U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
Retained Surgical Instruments and Sponges (60)
Wrong-Site Surgery (73)
Australia and New Zealand (4)
North America (172)
Clinical Guideline (3)
Journal Article (144)
Newspaper/Magazine Article (43)
Special or Theme Issue (2)
Web Resource (4)
Epidemiology of Errors and Adverse Events (58)
Active Errors (98)
Latent Errors (10)
Near Miss (5)
Approach to Improving Safety
Quality Improvement Strategies (55)
Legal and Policy Approaches (24)
Error Reporting and Analysis (71)
Communication Improvement (56)
Human Factors Engineering (60)
Specialization of Care (3)
Logistical Approaches (4)
Culture of Safety (12)
Technologic Approaches (21)
Education and Training (29)
Health Care Providers (153)
Health Care Executives and Administrators (145)
Non-Health Care Professionals (55)
Setting of Care
Psychiatric Facilities (1)
Residential Facilities (1)
Ambulatory Care (5)
Outpatient Surgery (7)
1 - 20
Don't Show Excerpt
Sort by relevance
Sort by significance
Sort by title
Sort by date
Sort by author
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery.
The Joint Commission.
'Wrong site' surgeries on the rise.
Davis R. USA Today. April 17, 2006.
Surgical site verification: A through Z.
Dunn D. J Perianesth Nurs. 2006;21:317-328.
When surgery goes wrong: weighing up the risks.
Feinmann J. The Independent. November 14, 2006.
Surgical checklists: a systematic review of impacts and implementation.
Treadwell JR, Lucas S, Tsou AY. BMJ Qual Saf. 2014;23:299-318.
Using Six Sigma to improve patient safety in the perioperative process.
Galli BJ, Riebling N, Paraso C, Lehmann G, Yule M. Patient Saf Qual Healthc. July/August 2013;10:36-41.
Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care.
Hu YY, Arriaga AF, Roth EM, et al. Ann Surg. 2012;256:203-210.
Butcher L. Hosp Health Netw. November 2011.
Save a brain, make a checklist.
Hamblin J. The Atlantic. March 17, 2014.
When the bone flap hits the floor.
Jankowitz BT, Kondziolka DS. Neurosurgery. 2006;59:585-590.
Role of intraoperative cholangiography in avoiding bile duct injury.
Massarweh NN, Flum DR. J Am Coll Surg. 2007;204:656-664.
Spinal surgery and patient safety: a systems approach.
Wong DA. J Am Acad Orthop Surg. 2006;14:226-232.
Surgical crisis management skills training and assessment: a stimulation-based approach to enhancing operating room performance.
Moorthy K, Munz Y, Forrest D, et al. Ann Surg. 2006;244:139-147.
Collegiality vs. Competence
Sagin T. AHRQ WebM&M [serial online]. March 2006.
Practice Advisory on Intraoperative Awareness and Brain Function Monitoring.
ASA Task Force on Intraoperative Awareness and Brain Function Monitoring. Park Ridge, IL: American Society of Anesthesiologists; July 2005.
Surgery fires spur need for new guidelines.
Collins D. Associated Press [MSNBC]. July 26, 2007.
Airman fights for job after surgery mishap.
Hoffman M. Military Times. July 30, 2009.
How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors.
Chard R. AORN J. 2010;91:132-145.
Fires during surgeries a bigger risk than thought.
Kowalczyk L. Boston Globe. November 7, 2007;Health/Science section:1A.
Third wrong-sided brain surgery at R.I. hospital.
Associated Press. MSNBC. November 27, 2007.
Terms & Conditions
Produced for the
Agency for Healthcare Research and Quality
team of editors
University of California, San Francisco
with guidance from a prominent
. The AHRQ PSNet site was designed and implemented by Silverchair.