AHRQ Patient Safety Network

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Surgical Complications

•Preoperative Complications (5)

•Intraoperative Complications (83)

•Postoperative Surgical Complications (29)

Origin/Sponsor

•Asia (7)

•Australia and New Zealand (15)

Resource Types

•Clinical Guideline (2)

•Journal Article (449)

•Legislation/Regulation (12)

•Newspaper/Magazine Article (76)

•Special or Theme Issue (14)

•Tools/Toolkit (3)

•Web Resource (13)

Error Types

•Epidemiology of Errors and Adverse Events (157)

•Active Errors (100)

•Latent Errors (37)

•Near Miss (12)

Approach to Improving Safety

•Quality Improvement Strategies (141)

•Legal and Policy Approaches (64)

•Error Reporting and Analysis (180)

•Communication Improvement (154)

•Human Factors Engineering (128)

•Teamwork (84)

•Specialization of Care (17)

•Logistical Approaches (38)

•Culture of Safety (72)

•Technologic Approaches (46)

•Education and Training (148)

Clinical Areas

Target Audience

•Health Care Providers (456)

•Health Care Executives and Administrators (420)

•Non-Health Care Professionals (173)

•Patients (74)

Setting of Care

•Hospitals (504)

•Psychiatric Facilities (1)

•Residential Facilities (2)

•Ambulatory Care (21)

•Outpatient Surgery (42)

•Patient Transport (2)

1 - 20 of 602

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STUDY

Time of day effects on the incidence of anesthetic adverse events.

Wright MC, Phillips-Bute B, Mark JB, et al. Qual Saf Health Care. 2006;15:258-263.

NEWSPAPER/MAGAZINE ARTICLE

Do no harm: promoting patient safety.

Ellis K. Surgicenteronline.com [serial online]. May 1, 2006.

NEWSPAPER/MAGAZINE ARTICLE

Safety in ASCs: putting patients first.

Dix K. Today's Surgicenter. December 1, 2006.

STUDY

Injury and liability associated with monitored anesthesia care: a closed claims analysis.

Bhananker SM, Posner KL, Cheney FW, Caplan RA, Lee LA, Domino KB. Anesthesiology. 2006;104:228-234.

STUDY

Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program.

Kiran RP, Ahmed Ali U, Coffey JC, Vogel JD, Pokala N, Fazio VW. Ann Surg. 2012;256:469-475.

COMMENTARY

The Wild West: Patient Safety in Office-Based Anesthesia

Kaushal R, Upadhyayula S, Gaba DM, Leape LL. AHRQ WebM&M [serial online]. May 2006.

REVIEW

Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education.

Clayman MA, Clayman SM, Steele MH, Seagle MB. Ann Plastic Surg. 2007;58:288-291.

COMMENTARY

Patient safety in the office-based setting.

Horton JB, Reece EM, Broughton G 2nd, Janis JE, Thornton JF, Rohrich RJ. Plast Reconstr Surg. 2006;117:61e-80e.

STUDY

Preventable anesthesia mishaps: a study of human factors.

Cooper JB, Newbower RS, Long CD, McPeek B. Anesthesiology. 1978;49:399-406.

REVIEW

Fatal errors in nitrous oxide delivery.

Herff H, Paal P, von Goedecke A, Lindner KH, Keller C, Wenzel V. Anaesthesia. 2007;62:1202-1206.

SPECIAL OR THEME ISSUE

Patient Safety and the Invitational Conference on Contemporary Surgical Quality, Safety and Transparency.

Amer Surg. 2006;72:985-1149

STUDY

Surgeon age and operative mortality in the United States.

Waljee JF, Greenfield LJ, Dimick JB, Birkmeyer JD. Ann Surg. 2006;244:353-362.

STUDY

Liability associated with obstetric anesthesia: a closed claims analysis.

Davies JM, Posner KL, Lee LA, Cheney FW, Domino KB. Anesthesiology. 2009;110:131-139.

STUDY

Adverse event reporting: lessons learned from 4 years of Florida office data.

Coldiron B, Fisher AH, Adelman E, et al. Dermatol Surg. 2005;31(pt 1):1079-1092; discussion 1093.

REVIEW

Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety.

Desai MS. Curr Opin Anaesthesiol. 2008;21:699-703.

STUDY

Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003.

Cook RI, Wreathall J, Smith A, et al. Transplantation. 2007;84:1602-1609.

STUDY

Risks of complications by attending physicians after performing nighttime procedures.

Rothschild JM, Keohane CA, Rogers S, et al. JAMA. 2009;302:1565-1572.

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

Medmarx Data Report: A Chartbook of Medication Error Findings from the Perioperative Settings from 1998-2005.

Rockville, MD: United States Pharmacopeia; 2007.

COMMENTARY

Six things every plastic surgeon needs to know about teamwork training and checklists.

Harden CS. Aesthet Surg J. 2013;33:443-448.

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