AHRQ Patient Safety Network

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Surgical Complications

•Preoperative Complications (10)

•Intraoperative Complications (197)

•Postoperative Surgical Complications (79)

Origin/Sponsor

•Africa (2)

•Asia (13)

•Australia and New Zealand (23)

•Central and South America (1)

Resource Types

•Clinical Guideline (3)

•Journal Article (645)

•Legislation/Regulation (14)

•Newspaper/Magazine Article (107)

•Press Release/Announcement (1)

•Special or Theme Issue (19)

•Tools/Toolkit (10)

•Web Resource (20)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (223)

•Active Errors (174)

•Latent Errors (52)

•Near Miss (20)

Approach to Improving Safety

•Quality Improvement Strategies (208)

•Legal and Policy Approaches (90)

•Error Reporting and Analysis (251)

•Communication Improvement (249)

•Human Factors Engineering (205)

•Teamwork (139)

•Specialization of Care (25)

•Logistical Approaches (50)

•Culture of Safety (107)

•Technologic Approaches (76)

•Education and Training (208)

Clinical Areas

•Allied Health Services (1)

Target Audience

•Health Care Providers (643)

•Health Care Executives and Administrators (612)

•Non-Health Care Professionals (260)

•Patients (110)

Setting of Care

•Hospitals (756)

•Psychiatric Facilities (1)

•Residential Facilities (2)

•Ambulatory Care (25)

•Outpatient Surgery (43)

•Patient Transport (2)

1 - 20 of 869

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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

Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention.

Haynes AB, Weiser TG, Berry WR, et al; Safe Surgery Saves Lives Study Group. BMJ Qual Saf. 2011;20:102-107.

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

Improving operating room safety.

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

STUDY

Communication failure in the operating room.

Halverson AL, Casey JT, Andersson J, et al. Surgery. 2011;49:305-310.

MULTI-USE WEBSITE

Council on Surgical and Perioperative Safety.

Council on Surgical and Perioperative Safety; 633 N. St. Clair St. Chicago, IL, 60611.

REVIEW

Information transfer and communication in surgery: a systematic review.

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

REVIEW

A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery.

Borchard A, Schwappach DL, Barbir A, Bezzola P. Ann Surg. 2012;256:925-933.

STUDY

Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes.

Nilsson L, Lindberget O, Gupta A, Vegfors M. Acta Anaesthesiol Scand. 2010;54:176-182.

STUDY

Effect of a 19-item surgical safety checklist during urgent operations in a global patient population.

Weiser TG, Haynes AB, Dziekan G, et al; Safe Surgery Saves Lives Investigators and Study Group. Ann Surg. 2010;251:976-980.

COMMENTARY

Barbers of civility.

Klein AS, Forni PM. Arch Surg. 2011;146:774-777.

STUDY

Crisis checklists for the operating room: development and pilot testing.

Ziewacz JE, Arriaga AF, Bader AM, et al. J Am Coll Surg. 2011;213:212-219.

COMMENTARY

Engineering the system of communication for safer surgery.

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

REVIEW

Enhancing communication in surgery through team training interventions: a systematic literature review.

Gillespie BM, Chaboyer W, Murray P. AORN J. 2010;92:642-657.

COMMENTARY

Perfusion safety: new initiatives and enduring principles.

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

COMMENTARY

What happens when things go wrong?

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

STUDY

Surgical team training: the Northwestern Memorial Hospital experience.

Halverson AL, Andersson JL, Anderson K, et al. Arch Surg. 2009;144:107-112.

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.

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

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

NEWSPAPER/MAGAZINE ARTICLE

Patient safety in the OR.

Stempniak M. Hosp Health Netw. 2012 Oct;86:8 p following 40.

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