AHRQ Patient Safety Network

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Surgical Complications

•Preoperative Complications (3)

•Intraoperative Complications (82)

•Postoperative Surgical Complications (40)

Origin/Sponsor

•Africa (2)

•Asia (10)

•Australia and New Zealand (20)

•Central and South America (1)

Resource Types

•Journal Article (494)

•Legislation/Regulation (8)

•Newspaper/Magazine Article (54)

•Press Release/Announcement (1)

•Special or Theme Issue (11)

•Tools/Toolkit (6)

•Web Resource (20)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (214)

•Active Errors (96)

•Latent Errors (39)

•Near Miss (15)

Approach to Improving Safety

•Quality Improvement Strategies (136)

•Legal and Policy Approaches (62)

•Error Reporting and Analysis (197)

•Communication Improvement (175)

•Human Factors Engineering (145)

•Teamwork (105)

•Specialization of Care (19)

•Logistical Approaches (36)

•Culture of Safety (79)

•Technologic Approaches (53)

•Education and Training (160)

Clinical Areas

•Medicine (598)

•Nursing (37)

•Pharmacy (4)

Target Audience

•Health Care Providers (480)

•Health Care Executives and Administrators (477)

•Non-Health Care Professionals (231)

•Patients (67)

Setting of Care

•Hospitals (583)

•Psychiatric Facilities (1)

•Residential Facilities (2)

•Ambulatory Care (12)

•Outpatient Surgery (21)

•Patient Transport (1)

1 - 20 of 635

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STUDY

Do patient safety events increase readmissions?

Friedman B, Encinosa W, Jiang HJ, Mutter R. Med Care. 2009;47:583-590.

STUDY

Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery.

Mattioli G, Guida E, Montobbio G, et al. Pediatr Surg Int. 2012;28:405-410.

STUDY

Implementing a surgical checklist: more than checking a box.

Levy SM, Senter CE, Hawkins RB, et al. Surgery. 2012;152:331-336.

STUDY

No harm found when nurse anesthetists work without supervision by physicians.

Dulisse B, Cromwell J. Health Aff (Millwood). 2010;29:1469-1475.

STUDY

Sharing lessons learned to prevent incorrect surgery.

Neily J, Mills PD, Paull DE, et al. Am Surg. 2012;78:1276-1280.

STUDY

Relationship between occurrence of surgical complications and hospital finances.

Eappen S, Lane BH, Rosenberg B, et al. JAMA. 2013;309:1599-1606.

STUDY

Errors with concentrated epinephrine in otolaryngology.

Shah RK, Hoy E, Roberson DW, Nielsen D. Laryngoscope. 2008 Nov; 118: 1928-30.

STUDY

Prevalence and predictors of adverse events in older surgical patients: impact of the present on admission indicator.

Kim H, Capezuti E, Kovner C, Zhao Z, Boockvar K. Gerontologist. 2010;50:810-820.

STUDY

The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients.

Encinosa WE, Hellinger FJ. Health Serv Res. 2008;43:2067-2085.

BOOK/REPORT

HealthGrades Sixth Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; April 2009.

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

The "July phenomenon": is trauma the exception?

Schroeppel TJ, Fischer PE, Magnotti LJ, Croce MA, Fabian TC. J Am Coll Surg. 2009;209:378-384.

COMMENTARY

Name and shame.

Cassidy J. BMJ. 2009;339:b2693.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.

Oakbrook Terrace, IL: The Joint Commission; January 2010.

MULTI-USE WEBSITE

HAC Posting on Hospital Compare.

Centers for Medicare & Medicaid Services.

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.

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2013.

MULTI-USE WEBSITE

SmartTots.

Food and Drug Administration and the International Anesthesia Research Society.

BOOK/REPORT

IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care.

Geneva, Switzerland: World Health Organization; 2011.

COMMENTARY

Resident duty hours in surgery for ensuring patient safety, providing optimum resident education and training, and promoting resident well-being: a response from the American College of Surgeons to the Report of the Institute of Medicine, "Resident Duty Hours: Enhancing Sleep, Supervision, and Safety."

Britt LD, Sachdeva AK, Healy GB, Whalen TV, Blair PG; Members of the ACS Task Force on Resident Duty Hours. Surgery. 2009;146:398-409.

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