AHRQ Patient Safety Network

The Collection > Surgery

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Safety Target

•Device-related Complications (29)

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•Identification Errors (81)

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•Fatigue and Sleep Deprivation (28)

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•Surgical Complications (662)

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Error Types

•Epidemiology of Errors and Adverse Events (197)

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Approach to Improving Safety

•Quality Improvement Strategies (187)

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Clinical Areas
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Surgery

•Cardiothoracic Surgery (25)

•General Surgery (40)

•Neurosurgery (16)

•Otolaryngology (9)

•Orthopedic Surgery (25)

•Pediatric Surgery (29)

•Plastic Surgery (11)

•Surgical Oncology (10)

•Urology (7)

•Vascular Surgery (7)

Target Audience

•Health Care Providers (613)

•Health Care Executives and Administrators (586)

•Non-Health Care Professionals (244)

•Patients (84)

Setting of Care

•Hospitals (736)

•Residential Facilities (2)

•Ambulatory Care (13)

•Outpatient Surgery (40)

•Patient Transport (3)

1 - 20 of 815

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STUDY

Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes.

Nilsson L, Lindberget O, Gupta A, Vegfors M. Acta Anaesthesiol Scand. 2010;54:176-182.

STUDY

Why isn't 'time out' being implemented? An exploratory study.

Gillespie BM, Chaboyer W, Wallis M, Fenwick C. Qual Saf Health Care. 2010;19:103-106.

REVIEW

Information transfer and communication in surgery: a systematic review.

Nagpal K, Vats A, Lamb B, et al. Ann Surg. 2010;252:225-239.

STUDY

Effect of a comprehensive surgical safety system on patient outcomes.

de Vries EN, Prins HA, Crolla RM, et al; SURPASS Collaborative Group. N Engl J Med. 2010;363:1928-1937.

STUDY

Information needs in operating room teams: what is right, what is wrong, and what is needed?

Wong HW, Forrest D, Healey A, et al. Surg Endosc. 2011;25:1913-1920.

STUDY

Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members.

Ali M, Osborne A, Bethune R, Pullyblank A. J Patient Saf. 2011;7:138-142.

COMMENTARY

Engineering the system of communication for safer surgery.

Healey AN, Nagpal K, Moorthy K, Vincent CA. Cogn Tech Work. 2011;13:1-10.

STUDY

Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients.

de Vries EN, Prins HA, Bennink MC, et al. BMJ Qual Saf. 2012;21:503-508.

STUDY

Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR.

Lingard L, Espin S, Rubin B, et al. Qual Saf Health Care. 2005;14:340-346.

STUDY

Improving operating room safety.

Hurlbert SN, Garrett J. Patient Saf Surg. 2009;3:25.

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.

STUDY

Wubben I, van Manen JG, van den Akker BJ, Vaartjes SR, van Harten WH. Qual Saf Health Care. 2010;19:e64.

NEWSPAPER/MAGAZINE ARTICLE

Doctor uses 'pre-flight' checklist.

Bernhard B. The Orange County Register. April 19, 2006.

STUDY

Safe surgery: how accurate are we at predicting intra-operative blood loss?

Solon JG, Egan C, McNamara DA. J Eval Clin Pract. 2013;19:100-105.

REVIEW

Requirements for the design and implementation of checklists for surgical processes.

Verdaasdonk EGG, Stassen LPS, Widhiasmara PP, Dankelman J. Surg Endosc. 2009;23:715-726.

STUDY

A surgical safety checklist to reduce morbidity and mortality in a global population.

Haynes AB, Weiser TG, Berry WR, et al; for the Safe Surgery Saves Lives Study Group. N Engl J Med. 2009;360:491-499.

STUDY

Improved operating room teamwork via SAFETY prep: a rural community hospital's experience.

Paige JT, Aaron DL, Yang T, Howell DS, Chauvin SW. World J Surg. 2009;33:1181-1187.

COMMENTARY

Fumbled Handoff.

Vidyarthi A. AHRQ WebM&M [serial online]. March 2004.

MULTI-USE WEBSITE

Safe Surgery Saves Lives.

Canadian Patient Safety Institute.

REVIEW

Avoiding wrong site surgery: a systematic review.

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

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