AHRQ Patient Safety Network

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Surgical Complications

•Preoperative Complications (9)

•Intraoperative Complications (173)

•Postoperative Surgical Complications (68)

Origin/Sponsor

•Africa (2)

•Asia (12)

•Australia and New Zealand (23)

•Central and South America (1)

Resource Types

•Clinical Guideline (3)

•Journal Article (621)

•Legislation/Regulation (14)

•Newspaper/Magazine Article (87)

•Press Release/Announcement (2)

•Special or Theme Issue (19)

•Tools/Toolkit (9)

•Web Resource (20)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (217)

•Active Errors (160)

•Latent Errors (53)

•Near Miss (19)

Approach to Improving Safety

•Quality Improvement Strategies (193)

•Legal and Policy Approaches (74)

•Error Reporting and Analysis (234)

•Communication Improvement (233)

•Human Factors Engineering (206)

•Teamwork (137)

•Specialization of Care (22)

•Logistical Approaches (47)

•Culture of Safety (98)

•Technologic Approaches (72)

•Education and Training (198)

Clinical Areas

Target Audience

•Health Care Providers (615)

•Health Care Executives and Administrators (596)

•Non-Health Care Professionals (253)

•Patients (90)

Setting of Care

•Hospitals (723)

•Residential Facilities (1)

•Ambulatory Care (20)

•Outpatient Surgery (36)

•Patient Transport (2)

1 - 20 of 820

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REVIEW

Information transfer and communication in surgery: a systematic review.

Nagpal K, Vats A, Lamb B, et al. Ann Surg. 2010;252:225-239.

STUDY

Practical challenges of introducing WHO surgical checklist: UK pilot experience.

Vats A, Vincent CA, Nagpal K, Davies RW, Darzi A, Moorthy K. BMJ. 2010;340:b5433.

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

Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members.

Ali M, Osborne A, Bethune R, Pullyblank A. J Patient Saf. 2011;7:138-142.

STUDY

An evaluation of information transfer through the continuum of surgical care: a feasibility study.

Nagpal K, Vats A, Ahmed K, Vincent C, Moorthy K. Ann Surg. 2010;252:402-407.

COMMENTARY

Engineering the system of communication for safer surgery.

Healey AN, Nagpal K, Moorthy K, Vincent CA. Cogn Tech Work. 2011;13:1-10.

STUDY

Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit.

McCulloch P, Kreckler S, New S, Sheena Y, Handa A, Catchpole K. BMJ. 2010;341:c5469.

NEWSPAPER/MAGAZINE ARTICLE

Safety first.

Feinmann J. BMJ. 2009;338:b420.

REVIEW

Patient safety in surgery: non-technical aspects of safe surgical performance.

Youngson GG, Flin R. Patient Saf Surg. 2010;4:4.

REVIEW

Patient safety during anaesthesia: incorporation of the WHO safe surgery guidelines into clinical practice.

Schlack WS, Boermeester MA. Curr Opin Anaesthesiol. 2010;23:754-758.

STUDY

Effective surgical safety checklist implementation.

Conley DM, Singer SJ, Edmondson L, Berry WR, Gawande AA. J Am Coll Surg. 2011;212:873-879.

COMMENTARY

Perfusion safety: new initiatives and enduring principles.

Kurusz M. Perfusion. 2011;26(suppl 1):6-14.

STUDY

The introduction of a surgical safety checklist in a tertiary referral obstetric centre.

Kearns RJ, Uppal V, Bonner J, Robertson J, Daniel M, McGrady EM. BMJ Qual Saf. 2011;20:818-822.

COMMENTARY

Making Do.

Bradley LD. AHRQ WebM&M [serial online]. September 2003.

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

Can aviation-based team training elicit sustainable behavioral change?

Sax HC, Browne P, Mayewski RJ, et al. Arch Surg. 2009;144:1133-1137.

STUDY

Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients.

de Vries EN, Prins HA, Bennink MC, et al. BMJ Qual Saf. 2012;21:503-508.

STUDY

Improving operating room safety.

Hurlbert SN, Garrett J. Patient Saf Surg. 2009;3:25.

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.

STUDY

Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice.

Lingard L, Regehr G, Cartmill C, et al. BMJ Qual Saf. 2011;20:475-482.

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