AHRQ Patient Safety Network

The Collection > Surgery

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Safety Target

•Device-related Complications (27)

•Diagnostic Errors (23)

•Identification Errors (80)

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

•Fatigue and Sleep Deprivation (30)

•Medication Safety (64)

•Medical Complications (58)

•Nonsurgical Procedural Complications (8)

•Surgical Complications (680)

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•Africa (2)

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•Clinical Guideline (4)

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•Special or Theme Issue (11)

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Error Types

•Epidemiology of Errors and Adverse Events (212)

•Active Errors (167)

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•Near Miss (20)

Approach to Improving Safety

•Quality Improvement Strategies (189)

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•Error Reporting and Analysis (229)

•Communication Improvement (252)

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•Culture of Safety (98)

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•Education and Training (203)

Clinical Areas
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Surgery

•Cardiothoracic Surgery (29)

•General Surgery (48)

•Neurosurgery (21)

•Otolaryngology (10)

•Orthopedic Surgery (28)

•Pediatric Surgery (32)

•Plastic Surgery (14)

•Surgical Oncology (8)

•Urology (10)

•Vascular Surgery (6)

Target Audience

•Health Care Providers (621)

•Health Care Executives and Administrators (605)

•Non-Health Care Professionals (253)

•Patients (91)

Setting of Care

•Hospitals (756)

•Residential Facilities (1)

•Ambulatory Care (13)

•Outpatient Surgery (44)

•Patient Transport (3)

1 - 20 of 855

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STUDY

Causes of near misses: perceptions of perioperative nurses.

Cohoon B. AORN J. 2011;93:551-565.

COMMENTARY

Communication in the perioperative setting.

Cvetic E. AORN J. 2011;94:261-270.

COMMENTARY

"Managing up" can improve teamwork in the OR.

Smith SL. AORN J. 2010;91:576-582.

REVIEW

Enhancing communication in surgery through team training interventions: a systematic literature review.

Gillespie BM, Chaboyer W, Murray P. AORN J. 2010;92:642-657.

STUDY

Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field.

Brown-Brumfield D, DeLeon A. AORN J. 2010;91:610-617.

STUDY

Crew resource management improved perception of patient safety in the operating room.

Gore DC, Powell JM, Baer JG, et al. Am J Med Qual. 2010;25:60-63.

MULTI-USE WEBSITE

Patient Safety First.

AORN, Inc., 2170 South Parker Rd, Suite 300, Denver, CO 80231-5711.

STUDY

Interruptions and miscommunications in surgery: an observational study.

Gillespie BM, Chaboyer W, Fairweather N. AORN J. 2012;95:576-590.

COMMENTARY

Implementing AORN recommended practices for laser safety.

Castelluccio D. AORN J. 2012;95:612-627.

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

Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.

Makary MA, Sexton JB, Freischlag JA, et al. J Am Coll Surg. 2006;202:746-752.

COMMENTARY

Increasing patient safety and surgical team communication by using a count/time out board.

Edel EM. AORN J. 2010;92:420-424.

COMMENTARY

Knowledge is power: averting safety-compromising events in the OR.

Catalano K. AORN J. 2008;88:987-995.

STUDY

The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room team.

Nurok M, Evans LA, Lipsitz S, Satwicz P, Kelly A, Frankel A. BMJ Qual Saf. 2011;20:237-242.

STUDY

How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors.

Chard R. AORN J. 2010;91:132-145.

STUDY

Incorrect surgical counts: a qualitative analysis.

Rowlands A, Steeves R. AORN J. 2010;92:410-419.

STUDY

Using simulation training to improve perioperative patient safety.

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

COMMENTARY

Instrument readiness: an important link to patient safety.

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

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.

COMMENTARY

Patient safety: break the silence.

Johnson HL, Kimsey D. AORN J. 2012;95:591-601.

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