AHRQ Patient Safety Network

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Surgical Complications

•Preoperative Complications (7)

•Intraoperative Complications (142)

•Postoperative Surgical Complications (56)

Origin/Sponsor

•Africa (2)

•Asia (14)

•Australia and New Zealand (23)

•Central and South America (1)

Resource Types

•Clinical Guideline (1)

•Journal Article (590)

•Legislation/Regulation (12)

•Newspaper/Magazine Article (59)

•Special or Theme Issue (14)

•Tools/Toolkit (6)

•Web Resource (21)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (231)

•Active Errors (132)

•Latent Errors (43)

•Near Miss (18)

Approach to Improving Safety

•Quality Improvement Strategies (162)

•Legal and Policy Approaches (56)

•Error Reporting and Analysis (220)

•Communication Improvement (203)

•Human Factors Engineering (187)

•Teamwork (129)

•Specialization of Care (20)

•Logistical Approaches (43)

•Culture of Safety (90)

•Technologic Approaches (65)

•Education and Training (176)

Clinical Areas

Target Audience

•Health Care Providers (581)

•Health Care Executives and Administrators (564)

•Non-Health Care Professionals (235)

•Patients (62)

Setting of Care

•Hospitals (663)

•Psychiatric Facilities (1)

•Residential Facilities (2)

•Ambulatory Care (20)

•Outpatient Surgery (37)

•Patient Transport (2)

1 - 20 of 745

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STUDY

Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation.

Merry AF, Webster CS, Hannam J, et al. BMJ. 2011;343:d5543.

STUDY

Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital.

Vermaire D, Caruso MC, Lesko A, et al. BMJ Qual Saf. 2011;20:895-902.

COMMENTARY

What happens when things go wrong?

Brandom BW, Callahan P, Micalizzi DA. Paediatr Anaesth. 2011;21:730-736.

COMMENTARY

The contribution of labelling to safe medication administration in anaesthetic practice.

Merry AF, Shipp DH, Lowinger JS. Best Pract Res Clin Anaesthesiol. 2011;25:145-159.

STUDY

Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008.

Cassidy CJ, Smith A, Arnot-Smith J. Anaesthesia. 2011;66:879-888.

STUDY

Promoting patient safety through prospective risk identification: example from peri-operative care.

Smith A, Boult M, Woods I, Johnson S. Qual Saf Health Care. 2010;19:69-73.

STUDY

What is the safety of nonemergent operative procedures performed at night?

Turrentine FE, Wang H, Young JS, Calland JF. J Trauma. 2010;69:313-319.

STUDY

Critical phase distractions in anaesthesia and the sterile cockpit concept.

Broom MA, Capek AL, Carachi P, Akeroyd MA, Hilditch G. Anaesthesia. 2011;66:175-179.

STUDY

A simulation design for research evaluating safety innovations in anaesthesia.

Merry AF, Weller JM, Robinson BJ, et al. Anaesthesia. 2008;63:1349-1357.

STUDY

Distractions and the anaesthetist: a qualitative study of context and direction of distraction.

Jothiraj H, Howland-Harris J, Evley R, Moppett IK. Br J Anaesth. 2013 Apr 16; [Epub ahead of print].

STUDY

Barriers to adverse event and error reporting in anesthesia.

Heard GC, Sanderson PM, Thomas RD. Anesth Analg. 2012;114:604-614.

STUDY

Preprinted order sets as a safety intervention in pediatric sedation.

Broussard M, Bass PF 3rd, Arnold CL, McLarty JW, Bocchini JA Jr. J Pediatr. 2009;154:865-868.

STUDY

The influence of resident involvement on surgical outcomes.

Raval MV, Wang X, Cohen ME, et al. J Am Coll Surg. 2011;212:889-898.

STUDY

Cranshaw J, Gupta KJ, Cook TM. Anaesthesia. 2009;64:1317-1323.

COMMENTARY

Who Nose Where the Airway Is?

Lee CR. AHRQ WebM&M [serial online]. October 2009.

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

Cardiac surgery errors: results from the UK National Reporting and Learning System.

Martinez EA, Shore A, Colantuoni E, et al. Int J Qual Health Care. 2011;23:151-158.

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

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

Implementation of resident work hour restrictions is associated with a reduction in mortality and provider-related complications on the surgical service: a concurrent analysis of 14,610 patients.

Privette AR, Shackford SR, Osler T, Ratliff J, Sartorelli K, Hebert JC. Ann Surg. 2009;250:316-321.

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