AHRQ Patient Safety Network

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•Device-related Complications (26)

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Surgery

•Cardiothoracic Surgery (28)

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Target Audience

•Health Care Providers (604)

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Setting of Care

•Hospitals (729)

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•Outpatient Surgery (44)

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MULTI-USE WEBSITE

National Time Out Day.

AORN Patient Safety First. June 12, 2013.

STUDY

Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit.

Boat AC, Spaeth JP. Paediatr Anaesth. 2013 May 18; [Epub ahead of print].

COMMENTARY

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

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

COMMENTARY

A team training program using human factors to enhance patient safety.

Marshall DA, Manus DA. AORN J. 2007;86:994-1011.

COMMENTARY

Counting for patient safety.

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

COMMENTARY

Instrument readiness: an important link to patient safety.

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

COMMENTARY

Patient safety: break the silence.

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

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

The top 10 list for a safe and effective sign-out.

Kemp CD, Bath JM, Berger J, et al. Arch Surg. 2008;143:1008-1010.

COMMENTARY

Implementing AORN recommended practices for laser safety.

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

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.

COMMENTARY

The normalization of deviance: what are the perioperative risks?

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

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

Perceptions of patient safety culture among physicians and RNs in the perioperative area.

Scherer D, Fitzpatrick JJ. AORN J. 2008;87:163-175.

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

Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation.

Steinberger DM, Douglas SV, Kirschbaum MS. Prog Transplant. 2009;19:208-215.

STUDY

Patterns of communication breakdowns resulting in injury to surgical patients.

Greenberg CC, Regenbogen SE, Studdert DM, et al. J Am Coll Surg. 2007;204:533-540.

NEWSPAPER/MAGAZINE ARTICLE

Tomorrow's operating room to harness Net, RFID.

Olsen S. CNET News.com; October 19, 2005.

COMMENTARY

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

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

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