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Surgery
PATIENT SAFETY PRIMERS
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Safety Target
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Device-related Complications (20)
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Diagnostic Errors (16)
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Identification Errors (60)
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Discontinuities, Gaps, and Hand-Off Problems (52)
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Fatigue and Sleep Deprivation (24)
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Medication Safety (39)
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Medical Complications (43)
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Error Types
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Epidemiology of Errors and Adverse Events (160)
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Latent Errors (46)
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Near Miss (18)
Approach to Improving Safety
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Quality Improvement Strategies (151)
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Legal and Policy Approaches (49)
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Error Reporting and Analysis (171)
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Communication Improvement (225)
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Human Factors Engineering (160)
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Teamwork (141)
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Surgery
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Cardiothoracic Surgery (18)
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Urology (5)
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Vascular Surgery (5)
Target Audience
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Health Care Providers (525)
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Health Care Executives and Administrators (497)
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Non-Health Care Professionals (215)
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Patients (74)
Setting of Care
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Hospitals (646)
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Outpatient Surgery (26)
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Patient Transport (2)
1 - 20
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STUDY
Development of a rating system for surgeons' non-technical skills.
Yule S, Flin R, Paterson-Brown S, Maran N, Rowley D. Med Educ. 2006;40:1098-1104.
BOOK/REPORT
Acting on Concerns: Your Professional Responsibility.
Shale S; The Royal College of Surgeons of England. London, UK: RCSENG Communications; 2013.
REVIEW
Surgical fires, a clear and present danger.
Yardley IE, Donaldson LJ. Surgeon. 2010;8:87-92.
STUDY
Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the operating theatre.
Bethune R, Sasirekha G, Sahu A, Cawthorn S, Pullyblank A. Postgrad Med J. 2011;87:331-334.
STUDY
Multidisciplinary crisis simulations: the way forward for training surgical teams.
Undre S, Koutantji M, Sevdalis N, et al. World J Surg. 2007;31:1843-1853.
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.
STUDY
Observational assessment of surgical teamwork: a feasibility study.
Undre S, Healey AN, Darzi A, Vincent CA. World J Surg. 2006;30:1774-1783.
STUDY
Teamwork and error in the operating room: analysis of skills and roles.
Catchpole K, Mishra A, Handa A, McCulloch P. Ann Surg. 2008;247:699-706.
REVIEW
The impact of nontechnical skills on technical performance in surgery: a systematic review.
Hull L, Arora S, Aggarwal R, Darzi A, Vincent C, Sevdalis N. J Am Coll Surg. 2012;214:214-230.
COMMENTARY
Defining the technical skills of teamwork in surgery.
Healey AN, Undre S, Vincent CA. Qual Saf Health Care. 2006;15:231-234.
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.
COMMENTARY
Cutting out human error.
Feinmann J. BMJ. 2008;337:a2370.
REVIEW
Towards a model of surgeons' leadership in the operating room.
Henrickson Parker S, Yule S, Flin R, McKinley A. BMJ Qual Saf. 2011;20:570-579.
STUDY
A systematic proactive risk assessment of hazards in surgical wards: a quantitative study.
Anderson O, Brodie A, Vincent CA, Hanna GB. Ann Surg. 2012;255:1086-1092.
NEWSPAPER/MAGAZINE ARTICLE
Tomorrow's operating room to harness Net, RFID.
Olsen S. CNET News.com; October 19, 2005.
STUDY
'Skating on thin ice?' Consultant surgeon's contemporary experience of adverse surgical events.
Skevington SM, Langdon JE, Giddins G. Psychol Health Med. 2012;17:1-16.
STUDY
The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre.
Mishra A, Catchpole K, McCulloch P. Qual Saf Health Care. 2009;18:104-108.
REVIEW
Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress.
Sevdalis N, Hull L, Birnbach DJ. Br J Anaesth. 2012;109:i3-i16.
STUDY
Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement.
Watts BV, Percarpio K, West P, Mills PD. J Patient Saf. 2010;6:206-209.
COMMENTARY
Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service in Italy.
Bellandi T, Albolino S, Tartaglia R, Filipponi F. Transplant Proc. 2010;42:2187-2189.
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