitudes toward safety and teamwork in a maternity unit with embedded team training.

Siassakos D, Fox R, Hunt L, et al. Am J Med Qual. 2011;26:132-137.

COMMENTARY

Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies simulator (MOES) system.

Deering S, Rosen MA, Salas E, King HB. Simul Healthc. 2009;4:166-173.

REVIEW

Multidisciplinary team training in a simulation setting for acute obstetric emergencies: a systematic review.

Merién AER, van de Ven J, Mol BW, Houterman S, Oei SG. Obstet Gynecol. 2010;115:1021-1031.

COMMENTARY

Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving a labor and delivery ward.

Hamman WR, Beaudin-Seiler BM, Beaubien JM, et al. J Patient Saf. 2009;5:184-187.

STUDY

Mobile in situ obstetric emergency simulation and teamwork training to improve maternal–fetal safety in hospitals.

Guise J, Lowe NK, Deering S, et al. Jt Comm J Qual Patient Saf. 2010;36:443-453:AP1-AP2.

STUDY

Content analysis of team communication in an obstetric emergency scenario.

Siassakos D, Draycott T, Montague I, Harris M. J Obstet Gynaecol. 2009;29:499-503.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing maternal death.

Sentinel Event Alert. January 26, 2010;(44):1-4.

COMMENTARY

Surgical team training: promoting high reliability with nontechnical skills.

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

REVIEW

Simulation in obstetric anesthesia.

Pratt SD. Anesth Analg. 2012;114:186-190.

REVIEW

Teamwork in obstetric critical care.

Guise JM, Segel S. Best Pract Res Clin Obstet Gynaecol. 2008;22:937-951.

STUDY

Recurrent obstetric management mistakes identified by simulation.

Maslovitz S, Barkai G, Lessing JB, Ziv A, Many A. Obstet Gynecol Surv. 2007;62:636-638.

REVIEW

The case for simulation as part of a comprehensive patient safety program.

Argani CH, Eichelberger M, Deering S, Satin AJ. Am J Obstet Gynecol. 2012;206:451-455.

STUDY

The efficacy of medical team training: improved team performance and decreased operating room delays: a detailed analysis of 4863 cases.

Wolf FA, Way LW, Stewart L. Ann Surg. 2010;252:477-485.

STUDY

A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center.

Nurok M, Lipsitz S, Satwicz P, Kelly A, Frankel A. Arch Surg. 2010;145:489-495.

STUDY

Communication failure in the operating room.

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

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