AHRQ Patient Safety Network

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Surgical Complications

•Preoperative Complications (9)

•Intraoperative Complications (140)

•Postoperative Surgical Complications (56)

Origin/Sponsor

•Africa (2)

•Asia (9)

•Australia and New Zealand (15)

•Central and South America (1)

Resource Types

•Clinical Guideline (3)

•Journal Article (537)

•Legislation/Regulation (13)

•Newspaper/Magazine Article (97)

•Special or Theme Issue (18)

•Tools/Toolkit (10)

•Web Resource (15)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (169)

•Active Errors (137)

•Latent Errors (42)

•Near Miss (17)

Approach to Improving Safety

•Quality Improvement Strategies (179)

•Legal and Policy Approaches (69)

•Error Reporting and Analysis (201)

•Communication Improvement (227)

•Human Factors Engineering (175)

•Teamwork (137)

•Specialization of Care (24)

•Logistical Approaches (47)

•Culture of Safety (107)

•Technologic Approaches (61)

•Education and Training (182)

Clinical Areas

•Allied Health Services (1)

Target Audience

•Health Care Providers (548)

•Health Care Executives and Administrators (507)

•Non-Health Care Professionals (211)

•Patients (93)

Setting of Care

•Hospitals (635)

•Residential Facilities (1)

•Ambulatory Care (21)

•Outpatient Surgery (36)

1 - 20 of 735

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STUDY

Causes of near misses: perceptions of perioperative nurses.

Cohoon B. AORN J. 2011;93:551-565.

STUDY

Observational assessment of surgical teamwork: a feasibility study.

Undre S, Healey AN, Darzi A, Vincent CA. World J Surg. 2006;30:1774-1783.

NEWSPAPER/MAGAZINE ARTICLE

Costly issues of an uncommunicative OR.

Neil R. Mat Manage Health Care. March 2006;15:30-33.

ORGANIZATIONAL POLICY/GUIDELINES

AORN guidance statement: creating a patient safety culture.

AORN J. 2006;83:936-942.

NEWSPAPER/MAGAZINE ARTICLE

Doctor uses 'pre-flight' checklist.

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

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.

COMMENTARY

The normalization of deviance: what are the perioperative risks?

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

STUDY

Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel.

Sexton JB, Makary MA, Tersigni AR, et al. Anesthesiology. 2006;105:877-884.

STUDY

Communication practices on 4 Harvard surgical services: a surgical safety collaborative.

ElBardissi AW, Regenbogen SE, Greenberg CC, et al. Ann Surg. 2009;250:861-865.

COMMENTARY

Safety huddles in the PACU: when a patient self-medicates.

Setaro J, Connolly M. J Perianesth Nurs. 2011;26:96-102.

COMMENTARY

A common body of care: the ethics and politics of teamwork in the operating theater are inseparable.

Bleakley A. J Med Philos. 2006;31:305-322.

COMMENTARY

A team training program using human factors to enhance patient safety.

Marshall DA, Manus DA. AORN J. 2007;86:994-1011.

COMMENTARY

Communication in the perioperative setting.

Cvetic E. AORN J. 2011;94:261-270.

STUDY

Interruptions and miscommunications in surgery: an observational study.

Gillespie BM, Chaboyer W, Fairweather N. AORN J. 2012;95:576-590.

COMMENTARY

Creating a culture of safety by using checklists.

Huang L, Kim R, Berry W. AORN J. 2013;97:365-368.

MULTI-USE WEBSITE

National Time Out Day.

AORN Patient Safety First.

STUDY

Bridging the communication gap in the operating room with medical team training.

Awad SS, Fagan SP, Bellows C, et al. Am J Surg. 2005;190:770-774.

STUDY

Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.

Makary MA, Sexton JB, Freischlag JA, et al. J Am Coll Surg. 2006;202:746-752.

SPECIAL OR THEME ISSUE

Risk, Safety and Reliability Special Issue.

Newbold D, Attree M, eds. J Nurs Manag. 2009;17:145-266.

NEWSPAPER/MAGAZINE ARTICLE

Tomorrow's operating room to harness Net, RFID.

Olsen S. CNET News.com; October 19, 2005.

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