AHRQ Patient Safety Network

The Collection > Surgery

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Safety Target

•Device-related Complications (24)

•Diagnostic Errors (25)

•Identification Errors (79)

•Discontinuities, Gaps, and Hand-Off Problems (68)

•Fatigue and Sleep Deprivation (33)

•Medication Safety (60)

•Medical Complications (56)

•Nonsurgical Procedural Complications (8)

•Surgical Complications (628)

•Transfusion Complications (2)

•Psychological and Social Complications (41)

Origin/Sponsor

•Asia (8)

•Australia and New Zealand (16)

Resource Types

•Clinical Guideline (4)

•Journal Article (623)

•Legislation/Regulation (10)

•Meeting/Conference (1)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (93)

•Press Release/Announcement (1)

•Special or Theme Issue (9)

•Tools/Toolkit (12)

•Web Resource (18)

Error Types

•Epidemiology of Errors and Adverse Events (186)

•Active Errors (166)

•Latent Errors (49)

•Near Miss (22)

Approach to Improving Safety

•Quality Improvement Strategies (184)

•Legal and Policy Approaches (58)

•Error Reporting and Analysis (212)

•Communication Improvement (254)

•Human Factors Engineering (176)

•Teamwork (137)

•Specialization of Care (22)

•Logistical Approaches (54)

•Culture of Safety (85)

•Technologic Approaches (74)

•Education and Training (187)

Clinical Areas
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Surgery

•Cardiothoracic Surgery (19)

•General Surgery (37)

•Neurosurgery (20)

•Otolaryngology (8)

•Orthopedic Surgery (25)

•Pediatric Surgery (18)

•Plastic Surgery (13)

•Surgical Oncology (5)

•Urology (7)

•Vascular Surgery (5)

Target Audience

•Health Care Providers (596)

•Health Care Executives and Administrators (546)

•Non-Health Care Professionals (220)

•Patients (86)

Setting of Care

•Hospitals (705)

•Residential Facilities (1)

•Ambulatory Care (12)

•Outpatient Surgery (38)

•Patient Transport (3)

1 - 20 of 799

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COMMENTARY

Surgical count practice variability and the potential for retained surgical items.

Edel EM. AORN J. 2012;95:228-238.

STUDY

Governing the surgical count through communication interactions: implications for patient safety.

Riley R, Manias E, Polglase A. Qual Saf Health Care. 2006;15:369-374.

STUDY

Risk factors associated with incorrect surgical counts.

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

ORGANIZATIONAL POLICY/GUIDELINES

Statement on the prevention of retained foreign bodies after surgery.

Bulletin of the American College of Surgeons; October 2005.

NEWSPAPER/MAGAZINE ARTICLE

Safety in ASCs: putting patients first.

Dix K. Today's Surgicenter. December 1, 2006.

COMMENTARY

Counting for patient safety.

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

STUDY

Incorrect surgical counts: a qualitative analysis.

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

STUDY

Bridging the communication gap in the operating room with medical team training.

Awad SS, Fagan SP, Bellows C, et al. Am J Surg. 2005;190:770-774.

STUDY

Communication skills training to address disruptive physician behavior.

Saxton R. AORN J. 2012;95:602-611.

STUDY

Rules and guidelines in clinical practice: a qualitative study in operating theatres of doctors' and nurses' views.

McDonald R, Waring J, Harrison S, Walshe K, Boaden R. Qual Saf Health Care. 2005;14:290-294.

STUDY

Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking surgical sponges: a prospective trial of 2,285 patients.

Rupp CC, Kagarise MJ, Nelson SM, et al. J Am Coll Surg. 2012;215:524-533.

NEWSPAPER/MAGAZINE ARTICLE

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

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

COMMENTARY

On the quest for Six Sigma.

Moorman DW. Am J Surg. 2005;189:253-258.

ORGANIZATIONAL POLICY/GUIDELINES

Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society.

Chow WB, Rosenthal RA, Merkow RP, Ko CY, Esnaola NF. J Am Coll Surg. 2012;215:453-466.

STUDY

Causes of near misses: perceptions of perioperative nurses.

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

COMMENTARY

Right? Left? Neither!

Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.

COMMENTARY

A common body of care: the ethics and politics of teamwork in the operating theater are inseparable.

Bleakley A. J Med Philos. 2006;31:305-322.

COMMENTARY

"Managing up" can improve teamwork in the OR.

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

COMMENTARY

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

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

COMMENTARY

Implementing the World Health Organization surgical safety checklist: a model for future perioperative initiatives.

Styer KA, Ashley SW, Schmidt S, Zive EM, Eappen S. AORN J. 2011;94:590-598.

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