AHRQ Patient Safety Network

The Collection > Preoperative Complications

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Preoperative Complications

Origin/Sponsor

Resource Types

•Legislation/Regulation (2)

Error Types

•Active Errors (2)

•Latent Errors (4)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (5)

•Error Reporting and Analysis (1)

•Communication Improvement (3)

•Human Factors Engineering (3)

•Teamwork (1)

•Specialization of Care (2)

•Culture of Safety (2)

•Technologic Approaches (1)

•Education and Training (1)

Clinical Areas

•Medicine (8)

•Nursing (1)

Target Audience

•Health Care Providers (5)

•Health Care Executives and Administrators (4)

Setting of Care

•Hospitals (8)

•Patient Transport (1)

1 - 8 of 8

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CONGRESSIONAL TESTIMONY

Oversight hearing on recent patient safety issues.

Subcommittee on Oversight and Investigations, 109th Cong, 2nd Sess (June 15, 2006). (Testimony of James P. Bagian, MD, PE; John D. Daigh, Jr., MD; Daniel Schultz, MD; Laurie Ekstrand).

STUDY

What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication histories.

Burda SA, Hobson D, Pronovost PJ. Qual Saf Health Care. 2005;14:414-416.

BOOK/REPORT

Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida.

Health Care Inspection. Washington, DC: VA Office of Inspector General; April 10, 2006. Report No. 06-01642-126.

STUDY

An observational study of practice during transfer of patients from anaesthetic room to operating theatre.

Broom MA, Slater J, Ure DS. Anaesthesia. 2006;61:943-945.

STUDY

Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team.

Konrad D, Jäderling G, Bell M, Granath F, Ekbom A, Martling CR. Intensive Care Med. 2010;36:100-106.

COMMENTARY

Mark My Limb.

O'Leary DS, Jacott WE. AHRQ WebM&M [serial online]. December 2004.

ORGANIZATIONAL POLICY/GUIDELINES

Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society.

Chow WB, Rosenthal RA, Merkow RP, Ko CY, Esnaola NF. J Am Coll Surg. 2012;215:453-466.

COMMENTARY

Too Tight Control.

Rubin HR, Fajtova VT. AHRQ WebM&M [serial online]. May 2004.