AHRQ Patient Safety Network

The Collection > Surgery

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Safety Target

•Device-related Complications (17)

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•Identification Errors (50)

•Discontinuities, Gaps, and Hand-Off Problems (76)

•Fatigue and Sleep Deprivation (26)

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•Surgical Complications (418)

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Error Types

•Epidemiology of Errors and Adverse Events (127)

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Approach to Improving Safety

•Quality Improvement Strategies (142)

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Surgery

•Cardiothoracic Surgery (8)

•General Surgery (10)

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•Pediatric Surgery (7)

•Plastic Surgery (4)

•Surgical Oncology (3)

•Urology (1)

•Vascular Surgery (1)

Target Audience

•Health Care Providers (401)

•Health Care Executives and Administrators (403)

•Non-Health Care Professionals (156)

•Patients (67)

Setting of Care

•Hospitals (484)

•Residential Facilities (1)

•Ambulatory Care (13)

•Outpatient Surgery (32)

•Patient Transport (3)

1 - 20 of 559

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NEWSPAPER/MAGAZINE ARTICLE

A hospital races to learn lessons of Ferrari pit stop.

Naik G. Wall Street Journal. November 14, 2006:A1. [reprinted on Post-gazette.com].

STUDY

What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication histories.

Burda SA, Hobson D, Pronovost PJ. Qual Saf Health Care. 2005;14:414-416.

BOOK/REPORT

MHA Keystone Center for Patient Safety & Quality 2010 Annual Report.

Lansing, MI: Michigan Health & Hospital Association; October 2010.

STUDY

Error, stress, and teamwork in medicine and aviation: cross sectional surveys.

Sexton JB, Thomas EJ, Helmreich RL. BMJ. 2000;320:745-749.

STUDY

Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire.

Kaplan LJ, Maerz LL, Schuster K, et al. J Trauma. 2009;67:173-179.

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.

STUDY

Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs.

Petrovic MA, Aboumatar H, Baumgartner WA, et al. J Cardiothorac Vasc Anesth. 2012;26:11-16.

REVIEW

Can we make postoperative patient handovers safer? A systematic review of the literature.

Segall N, Bonifacio AS, Schroeder RA, et al; Durham VA Patient Safety Center of Inquiry. Anesth Analg. 2012;115:102-115.

STUDY

Burns surgery handover study: trainees' assessment of current practice in the British Isles.

Al-Benna S, Al-Ajam Y, Alzoubaidi D. Burns. 2009;35:509-512.

NEWSPAPER/MAGAZINE ARTICLE

Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths.

Comarow A. US News & World Report. July 18, 2005;139:74,76,79.

NEWSPAPER/MAGAZINE ARTICLE

Get me out alive.

Feldman R. The Washington Post. May 2, 2006:HE01.

STUDY

Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality.

Catchpole KR, de Leval MR, McEwan A, et al. Paediatr Anaesth. 2007;17:470-478.

STUDY

Association between Leapfrog safe practices score and hospital mortality in major surgery.

Qian F, Lustik SJ, Diachun CA, Wissler RN, Zollo RA, Glance LG. Med Care. 2011;49:1082-1088.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

Nashville, TN: Tennessee Center for Patient Safety; August 2011.

STUDY

Preventable morbidity at a mature trauma center.

Teixeira PGR, Inaba K, Salim A, et al. Arch Surg. 2009;144:536-541.

BOOK/REPORT

Medmarx Data Report: A Chartbook of Medication Error Findings from the Perioperative Settings from 1998-2005.

Rockville, MD: United States Pharmacopeia; 2007.

STUDY

Perioperative patient safety: a multisite qualitative analysis.

Chappy S. AORN J. 2006;83:871-874, 877-888, 891-897.

STUDY

Surgeon-reported conflict with intensivists about postoperative goals of care.

Paul Olson TJ, Brasel KJ, Redmann AJ, Alexander GC, Schwarze ML. JAMA Surg. 2013;148:29-35.

COMMENTARY

Are you using checklists? Check!

McNellis B. JAAPA. July 2010;23:24-26, 31.

AUDIOVISUAL

Using the Targeted Solutions Tool for wrong site surgery: is your organization at risk?

Oakbrook Terrace, IL: Joint Commission Center for Transforming Healthcare; February 13, 2012.

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