AHRQ Patient Safety Network

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Surgical Complications

•Preoperative Complications (5)

•Intraoperative Complications (186)

•Postoperative Surgical Complications (64)

Origin/Sponsor

•Asia (8)

•Australia and New Zealand (19)

Resource Types

•Clinical Guideline (2)

•Journal Article (600)

•Legislation/Regulation (13)

•Newspaper/Magazine Article (105)

•Special or Theme Issue (20)

•Tools/Toolkit (10)

•Web Resource (20)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (205)

•Active Errors (162)

•Latent Errors (44)

•Near Miss (19)

Approach to Improving Safety

•Quality Improvement Strategies (193)

•Legal and Policy Approaches (84)

•Error Reporting and Analysis (239)

•Communication Improvement (227)

•Human Factors Engineering (199)

•Teamwork (133)

•Specialization of Care (24)

•Logistical Approaches (50)

•Culture of Safety (108)

•Technologic Approaches (68)

•Education and Training (188)

Clinical Areas

Target Audience

•Health Care Providers (592)

•Health Care Executives and Administrators (587)

•Non-Health Care Professionals (248)

•Patients (107)

Setting of Care

•Hospitals (716)

•Psychiatric Facilities (1)

•Residential Facilities (2)

•Ambulatory Care (21)

•Outpatient Surgery (40)

1 - 20 of 813

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NEWSPAPER/MAGAZINE ARTICLE

Surgical errors: new products, protocols help slash the risks.

Williamson JE. Healthcare Purchasing News. January 2006;30:22-25.

NEWSPAPER/MAGAZINE ARTICLE

Trends influencing the cost of care and patient safety.

Clark R. Health Manage Tech. July 2006:18, 20-21.

COMMENTARY

Surgical team training: promoting high reliability with nontechnical skills.

Paige JT. Surg Clin North Am. 2010;90:569-581.

STUDY

Application of human error theory in case analysis of wrong procedures.

Duthie EA. J Patient Saf. 2010;6:108-114.

STUDY

Chronic kidney disease adversely influences patient safety.

Seliger SL, Zhan M, Hsu VD, Walker LD, Fink JC. J Am Soc Nephrol. 2008;19:2414-2419.

REVIEW

Integrating human factors research and surgery: a review.

Shouhed D, Gewertz B, Wiegmann D, Catchpole K. Arch Surg. 2012;147:1141-1146.

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.

STUDY

Effect of short-term pretrial practice on surgical proficiency in simulated environments: a randomized trial of the "preoperative warm-up" effect.

Kahol K, Satava RM, Ferrara J, Smith ML. J Am Coll Surg. 2009;208:255-268.

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

Patient characteristics and the occurrence of never events.

Fry DE, Pine M, Jones BL, Meimban RJ. Arch Surg. 2010;145:148-151.

STUDY

Action research, simulation, team communication, and bringing the tacit into voice. Society for Simulation in Healthcare.

Forsythe L. Simul Healthc. 2009;4:143-148.

NEWSPAPER/MAGAZINE ARTICLE

Doctor uses 'pre-flight' checklist.

Bernhard B. The Orange County Register. April 19, 2006.

COMMENTARY

Instrument readiness: an important link to patient safety.

McNamara SA. AORN J. 2011;93:160-164.

COMMENTARY

The normalization of deviance: what are the perioperative risks?

McNamara SA. AORN J. 2011;93:796-801.

NEWSPAPER/MAGAZINE ARTICLE

Empowered to improve.

Gardner E. Mod Healthc. May 18, 2009;39:28-31.

STUDY

Improving operating room safety.

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

COMMENTARY

Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service in Italy.

Bellandi T, Albolino S, Tartaglia R, Filipponi F. Transplant Proc. 2010;42:2187-2189.

STUDY

A prospective study of patient safety in the operating room.

Christian CK, Gustafson ML, Roth EM, et al. Surgery. 2006;139:159-173.

COMMENTARY

Eliminating perioperative adverse events at Ascension Health.

Ewing H, Bruder G, Baroco P, Hill M, Sparkman LP. Jt Comm J Qual Patient Saf. 2007;33:256-266.

BOOK/REPORT

Safe Surgery Guide.

Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404073.

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