AHRQ Patient Safety Network

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Surgical Complications

•Preoperative Complications (9)

•Intraoperative Complications (162)

•Postoperative Surgical Complications (63)

Origin/Sponsor

•Australia and New Zealand (23)

•Central and South America (1)

•Europe (167)

•North America (565)

Resource Types

•Audiovisual (9)

•Book/Report (32)

•Clinical Guideline (3)

•Journal Article (592)

•Legislation/Regulation (13)

•Newspaper/Magazine Article (85)

•Press Release/Announcement (2)

•Special or Theme Issue (18)

•Tools/Toolkit (10)

•Web Resource (20)

Error Types

•Epidemiology of Errors and Adverse Events (202)

•Active Errors (155)

•Latent Errors (55)

•Near Miss (17)

Approach to Improving Safety

•Quality Improvement Strategies (182)

•Legal and Policy Approaches (72)

•Error Reporting and Analysis (218)

•Communication Improvement (227)

•Human Factors Engineering (196)

•Teamwork (132)

•Specialization of Care (21)

•Logistical Approaches (45)

•Culture of Safety (93)

•Technologic Approaches (70)

•Education and Training (195)

Clinical Areas

•Allied Health Services (1)

•Dentistry (2)

•Medicine (750)

•Nursing (59)

•Pharmacy (6)

Target Audience

•Health Care Providers (606)

•Health Care Executives and Administrators (563)

•Non-Health Care Professionals (248)

•Patients (91)

Setting of Care

•Hospitals (698)

•Psychiatric Facilities (1)

•Residential Facilities (2)

•Ambulatory Care (19)

•Outpatient Surgery (35)

•Patient Transport (2)

1 - 20 of 787

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COMMENTARY

Environmental Safety in the OR.

Linkin DR, Lautenbach E. AHRQ WebM&M [serial online]. February 2004.

COMMENTARY

The Other Side.

Vincent C. AHRQ WebM&M [serial online]. October 2003.

COMMENTARY

Did We Forget Something?

Gibbs VC. AHRQ WebM&M [serial online]. September 2003.

COMMENTARY

Listen to the Family.

Campbell D Jr. AHRQ WebM&M [serial online]. June 2004.

COMMENTARY

Unexplained Apnea under Anesthesia.

Barach P. AHRQ WebM&M [serial online]. February 2003.

COMMENTARY

Inadvertent Castration.

Calland JF. AHRQ WebM&M [serial online]. January 2004.

COMMENTARY

Too Tight Control.

Rubin HR, Fajtova VT. AHRQ WebM&M [serial online]. May 2004.

COMMENTARY

Which End is Which?

Campbell AR. AHRQ WebM&M [serial online]. April 2003.

COMMENTARY

Wise before the event.

Watts G. BMJ. 2010;340:c1378.

COMMENTARY

The Missing Suction Tip.

Thomas EJ, Moore FA. AHRQ WebM&M [serial online]. November 2003.

COMMENTARY

Privacy Gone Awry.

Pauker SG, Pauker SP. AHRQ WebM&M [serial online]. May 2004.

COMMENTARY

Mark My Limb.

O'Leary DS, Jacott WE. AHRQ WebM&M [serial online]. December 2004.

NEWSPAPER/MAGAZINE ARTICLE

Get me out alive.

Feldman R. The Washington Post. May 2, 2006:HE01.

FACT SHEET/FAQS

Having Surgery? What You Need to Know.

Rockville, MD: Agency for Healthcare Research and Quality; 2005. AHRQ Publication No. 05(06)-0074.

COMMENTARY

Preventable errors in organ transplantation: an emerging patient safety issue?

Ison MG, Holl JL, Ladner D. Am J Transplant. 2012;12:2307-2312.

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

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

COMMENTARY

The competent surgeon: individual accountability in the era of "systems" failure.

Whittemore AD. Ann Surg. 2009;250:357-362.

ORGANIZATIONAL POLICY/GUIDELINES

Practice advisory for the prevention and management of operating room fires.

Caplan RA, Barker SJ, Connis RT, et al; for American Society of Anesthesiologists Task Force on Operating Room Fires. Anesthesiology. 2008;108:786-801.

STUDY

Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme.

Neily J, Mills PD, Lee P, et al. Qual Saf Health Care. 2010;19:360-364.

COMMENTARY

Ball K. AHRQ WebM&M [serial online]. October 2004.

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