AHRQ Patient Safety Network

The Collection > Surgery

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Safety Target

•Device-related Complications (25)

•Diagnostic Errors (18)

•Identification Errors (71)

•Discontinuities, Gaps, and Hand-Off Problems (58)

•Fatigue and Sleep Deprivation (19)

•Medication Safety (49)

•Medical Complications (54)

•Nonsurgical Procedural Complications (8)

•Surgical Complications (574)

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Error Types

•Epidemiology of Errors and Adverse Events (166)

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Approach to Improving Safety

•Quality Improvement Strategies (158)

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Clinical Areas
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Surgery

•Cardiothoracic Surgery (17)

•General Surgery (26)

•Neurosurgery (11)

•Otolaryngology (5)

•Orthopedic Surgery (10)

•Pediatric Surgery (22)

•Plastic Surgery (3)

•Surgical Oncology (5)

•Urology (4)

•Vascular Surgery (5)

Target Audience

•Health Care Providers (540)

•Health Care Executives and Administrators (507)

•Non-Health Care Professionals (219)

•Patients (69)

Setting of Care

•Hospitals (657)

•Residential Facilities (2)

•Ambulatory Care (8)

•Outpatient Surgery (28)

•Patient Transport (3)

1 - 20 of 698

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COMMENTARY

Inadvertent Castration.

Calland JF. AHRQ WebM&M [serial online]. January 2004.

COMMENTARY

Mark My Limb.

O'Leary DS, Jacott WE. AHRQ WebM&M [serial online]. December 2004.

COMMENTARY

Missed Appendicitis.

Adams JG. AHRQ WebM&M [serial online]. June 2003.

NEWSPAPER/MAGAZINE ARTICLE

Beyond the count: preventing the retention of foreign objects.

PA-PSRS Patient Saf Advis. June 2009;6:39-45.

COMMENTARY

Unexplained Apnea under Anesthesia.

Barach P. AHRQ WebM&M [serial online]. February 2003.

COMMENTARY

Environmental Safety in the OR.

Linkin DR, Lautenbach E. AHRQ WebM&M [serial online]. February 2004.

STUDY

A multidisciplinary team approach to retained foreign objects.

Cima RR, Kollengode A, Storsveen AS, et al. Jt Comm J Qual Patient Saf. 2009;35:123-132.

COMMENTARY

Did We Forget Something?

Gibbs VC. AHRQ WebM&M [serial online]. September 2003.

STUDY

Multidisciplinary crisis simulations: the way forward for training surgical teams.

Undre S, Koutantji M, Sevdalis N, et al. World J Surg. 2007;31:1843-1853.

COMMENTARY

Which End is Which?

Campbell AR. AHRQ WebM&M [serial online]. April 2003.

COMMENTARY

Counting matters: lessons from the root cause analysis of a retained surgical item.

Agrawal A. Jt Comm J Qual Patient Saf. 2012;38:566-574.

COMMENTARY

Waiting Too Long.

Rosen MA. AHRQ WebM&M [serial online]. November 2003.

COMMENTARY

Listen to the Family.

Campbell D Jr. AHRQ WebM&M [serial online]. June 2004.

STUDY

Communication failure in the operating room.

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

STUDY

Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme.

Neily J, Mills PD, Lee P, et al. Qual Saf Health Care. 2010;19:360-364.

STUDY

Incorrect surgical procedures within and outside of the operating room.

Neily J, Mills PD, Eldridge N, et al. Arch Surg. 2009;144:1028-1034.

COMMENTARY

Comparative issues in aviation and surgical crew resource management: (1) are we too solution focused?

Hunt GJF, Callaghan KSN. ANZ J Surg. 2008;78:690-693.

COMMENTARY

Too Tight Control.

Rubin HR, Fajtova VT. AHRQ WebM&M [serial online]. May 2004.

COMMENTARY

Making Do.

Bradley LD. AHRQ WebM&M [serial online]. September 2003.

COMMENTARY

Ectopic or Not?

Givens VM, Lipscomb GH. AHRQ WebM&M [serial online]. May 2003.

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