AHRQ Patient Safety Network

The Collection > Surgery

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•Device-related Complications (27)

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•Identification Errors (79)

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Error Types

•Epidemiology of Errors and Adverse Events (204)

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Approach to Improving Safety

•Quality Improvement Strategies (187)

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Surgery

•Cardiothoracic Surgery (23)

•General Surgery (41)

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Target Audience

•Health Care Providers (599)

•Health Care Executives and Administrators (587)

•Non-Health Care Professionals (232)

•Patients (87)

Setting of Care

•Hospitals (733)

•Residential Facilities (1)

•Ambulatory Care (11)

•Outpatient Surgery (38)

•Patient Transport (3)

1 - 20 of 818

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STUDY

Incorrect surgical counts: a qualitative analysis.

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

COMMENTARY

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

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

STUDY

Gossypiboma: tales of lost sponges and lessons learned.

McIntyre LK, Jurkovich GJ, Gunn MLD, Maier RV. Arch Surg. 2010;145:770-775.

REVIEW

Improving safety in the operating room: a systematic literature review of retained surgical sponges.

Wan W, Le T, Riskin L, Macario A. Curr Opin Anaesthesiol. 2009;22:207-214.

NEWSPAPER/MAGAZINE ARTICLE

Surgical errors: new products, protocols help slash the risks.

Williamson JE. Healthcare Purchasing News. January 2006;30:22-25.

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

Developing and pilot testing practical measures of preanalytic surgical specimen identification defects.

Bixenstine PJ, Zarbo RJ, Holzmueller CG, et al. Am J Med Qual. 2013 Jan 15; [Epub ahead of print].

STUDY

Causes of near misses: perceptions of perioperative nurses.

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

STUDY

Process changes to increase compliance with the Universal Protocol for bedside procedures.

Barsuk JH, Brake H, Caprio T, Barnard C, Anderson DY, Williams MV. Arch Intern Med. 2011;171:947-949.

REVIEW

Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery.

Zahiri HR, Stromberg J, Skupsky H, et al. Surg Innov. 2011;18:55-60.

COMMENTARY

Instrument readiness: an important link to patient safety.

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

STUDY

Risk factors associated with incorrect surgical counts.

Rowlands A. AORN J. 2012;96:272-284.

COMMENTARY

Counting for patient safety.

Watson DS. AORN J. 2006;84:273-275.

COMMENTARY

Communication in the perioperative setting.

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

COMMENTARY

Time out: an analysis.

Dillon KA. AORN J. 2008;88:437-442.

COMMENTARY

Retained surgical items and minimally invasive surgery.

Gibbs VC. World J Surg. 2011;35:1532-1539.

COMMENTARY

The normalization of deviance: what are the perioperative risks?

McNamara SA. AORN J. 2011;93:796-801.

BOOK/REPORT

Reducing Colorectal Surgical Site Infections.

Oakbrook Terrace, IL: Joint Commission Center for Transforming Health Care. Chicago, IL: American College of Surgeons. November 2012.

ORGANIZATIONAL POLICY/GUIDELINES

Statement on the prevention of retained foreign bodies after surgery.

Bulletin of the American College of Surgeons; October 2005.

STUDY

Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology.

Macario A, Morris D, Morris S. Arch Surg. 2006;141:659-662.

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