AHRQ Patient Safety Network

The Collection > Surgery

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Safety Target

•Device-related Complications (24)

•Diagnostic Errors (16)

•Identification Errors (65)

•Discontinuities, Gaps, and Hand-Off Problems (56)

•Fatigue and Sleep Deprivation (30)

•Medication Safety (49)

•Medical Complications (48)

•Nonsurgical Procedural Complications (8)

•Surgical Complications (587)

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•Psychological and Social Complications (42)

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•Africa (1)

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•Clinical Guideline (4)

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Error Types

•Epidemiology of Errors and Adverse Events (168)

•Active Errors (135)

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Approach to Improving Safety

•Quality Improvement Strategies (166)

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•Error Reporting and Analysis (182)

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•Education and Training (198)

Clinical Areas
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Surgery

•Cardiothoracic Surgery (18)

•General Surgery (33)

•Neurosurgery (12)

•Otolaryngology (4)

•Orthopedic Surgery (13)

•Pediatric Surgery (13)

•Plastic Surgery (7)

•Surgical Oncology (5)

•Urology (5)

•Vascular Surgery (7)

Target Audience

•Health Care Providers (570)

•Health Care Executives and Administrators (532)

•Non-Health Care Professionals (241)

•Patients (65)

Setting of Care

•Hospitals (678)

•Residential Facilities (1)

•Ambulatory Care (5)

•Outpatient Surgery (27)

•Patient Transport (3)

1 - 20 of 738

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STUDY

Nurses' perceptions and experiences of communication in the operating theatre: a focus group interview.

Nestel D, Kidd JM. BMC Nurs. 2006 Feb 8;5:1.

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.

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

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

NEWSPAPER/MAGAZINE ARTICLE

When surgery goes wrong: weighing up the risks.

Feinmann J. The Independent. November 14, 2006.

COMMENTARY

Defining the technical skills of teamwork in surgery.

Healey AN, Undre S, Vincent CA. Qual Saf Health Care. 2006;15:231-234.

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.

STUDY

Attitudes to teamwork and safety in the operating theatre.

Flin R, Yule S, McKenzie L, Paterson-Brown S, Maran N. Surgeon. June 2006;4:145-151.

STUDY

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

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

STUDY

Teamwork in the operating theatre: cohesion or confusion?

Undre S, Sevdalis N, Healey AN, Darzi A, Vincent CA. J Eval Clin Pract. 2006;12:182-189.

NEWSPAPER/MAGAZINE ARTICLE

The day Joy died.

Brandeland GP. Med Econ. 2006 Oct 20;83:50, 52-53.

STUDY

Information needs in operating room teams: what is right, what is wrong, and what is needed?

Wong HW, Forrest D, Healey A, et al. Surg Endosc. 2011;25:1913-1920.

STUDY

Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.

Makary MA, Sexton JB, Freischlag JA, et al. J Am Coll Surg. 2006;202:746-752.

STUDY

Discovering healthcare cognition: the use of cognitive artifacts to reveal cognitive work.

Nemeth C, O’Connor M, Klock PA, Cook R. Org Stud. 2006;27:1011-1035.

STUDY

Analysis of errors enacted by surgical trainees during skills training courses.

Tang B, Hanna GB, Cuschieri A. Surgery. 2005;138:14-20.

COMMENTARY

Applying aviation factors to oral and maxillofacial surgery—the human element.

Seager L, Smith DW, Patel A, Brunt H, Brennan PA. Br J Oral Maxillofac Surg. 2013;51:8-13.

STUDY

Surgical crisis management skills training and assessment: a stimulation-based approach to enhancing operating room performance.

Moorthy K, Munz Y, Forrest D, et al. Ann Surg. 2006;244:139-147.

COMMENTARY

A theory-based instrument to evaluate team communication in the operating room: balancing measurement authenticity and reliability.

Lingard L, Regehr G, Espin S, Whyte S. Qual Saf Health Care. 2006;15:422-426.

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

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

Safety skills training for surgeons: a half-day intervention improves knowledge, attitudes and awareness of patient safety.

Arora S, Sevdalis N, Ahmed M, Wong H, Moorthy K, Vincent C. Surgery. 2012;152:26-31.

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