AHRQ Patient Safety Network

The Collection > Neurosurgery

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Safety Target

•Device-related Complications (1)

•Identification Errors (6)

•Fatigue and Sleep Deprivation (2)

•Medication Safety (1)

•Surgical Complications (19)

Origin/Sponsor

•Asia (1)

•Europe (3)

•North America (17)

Resource Types

•Journal Article (18)

•Newspaper/Magazine Article (3)

•Special or Theme Issue (1)

Error Types

•Epidemiology of Errors and Adverse Events (8)

•Active Errors (4)

•Latent Errors (2)

Approach to Improving Safety

•Quality Improvement Strategies (2)

•Legal and Policy Approaches (4)

•Error Reporting and Analysis (7)

•Communication Improvement (4)

•Human Factors Engineering (8)

•Teamwork (1)

•Specialization of Care (1)

•Logistical Approaches (3)

•Technologic Approaches (1)

•Education and Training (4)

Clinical Areas
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Neurosurgery

Target Audience

•Health Care Providers (18)

•Health Care Executives and Administrators (16)

•Non-Health Care Professionals (6)

•Patients (3)

Setting of Care

•Hospitals (20)

1 - 20 of 22

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REVIEW

Spinal surgery and patient safety: a systems approach.

Wong DA. J Am Acad Orthop Surg. 2006;14:226-232.

STUDY

Eight-year experience with a neurosurgical checklist.

Lyons MK. Am J Med Qual. 2010;25:285-288.

STUDY

Wrong-site craniotomy: analysis of 35 cases and systems for prevention.

Cohen FL, Mendelsohn D, Bernstein M. J Neurosurg. 2010;113:461-473.

STUDY

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.

Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.

SPECIAL OR THEME ISSUE

Risk Prevention and Surgical Checklists.

Neurosurg Focus. 2012;33:E1-E16.

STUDY

Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals?

Smith ER, Butler WE, Barker FG 2nd. J Neurosurg. 2006;105(suppl 3):169-176.

STUDY

Quantitative analysis of adverse events in neurosurgery.

Houkin K, Baba T, Minamida Y, Nonaka T, Koyanagi I, Iiboshi S. Neurosurgery. 2009;65:587-594.

STUDY

Prospective error recording in surgery: an analysis of 1108 elective neurosurgical cases.

Stone S, Bernstein M. Neurosurgery. 2007;60:1075-1080; discussion 1080-1082.

STUDY

When the bone flap hits the floor.

Jankowitz BT, Kondziolka DS. Neurosurgery. 2006;59:585-590.

STUDY

The prevalence of wrong level surgery among spine surgeons.

Mody MG, Nourbakhsh A, Stahl DL, Gibbs M, Alfawareh M, Garges KJ. Spine. 2008;33:194-198.

STUDY

"Team time-out" and surgical safety—experiences in 12,390 neurosurgical patients.

Oszvald Á, Vatter H, Byhahn C, Seifert V, Güresir E. Neurosurg Focus. 2012;33:E6.

STUDY

A multicenter trial of aviation-style training for surgical teams.

Catchpole KR, Dale TJ, Hirst DG, Smith JP, Giddings TA. J Patient Saf. 2010;6:180-186.

REVIEW

Surgical checklists: a detailed review of their emergence, development, and relevance to neurosurgical practice.

McConnell DJ, Fargen KM, Mocco J. Surg Neurol Int. 2012;3:2.

STUDY

Side errors in neurosurgery.

Mitchell P, Nicholson CL, Jenkins A. Acta Neurochir (Wien). 2006;148:1289-92.

NEWSPAPER/MAGAZINE ARTICLE

Reused devices, surgery's deadly suspects.

Klein A. The Washington Post. December 30, 2005:A3.

COMMENTARY

To err is human: quality and safety issues in spine care.

Wong DA, Watters WC 3rd. Spine. 2007;32(suppl 11):S2-S8.

STUDY

Results of a national neurosurgery resident survey on duty hour regulations.

Fargen KM, Chakraborty A, Friedman WA. Neurosurgery. 2011;69:1162-1170.

NEWSPAPER/MAGAZINE ARTICLE

Third wrong-sided brain surgery at R.I. hospital.

Associated Press. MSNBC. November 27, 2007.

NEWSPAPER/MAGAZINE ARTICLE

Feud between Cedars-Sinai and surgeon puts focus on patient safety.

Zarembo A. Los Angeles Times. April 6, 2010.

STUDY

Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on neurosurgical resident education and productivity.

Jagannathan J, Vates GE, Pouratian N, et al. J Neurosurg. 2009;110:820-827.

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